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1.
Drug Test Anal ; 13(10): 1776-1782, 2021 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-34309209

RESUMEN

Higenamine is a ß2 -agonist that has been prohibited in sports by the World Anti-Doping Agency. Higenamine could potentially promote anabolism and lipolysis; however, its crucial pharmacokinetics data, particularly muscle distribution, remain unavailable. The present study aims to investigate the blood-to-muscle distribution as well as the urinary excretion of higenamine in laboratory rats. In the first experiment, the microdialysis technique was employed to continuously measure free, protein-unbound concentrations in blood and muscle for 90 min (sampling at a 5-min interval) after rats received IV infusion of higenamine. The mean half-lives of higenamine in blood and muscle were 17.9 and 19.0 min, respectively. The blood-to-muscle distribution ratio (AUCmuscle /AUCblood ) of higenamine was estimated to be 22%. In the second experiment, rats were orally administered with a single-dose higenamine, and their urine samples were profiled at a 12-h interval for up to 48 h. Results showed only a small portion of total consumption (1.44%, ranging 0.71%-2.50%) was excreted in the urine. Among these time points, about 43% cumulative amount of higenamine was eliminated within the first 12 h. Our data suggested that one-quarter of the unbound higenamine rapidly penetrates from the vessels into muscle, distributes to the interstitial fluid, then eliminates from the rat in a short span of time. The muscle tissue is likely to have a low binding affinity for higenamine, and renal excretion plays a minor role in its elimination. Together, our findings provide valuable pharmacokinetics data that may gain deeper insights into higenamine's role in skeletal muscle functions.


Asunto(s)
Agonistas Adrenérgicos beta/farmacocinética , Alcaloides/farmacocinética , Doping en los Deportes/prevención & control , Tetrahidroisoquinolinas/farmacocinética , Animales , Área Bajo la Curva , Semivida , Masculino , Microdiálisis/métodos , Ratas , Ratas Sprague-Dawley , Distribución Tisular
2.
Arch Dis Child Fetal Neonatal Ed ; 106(6): 578-583, 2021 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-33687959

RESUMEN

OBJECTIVES: Neonatal resuscitation guidelines recommend 0.5-1 mL saline flush following 0.01-0.03 mg/kg of epinephrine via low umbilical venous catheter for persistent bradycardia despite effective positive pressure ventilation (PPV) and chest compressions (CC). We evaluated the effects of 1 mL vs 3 mL/kg flush volumes and 0.01 vs 0.03 mg/kg doses on return of spontaneous circulation (ROSC) and epinephrine pharmacokinetics in lambs with cardiac arrest. DESIGN: Forty term lambs in cardiac arrest were randomised to receive 0.01 or 0.03 mg/kg epinephrine followed by 1 mL or 3 mL/kg flush after effective PPV and CC. Epinephrine (with 1 mL flush) was repeated every 3 min until ROSC or until 20 min. Haemodynamics, blood gases and plasma epinephrine concentrations were monitored. RESULTS: Ten lambs had ROSC before epinephrine administration and 2 died during instrumentation. Among 28 lambs that received epinephrine, 2/6 in 0.01 mg/kg-1 mL flush, 3/6 in 0.01 mg/kg-3 mL/kg flush, 5/7 in 0.03 mg/kg-1 mL flush and 9/9 in 0.03 mg/kg-3 mL/kg flush achieved ROSC (p=0.02). ROSC was five times faster with 0.03 mg/kg epinephrine compared with 0.01 mg/kg (adjusted HR (95% CI) 5.08 (1.7 to 15.25)) and three times faster with 3 mL/kg flush compared with 1 mL flush (3.5 (1.27 to 9.71)). Plasma epinephrine concentrations were higher with 0.01 mg/kg-3 mL/kg flush (adjusted geometric mean ratio 6.0 (1.4 to 25.7)), 0.03 mg/kg-1 mL flush (11.3 (2.1 to 60.3)) and 0.03 mg/kg-3 mL/kg flush (11.0 (2.2 to 55.3)) compared with 0.01 mg/kg-1 mL flush. CONCLUSIONS: 0.03 mg/kg epinephrine dose with 3 mL/kg flush volume is associated with the highest ROSC rate, increases peak plasma epinephrine concentrations and hastens time to ROSC. Clinical trials evaluating optimal epinephrine dose and flush volume are warranted.


Asunto(s)
Bradicardia , Reanimación Cardiopulmonar/métodos , Circulación Coronaria/efectos de los fármacos , Epinefrina , Paro Cardíaco , Agonistas Adrenérgicos beta/administración & dosificación , Agonistas Adrenérgicos beta/farmacocinética , Animales , Animales Recién Nacidos , Bradicardia/sangre , Bradicardia/tratamiento farmacológico , Bradicardia/etiología , Cateterismo Periférico/métodos , Relación Dosis-Respuesta a Droga , Monitoreo de Drogas/métodos , Epinefrina/administración & dosificación , Epinefrina/sangre , Epinefrina/farmacocinética , Paro Cardíaco/fisiopatología , Paro Cardíaco/terapia , Masaje Cardíaco/métodos , Respiración con Presión Positiva/métodos , Ovinos , Resultado del Tratamiento , Venas Umbilicales
3.
Chest ; 159(3): 975-984, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-33011204

