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Pharmacology and Pharmacokineticsof Amiodarone
Bibliografi
Author:
Freedman, Michael D.
;
Somberg, John C.
Bahasa:
(EN )
Jenis:
Article - diterbitkan di jurnal ilmiah internasional
Fulltext:
1061.pdf
(1.52MB;
0 download
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Abstract
Amiadarone is a unique antiarrhythmic agent originally developed as a vasadilator.
Classified electrophysiologically as a Type 111 antiarrhythmic, it also has both nonspecific
antisympathetic and direct, fast channel-membrane effects. Hemadynamic effects of
orally administered amiodarone (a negative inotropic agent) are usually negligible, and
are usually compensated for by induced vasodilatian, Effects an thyroid and hepatic
function may help to explain same of the unique pharmacologic as well as toxicologic
effects of the drug. Amiodarone is poorly bioavailable (20-80%) and undergoes extensive
enterohepatic circulation before entry into a central compartment. The principal metabalite,
mono-n-desethyl amiadarone is also an antiarrhythmic. From this central compartment,
it undergoes extensive tissue distribution (exceptionally high tissue/plasma partition
coefficients). The distribution half-life of amiadarone out of the central compartment
to peripheral and deep tissue compartments (tl/2,,) may be as short as 4 hours. The
terminal half-life (t#{189}0) is both long and variable (9-77 days) secondary to the slow mobilization
of the lipophilic medication out of (primarily) adipocytes. A phormocokinetically and data suggesting a role for routine amiadarane plasma levels are presented.
based loading scheme is described, and data suggesting a role for routine amiadarane plasma levels ore presented.
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