Abstract
The development of reliable and specific methods for quantitation of benzodiazepine derivatives in body fluids has led to the accumulation of considerable knowledge of their pharmacokinetic properties in humans and in other species (Klotz et al. 1980; Guentert 1984; Greenblatt et al. 1983a,b; Greenblatt and Shader 1985 a). These data include the kinetic properties in healthy individuals, the influence of physiologic states and disease processes on benzodiazepine disposition, and alterations in kinetics due to drug interactions. The study of benzodiazepine pharmacokinetics has elucidated much about the general mechanisms controlling the biotransformation of foreign chemicals, and factors influencing drug disposition.
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References
Annseau M, Doumont A, von Frenckell R, Collard J (1984) Duration of benzodiazepine clinical activity: Lack of direct relationship with plasma half-life. Psychopharmacology (Berlin) 84: 293–298
Arendt RM, Greenblatt DJ, deJong RH et al. (1983) In vitro correlates of benzodiazepine cerebrospinal fluid uptake, pharmacodynamic action, and peripheral distribution. J Pharmacol Exp Ther 227: 95–106
Bittencourt PRM, Wade P, Smith AT, Richens A (1981) The relationship between peak velocity of saccadic eye movements and serum benzodiazepine concentration. Br J Clin Pharmacol 12: 523–533
Conner JT, Katz RL, Bellville JW, Graham C, Pagano R, Dorey F (1978) Diazepam and loraze-pam for intravenous surgical premedication. J Clin Pharmacol 18: 285–292
Ellinwood EH, Heatherly DG, Nikaido AM, Bjornsson TD, Kilts C (1985) Comparative pharmacokinetics and pharmacodynamics of lorazepam, alprazolam and diazepam. Psychopharmacology (Berlin) 86: 392–399
File SE (1985) Tolerance to the behavioral actions of benzodiazepines. Neurosci Biobehav Rev 9: 113–121
Friedman HL, Greenblatt DJ (1985) Rational therapeutic drug monitoring (submitted for publication)
Friedman HL, Scavone JM, Greenblatt DJ, Shader RI (1985 a) Effect of age and body composition on benzodiazepine distribution in rats. Pharmacologist 27: 207
Friedman H, Ochs HR, Greenblatt DJ, Shader RI (1985 b) Tissue distribution of diazepam and its metabolite desmethyldiazepam: a human autopsy study. J Clin Pharmacol (in press)
Friedman H, Abernethy DR, Greenblatt DJ, Shader RI (1985 c) The pharmacokinetics of diazepam and desmethyldiazepam in rat brain and plasma. Psychopharmacology (Berlin), (in press)
George KA, Dundee JW (1977) Relative amnesic actions of diazepam, flunitrazepam and lorazepam in man. Br J Clin Pharmacol 4: 45–50
Greenblatt DJ (1985) Elimination half-life of drugs: value and limitations. Ann Rev Med 36: 421–427
Greenblatt DJ, Arendt RM (1985) Lipid solubility and brain uptake of benzodiazepines. Pharmacologist 27: 207
Greenblatt DJ, Shader RI (1978) Dependence, tolerance, and addiction to benzodiazepines: clinical and pharmacokinetic considerations. Drug Metab Rev 8: 13–28
Greenblatt DJ, Shader RI ( 1985 a) Clinical pharmacokinetics of the benzodiazepines. In: Smith DE, Wesson DR (eds) The Benzodiazepines: current standards for medical practice. MTP Press, Lancaster, p 43–58
Greenblatt DJ, Shader RI ( 1985 b) Pharmacokinetics in clinical practice. Saunders, Philadelphia
Greenblatt DJ, Shader RI, Harmatz JS, Georgotas A (1979) Self-rated sedation and plasma con centrations of desmethyldiazepam following single doses of clorazepate. Psychopharmacology (Berlin) 66: 289–290