RESUMEN

BACKGROUND: Patients admitted to the hospital with COPD are commonly managed with inhaled short-acting bronchodilators, sometimes in lieu of the long-acting bronchodilators they take as outpatients. If held on admission, these long-acting inhalers should be re-initiated upon discharge; however, health-care transitions sometimes result in unintentional discontinuation. RESEARCH QUESTION: What is the risk of unintentional discontinuation of long-acting muscarinic antagonist (LAMA) and long-acting beta-agonist and inhaled corticosteroid (LABA-ICS) combination medications following hospital discharge in older adults with COPD? STUDY DESIGN AND METHODS: A retrospective cohort study was conducted by using health administrative data from 2004 to 2016 from Ontario, Canada. Adults with COPD aged ≥ 66 years who had filled prescriptions for a LAMA or LABA-ICS continuously for ≥ 1 year were included. Log-binomial regression models were used to determine risk of medication discontinuation following hospitalization in each medication cohort. RESULTS: Of the 27,613 hospitalization discharges included in this study, medications were discontinued 1,466 times. Among 78,953 patients with COPD continuously taking a LAMA or LABA-ICS, those hospitalized had a higher risk of having medications being discontinued than those who remained in the community (adjusted risk ratios of 1.50 [95% CI, 1.34-1.67; P < .001] and 1.62 [95% CI, 1.39, 1.90; P < .001] for LAMA and LABA-ICS, respectively). Crude rates of discontinuation for people taking LAMAs were 5.2% in the hospitalization group and 3.3% in the community group; for people taking LABA-ICS, these rates were 5.5% in the hospitalization group and 3.1% in the community group. INTERPRETATION: In an observational study of highly compliant patients with COPD, hospitalization was associated with an increased risk of long-acting inhaler discontinuation. These Results suggest a likely larger discontinuation problem among less adherent patients and should be confirmed and quantified in a prospective cohort of patients with COPD and average compliance. Quality improvement efforts should focus on safe transitions and patient medication reconciliation following discharge.


Asunto(s)
Broncodilatadores , Preparaciones de Acción Retardada , Administración del Tratamiento Farmacológico/normas , Alta del Paciente/normas , Transferencia de Pacientes , Enfermedad Pulmonar Obstructiva Crónica , Administración por Inhalación , Corticoesteroides/administración & dosificación , Corticoesteroides/farmacocinética , Agonistas Adrenérgicos beta/administración & dosificación , Agonistas Adrenérgicos beta/farmacocinética , Anciano , Broncodilatadores/administración & dosificación , Broncodilatadores/farmacocinética , Canadá/epidemiología , Continuidad de la Atención al Paciente , Preparaciones de Acción Retardada/administración & dosificación , Preparaciones de Acción Retardada/farmacocinética , Deprescripciones , Femenino , Humanos , Masculino , Antagonistas Muscarínicos/administración & dosificación , Antagonistas Muscarínicos/farmacocinética , Transferencia de Pacientes/métodos , Transferencia de Pacientes/normas , Enfermedad Pulmonar Obstructiva Crónica/epidemiología , Enfermedad Pulmonar Obstructiva Crónica/terapia , Mejoramiento de la Calidad
4.
AAPS PharmSciTech ; 21(4): 120, 2020 Apr 22.
Artículo en Inglés | MEDLINE | ID: mdl-32323091

RESUMEN

The objective of this study was to develop a simpler and more practical quantitative evaluation method of cold flow (CF) in transdermal drug delivery systems (TDDSs). CF was forcibly induced by loading a weight on a punched-out sample (bisoprolol and tulobuterol tapes). When the extent of CF was analyzed using the area of oozed adhesive as following a previously reported method, the CF profiles were looked different between the samples 12 mm in diameter subjected to a 0.5-kg weight and samples 24 mm in diameter subjected to a 2.0-kg weight despite an equal load per unit area (4.42 g/mm2). The width of oozed adhesive around the original sample was suggested to be an index that properly describes the relationship between the load per unit area and the extent of CF. Further, it was clarified that the average CF width over the entire circumference of the sample was the same whether the samples were round or square as long as the sample area and load were the same. We also observed a linear relationship between the CF width and the aspect ratio of oval and rectangular samples. These results indicated that the CF properties of typical TDDS products lacking CF-proof processing at the edges could be determined by testing samples cut from the product rather than the whole TDDS patch. The proposed width measuring method was simple and useful for optimizing the composition of the adhesive and for testing the quality of the product.


