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Errors in Clearance Estimation After Bolus Injection and Arterial Sampling: Nonexistence of a Central Compartment

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Abstract

In conventional pharmacokinetics monotonic decreasing drug disposition curves are usually assumed after bolus injection. For arterial sampling starting about 1 min after dosing the resulting neglect of the initial concentration peak leads to a relative overestimation of clearance which may be approximated by the percentage of systemic drug extraction. This error can be avoided by administering the drug as a short-term infusion.

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REFERENCES

  1. C. R. Kowarski, C. Giancatarino, R. Kreamer, D. Brecht, and A. Kowarski, Measurement of sulfamethizole clearance rate by nonthrombogenic constant blood-withdrawal system. J. Pharm. Sci. 65:450–452 (1976).

    Article  CAS  PubMed  Google Scholar 

  2. M. A. Kallai-Sanfacon, K. H. Norwich, and G. Sheiner. A new approach to the measurement of glycerol turnover. Can. J. Physiol. Pharmacol. 56:934–939 (1978).

    Article  CAS  PubMed  Google Scholar 

  3. W. L. Chiou. Potential pitfalls in the conventional pharmacokinetic studies: effects of the initial mixing of drug in blood and the pulmonary first-pass elimination. J. Pharmacokin. Biopharm. 7:527–536 (1979).

    Article  CAS  Google Scholar 

  4. D. J. Cutler. A linear recirculation model for drug disposition. J. Pharmacokin. Biopharm. 7:101–116 (1979).

    Article  CAS  Google Scholar 

  5. M. Weiss and W. Förster. Pharmacokinetic model based on circulatory transport. Eur. J. Clin. Pharmacol. 16:287–293 (1979).

    Article  Google Scholar 

  6. J. Katz. Importance of sites of tracer administration and sampling in turnover studies. Fed. Proc. 41:123–128 (1982).

    CAS  PubMed  Google Scholar 

  7. M. Weiss. Modelling of initial distribution of drugs following intravenous bolus injection. Eur. J. Clin. Pharmacol. 24:121–126 (1983).

    Article  CAS  PubMed  Google Scholar 

  8. M. Weiss, G. H. Hübner, I. G. Hübner, and W. Teichmann. Effects of cardiac output on disposition kinetics of sorbitol: recirculatory modelling. Br. J. Clin. Pharmacol. 41:261–268 (1996).

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  9. W. L. Chiou, G. Lam, M.-L. Chen, and M. G. Lee. Instantaneous input hypothesis in pharmacokinetic studies. J. Pharm. Sci. 70:1037–1039 (1981).

    Article  CAS  PubMed  Google Scholar 

  10. K. Taeger, E. Weninger, F. Schmelzer, M. Adt, N. Franke, and K. Peter. Pulmonary kinetics of fentanyl and alfentanil in surgical patients. Br. J. Anaesth. 61:425–434 (1988).

    Article  CAS  PubMed  Google Scholar 

  11. D. L. Roerig, K. J. Kotrly, C. A. Dawson, S. B. Ahlf, J. F. Gualtieri, and J. P. Kampine. First-pass uptake of verapamil, diazepam, and thiopental in the human lung. Anesth. Analg. 69:461–466 (1989).

    Article  CAS  PubMed  Google Scholar 

  12. E. Major, C. Aun, P. M. Yate, T. M. Savege, A. J. W. Verniquet, H. Adam, and E. J. Douglas. Influence of sample site on blood concentrations of ICI 35 868. Br. J. Anaesth. 55:371–375 (1983).

    Article  CAS  PubMed  Google Scholar 

  13. M. Weiss and K. S. Pang. The dynamics of drug distribution. I. Role of the second and third curve moment. J. Pharmacokin. Biopharm. 20:253–278 (1992).

    Article  CAS  Google Scholar 

  14. T. K. Henthorn, M. J. Avram, T. C. Krejcie, C. A. Shanks, A. Asada, D. A. Kaczynski. Minimal compartmental model of circulatory mixing of indocyanine green. Am. J. Physiol. 262:H903–H910 (1992).

    CAS  PubMed  Google Scholar 

  15. T. C. Krejcie, T. K. Henthorn, C. A. Shanks, and M. J. Avram. A recirculatory pharmacokinetic model describing the circulatory mixing, tissue distribution and elimination of antipyrine in dogs. J. Pharmacol. Exp. Ther. 269:609–616 (1994).

    CAS  PubMed  Google Scholar 

  16. M. Weiss. Commentary to “Pharmacokinetics from a dynamical systems point of view.” J. Pharmacokin. Biopharm. 17:393–397 (1989).

    Article  CAS  Google Scholar 

  17. J. M. van Rossum and J. E. G. M. de Bie. Response to commentary. J. Pharmacokin. Biopharm. 17:398–400 (1989).

    Article  CAS  Google Scholar 

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Weiss, M. Errors in Clearance Estimation After Bolus Injection and Arterial Sampling: Nonexistence of a Central Compartment. J Pharmacokinet Pharmacodyn 25, 255–260 (1997). https://doi.org/10.1023/A:1025788214777

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