Pharmacokinetics of Org NC45 (norcuron) in patients with and without renal failure.

Abstract:

:To determine the influence of renal failure on the pharmacokinetics and neuromuscular blockade of Org NC 45 (Norcuron), a new monoquaternary homologue of pancuronium, 13 patients under halothane and nitrous oxide anesthesia were studied. Org NC 45 was administered by 2-min infusion in doses of 0.28 mg kg-1 (normal renal function group, n = 4) and 0.14 mg kg-1 (renal failure group, n = 5). Four additional patients with normal renal function were given Org NC 45 0.14 mg kg-1 to determine the onset, duration and recovery rate of neuromuscular blockade. The serum concentration of Org NC 45 was determined by normal-phase high performance liquid chromatography (sensitivity 50 ng ml-1), and a two-compartment open pharmacokinetic model was fitted to resulting data. Estimates of distribution half-life (T 1/2 alpha), elimination half-life (T 1/2 beta), volume of distribution at steady state (Vss) and clearance of Org NC 45 did not differ significantly between patients with normal renal function and those with renal failure. The onset, duration and recovery rate times of the neuromuscular blockade by Org NC 45 0.14 mg kg-1 in patients with normal renal function and those with renal failure did not differ significantly.

journal_name

Br J Anaesth

authors

Fahey MR,Morris RB,Miller RD,Nguyen TL,Upton RA

doi

10.1093/bja/53.10.1049

subject

Has Abstract

pub_date

1981-10-01 00:00:00

pages

1049-53

issue

10

eissn

0007-0912

issn

1471-6771

pii

S0007-0912(17)42930-8

journal_volume

53

pub_type

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