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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1986-12-15
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pubmed:abstractText |
Thirty-five imipramine treated patients were phenotyped with regard to polymorphic drug oxidation using sparteine and/or debrisoquine. During treatment with 100 mg imipramine per day the mean steady-state concentrations and ratios in 28 extensive metabolizers were: imipramine 169 nmol/l; desipramine 212 nmol/l; 2-OH-imipramine/imipramine 0.25; 2-OH-desipramine/desipramine 0.57. The corresponding values in two poor metabolizers were: imipramine 455 and 302 nmol/l; desipramine 1148 and 1721 nmol/l; 2-OH-imipramine/imipramine 0.06 and 0.05; 2-OH-desipramine/desipramine: 0.09 and 0.04 respectively. The metabolic ratios (MR) sparteine/dehydrosparteine and debrisoquine/4-OH-debrisoquine (% of dose in 12-h urine samples) correlated poorly with the imipramine steady-state concentrations during administration of 100 mg per day, but quite well with the desipramine steady-state concentrations. Significant negative correlations were found between sparteine and debrisoquine MR and the 2-OH-imipramine/imipramine and 2-OH-desipramine/desipramine ratios. In most patients the initial dose was changed to obtain concentrations in the therapeutic range, and concentrations for imipramine + desipramine of (mean +/- SD) 713 +/- 132 nmol/l were achieved in 33 patients. The therapeutic dose was 50 mg per day in one poor metabolizer and ranged from 50-400 mg per day in 32 extensive metabolizers. There was a weak negative correlation between sparteine MR and daily dose. Treatment with imipramine inhibited metabolism of both sparteine and debrisoquine (MR values about doubled), but did not affect the interpatient correlations.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/2-hydroxydesipramine,
http://linkedlifedata.com/resource/pubmed/chemical/2-hydroxyimipramine,
http://linkedlifedata.com/resource/pubmed/chemical/Debrisoquin,
http://linkedlifedata.com/resource/pubmed/chemical/Desipramine,
http://linkedlifedata.com/resource/pubmed/chemical/Imipramine,
http://linkedlifedata.com/resource/pubmed/chemical/Isoquinolines,
http://linkedlifedata.com/resource/pubmed/chemical/Sparteine
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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 |
30
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
679-84
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:3533565-Adult,
pubmed-meshheading:3533565-Aged,
pubmed-meshheading:3533565-Aged, 80 and over,
pubmed-meshheading:3533565-Clinical Trials as Topic,
pubmed-meshheading:3533565-Debrisoquin,
pubmed-meshheading:3533565-Depression,
pubmed-meshheading:3533565-Desipramine,
pubmed-meshheading:3533565-Female,
pubmed-meshheading:3533565-Humans,
pubmed-meshheading:3533565-Hydroxylation,
pubmed-meshheading:3533565-Imipramine,
pubmed-meshheading:3533565-Isoquinolines,
pubmed-meshheading:3533565-Kinetics,
pubmed-meshheading:3533565-Male,
pubmed-meshheading:3533565-Middle Aged,
pubmed-meshheading:3533565-Phenotype,
pubmed-meshheading:3533565-Polymorphism, Genetic,
pubmed-meshheading:3533565-Sparteine
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pubmed:year |
1986
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pubmed:articleTitle |
Steady-state concentrations of imipramine and its metabolites in relation to the sparteine/debrisoquine polymorphism.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, Non-U.S. Gov't
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