Pharmacokinetics of fazadinium in patients with renal failure.

Abstract:

:The serum concentrations of fazadinium and its metabolites were measured in 14 surgical patients with end-stage renal failure and in 11 patients free from kidney disease undergoing abdominal surgery. A two-compartment open model was used in the pharmacokinetic analysis of the data. The elimination half-life (T 1/2 beta) was prolonged by 60% in patients with renal failure (from 85 to 140 min) and corresponded to a 30% decrease of the plasma clearance. The plasma concentration of the metabolites never exceeded 7% of the unchanged fazadinium. These results suggest that the duration of action will be less prolonged for fazadinium than for other non-depolarizing neuromuscular blocking drugs in patients with renal failure. A supplementary biliary pathway appears to be a possible explanation for the rapid elimination of fazadinium, even in patients with renal failure.

journal_name

Br J Anaesth

authors

Duvaldestin P,Bertrand JC,Concina D,Henzel D,Lareng L,Desmonts JM

doi

10.1093/bja/51.10.943

subject

Has Abstract

pub_date

1979-10-01 00:00:00

pages

943-7

issue

10

eissn

0007-0912

issn

1471-6771

pii

S0007-0912(17)44211-5

journal_volume

51

pub_type

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