Asunto(s)
Adhesivos/farmacocinética , Frío , Sistemas de Liberación de Medicamentos/métodos , Terbutalina/análogos & derivados , Adhesivos/administración & dosificación , Adhesivos/química , Administración Cutánea , Agonistas Adrenérgicos beta/administración & dosificación , Agonistas Adrenérgicos beta/química , Agonistas Adrenérgicos beta/farmacocinética , Evaluación Preclínica de Medicamentos/métodos , Terbutalina/administración & dosificación , Terbutalina/química , Terbutalina/farmacocinética
6.
Drug Test Anal ; 10(6): 1017-1024, 2018 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-29084416

RESUMEN

Higenamine (Norcoclaurine) is a very popular substance in Chinese medicine and is present in many plants. The substance may be also found in supplements or nutrients, consumption of which may result in violation of anti-doping rules. Higenamine is prohibited in sport at all times and included in Class S3 (ß-2-agonists) of the World Anti-Doping Agency (WADA) 2017 Prohibited List. The presence of higenamine in urine samples at concentrations greater than or equal to 10 ng/mL constitutes an adverse analytical finding (AAF). This work presents a new metabolite of higenamine in urine sample which was identified by means of ultra performance liquid chromatography-tandem mass spectrometry (UPLC-MS/MS). Samples were prepared according to 2 protocols - a Dilute and Shoot (DaS) approach and a method involving acid hydrolysis and double liquid-liquid extraction (LLE). To meet the requirements typical for a confirmatory analysis, the screening procedure was further developed. In samples prepared by the DaS method, 2 peaks were observed; the earlier one was specific for higenamine and the later one unknown. MS scan analysis showed mass about 80 Da higher than that of higenamine. In turn, in samples prepared in accordance with the protocol involving hydrolysis, an increase in the area under peak for higenamine was observed, while the second peak was absent. It seems that the described strategy of detection of higenamine in urine avoids false negative results.


Asunto(s)
Alcaloides/orina , Detección de Abuso de Sustancias/métodos , Tetrahidroisoquinolinas/orina , Agonistas Adrenérgicos beta/farmacocinética , Agonistas Adrenérgicos beta/orina , Alcaloides/farmacocinética , Cromatografía Líquida de Alta Presión , Humanos , Límite de Detección , Sensibilidad y Especificidad , Espectrometría de Masas en Tándem , Tetrahidroisoquinolinas/farmacocinética
7.
Drug Discov Ther ; 11(5): 253-258, 2017 Nov 22.
Artículo en Inglés | MEDLINE | ID: mdl-29021505

RESUMEN

Various generic transdermal formulations of tulobuterol containing rubber and acrylate base polymers are commercially available in Japan. However, none of the formulations have been compared directly with respect to the skin permeability of tulobuterol and to their follow ability. Tulobuterol Tape Sawai of rubber base and Tulobuterol Tape NP of acrylate base were used to conduct the in vitro 24-hour skin permeability test of tulobuterol at receiver solution temperatures of 32°C, 37°C, and 40°C. Furthermore, the followability of these tapes were examined by measuring the depth of the pores that were formed in their adhesive layer. Consequently, the maximum flux of tulobuterol was greater for Tulobuterol Tape NP. Arrhenius plot analysis revealed that Tulobuterol Tape Sawai was more sensitive to skin surface temperature compared with Tulobuterol Tape NP. Skin abrasion had a greater effect on the skin permeability of tulobuterol in Tulobuterol Tape Sawai than in Tulobuterol Tape NP. Followability was greater for Tulobuterol Tape NP than for Tulobuterol Tape Sawai. These results suggest that a transdermal formulation of acrylate base is preferable to that with a rubber base when skin surface temperature varies or when the skin is abraded. In clinical settings, therefore, a formulation of acrylate base is preferable to a formulation of rubber base when skin surface temperature varies or when the skin is abraded. The formulation needs to be applied to the skin of less asperity for the achievement of better transdermal absorption of tulobuterol.


Asunto(s)
Agonistas Adrenérgicos beta/farmacocinética , Piel/metabolismo , Terbutalina/análogos & derivados , Parche Transdérmico , Acrilatos , Administración Cutánea , Agonistas Adrenérgicos beta/administración & dosificación , Animales , Medicamentos Genéricos , Técnicas In Vitro , Japón , Masculino , Ratones , Ratones Pelados , Permeabilidad , Polímeros , Goma , Absorción Cutánea , Terbutalina/administración & dosificación , Terbutalina/farmacocinética
8.
Acta Cir Bras ; 32(8): 662-672, 2017 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-28902942

RESUMEN

PURPOSE:: To determine if the combination of lidocaine with epinephrine or gamma globulin would decrease the rate or reduce the amount of local absorption of lidocaine through the airway. METHODS:: Twenty adult male cats were randomly and evenly distributed into four groups: 1) Group LG: lidocaine administered with gamma globulin; 2) Group LS: lidocaine administered with physiological saline); 3) Group LE: lidocaine administered with epinephrine; 4) Group C: control group. Invasive blood pressure, heart rate, and concentration of lidocaine were recorded before and after administration. RESULTS:: The peak of plasma concentrations appeared difference (Group LG: 1.39 ± 0.23 mg/L; Group LS: 1.47 ± 0.29 mg/L and Group LE: 0.99 ± 0.08 mg/L). Compared to Group C, there were significant differences in the average heart rate of Groups LG, LS, and LE (P < 0.05). The average systolic blood pressures were significantly different when each group was compared to Group C (P < 0.05). The biological half-life, AUC0-120, peak time, and half-life of absorption among the three groups have not presented statistically significant differences (P > 0.05). CONCLUSION:: Administering lidocaine in combination with gamma globulin through airway causes significant decrease the rate and reduce the amount of local absorption of lidocaine in cats.


