Pharmacokinetics of glycopyrronium in uraemic patients.

Abstract:

:We studied the pharmacokinetics of glycopyrronium in 11 uraemic patients undergoing cadaveric renal transplantation and in seven ASA I control patients undergoing general surgery. Glycopyrronium 4 micrograms kg-1 was given i.v. before induction of anaesthesia. Blood and urine samples were collected for up to 24 h for measurement of glycopyrronium concentrations using a radioreceptor assay. Volume of distribution in the elimination phase (V beta) was similar in both groups, the elimination half-life (T1/2 beta) was longer (P < 0.05), area under the plasma concentration-time curve (AUC) larger (P < 0.01) and plasma clearance (CI) smaller (P < 0.01) in the uraemic patients. In 3 h, mean 0.7 (range 0-3)% and 50 (21-82)% of glycopyrronium was excreted in the urine in the uraemic and healthy patients, respectively (P < 0.001). The 24-h renal excretion was 7 (0-25)% in uraemic and 65 (30-99)% in control patients (P < 0.001). We conclude that the elimination of glycopyrronium is severely impaired in uraemic patients.

journal_name

Br J Anaesth

authors

Kirvelä M,Ali-Melkkilä T,Kaila T,Iisalo E,Lindgren L

doi

10.1093/bja/71.3.437

subject

Has Abstract

pub_date

1993-09-01 00:00:00

pages

437-9

issue

3

eissn

0007-0912

issn

1471-6771

pii

S0007-0912(17)45731-X

journal_volume

71

pub_type

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