Pharmacokinetics of Norvancomycin of SICU Patients
SUN Na1,2,ZHANG Zhen-yu3,AN You-zhong3,ZHANG Chun-yan1,GU Jian1*
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1.Department of Pharmacy, Peking University People′s Hospital, Beijing 100044 ; 2 . Department of Pharmacy Administration and Clinical Pharmacy, Peking University School of Pharmaceutical Science, Beijing 100083; 3 .Department of SICU, Peking University People′s Hospital, Beijing 100044
OBJECTIVE To study pharmacokinetics of norvancomycin in SICU severe patients without liver or renal dysfunction. METHODS 9 SICU severe patients were given a single dose of 0.4 g iv norvancomycin. The plasma and urine concentrations were determined with HPLC, and PK parameters were analyzed by WINNONLIN. RESULTS The pharmacokinetic parameters in plasma were as followed:t1/2β(4.79±2.61 h,t1/2α ( 0.69±0.33 h,Vd(0.41±0.44 L·kg-1,k10(0.45±0.26 h-1,ρmax(23.46±13.69 mg·L-1,and CL(88.66±69.04 mL·min-1 . The pharmacokinetic parameters in urine were as followed:t1/2β (3.48±0.92 h, k(0.21±0.06 h-1, 12 h accumulation of excretion percentage was (22.08±21.55%. CONCLUSION The pharmacokinetic profiles in SICU severe patients were different from pharmacokinetic profiles of normal population reported by researches before. SICU severe patients should be administrated individually with TDM,and the treatment should be adjusted timely, to guarantee safety and validity.
SUN N;ZHNG Zhen-yu;N You-zhong;ZHNG Chun-yn;GU Jin.
Pharmacokinetics of Norvancomycin of SICU Patients[J]. Chinese Pharmaceutical Journal, 2011, 46(3): 221-223
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