Asunto(s)
Agonistas Adrenérgicos beta/farmacocinética , Anestésicos Locales/farmacocinética , Epinefrina/farmacocinética , Lidocaína/farmacocinética , Absorción a través del Sistema Respiratorio/efectos de los fármacos , gammaglobulinas/farmacocinética , Agonistas Adrenérgicos beta/administración & dosificación , Anestésicos Locales/administración & dosificación , Anestésicos Locales/sangre , Animales , Presión Sanguínea/efectos de los fármacos , Broncoscopía/métodos , Gatos , Combinación de Medicamentos , Epinefrina/administración & dosificación , Frecuencia Cardíaca/efectos de los fármacos , Lidocaína/administración & dosificación , Lidocaína/sangre , Masculino , Distribución Aleatoria , Valores de Referencia , Reproducibilidad de los Resultados , Factores de Tiempo , Tráquea/efectos de los fármacos , gammaglobulinas/administración & dosificación
9.
Acta cir. bras ; 32(8): 662-672, Aug. 2017. tab, graf
Artículo en Inglés | LILACS | ID: biblio-886229

RESUMEN

Abstract Purpose: To determine if the combination of lidocaine with epinephrine or gamma globulin would decrease the rate or reduce the amount of local absorption of lidocaine through the airway. Methods: Twenty adult male cats were randomly and evenly distributed into four groups: 1) Group LG: lidocaine administered with gamma globulin; 2) Group LS: lidocaine administered with physiological saline); 3) Group LE: lidocaine administered with epinephrine; 4) Group C: control group. Invasive blood pressure, heart rate, and concentration of lidocaine were recorded before and after administration. Results: The peak of plasma concentrations appeared difference (Group LG: 1.39 ± 0.23 mg/L; Group LS: 1.47 ± 0.29 mg/L and Group LE: 0.99 ± 0.08 mg/L). Compared to Group C, there were significant differences in the average heart rate of Groups LG, LS, and LE (P < 0.05). The average systolic blood pressures were significantly different when each group was compared to Group C (P < 0.05). The biological half-life, AUC0-120, peak time, and half-life of absorption among the three groups have not presented statistically significant differences (P > 0.05). Conclusion: Administering lidocaine in combination with gamma globulin through airway causes significant decrease the rate and reduce the amount of local absorption of lidocaine in cats.


Asunto(s)
Animales , Masculino , Gatos , gammaglobulinas/farmacocinética , Epinefrina/farmacocinética , Agonistas Adrenérgicos beta/farmacocinética , Absorción a través del Sistema Respiratorio/efectos de los fármacos , Anestésicos Locales/farmacocinética , Lidocaína/farmacocinética , Valores de Referencia , Factores de Tiempo , Tráquea/efectos de los fármacos , Presión Sanguínea/efectos de los fármacos , Broncoscopía/métodos , gammaglobulinas/administración & dosificación , Epinefrina/administración & dosificación , Distribución Aleatoria , Reproducibilidad de los Resultados , Agonistas Adrenérgicos beta/administración & dosificación , Combinación de Medicamentos , Frecuencia Cardíaca/efectos de los fármacos , Anestésicos Locales/administración & dosificación , Anestésicos Locales/sangre , Lidocaína/administración & dosificación , Lidocaína/sangre
10.
Farm. hosp ; 41(3): 410-422, mayo-jun. 2017. graf, tab
Artículo en Inglés | IBECS | ID: ibc-162879

RESUMEN

Objective: Overactive bladder syndrome is a condition with high prevalence, which has a negative impact on patients’ quality of life. A drug with a novel mechanism of action has been recently approved: mirabegron. The objective of this study is to review the scientific evidence available on mirabegron, with the aim to analyze its efficacy, safety and cost, and thus estimate its role within current pharmacotherapy. Methods: The effectiveness and safety of mirabegron were analyzed through an evaluation of scientific evidence. The cost of different pharmacological alternatives was calculated based on their Defined Daily Dose (DDD) and their manufacturer’s sale price. Results: The use of mirabegron in the treatment of overactive bladder syndrome is supported by three randomized clinical trials, controlled with placebo, at 12 weeks. All three share the same primary efficacy variables (number of incontinence episodes per 24 hours and number of micturitions per 24 hours). Long-term efficacy data are based on a 12-month study, where efficacy outcomes were measured as secondary variables. In all studies, mirabegron showed a significant but modest effect. Some of the most frequently detected adverse effects were: hypertension, increase of glucose in blood, headache, urinary tract infections, constipation and tachycardia. Special attention must be paid to cardiovascular events. Conclusions: The clinical efficacy of mirabegron is very modest and comparable to that achieved with the other drugs approved for this indication. Moreover, it is more expensive than other therapeutic options. Cardiac risks and urinary infections only allow to consider it as an alternative option to anticholinergic drugs, when these are contraindicated, show no clinical efficacy, or cause unacceptable adverse effects (AU)


