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院内製剤「抱水クロラールシロップ」に関する検討 关于院内制剂“水合氯醛糖浆”的讨论
Pub Date : 1999-10-10 DOI: 10.5649/JJPHCS1975.25.546
雅登 田口, 孝博 堀内, 泰彦 三村, 足立 伊佐雄
We investigated the stability of “Chloral Hydrate Syrup” by 1H-NMR spectrometry and spectrophotometry.“Choloral Hydrate Syrup” is composed of 4%(w/v) chloral hydrate, 50%(w/v) simple syrup and 2%(w/v) pineapple flavor. When “Chloral Hydrate Syrup” was kept in the dark and cold conditions, chloral hydrate was found to be stable for at least 2 weeks. No changes in the smell and taste of “Chloral Hydrate Syrup” were observed. However, the color was fugitive, and 80% of original color was lost within a week even in the dark and cold conditions.The Pharmacological effects of “Chloral Hydrate Syrup” given for 25 infant patients, who had been hospitalized in Toyama Medical and Pharmaceutical University Hospital between September and November 1997, were evaluated clinically. “Chloral Hydrate Syrup” showed a certain, hypnotic effect in 24 out of 25 patients. These results suggest that “Chloral Hydrate Syrup” is useful as a hospital hypnotic preparation.
采用核磁共振光谱法和分光光度法对水合氯醛糖浆的稳定性进行了研究。“水合胆碱糖浆”由4%(w/v)水合氯醛,50%(w/v)简单糖浆和2%(w/v)菠萝味组成。当“水合氯醛糖浆”在黑暗和寒冷的条件下保存时,水合氯醛至少稳定了2周。“水合氯醛糖浆”的气味和味道没有变化。然而,颜色是易变的,即使在黑暗和寒冷的条件下,一周内也会失去80%的原始颜色。对1997年9月至11月在富山医药大学医院住院治疗的25例婴儿给予“水合氯醛糖浆”的药理学效果进行了临床评价。“水合氯醛糖浆”在25例患者中有24例显示出一定的催眠效果。这些结果表明,“水合氯醛糖浆”是一种有用的医院催眠制剂。
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引用次数: 2
Pharmacokinetical Comparison of Anticancer Drugs in Cerebrospinal Fluid during Cerebrospinal Fluid Perfusion and Injection Chemotherapy 脑脊液灌注与注射化疗时脑脊液中抗癌药物的药动学比较
Pub Date : 1999-08-10 DOI: 10.5649/JJPHCS1975.25.376
N. Morikawa, Teruaki Mori, M. Fujiki, T. Abe, H. Kawashima, M. Takeyama, S. Hori
The present study examined the pharmacokinetics of anticancer drugs in the cerebrospinal fluid (CSF) during CSF perfusion or injection chemotherapy. A 69-year-old Japanese woman with disseminated glioblastoma received one course of both ventricular-lumbar (V-L) and lumbarventricular (L-V) CSF perfusion chemotherapy, and one course of both ventricular and lumbar injection chemotherapy with methotrexate (MTX), cytosine arabinoside (Ara-C), and nimustine (ACNU). Samples of CSF from the ventricles and lumbar spinal canal were obtained via the Ommaya reservoirs. The drug concentrations in the CSF were measured by either fluorescence polarization immunoassay or high performance liquid chromatography. In the V-L CSF perfusion chemotherapy, the maximum CSF concentrations of the three drugs in the lumbar spinal canal were lower than those in the ventricles. However, the concentrations of MTX and Ara-C in the lumbar spinal canal exceeded those in the ventricles 3 hours after the perfusion. The area under the CSF concentration versus the time curves (AUC) of MTX and Ara-C in the lumbar spinal canal were 175.7 and 76.2%, respectively, of those in the ventricles. In the L-V CSF perfusion chemotherapy, the CSF concentrations of the three drugs in the lumbar spinal canal were higher than those in the ventricle. The AUCs of MTX and Ara-C in the ventricles were 15.5 and 18.4 %, respectively, of those in the lumbar spinal canal. In the ventricular CSF injection, the initial CSF concentrations of the three drugs in the ventricles were higher than those in the lumbar spinal canal. However, the CSF concentrations of MTX and Ara-C in the lumbar spinal canal exceeded those in the ventricles 12 hours after the injection. Although the concentration of ACNU in the ventricles was only detectable at 3 hours after the injection, no concentration in the lumbar spinal canal was detectable. The AUCs of MTX and Ara-C in the lumbar spinal canal were 84.6 and 29.1%, respectively, of those in the ventricles. In the lumbar CSF injection, the CSF concentrations of MTX and Ara-C in the ventricles were detectable but lower than those in the lumbar. Although the CSF concentration of ACNU in the lumbar spinal canal was only detectable at 3 hours after the injection, no concentration in the ventricles was detectable. The AUC of MTX in the ventricles was 0.31% of that in the lumbar spinal canal. These results indicate that CSF perfusion chemotherapy may thus be a more useful treatment than CSF injection chemotherapy to patients with disseminated brain tumors.
