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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1986-10-23
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pubmed:abstractText |
Pharmacokinetics of ornidazole, a nitroimidazole derivative, was studied after intravenous injection in 10 patients with severe alcoholic cirrhosis and 10 healthy volunteers. Plasma concentrations of ornidazole and its two major hydroxylated metabolites, M1 (alpha-(chloromethyl)-2-hydroxymethyl-5-nitroimidazole-1-ethanol) and M4 (3-(2-methyl-5-nitroimidazole 1-yl) 1,2 propane diol), were measured by HPLC. The t1/2 of ornidazole was 14.1 +/- 0.5 hours for normal subjects and 21.9 +/- 2.9 hours for patients with cirrhosis. Mean plasma clearance was 50.6 +/- 2.1 ml/min in control subjects and 34.9 +/- 4.9 ml/min in patients, whereas apparent V SS was not modified in hepatic insufficiency. In healthy volunteers, M1 and M4 levels are well below levels of the parent drug; in cirrhosis both metabolites accumulate in plasma as a result of decreased elimination. Hepatic cirrhosis prolongs ornidazole elimination, and to avoid cumulation the interval between repeated doses could be doubled.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0009-9236
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
40
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
359-64
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:3742940-Adult,
pubmed-meshheading:3742940-Chromatography, High Pressure Liquid,
pubmed-meshheading:3742940-Female,
pubmed-meshheading:3742940-Humans,
pubmed-meshheading:3742940-Kinetics,
pubmed-meshheading:3742940-Liver Cirrhosis, Alcoholic,
pubmed-meshheading:3742940-Male,
pubmed-meshheading:3742940-Mathematics,
pubmed-meshheading:3742940-Middle Aged,
pubmed-meshheading:3742940-Nitroimidazoles,
pubmed-meshheading:3742940-Ornidazole
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pubmed:year |
1986
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pubmed:articleTitle |
Pharmacokinetics of ornidazole in patients with severe liver cirrhosis.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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