Objetivo: El síndrome de vejiga hiperactiva es una patología con elevada prevalencia y que tiene un impacto negativo sobre la calidad de vida de los pacientes. Recientemente se ha aprobado un fármaco con un novedoso mecanismo de acción: el mirabegrón. El objetivo de este estudio es revisar la evidencia científica disponible sobre el mirabegrón, con el fin de analizar su eficacia, seguridad y coste, y así estimar su papel en la farmacoterapia actual. Metodología: La eficacia y seguridad del mirabegrón se analizó mediante una evaluación de la evidencia científica. El coste de las diferentes alternativas farmacológicas se calculó en base a sus dosis diarias definidas (DDD) y el precio de venta del laboratorio. Resultados: Tres ensayos clínicos aleatorizados, controlados con placebo, de 12 semanas de duración, apoyan el uso del mirabegrón en el tratamiento del síndrome de vejiga hiperactiva. Los tres comparten las mismas variables principales de eficacia (número de episodios de incontinencia/24 h y número de micciones/24 h). Los datos de eficacia a largo plazo se basan en un estudio de seguridad de 12 meses de duración en el que los resultados de eficacia se medían como variables secundarias. En todos los estudios, el mirabegrón mostró un efecto significativo pero modesto. Entre los efectos adversos más frecuentes se detectaron hipertensión, aumento de glucosa en sangre, dolor de cabeza, infecciones del tracto urinario, estreñimiento y taquicardia. Se debe prestar especial atención a los eventos cardiovasculares. Conclusiones: La eficacia clínica del mirabegrón es muy modesta y comparable a la conseguida con el resto de fármacos aprobados para esta indicación. Además, presenta un mayor coste que otras alternativas terapéuticas. Los riesgos cardiacos e infecciones urinarias solo hacen posible considerarlo como una alternativa a los anticolinérgicos cuando estos estén contraindicados, sean clínicamente ineficaces o sus efectos adversos sean inaceptables (AU)


Asunto(s)
Humanos , Vejiga Urinaria Hiperactiva/tratamiento farmacológico , Agonistas Adrenérgicos beta/farmacocinética , Incontinencia Urinaria/tratamiento farmacológico , Calidad de Vida , Perfil de Impacto de Enfermedad , Seguridad del Paciente , Antagonistas Colinérgicos/uso terapéutico
11.
Artículo en Inglés | MEDLINE | ID: mdl-28431781

RESUMEN

Clenbuterol (Broncodil and trade) is a direct-acting sympathomimetic agent with mainly beta-adrenergic activity and a selective action on ß2 receptors (a ß2 agonist). It has properties similar to those of salbutamol. It is used as a bronchodilator in the management of reversible airways obstruction, as in asthma and in certain patients with chronic obstructive pulmonary disease. The uses, applications, and the synthetic pathways of this drug are outlined. Physical characteristics including: ionization constant, solubility, X-ray powder diffraction pattern, thermal methods of analysis, UV spectrum, IR spectrum, mass spectrum are all produced. This profile also includes the monograph of British Pharmacopoeia, together with several reported analytical methods including spectrophotometric, electrochemical, chromatographic, immunochemical methods, and capillary electrophoretic methods. The stability, the pharmacokinetic behavior, and the pharmacology of the drug are also provided.


Asunto(s)
Clenbuterol , Agonistas Adrenérgicos beta/química , Agonistas Adrenérgicos beta/farmacocinética , Agonistas Adrenérgicos beta/farmacología , Agonistas Adrenérgicos beta/uso terapéutico , Animales , Asma/tratamiento farmacológico , Broncodilatadores/química , Broncodilatadores/farmacocinética , Broncodilatadores/farmacología , Broncodilatadores/uso terapéutico , Clenbuterol/química , Clenbuterol/farmacocinética , Clenbuterol/farmacología , Clenbuterol/uso terapéutico , Humanos , Estructura Molecular , Enfermedad Pulmonar Obstructiva Crónica/tratamiento farmacológico , Simpatomiméticos/química , Simpatomiméticos/farmacocinética , Simpatomiméticos/farmacología , Simpatomiméticos/uso terapéutico
12.
Artículo en Inglés | MEDLINE | ID: mdl-27951749

RESUMEN

ß-Agonists or ß-adrenergic agonists are synthetic drugs sometimes used for therapeutic purposes in veterinary medicine. However, these compounds also belong to a class of illegal growth promoters that decrease the fat content in farm animals. The purpose of this study was to develop an analytical LC-MS/MS confirmatory method for the detection of nine ß-agonists in bovine retina and liver tissues. The obtained CCα values ranged from 0.29 to 1.54 µg kg-1 in retina and from 0.03 to 0.18 µg kg-1 in liver, and CCß values from 0.50 to 2.63 µg kg-1 and from 0.05 to 0.30 µg kg-1, respectively. Additionally, the importance of a matrix effect in these two tissues for the achievement of accurate detection of non-compliant samples was studied and discussed. It was concluded that the main characteristic of this phenomena is its considerable variability from one animal to another. Also, the total amount of matrix in the final extract can provide differences in the matrix-matched calibration line.


