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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1994-12-7
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pubmed:abstractText |
The pharmacokinetics of diacetylrhein following a single oral dose of 50 mg was studied in 12 healthy volunteers and two groups of 8 patients with mild or severe renal insufficiency. Statistical analysis using a Kruskal-Wallis rank sum test showed a significant difference between the three groups for the following parameters. In severely uraemic patients, median AUC0-infinity was multiplied by a factor of about 2: 40.5 mg.h/l versus 21.3 mg.h/l in healthy subjects, P = 0.04; and t1/2 was prolonged by the same factor: 9.6 h versus 4.3 h in the control group, P = 0.003. Apparent drug availability and renal clearance assessed through urinary data decreased with renal failure, respectively: 14.5% and 0.045 l/h versus 35.4% (P = 0.01) and 0.13 l/h (P = 0.008) in healthy subjects. Amounts of glucuro- and sulpho-conjugates in urine were lower in severely uraemic patients. Intermediate values were observed for mildly uraemic patients. Other parameters: lag time, Cmax, tmax, Vss/F, urinary glucuro- to sulpho-conjugate ratios did not change significantly. Apparent total clearance of rhein was poorly correlated with creatinine clearance and this was related to a decrease of non-renal clearance of rhein in renal insufficiency. It was concluded that, from a pharmacokinetic point of view, a reduction (50%) in the initial dosage of diacerein should be considered in severe renal failure.
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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/Anthraquinones,
http://linkedlifedata.com/resource/pubmed/chemical/Anti-Inflammatory Agents...,
http://linkedlifedata.com/resource/pubmed/chemical/NADH, NADPH Oxidoreductases,
http://linkedlifedata.com/resource/pubmed/chemical/diacetylrhein,
http://linkedlifedata.com/resource/pubmed/chemical/rhein
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pubmed:status |
MEDLINE
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pubmed:issn |
0378-7966
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
19
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
13-9
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pubmed:dateRevised |
2011-2-2
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pubmed:meshHeading |
pubmed-meshheading:7957446-Adult,
pubmed-meshheading:7957446-Aged,
pubmed-meshheading:7957446-Anthraquinones,
pubmed-meshheading:7957446-Anti-Inflammatory Agents, Non-Steroidal,
pubmed-meshheading:7957446-Chromatography, High Pressure Liquid,
pubmed-meshheading:7957446-Female,
pubmed-meshheading:7957446-Humans,
pubmed-meshheading:7957446-Kidney Failure, Chronic,
pubmed-meshheading:7957446-Male,
pubmed-meshheading:7957446-Middle Aged,
pubmed-meshheading:7957446-NADH, NADPH Oxidoreductases
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pubmed:articleTitle |
Influence of renal function on the pharmacokinetics of diacerein after a single oral dose.
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pubmed:affiliation |
Department of Pharmacotoxicology, Avicenne Hospital, Bobigny, France.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study
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