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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1988-12-21
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pubmed:abstractText |
The pharmacokinetics of disopyramide was studied in 15 patients with renal dysfunction (4 with pyelonephritis, 7 with glomerular nephritis and 4 with interstitial nephritis). The elimination rate constant of unbound disopyramide was 0.094 h-1 and CLu/f (unbound clearance divided by bioavailability) was 245 ml/min. Both the unbound renal clearance (CLR) and CLu/f were highly correlated with the creatinine clearance (CLCR). The apparent unbound metabolic clearance in the patients was approximately two-fold lower than that previously reported in normal subjects. The estimated unbound metabolic clearance in the renal dysfunction patients showed a significant negative correlation with the alpha 1-acid glycoprotein (AAG) concentration and only a weak, non-significant correlation with CLCR. As AAG in the renal dysfunction subjects was increased in comparison with normal values, it is possible that AAG is a factor in the decrease in the apparent unbound metabolic clearance.
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pubmed:grant | |
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 |
0031-6970
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
35
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
313-7
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:3181285-Adult,
pubmed-meshheading:3181285-Aged,
pubmed-meshheading:3181285-Creatinine,
pubmed-meshheading:3181285-Disopyramide,
pubmed-meshheading:3181285-Female,
pubmed-meshheading:3181285-Glomerulonephritis,
pubmed-meshheading:3181285-Humans,
pubmed-meshheading:3181285-Male,
pubmed-meshheading:3181285-Metabolic Clearance Rate,
pubmed-meshheading:3181285-Middle Aged,
pubmed-meshheading:3181285-Nephritis, Interstitial,
pubmed-meshheading:3181285-Orosomucoid,
pubmed-meshheading:3181285-Pyelonephritis
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pubmed:year |
1988
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pubmed:articleTitle |
Does alpha 1-acid glycoprotein reduce the unbound metabolic clearance of disopyramide in patients with renal impairment?
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pubmed:affiliation |
Institute of Nephrology, University of Erlangen-Nürnberg, Federal Republic of Germany.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.
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