Læknablaðið : fylgirit - 01.05.1978, Qupperneq 52

Læknablaðið : fylgirit - 01.05.1978, Qupperneq 52
GOLD SERUM CONCENTRATIONS pmol/l pg/lOOml Myocrisin DAYS AFTER INJECTION Fig. 4 Serum gold curves wiih different schedules of chrysotherapy in children. after the first week the values are as low as below 200 u^7o. In Figure 4 serum gold curves with different schedules of chrysotherapy are presented. If gold injections are given every other week, the serum gold levels are veiy low during the whole second week. The serum values can be kept in the therapeutic levels from 300-500 Ujj(7o, only with weekly injections, with a dose of approxi- mately 0,7 mg/kg of body weight. (Figure 5) If the dose is increased to 1 mg/kg of body weight, the serum levels rise very high, the peak values being even 800 ug7o, the mean value is more than 600 ug7o. These values are clearly higher than those ones, which are recommended to adults. According to these results the therapeutic serum gold levels in children are reached with weekly injections of Myocrisin with the dose of about 0,70 mg/kg of body weight. With this schedule, the serum gold concentration is maintained in the level from 300 to 500 u^7o. This study shows too, that the dose of 1 mg/kg of body weight of Myocrisin is too high because the serum values increase over those levels which are recommended to adult patients. On the other hand, at present we dont even know, wether it is necessary to maintain, the serum gold values in the recom- mended level from 300 to 500 ug7o during the chrysotherapy, for to obtain the best therapeutic effect in children. GOLO SERUM CONCENTRATIONS VJmol/l pg/lC0ml OOSAGE MYOCRI5IN® I mg/kg ONCE A WEEK IM Myocrisin Days aftcr injcction Fig. 5 Serum gold levels with weekly injections of Myocrisin 1 mg/kg of body weight. 50
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