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Rapid achievement of a serum concentration plateau of digoxin through controlled infusion

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Summary

Using a volume-controlled infusion pump, a mean serum plateau level of digoxin of 4–5 ng/ml was rapidly achieved and maintained in 6 healthy volunteers. The infusion scheme was calculated on the basis of data published on the pharmacokinetics and pharmacodynamics of digoxin following bolus intravenous injection. The magnitude of the response (change in electromechanical systole) at the end of the plateau phase was comparable to that observed with the concentration in the therapeutic range at steady state.

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References

  1. Krüger-Thiemer E (1968) Continuous intravenous infusion and multicompartment accumulation. Eur J Pharmacol 4: 317–324

    Google Scholar 

  2. Wagner JG (1974) A safe method for rapidly achieving plasma concentration plateaus. Clin Pharmacol Ther 16: 691–700

    Google Scholar 

  3. Wheeler LA, Sheiner LB (1976) A general method for optimal drug dose computation. J Pharmacokinet Biopharm 4: 487–497

    Google Scholar 

  4. Schwilden H (1981) A general method for calculating the dosage scheme in linear pharmacokinetics. Eur J Clin Pharmacol 20: 379–386

    Google Scholar 

  5. Kramer WG, Kolibash AJ, Lewis RP, Bathala MS, Visconti JA, Reunig RH (1979) Pharmacokinetics of digoxin: relationship between response intensity and predicted compartmental drug levels in man. J Pharmacokinet Biopharm 7: 47–61

    Google Scholar 

  6. Stellner K (1978) A new simple assay for determining digoxin serum levels. In: Bodem G, Dengler HJ (eds) Cardiac glycosides. Springer, Berlin Heidelberg New York, pp 22–27

    Google Scholar 

  7. Borner K, Rietbrock N (1978) Bestimmung von Digoxin im Serum. Vergleich von Radioimmunassay und heterogenem Enzymimmunassay. J Clin Chem Biochem 16: 335–342

    Google Scholar 

  8. Sheiner LB, Benet LZ, Pagliaro LA (1981) A standard approach to compiling clinical pharmacokinetic data. J Pharmacokinet Biopharm 9: 59–127

    Google Scholar 

  9. Belz GG, Erbel R (1978) Relationship between doses, plasma levels and cardiac effects under digitalis treatment. In: Bodem G, Dengler HJ (eds) Cardiac glycosides. Springer, Berlin Heidelberg New York, pp 254–264

    Google Scholar 

  10. Johnson BF, Chapple DJ, Hughes R, LA Brooy J, Smith I (1978) Peak Plasma digoxin concentration and cardiac toxicity. In: Bodem G, Dengler HJ (eds) Cardiac glycosides. Springer, Berlin Heidelberg New York, pp 273–283

    Google Scholar 

  11. Vaughan DP, Tucker GT (1976) General derivation of the ideal intravenous input required to achieve and maintain a constant plasma drug concentration. Theoretical application to lignocaine therapy. Eur J Clin Pharmacol 10: 433–440

    Google Scholar 

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Weiss, M., Sziegoleit, W., Fahr, A. et al. Rapid achievement of a serum concentration plateau of digoxin through controlled infusion. Eur J Clin Pharmacol 25, 455–457 (1983). https://doi.org/10.1007/BF00542110

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  • DOI: https://doi.org/10.1007/BF00542110

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