Greenblatt DJ, Ochs HR, Lloyd BL (1980) Entry of diazepam and its major metabolite into cerebrospinal fluid. Psychopharmacology (Berlin) 70: 89–93
Greenblatt DJ, Divoll M, Harmatz JS, MacLaughlin DS, Shader RI (1981) Kinetics and clinical effects of flurazepam in young and elderly noninsomniacs. Clin Pharmacol Ther 30: 475–486
Greenblatt DJ, Sellers EM, Koch-Weser J (1982) Importance of protein binding for the interpretation of serum or plasma drug concentration. J Clin Pharmacol 22: 259–263
Greenblatt DJ, Shader RI, Abernethy DR (1983 a) Current status of benzodiazepines. N Engl J Med 309: 354–358, 410–416
Greenblatt DJ, Divoll M, Abernethy DR, Ochs HR, Shader RI (1983 b) Benzodiazepine kinetics: implications for therapeutics and pharmacogeriatrics. Drug Metab Rev 14: 251–292
Greenblatt DJ, Arendt RM, Abernethy DR et al. (1983 c) In vitro quantitation of benzodiazepine lipophilicity: relation to in vivo distribution. Br J Anaesth 55:985–989
Guentert TW (1984) Pharmacokinetics of benzodiazepines and of their metabolites. Prog Drug Metab 8: 241–386
Hironaka T, Fuehino K, Fujii T (1984) Absorption of diazepam and its transfer through the blood brain barrier after intraperitoneal administration in the rat. J Pharmacol Exp Ther 229: 809–815
Igari Y, Sugiyama Y, Sawada Y et al. (1982) Tissue distribution of 14C-Diazepam and its metabolites in rats. Drug Metab Dispos 10: 676–679
Klotz U, Kangas L, Kanto J (1980) Clinical pharmacokinetics of benzodiazepines. Prog Pharmacol 3: 1–72
Koch-Weser J (1972) Serum drug concentrations as therapeutic guides. N Engl J Med 287: 227–231
Müller WE (1981) The benzodiazepine receptor: an update. Pharmacology 22: 153–161
Müller WE, Stillbauer AE (1983) Benzodiazepine hypnotics: time course and potency of benzodiazepine receptor occupation after oral application. Pharmacol Biochem Behav 18: 545–549
Ochs HR, Greenblatt DJ, Eckardt B, Harmatz JS, Shader RI (1983) Repeated diazepam dosing in cirrhotic patients: cumulation and sedation. Clin Pharmacol Ther 33: 471–476
Paul SM, Syapin PJ, Paugh BA et al. (1979) Correlation between benzodiazepine receptor occupation and anticonvulsant effects of diazepam. Nature 281: 688–689
Ramsay RE, Hammond EJ, Perchalski RJ et al. (1979) Brain uptake of phenytoin, phénobarbital, and diazepam. Arch Neurol 36: 535–539
Skolnick P, Paul SM (1982) Benzodiazepine receptors in the central nervous system. Int Rev Neurobiol 23: 103–140
Smith RB, Kroboth PD, Vanderlugt JT, Phillips JP, Juhl RP (1984) Pharmacokinetics and pharmacodynamics of alprazolam after oral and IV administration. Psychopharmacology (Berlin) 84: 452–456
Tedeschi G, Smith AT, Dhillon S, Richens A (1983) Rate of entrance of benzodiazepines into the brain determined by eye movement recording. Br J Clin Pharmacol 15: 103–107
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© 1987 Springer-Verlag Berlin Heidelberg
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Greenblatt, D.J., Friedman, H.L., Shader, R.I. (1987). Correlating Pharmacokinetics and Pharmacodynamics of Benzodiazepines: Problems and Assumptions. In: Dahl, S.G., Gram, L.F., Paul, S.M., Potter, W.Z. (eds) Clinical Pharmacology in Psychiatry. Psychopharmacology Series, vol 3. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-71288-3_7
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DOI: https://doi.org/10.1007/978-3-642-71288-3_7
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