本研究检测了脑脊液灌注和注射化疗期间抗癌药物在脑脊液中的药代动力学。一名69岁的日本女性弥散性胶质母细胞瘤患者接受了一个疗程的脑室-腰椎(V-L)和腰脑室(L-V)脑脊液灌注化疗,以及一个疗程的脑室和腰椎注射化疗,化疗药物包括甲氨蝶呤(MTX)、阿拉伯糖胞嘧啶(阿拉糖苷)和尼莫司汀(ACNU)。脑室和腰椎管的脑脊液样本通过Ommaya水库获得。采用荧光偏振免疫法或高效液相色谱法测定脑脊液中药物浓度。在V-L脑脊液灌注化疗中,3种药物在腰椎管的最大脑脊液浓度均低于脑室。但灌注后3 h,腰椎管内MTX和Ara-C浓度高于脑室。脑脊液浓度下面积与时间曲线(AUC)的比值分别为脑室的175.7%和76.2%。在L-V脑脊液灌注化疗中,三种药物在腰椎管的脑脊液浓度高于脑室。脑室MTX和ala - c的auc分别为腰椎管的15.5%和18.4%。在脑室注射脑脊液时,三种药物在脑室的初始脑脊液浓度高于在腰椎管中的浓度。然而,注射后12小时,腰椎管中MTX和Ara-C的脑脊液浓度高于脑室。虽然ACNU在脑室的浓度仅在注射后3小时检测到,但在腰椎管中未检测到浓度。MTX和Ara-C在腰椎管内的auc分别为脑室的84.6%和29.1%。在腰椎脑脊液注射中,脑室中检测到MTX和Ara-C的浓度,但低于腰椎。虽然ACNU在腰椎管的脑脊液浓度仅在注射后3小时检测到,但在脑室中未检测到浓度。脑室MTX的AUC为腰椎管AUC的0.31%。这些结果表明脑脊液灌注化疗可能比脑脊液注射化疗对弥散性脑肿瘤患者更有效。
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引用次数: 1
Evaluation of an Automatic Device to Prepare Fibronectin Eyedrops Using a Patient's Own Plasma. 用患者自身血浆制备纤维连接蛋白滴眼液的自动装置的评价。
Pub Date : 1999-08-10 DOI: 10.5649/JJPHCS1975.25.361
H. Yoshida, Kaori Tsubone, R. Yamashita, Yasuaki Ohtsubo, T. Ishimitsu, A. Kamiya
Fibronectin (FN) has been reported to be effective for the treatment of corneal trophic ulcers, but the FN eyedrop preparation is not a simple technique. We previously developed an automatic device to prepare FN eyedrops using a patient's own plasma (Yoshida et al. Jpn. J. Hosp. Pharm., 24, 493-498 (1998)). The aim of this study was to evaluate the efficiency of this automatic device. FN eyedrops were prepared using plasma from healthy individuals either with an automatic device or a manual process using gelatin-coupled Sepharose 4 B (GS 4 B) and Sephadex G-25 (PD-10), The average FN concentration and the recovery rate in the eyedrops
据报道,纤维连接蛋白(FN)对角膜营养性溃疡的治疗有效,但FN滴眼液的制备并不是一种简单的技术。我们之前开发了一种使用患者自身血浆制备FN滴眼液的自动装置(Yoshida等人)。日本。J. hospp . pharmacy;, 24, 493-498(1998))。本研究的目的是评估这种自动装置的效率。采用明胶偶联Sepharose 4b (GS 4b)和Sephadex G-25 (PD-10),采用自动装置或手工工艺制备健康人血浆FN滴眼液,测定滴眼液中FN的平均浓度和回收率
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引用次数: 0
Enzyme Immunoassay of Adrenocorticotropic Hormone-like Immunoreactive Substance in Human Plasma 人血浆促肾上腺皮质激素样免疫反应物质的酶免疫测定
Pub Date : 1999-06-10 DOI: 10.5649/JJPHCS1975.25.257
T. Nagano, H. Itoh, F. Soeda, M. Takeyama
A sensitive and specific double-antibody enzyme immunoassay (EIA) for adrenocorticotropic hormone-like immunoreactive substances (ACTH-ISs) was developed. In competitive reactions, the ACTH (1-24)-antibody was incubated with both ACTH (1-24) standard (or sample) and 13-D-galactosidase labeled synthetic human ACTH (1-24) (delayed addition). The free and antibodybound enzyme haptens were separated by using an anti-rabbit IgG coated immunoplate. The activity of the enzyme on the plate was fluorometrically determined. The present immunoassay allows for the detection of 2 to 600 fmol/mL of ACTH (1-24). Using the proposed EIA, ACTH (1-24)-ISs in human plasma were thus determined. As a result, the levels of ACTH (1-24)-ISs in human plasma were found to be about 3.7 fmol/mL.
