Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
|
pubmed:dateCreated |
1988-7-29
|
pubmed:abstractText |
The pharmacokinetics of propafenone and 5-OH-propafenone and their relationship with the antiarrhythmic action and side effects have been studied in 10 patients with stable, frequent, premature ventricular beats (224-928 premature ventricular complexes/h). Observations were made after a single dose of propafenone 300 mg p.o., and after 1 and 3 months (only 5 out of 10 patients) of therapy with 300 mg t.d.s. After 1 month of treatment the plasma elimination half-life of propafenone (6.7 h) was almost twice as long as after a single dose (3.5 h), and the area under the plasma propafenone concentration-time curve (7620 ng.ml-1.h) was significantly larger than after single dose (3522 ng.ml-1.h); this was also true for the metabolite. The ratio of the AUCs of 5-OH-propafenone and propafenone decreased from the single dose (0.63) to 1 month (0.32). These variables remained stable up to 3 months. Eight patients had greater than or equal to 75% reduction of premature ventricular complexes after 3 days of therapy, and in 7 they were completely suppressed; the response was maintained over 1 to 3 months. Side effects were minor and in no case had the drug to be withdrawn or the dose reduced. Thus, the kinetics of propafenone were time-dependent. Its active metabolite did not accumulate greatly during chronic treatment. The lasting antiarrhythmic effect observed in some patients suggests a b.d.s. regimen instead of t.d.s. dosing in selected patients.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:issn |
0031-6970
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
34
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
187-94
|
pubmed:dateRevised |
2006-11-15
|
pubmed:meshHeading |
pubmed-meshheading:3383990-Adult,
pubmed-meshheading:3383990-Anti-Arrhythmia Agents,
pubmed-meshheading:3383990-Antihypertensive Agents,
pubmed-meshheading:3383990-Electrocardiography,
pubmed-meshheading:3383990-Female,
pubmed-meshheading:3383990-Half-Life,
pubmed-meshheading:3383990-Humans,
pubmed-meshheading:3383990-Male,
pubmed-meshheading:3383990-Middle Aged,
pubmed-meshheading:3383990-Propafenone
|
pubmed:year |
1988
|
pubmed:articleTitle |
Pharmacokinetics and pharmacodynamics of propafenone during acute and chronic administration.
|
pubmed:affiliation |
Divisione di Cardiologia, Seriate (Bergamo), Italy.
|
pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
|