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Disposition of guanethidine during chronic oral therapy

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Summary

The plasma level and urinary excretion rate of guanethidine have been measured in 30 patients during oral maintenance therapy, and in 5 patients following discontinuation of therapy. A significant correlation was found between the daily average urinary excretion and the maintenance dose, although wide interindividual variation was noted among patients maintained on the same dose. A statistically significant correlation was also observed between the area under the plasma level curve during the dose interval and the oral maintenance dose. After discontinuation of chronic therapy, the half-life of 1.5 days of the initial phase of elimination was essentially in agreement with the half-life of almost 2 days determined in acute studies. In addition, a second phase of elimination with a half-life of 4 to 8 days was observed.

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Supported by Deutsche Forschungsgemeinschaft (He 791/4)

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Hengstmann, J.H., Falkner, F.C. Disposition of guanethidine during chronic oral therapy. Eur J Clin Pharmacol 15, 121–125 (1979). https://doi.org/10.1007/BF00609875

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