建立了一种灵敏特异的促肾上腺皮质激素样免疫反应物质(ACTH-ISs)双抗体酶免疫分析法(EIA)。在竞争反应中,ACTH(1-24)抗体与ACTH(1-24)标准品(或样品)和13- d -半乳糖苷酶标记的合成人ACTH(1-24)(延迟添加)孵育。用抗兔IgG包被免疫板分离游离半抗原和抗体结合半抗原。用荧光法测定板上酶的活性。目前的免疫测定允许检测2至600 fmol/mL的ACTH(1-24)。利用所提出的环评法,测定了人血浆中的ACTH (1-24)-ISs。结果发现,人血浆中ACTH (1-24)-ISs水平约为3.7 fmol/mL。
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引用次数: 9
A New Theophylline Ointment with Rapid and High Transdermal Delivery 一种快速、高透皮给药的新型茶碱软膏
Pub Date : 1999-06-10 DOI: 10.5649/JJPHCS1975.25.239
J. Kizu, M. Yazawa, N. Yasuno, M. Tsuchiya, Y. Arakawa
A transdermal therapeutic system (TTS) for the delivery of theophylline would be useful for treating bronchial asthma, especially in the case of asthma attacks in outpatients. We prepared several new types of theophylline and aminophylline ointments using transdermal absorption enhancers and measured the in vivo transdermal absorption efficiency of theophylline in rats. Among the ointments tested, a washable ointment of theophylline with N-methyl-2-pyrrolidone as a solvent and isopropyl myristate as an absorption enhancer showed the best results. The highest absorption was obtained with a concentration of 2% theophylline and 57% isopropyl myristate. The ointment was quite stable for at least 56 days at room temperature. An aminophylline ointment prepared in the same way showed less absorption and the change in appearance started after 1 week at room temperature. The serum levels of theophylline in the rats applied with the new theophylline ointment reached 10μg/mL after 2 h and a maximum level of 20μg/mL after 6 h. There was no apparent time lag in the absorption. These results suggest that a transdermal therapeutic system for the delivery of theophylline can be useful, even in the case of asthma attack.
经皮给药系统(TTS)将有助于治疗支气管哮喘,特别是在哮喘发作的门诊病人。采用透皮吸收促进剂制备了几种新型茶碱和氨茶碱软膏,并测定了茶碱在大鼠体内的透皮吸收效率。以n -甲基-2-吡咯烷酮为溶剂,肉豆酸异丙酯为吸收促进剂的可洗茶碱软膏效果最好。当茶碱浓度为2%,肉豆蔻酸异丙酯浓度为57%时,吸收率最高。该软膏在室温下至少稳定56天。以同样的方法制备的氨茶碱软膏吸收较少,室温下1周后开始出现外观变化。新型茶碱软膏大鼠血清茶碱浓度在2 h后达到10μg/mL, 6 h后达到最高20μg/mL,吸收无明显的时滞。这些结果表明,即使在哮喘发作的情况下,经皮输送茶碱的治疗系统也是有用的。
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引用次数: 1
Susceptibility to Antiseptics of Clinical Isolates of Enterococcus species and Staphylococcus aureus 临床分离的肠球菌和金黄色葡萄球菌对防腐剂的敏感性
Pub Date : 1999-04-10 DOI: 10.5649/JJPHCS1975.25.149
M. Sasatsu, H. Kazama, H. Hamashima, T. Arai
The susceptibility to antiseptics and intercalating dyes was determinedfor 103 clinical isolates of Enterococcus species, 42 isolates of methicillin-resistant Staphylococcus aureus (MRSA) and 49 isolates of methicillin-sensitive Staphylococcus aureus (MSSA). Twelve antiseptic-resistant strains were detected among the isolates of MRSA but none were found among the isolates of MSSA and. Enterococcus. Two and ten of the antiseptic-resistant strains of MRSA were resistant to triclosan and ethidium bromide, respectively. The tested strains of MSSA were more sensitive to antiseptics and intercalating dyes than were the strains of MRSA and Enterococcus. The susceptibility to antiseptics and intercalatng dyes of Enterococcus spp. was similiar to that of MRSA. These results suggest that the Enterococcus spp. might therefore survive in a manner similar to that of MRSA under normal hospital conditions.
