1. Department of Pharmacy, Tianjin First Central Hospital, Tianjin 300192, China; 2. Department of Pharmacy, Huashan Hospital, Fudan University, Shanghai 200040, China; 3. Department of Military Pharmacy, Logistics College of Chinese People��s Armed Police Forces, Tianjin 300309, China
Abstract��Tacrolimus is widely used as a first-line immunosuppressant after adult liver transplantation. However, because of narrow treatment window and pharmacokinetic individual differences, it is difficult to formulate individualized dosing regimens in short term. Pharmacokinetic parameters that estimated by population pharmacokinetics(PPK) can provide a preliminary individualized regimen for early postoperative patients. This paper collected literatures on PPK modeling of orally administered tacrolimus in adult liver transplantation patients through literature search. And multiple influencing factors of PPK model was mainly summarized, such as demographic characteristics, blood biochemical index, combined medication, liver and kidney function, genetic factors, postoperative time and dosage. It will provide literature support for the development of individualized dosing regimens for oral tacrolimus recipients using the PPK protocol for adult liver transplantation.
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