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Título : Long-term effects of mesocaval shunt on the pharmacokinetic parameters of metronidazole in lewis rats
Creador: Pérez Guille, Beatriz Eugenia
Nivel de acceso: Open access
Palabras clave : Animales
Antiinfecciosos - farmacocinética
Área Bajo la Curva
Cromatografía Líquida de Alta Presión
Vida Media
Laparotomía
Hígado -patología
Pruebas de Función Hepática
Masculino
Metronidazol - farmacocinética
Derivación Portocava Quirúrgica
Ratas
Ratas Consanguíneas Lew
Animals
Anti-Infective Agents - pharmacokinetics
Area Under Curve
Chromatography, High Pressure Liquid
Half-Life
Laparotomy
Liver - pathology
Liver Function Tests
Male
Metronidazole - pharmacokinetics
Portacaval Shunt, Surgical
Rats
Rats, Inbred Lew
Agentes Antiinfecciosos
farmacocinética
Metronidazol
Anti-Infective Agents
pharmacokinetics
Metronidazole
Descripción : Portacaval shunts are commonly used to prevent gastroesophageal variceal bleeding secondary to portal hypertension. Ammonia encephalopathy is a common complication and it’s management includes antibiotics such as metronidazole, neomycin and recently, rifaximin. Metronidazole is often used in this context but its pharm acokinetics may be altered in these patients. Compare the pharmacokinetic parameters of two groups of rats, one of them after one year of having undergone mesocaval shunt. A randomized, experimental, prospective study in twenty adult male Lewis rats divided into two groups. The first group underwent mesocaval shunt and the other was the control group. Analyses of the following parameters were performed in both groups: (1) Pharmacokinetics of metronidazole by high-performance liquid chromatography, (2) Transaminase levels and (3) Body and liver weight. Differences between the MCS group and the control group were found for the pharmacokinetic parameters: Cm ax (p = 0.004), Ka (p = 0.009), Ka tl/2 (p = 0.007), Vd (p = 0.01), AUC (p = 0.05) and tmax (p = 0.01) and in ALT levels (p = 0.03) and liver weight (p = 0.00). The results obtained in this experimental model during one year of mesocaval shunt led us to suggest that metronidazole dosage should be decreased, without altering the administration schedule, because the drug levels reached in the mesocaval shunt group caused the animals to behave as if they had been given higher doses. © 2015 Asian Network for Scientific Information.
Colaborador(es) u otros Autores: Villegas-Alvarez F
Jimenez-Bravo MA
Soriano-Rosales RE
Gonzalez-Zamora JF
Toledo-Lopez A
Camacho-Vieyra GA
Guille-Perez A
Lares-Asseff I
Perez-Guille MG
Fecha de publicación : 2015
Tipo de publicación: Artículo
Formato: pdf
Identificador del Recurso : 10.3923/ijp.2015.143.147
Fuente: International Journal of Pharmacology 11(2):143 - 147
URI : http://repositorio.pediatria.gob.mx:8180/handle/20.500.12103/2581
Idioma: eng
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