对103株肠球菌、42株耐甲氧西林金黄色葡萄球菌(MRSA)和49株甲氧西林敏感金黄色葡萄球菌(MSSA)进行了抗菌药物和嵌入染料的敏感性测定。在MRSA分离株中检测到12株耐药菌株,而在MSSA和MSSA分离株中未发现耐药菌株。肠球菌。MRSA耐药菌株中分别有2株和10株对三氯生和溴化乙锭耐药。MSSA对防腐剂和插层染料的敏感性高于MRSA和肠球菌。肠球菌对防腐剂和插层染料的敏感性与MRSA相似。这些结果表明,在正常的医院条件下,肠球菌可能以类似于MRSA的方式存活。
{"title":"Susceptibility to Antiseptics of Clinical Isolates of Enterococcus species and Staphylococcus aureus","authors":"M. Sasatsu, H. Kazama, H. Hamashima, T. Arai","doi":"10.5649/JJPHCS1975.25.149","DOIUrl":"https://doi.org/10.5649/JJPHCS1975.25.149","url":null,"abstract":"The susceptibility to antiseptics and intercalating dyes was determinedfor 103 clinical isolates of Enterococcus species, 42 isolates of methicillin-resistant Staphylococcus aureus (MRSA) and 49 isolates of methicillin-sensitive Staphylococcus aureus (MSSA). Twelve antiseptic-resistant strains were detected among the isolates of MRSA but none were found among the isolates of MSSA and. Enterococcus. Two and ten of the antiseptic-resistant strains of MRSA were resistant to triclosan and ethidium bromide, respectively. The tested strains of MSSA were more sensitive to antiseptics and intercalating dyes than were the strains of MRSA and Enterococcus. The susceptibility to antiseptics and intercalatng dyes of Enterococcus spp. was similiar to that of MRSA. These results suggest that the Enterococcus spp. might therefore survive in a manner similar to that of MRSA under normal hospital conditions.","PeriodicalId":14621,"journal":{"name":"Japanese Journal of Hospital Pharmacy","volume":"54 1","pages":"149-154"},"PeriodicalIF":0.0,"publicationDate":"1999-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89820976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Enzyme Immunoassay for Secretin-like Immunoreactive Substance in Human Plasma 人血浆中分泌素样免疫反应物质的酶免疫测定
Pub Date : 1999-04-10 DOI: 10.5649/JJPHCS1975.25.162
Iroki Itoh, T. Nagano, Tetsuji Hayashi, M. Takeyama
A sensitive and specific enzyme immunoassay (EIA) for a secretin-like immunoreactive substance (secretin-IS) was developed using a synthetic carboxy-terminal (C-terminal) fragment (residue 5-27) of a porcine secretin conjugated with β-D-galactosidase and an anti-rabbit lgG coated immunoplate. The activity of the enzyme on the plate was fluorometrically determined. The present immunoassay allows the detection of 1.7 to 67 fmol/ml (0.068 to 2.7 fmol/well) of secretin. Using the present EIA, the secretin-ISs in human plasma were determined.Moreover, significant changes in the plasma secretin-IS levels were found after the oral administration of famotidine (vs.placebo).
