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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1994-2-22
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pubmed:abstractText |
A few cases of severe rhabdomyolysis have been reported in heart transplant recipients treated simultaneously with ciclosporin (CS) and the 3-hydroxy-3-methylglutaryl-coenzyme A (HMG-CoA) reductase inhibitor lovastatin. When measured, plasma lovastatin HMG-CoA reductase inhibitor concentrations in these patients were higher than expected. This prompted us to study the plasma concentration profiles of simvastatin HMG-CoA reductase inhibitory activity after a single dose of simvastatin in kidney transplant recipients. Five patients treated with CS, azathioprine and prednisolone (CS patients) were compared to 5 patients treated with azathioprine and prednisolone (non-CS patients). The concentration curves had similar shapes but the mean area under the curve/24 h was almost 3 times higher (p = 0.047) and the mean peak concentration was twice as high in CS patients (p = 0.028). These results suggest a difference in the disposition of simvastatin in CS patients as compared to non-CS patients. Simvastatin should be administered in a reduced dosage to CS patients.
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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 |
0028-2766
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
65
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
410-3
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:8289991-Adult,
pubmed-meshheading:8289991-Aged,
pubmed-meshheading:8289991-Cyclosporine,
pubmed-meshheading:8289991-Drug Interactions,
pubmed-meshheading:8289991-Female,
pubmed-meshheading:8289991-Humans,
pubmed-meshheading:8289991-Hydroxymethylglutaryl-CoA Reductase Inhibitors,
pubmed-meshheading:8289991-Kidney Transplantation,
pubmed-meshheading:8289991-Lovastatin,
pubmed-meshheading:8289991-Male,
pubmed-meshheading:8289991-Middle Aged,
pubmed-meshheading:8289991-Rhabdomyolysis,
pubmed-meshheading:8289991-Simvastatin
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pubmed:year |
1993
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pubmed:articleTitle |
Plasma concentration profiles of simvastatin 3-hydroxy-3-methyl-glutaryl-coenzyme A reductase inhibitory activity in kidney transplant recipients with and without ciclosporin.
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pubmed:affiliation |
Department of Nephrology, University Hospital, Lund, Sweden.
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pubmed:publicationType |
Journal Article
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