Asunto(s)
Agonistas Adrenérgicos beta/análisis , Residuos de Medicamentos/análisis , Hígado/química , Carne/análisis , Retina/química , Drogas Veterinarias/análisis , Agonistas Adrenérgicos beta/metabolismo , Agonistas Adrenérgicos beta/farmacocinética , Animales , Bovinos , Cromatografía Liquida/métodos , Cromatografía Liquida/normas , Residuos de Medicamentos/metabolismo , Residuos de Medicamentos/farmacocinética , Contaminación de Alimentos/análisis , Límite de Detección , Hígado/efectos de los fármacos , Especificidad de Órganos , Retina/efectos de los fármacos , Extracción en Fase Sólida/métodos , Espectrometría de Masas en Tándem/métodos , Espectrometría de Masas en Tándem/normas , Drogas Veterinarias/metabolismo , Drogas Veterinarias/farmacocinética
13.
Artículo en Inglés | MEDLINE | ID: mdl-26638035

RESUMEN

A sensitive and accurate liquid chromatography-tandem mass spectrometry (LC-MS/MS) method has been developed and validated for determination of tulobuterol in rat plasma for the first time. Plasma samples were extracted by liquid-liquid extraction method with methyl tert-butyl ether and the analyte and clenbuterol (IS) were separated on a Venusil MP C18 column (100mm×2.1mm, 3µm) using 0.1% formic acid-water-methanol as mobile phase, with a runtime of 5min. The analyte was detected in multiple reaction monitoring (MRM) mode with positive electrospray ionization. Transitions of m/z 228.2→154.0 for tulobuterol and m/z 277.1→203.0 for the clenbuterol were monitored. The linear range was 0.5-100ng/ml (r=0.9967) for tulobuterol with the lower limit of quantitation of 0.5ng/ml. The intra-day and inter-day precisions were less than 10.3% for the analyte and the accuracy was less than -8.6%. The RSD of matrix effect and recovery yield were within ±15% of nominal concentrations and tulobuterol was stable during stability studies. The validated method has been successfully applied to a pharmacokinetic study of three doses of tulobuterol patch in rats for the first time.


Asunto(s)
Agonistas Adrenérgicos beta/sangre , Cromatografía Liquida/métodos , Espectrometría de Masas en Tándem/métodos , Terbutalina/análogos & derivados , Agonistas Adrenérgicos beta/farmacocinética , Animales , Masculino , Ratas , Ratas Sprague-Dawley , Terbutalina/sangre , Terbutalina/farmacocinética
14.
Drug Deliv ; 23(1): 248-53, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-24825491

RESUMEN

The objective of the current study was to prepare microspheres of salmeterol (SM) using poly (lactide-co-glycolide) (PLGA) and assess its viability to enhance the oral bioavailability. Microspheres of SM were prepared by oil-in-water emulsion-solvent evaporation method. The formulations were characterized in encapsulation efficiency, particle size, zeta potential, and in vitro release. The prepared microspheres were found to be spherical in shape with smooth surface. The size of microspheres ranged from 14.7 to 16.5 µm. The polydispersity index (PDI) was 0.12 ± 0.05 and the zeta potential was -33.2 ± 1.4 mV. In vitro release profile, SM was graduated released from the microspheres as time lapsed, suggesting that SM was well entrapped in SM-loaded PLGA microspheres. The model that fitted best for SM released from the microspheres was Higuchi equation. In vivo study, SM-loaded PLGA microspheres are thought to have the potential to maintain SM concentration within target ranges for a long time, decreasing side effects caused by concentration fluctuation, ensuring the efficiency of treatment and improving patient compliance by reducing dosing frequency.


Asunto(s)
Agonistas Adrenérgicos beta/administración & dosificación , Agonistas Adrenérgicos beta/farmacocinética , Xinafoato de Salmeterol/administración & dosificación , Xinafoato de Salmeterol/farmacocinética , Administración Intravenosa , Administración Oral , Animales , Disponibilidad Biológica , Química Farmacéutica , Emulsiones , Excipientes , Ácido Láctico/química , Microesferas , Tamaño de la Partícula , Ácido Poliglicólico/química , Copolímero de Ácido Poliláctico-Ácido Poliglicólico , Ratas , Ratas Sprague-Dawley , Solubilidad
15.
Food Chem ; 192: 188-96, 2016 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-26304337

RESUMEN

Broad screening and identification of ß-agonists in feed, serum, urine, muscle and liver samples was achieved in a quick and highly sensitive manner using ultra high performance liquid chromatography-quadrupole-orbitrap high resolution mass spectrometry (UHPLC-Q-Orbitrap HRMS) combined with a spectra library search. Solid-phase extraction technology was employed for sample purification and enrichment. After extraction and purification, the samples were analyzed using a Q-Orbitrap high-resolution mass spectrometer under full-scan and data-dependent MS/MS mode. The acquired mass spectra were compared with an in-house library (compound library and MS/MS mass spectral library) built with TraceFinder Software which contained the M/Z of the precursor ion, chemical formula, retention time, character fragment ions and the entire MS/MS spectra of 32 ß-agonist standards. Screening was achieved by comparing 5 key mass spectral results and positive matches were marked. Using the developed method, the identification results from 10 spiked samples and 238 actual samples indicated that only 2% of acquired mass spectra produced false identities. The method validation results showed that the limit of detection ranged from 0.021-3.854 µg kg(-1)and 0.015-1.198 ng mL(-1) for solid and liquid samples, respectively.