采用合成猪分泌素与β- d -半乳糖苷酶结合的羧基末端(c端)片段(残基5-27)和抗兔lgG包被免疫板,建立了分泌素样免疫反应物质(secretin- is)的灵敏特异性酶免疫分析法(EIA)。用荧光法测定板上酶的活性。目前的免疫分析允许检测1.7至67 fmol/ml(0.068至2.7 fmol/井)的分泌素。用本方法测定了人血浆中分泌素- iss的含量。此外,口服法莫替丁后血浆分泌素- is水平发生了显著变化(与安慰剂相比)。
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引用次数: 3
Compliance and Medication Knowledge among Elderly Home-Care Recipients: The Effect of Written Drug Information. 居家养老老人依从性与用药知识:书面用药信息的影响。
Pub Date : 1999-01-01 DOI: 10.5649/JJPHCS1975.25.274
J. Okuno, H. Yanagi, S. Hara, M. Oka, C. Hirano, T. Hiratsuka, Ryoko Asai, Youko Hatori, Y. Hasegawa, Tomomi Yagi, S. Tomura, S. Tsuchiya
{"title":"Compliance and Medication Knowledge among Elderly Home-Care Recipients: The Effect of Written Drug Information.","authors":"J. Okuno, H. Yanagi, S. Hara, M. Oka, C. Hirano, T. Hiratsuka, Ryoko Asai, Youko Hatori, Y. Hasegawa, Tomomi Yagi, S. Tomura, S. Tsuchiya","doi":"10.5649/JJPHCS1975.25.274","DOIUrl":"https://doi.org/10.5649/JJPHCS1975.25.274","url":null,"abstract":"","PeriodicalId":14621,"journal":{"name":"Japanese Journal of Hospital Pharmacy","volume":"5 1","pages":"274-280"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84281847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of Dividing Properties of Novel Film-Coated Scored Tablets. 新型膜包衣刻痕片的分度性能评价。
Pub Date : 1999-01-01 DOI: 10.5649/JJPHCS1975.25.231
A. Ito, K. Fukumuro, Shigemitsu Miura, E. Hayakawa
The usefulness and uniformity of division for three types of tablets (U19D9, U8D9 and U2D9) were investigated to design a novel film-coated scored tablet, which can be divided by pressure regardless of the side with the score and the presence of packaging, were evaluated by pharmacists, volunteers and elderly patients. The results obtained are as follows:1. Though the usefulness of division, which deteriorated with the presence of packaging, was affected by the dividing method, the overall evaluations of U19D9 and U8D9 were superior to that of U2D9.2. U19D9 showed a uniform division regardless of the subject, dividing method and presence of packaging when dividing one tablet. when dividing of one packaged sheet (10 tablets), the coefficient of variation of the divided tablet weight for U19D9 and U8D9 was smaller than that for U2D9.3. From the above results, U19D9 was found to be a film-coated scored tablet that was easy to divide and also demonstrated a greater uniformity of division.
通过对U19D9、U8D9和U2D9三种类型片剂划分的实用性和均匀性进行考察,设计了一种新型薄膜包衣记分片剂,该片剂可以按压力进行划分,而无需考虑记分的侧面和是否有包装,并由药师、志愿者和老年患者进行评价。得到的结果如下:1。虽然分割的有效性受到分割方法的影响,但U19D9和U8D9的总体评价优于U2D9.2。U19D9在分片时,无论受试者、分片方法和是否存在包装,均表现出均匀的分片。在对1片包装片(10片)进行分片时,U19D9和U8D9的分片重量变异系数小于U2D9.3。从以上结果可以看出,U19D9是一种膜包衣刻痕片,易于分裂,分裂均匀性也较好。
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引用次数: 3
Study on Initial Dosage Setting of Vancomycin Injection. 万古霉素注射液初始剂量设定的研究。
Pub Date : 1999-01-01 DOI: 10.5649/JJPHCS1975.25.517
Y. Maeda, T. Konishi, Shinji Saionji, Sachiyo Funakoshi, Mamoru Nakamura, Wakako Nii, Fumiko Masaki, S. Tsukiai
To elucidate the current status of the dosage regimen of vancomycin, we reviewed its therapeutic drug monitoring (TDM) data obtained from 99 patients undergoing vancomycin treatment at the Chugoku Rousai Hospital. The plasma concentrations of vancomycin at one dosage under 750 mg deviated from its therapeutic ranges (the level at one hour after the end of infusion: 25-40μg/mL, trough level:≤10 μg/mL). Therefore, the dosing interval at a uniform dosage of 1000 mg was calculated from a vancomycin nomogram reported by Moellering et al., and the utility of the dosing interval at the uniform dosage of 1000 mg combined with a creatinine clearance nomogram reported by Nielsen et al. was examined. As a result, the plasma levels of 66 percent of the subjects were controlled within the accepted therapeutic ranges in the early stage. Accordingly, the nomogram of vancomycin prepared as an indication in the early stage in our hospital was thus concluded to be clinically acceptable.
为了阐明万古霉素给药方案的现状,我们回顾了在Chugoku Rousai医院接受万古霉素治疗的99例患者的治疗药物监测(TDM)数据。在750 mg剂量下,万古霉素单剂量血药浓度偏离治疗范围(输注结束后1 h水平:25 ~ 40μg/mL,谷水平:≤10 μg/mL)。因此,从Moellering等人报道的万古霉素nomogram中计算出均匀剂量为1000 mg时的给药间隔,并结合Nielsen等人报道的肌酐清除率nomogram检验了均匀剂量为1000 mg时的给药间隔的效用。结果,66%的受试者的血浆水平在早期被控制在可接受的治疗范围内。因此,本院早期制作的万古霉素指征图在临床上是可以接受的。
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引用次数: 8
期刊
Japanese Journal of Hospital Pharmacy
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