Steady state kinetics of pyridostigmine in myasthenia gravis
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Steady state kinetics of pyridostigmine in myasthenia gravis. / Sørensen, P S; Flachs, H; Friis, M L; Hvidberg, E F; Paulson, O B.
I: Neurology, Bind 34, Nr. 8, 08.1984, s. 1020-4.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Steady state kinetics of pyridostigmine in myasthenia gravis
AU - Sørensen, P S
AU - Flachs, H
AU - Friis, M L
AU - Hvidberg, E F
AU - Paulson, O B
PY - 1984/8
Y1 - 1984/8
N2 - We measured the fluctuations in plasma pyridostigmine concentration from day to day on 3 consecutive days and hour to hour during 1 day in 11 myasthenic patients, by studying their usual dosage regime. Plasma pyridostigmine was measured by gas chromatography/mass spectrometry. The intraindividual day-to-day variation in plasma pyridostigmine levels was small. A highly significant relationship was found between the oral pyridostigmine dose and the area under the plasma concentration/time curve. The bioavailability of oral pyridostigmine was 3.6%, estimated by replacing one dose with an intravenous dose amounting to 1/30 of the oral dose. The relatively stable kinetic behavior of pyridostigmine is in contrast to the interpatient variability in dose requirement, indicating that monitoring of plasma pyridostigmine levels should be reserved for special cases.
AB - We measured the fluctuations in plasma pyridostigmine concentration from day to day on 3 consecutive days and hour to hour during 1 day in 11 myasthenic patients, by studying their usual dosage regime. Plasma pyridostigmine was measured by gas chromatography/mass spectrometry. The intraindividual day-to-day variation in plasma pyridostigmine levels was small. A highly significant relationship was found between the oral pyridostigmine dose and the area under the plasma concentration/time curve. The bioavailability of oral pyridostigmine was 3.6%, estimated by replacing one dose with an intravenous dose amounting to 1/30 of the oral dose. The relatively stable kinetic behavior of pyridostigmine is in contrast to the interpatient variability in dose requirement, indicating that monitoring of plasma pyridostigmine levels should be reserved for special cases.
KW - Administration, Oral
KW - Adult
KW - Biological Availability
KW - Female
KW - Humans
KW - Kinetics
KW - Male
KW - Middle Aged
KW - Myasthenia Gravis/drug therapy
KW - Pyridostigmine Bromide/administration & dosage
U2 - 10.1212/wnl.34.8.1020
DO - 10.1212/wnl.34.8.1020
M3 - Journal article
C2 - 6540381
VL - 34
SP - 1020
EP - 1024
JO - Neurology
JF - Neurology
SN - 0028-3878
IS - 8
ER -
ID: 279594917