Asunto(s)
Agonistas Adrenérgicos beta/análisis , Alimentación Animal/análisis , Líquidos Corporales/química , Análisis de los Alimentos/métodos , Carne/análisis , Agonistas Adrenérgicos beta/farmacocinética , Alimentación Animal/normas , Animales , Cromatografía Liquida/métodos , Análisis de los Alimentos/instrumentación , Límite de Detección , Reproducibilidad de los Resultados , Ovinos , Extracción en Fase Sólida , Espectrometría de Masas en Tándem/métodos , Distribución Tisular
16.
J Agric Food Chem ; 62(38): 9273-8, 2014 Sep 24.
Artículo en Inglés | MEDLINE | ID: mdl-25207456

RESUMEN

Ractopamine, a ß-agonist, is used to increase the proportion of lean meat in livestock. However, due to potential cardiovascular risks, ractopamine has been banned for use in food-producing animals in many countries. Nevertheless, pharmacokinetic studies of ractopamine have not been completed. The aim of this study was to develop a high-performance liquid chromatography-tandem mass spectrometry (HPLC-MS/MS) method for the determination of ractopamine. This validated method was used to investigate the pharmacokinetics and organ distribution of ractopamine in rats. The validation results complied with the U.S. Food and Drug Administration's standards. The oral bioavailability of ractopamine was 2.99%. After intravenous administration, ractopamine concentrations varied as follows: kidney > lung > spleen > heart > liver > muscle > plasma > brain. Nonlinear pharmacokinetics and strong partitioning into tissues were observed after intravenous administration of ractopamine. These effects may be due to nonlinear elimination via the kidney.


Asunto(s)
Agonistas Adrenérgicos beta/farmacocinética , Cromatografía Líquida de Alta Presión/métodos , Espectrometría de Masas/métodos , Fenetilaminas/farmacocinética , Animales , Masculino , Ratas , Ratas Sprague-Dawley , Distribución Tisular
17.
Postgrad Med ; 126(4): 73-81, 2014 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-25141245

RESUMEN

Anaphylaxis is a rapid, systemic, often unanticipated, and potentially life-threatening immune reaction occurring after exposure to certain foreign substances. The main immunologic triggers include food, insect venom, and medications. Multiple immunologic pathways underlie anaphylaxis, but most involve immune activation and release of immunomodulators. Anaphylaxis can be difficult to recognize clinically, making differential diagnosis key. The incidence of anaphylaxis has at least doubled during the past few decades, and in the United States alone, an estimated 1500 fatalities are attributed to anaphylaxis annually. The increasing incidence and potentially life-threatening nature of anaphylaxis coupled with diagnostic challenges make appropriate and timely treatment critical. Epinephrine is universally recommended as the first-line therapy for anaphylaxis, and early treatment is critical to prevent a potentially fatal outcome. Despite the evidence and guideline recommendations supporting its use for anaphylaxis, epinephrine remains underused. Data indicate that antihistamines are more commonly used to treat patients with anaphylaxis. Although histamine is involved in anaphylaxis, treatment with antihistamines does not relieve or prevent all of the pathophysiological symptoms of anaphylaxis, including the more serious complications such as airway obstruction, hypotension, and shock. Additionally, antihistamines do not act as rapidly as epinephrine; maximal plasma concentrations are reached between 1 and 3 hours for antihistamines compared with < 10 minutes for intramuscular epinephrine injection. This demonstrates the need for improved approaches to educate physicians and patients regarding the appropriate treatment of anaphylaxis.


Asunto(s)
Agonistas alfa-Adrenérgicos/uso terapéutico , Agonistas Adrenérgicos beta/uso terapéutico , Anafilaxia/tratamiento farmacológico , Epinefrina/uso terapéutico , Antagonistas de los Receptores Histamínicos/uso terapéutico , Agonistas alfa-Adrenérgicos/farmacocinética , Agonistas Adrenérgicos beta/farmacocinética , Anafilaxia/diagnóstico , Anafilaxia/inmunología , Anafilaxia/fisiopatología , Diagnóstico Diferencial , Epinefrina/farmacocinética , Antagonistas de los Receptores Histamínicos/farmacocinética , Humanos , Resultado del Tratamiento
18.
Artículo en Inglés | MEDLINE | ID: mdl-24576769

