The disposition of oral amodiaquine in Papua New Guinean children with falciparum malaria

被引:34
作者
Hombhanje, FW
Hwaihwanje, I
Tsukahara, T
Saruwatari, J
Nakagawa, M
Osawa, H
Paniu, MM
Takahashi, N
Lum, JK
Aumora, B
Masta, A
Sapuri, M
Kobayakawa, T
Kaneko, A
Ishizaki, T
机构
[1] Univ Papua New Guinea, Sch Med & Hlth Sci, Port Moresby, Papua N Guinea
[2] Wewak Gen Hosp, Wewak, East Septik Pro, Papua N Guinea
[3] Tokyo Womens Med Univ, Dept Int Affairs & Trop Med, Tokyo, Japan
[4] Kumamoto Univ, Grad Sch Med & Pharmaceut Sci, Div Pharmacol & Therapeut, Kumamoto 860, Japan
[5] Dept Anthropol, Binghamton, NY USA
[6] Karolinska Inst, Dept Med, Stockholm, Sweden
关键词
amodiaquine; desethylamodiaquine; CYP2C8;
D O I
10.1111/j.1365-2125.2004.02257.x
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Aims We assessed the disposition of oral amodiaquine (AQ) and CYP2C8 polymorphism in 20 children with falciparum malaria. Methods AQ and DEAQ concentrations were determined with SPE-HPLC method. CYP2C8 genotypes were assessed by PCR-RFLP method. Results AQ was not detectable beyond day 3 postdose. C-max for DEAQ was reached in 3.0 days. The mean values for t(1/2), MRT, and AUC(total) were 10.1 days, 15.5 days and 4512.6 mug l(-1) day, respectively. All the children were CYP2C8* homozygous. Conclusion Our data are consistent with those previously reported, and the AQ regimen seems pharmacokinetically adequate in the absence of CYP2C8 polymorphism.
引用
收藏
页码:298 / 301
页数:4
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