Paracetamol test: modification by renal function, urine flow and pH.

Abstract:

:Factors which might affect paracetamol disposition have been studied in a heterogenous group of patients in need of mild analgesia in an intensive care unit. Following oral administration of 1 g of paracetamol, plasma and urinary concentrations of the parent compound and metabolites were assessed by HPLC. The renal clearance of paracetamol was significantly correlated with urine flow (r = 0.84) and creatinine clearance (r = 0.77), but not with urine pH. Metabolite output was diminished in patients with reduced renal function. Despite the heterogeneity of patients and the diversity of drug treatment, the urine to plasma paracetamol concentration ratio appeared remarkably constant in patients with normal renal function (9.8 +/- 2.7). It is concluded that the metabolite to paracetamol ratio may only be regarded as a measure of the drug metabolizing capacity in subjects with normal renal function, if factors influencing urine volume and paracetamol absorption are standardized.

journal_name

Eur J Clin Pharmacol

authors

Kietzmann D,Bock KW,Krähmer B,Kettler D,Bircher J

doi

10.1007/BF00315104

subject

Has Abstract

pub_date

1990-01-01 00:00:00

pages

245-51

issue

3

eissn

0031-6970

issn

1432-1041

journal_volume

39

pub_type

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