Source:http://linkedlifedata.com/resource/pubmed/id/18217908
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2008-1-25
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pubmed:abstractText |
In this six-month randomized multicenter trial, we characterized cyclosporine pharmacokinetics and blood pressure profiles in maintenance liver transplant patients converting from twice-daily to once-daily cyclosporine dosing. A total of 60 patients were randomized as follows: group A (n = 14) maintained twice-daily dosing; group B (n = 24) converted to once-daily dosing at the same total daily dose as pre-conversion; and group C (n = 22) was treated the same as group B but with a 25% reduction in dose and C2 at two to three wk post-conversion. After conversion to once-daily dosing in groups B and C, trough blood levels (C0) did not change; whereas, C2 nearly doubled. The total daily area under the concentration-time curve AUC(0-24) increased by 29%. After the dose reduction in group C, the AUC(0-24) was similar to the pre-conversion value. Hence, a 25-30% dose reduction can be considered after conversion to once-daily dosing. In the study observation period in weeks 4-15, the median (25-75 percentile) C2 was 568 (469-750) ng/mL for group A; 1055 (840-1224) ng/mL for group B; and 764 (575-959) ng/mL for group C. Conversion to once-daily dosing was associated with a decrease in nighttime mean arterial blood pressure.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
1399-0012
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
22
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
68-75
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pubmed:meshHeading |
pubmed-meshheading:18217908-Area Under Curve,
pubmed-meshheading:18217908-Blood Pressure,
pubmed-meshheading:18217908-Blood Pressure Monitoring, Ambulatory,
pubmed-meshheading:18217908-Circadian Rhythm,
pubmed-meshheading:18217908-Cyclosporine,
pubmed-meshheading:18217908-Dose-Response Relationship, Drug,
pubmed-meshheading:18217908-Female,
pubmed-meshheading:18217908-Humans,
pubmed-meshheading:18217908-Immunosuppressive Agents,
pubmed-meshheading:18217908-Liver Transplantation,
pubmed-meshheading:18217908-Male,
pubmed-meshheading:18217908-Middle Aged,
pubmed-meshheading:18217908-Pilot Projects
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pubmed:articleTitle |
Cyclosporine pharmacokinetics and blood pressure responses after conversion to once-daily dosing in maintenance liver transplant patients.
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pubmed:affiliation |
Novartis Pharmaceuticals, Basel, Switzerland. john.kovarik@Novartis.com
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pubmed:publicationType |
Journal Article,
Randomized Controlled Trial,
Multicenter Study
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