Pharmacokinetics of esmolol in hepatic disease.

Abstract:

:Esmolol is an intravenous beta blocker with a short duration of action. The pharmacokinetics of esmolol and its acid metabolite, ASL-8123, were studied in nine patients who had stable, biopsy-proved Laennec's cirrhosis and in three normal volunteer controls. Kinetics were determined after a four-hour continuous infusion of esmolol at a rate of 200 micrograms/kg/min. Blood samples were collected during the infusions and at frequent intervals thereafter. The parameters studied were the steady state concentration, the total body clearance, the elimination half-life, the area under the curve, and the volume of distribution. No significant differences in any of these parameters were detected between control subjects and those with hepatic disease, for either esmolol or its acid metabolite. It is concluded from this study that Laennec's cirrhosis does not cause any change in the pharmacokinetics of esmolol or its major metabolite. Therefore, adjustments in dosage of esmolol are not required for patients with Laennec's cirrhosis.

journal_name

J Clin Pharmacol

authors

Buchi KN,Rollins DE,Tolman KG,Achari R,Drissel D,Hulse JD

doi

10.1002/j.1552-4604.1987.tb05583.x

subject

Has Abstract

pub_date

1987-11-01 00:00:00

pages

880-4

issue

11

eissn

0091-2700

issn

1552-4604

journal_volume

27

pub_type

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