Effects of acute renal failure induced by uranyl nitrate on the pharmacokinetics of intravenous torasemide in rats.

Ae K Lee, Eun J Kim, Myung G Lee
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Abstract

Pharmacokinetic and pharmacodynamic parameters were evaluated after an intravenous administration of torasemide at a dose of 10 mg/kg to control rats and rats with acute renal failure induced by uranyl nitrate (U-ARF). In rats with U-ARF, the total area under the plasma concentration-time curve from time zero to time infinity (AUC) was significantly smaller (6380 versus 4450 microg min/ml) than that in control rats. This was due to significantly faster total body clearance (1.57 versus 2.25 ml/min/kg) in the rats. The faster total body clearance in rats with U-ARF could be due to significantly faster nonrenal clearance (1.51 versus 2.22 ml/min/kg due to faster metabolism) since renal clearance (0.0365 versus 0.00199 ml/min/kg) was significantly slower (due to impaired kidney function) than that in control rats. The 8-h urine output was significantly smaller in rats with U-ARF (178 versus 22.0 ml/kg), however, the 8-h urinary excretion of sodium, potassium, and chloride were not significantly different between two groups of rats.

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硝酸铀酰致急性肾功能衰竭对静脉注射托拉塞米药动学的影响。
以10 mg/kg剂量托拉塞米静脉给药对照大鼠和硝酸铀酰(U-ARF)致急性肾功能衰竭大鼠,评价其药代动力学和药效学参数。U-ARF大鼠血浆浓度-时间曲线下面积(AUC)明显小于对照组(6380 μ g min/ml vs 4450 μ g min/ml)。这是由于大鼠的全身清除率明显更快(1.57 ml/min/kg vs 2.25 ml/min/kg)。U-ARF大鼠的全身清除率更快可能是由于非肾脏清除率明显更快(1.51 ml/min/kg对2.22 ml/min/kg,由于代谢更快),因为肾脏清除率(0.0365 ml/min/kg对0.00199 ml/ kg)明显慢于对照组(由于肾功能受损)。U-ARF组大鼠8小时尿量明显减少(178 ml/kg vs 22.0 ml/kg),但两组大鼠8小时尿钠、钾和氯排泄量无显著差异。
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