RESUMEN

Ocular administration of the beta (ß)-adrenergic receptor agonist JP-49b prevents retinopathy-like damage in a preclinical rat model of diabetes. Importantly, JP-49b did not induce characteristic ß-adrenergic agonist-related side effects (e.g., left ventricular damage), which led to the hypothesis that JP-49b systemic exposure was minimal following ocular administration. To test this hypothesis, a sensitive liquid chromatography tandem mass spectrometry (LC-MS/MS) method was developed to study the preclinical pharmacokinetics of JP-49b in rats. Animals received either a single periocular or intravenous injection of JP-49b (10mg/kg) and plasma and tissue samples were obtained. JP-49b and fenoterol hydrobromide (internal standard, IS) were isolated by liquid-liquid extraction and extracts were analyzed by reversed-phase liquid chromatography on a C18 column using a gradient elution (acetic acid in water and methanol). A triple quadrupole mass spectrometer operating in the positive electrospray ionization mode with multiple reaction monitoring was used to detect JP-49b and IS transitions of m/z 346.4→195.1 and 304.1→134.9. The method was validated for selectivity, linearity, accuracy, and precision in rat vitreous humor, tissue homogenates, and plasma. Following intravenous administration, JP-49b was found to have a rapid clearance (36±5.8L/h/kg), high volume of distribution (244±51.5L/kg) and a terminal half-life of 4.8±1.6h. JP-49b was rapidly absorbed and extensively distributed into ocular tissue following topical administration. However, JP-49b was undetectable in heart tissue 24h after ocular administration. High local drug concentrations coupled with minimal systemic exposure following ocular administration supports further testing of JP-49b as a localized therapy for diabetic retinopathy.


Asunto(s)
Agonistas Adrenérgicos beta/sangre , Agonistas Adrenérgicos beta/farmacocinética , Cromatografía Liquida/métodos , Norepinefrina/análogos & derivados , Espectrometría de Masas en Tándem/métodos , Agonistas Adrenérgicos beta/administración & dosificación , Agonistas Adrenérgicos beta/análisis , Animales , Inyecciones Intraoculares , Inyecciones Intravenosas , Modelos Lineales , Masculino , Norepinefrina/administración & dosificación , Norepinefrina/análisis , Norepinefrina/sangre , Norepinefrina/farmacocinética , Ratas , Reproducibilidad de los Resultados , Sensibilidad y Especificidad , Cuerpo Vítreo/química
19.
J Pharmacol Toxicol Methods ; 69(3): 211-6, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-24548851

RESUMEN

A quantitative analytical procedure for the determination of ractopamine in pig hair has been developed and validated. The hair samples were washed and incubated at 75°C with isoxuprine and hair extraction buffer. The drug present was quantified using mixed solid-phase extraction and liquid chromatography with tandem mass spectrometric detection. The limit of quantization (LOQ) was 10pg/mg and the intra-day precision at 25pg/mg and 750pg/mg was 0.49% and 2.8% respectively. Inter-day precision was 0.88% and 3.52% at the same concentrations. The hair extraction percentage recovery at 25pg/mg and 50ng/mL was 99.47% and 103.83% respectively. The extraction percentage recovery at 25pg/mg and 50ng/mg was 93.52% and 100.26% respectively. Our results showed that ractopamine residues persist in hair in 24days of withdrawal and also showed the possibility to test ractopamine from pig hair samples.


Asunto(s)
Cromatografía Liquida/métodos , Cabello/química , Fenetilaminas/farmacocinética , Espectrometría de Masas en Tándem/métodos , Agonistas Adrenérgicos beta/farmacocinética , Animales , Límite de Detección , Masculino , Extracción en Fase Sólida , Porcinos , Factores de Tiempo
20.
J Anal Toxicol ; 38(3): 149-54, 2014 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-24569651

RESUMEN

The objective of this study was to investigate ractopamine residues in urine, plasma and hair of cattle during and after treatment. Three cattle (body weight = 620 ± 6.2 kg) were administered ractopamine (2.01 mg/kg body weight) into the rumen for 5 consecutive days. Ractopamine concentrations in samples were determined by an ultra-performance liquid chromatography-tandem mass spectrometry (UPLC-MS-MS) method. The concentrations of parent ractopamine in urine were 1,631.1 ng/mL on withdrawal day 0 and 8.3 ng/mL on withdrawal day 14. After hydrolysis of its conjugates, ractopamine concentration ranged from 11,796.7 ng/mL (withdrawal day 0) to 39.7 ng/mL (withdrawal day 14). In plasma, parent ractopamine and its conjugates were below the limits of quantification (LOQ = 0.2 ng/mL) on withdrawal days 5 and 7. Accumulation of ractopamine in black and white hair was 124.6 and 78.1 ng/g, respectively, on withdrawal day 0, and 226.7 and 165.6 ng/g, respectively, on withdrawal day 14. This study demonstrated the rapid elimination and high bioavailability of ractopamine in urine and plasma in cattle. However, accumulation of ractopamine in cattle's hair is high and persistent, so hair can be used as the target matrix for monitoring ractopamine abuse in ruminants.


Asunto(s)
Agonistas Adrenérgicos beta/sangre , Agonistas Adrenérgicos beta/orina , Cabello/química , Fenetilaminas/sangre , Fenetilaminas/orina , Agonistas Adrenérgicos beta/administración & dosificación , Agonistas Adrenérgicos beta/farmacocinética , Animales , Bovinos , Cromatografía Líquida de Alta Presión , Glucuronidasa/metabolismo , Fenetilaminas/administración & dosificación , Fenetilaminas/farmacocinética , Reproducibilidad de los Resultados , Espectrometría de Masas en Tándem
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