Læknablaðið : fylgirit - 01.05.1978, Page 59

Læknablaðið : fylgirit - 01.05.1978, Page 59
Fig. 2 Naproxen plasma levels (ug/ml) mean - S.D. Daily dosage: 10,4 * 1 mg/kg (280 ± 30 mg/m2). Morning samples. pg/ml Naproxen plasma levels (pg / ml) mean - S.D. Fig. 3 Fluctuation of the plasma levels during the steady state. It can be expected two peaks in plasma levels during every twenty-four hours provided that the drug is administered twice daily. pg/ml Naproxen plasma levels (pg/ml) and by determining naproxen and its metabolite demethylated naproxen in urine, both of them separately in conjugated and unconjugated forms. Figure 1.: At the beginning of the test, the very first tablet was administered at 8 o clock in the morning, after breakfast. The peak plasma level was reached on an average four hours after ingesting naproxen tablets. Similar results are reported by Runkel et al. (3) in adults after oral administration of naproxen under non-fasting conditions. Figure 2.: In morning samples, the plasma levels increased slightly until the fourth day of the treatment. After that, the steady state was reached, and the plasma levels in morning samples were maintained within a narrow range. This result corresponds to that in adults. In adult patients, it takes about three days for a plasma level equilibrium to be established. (4,5) After fourteen days the medication was discontinued. Twenty four hours after the intake of the last tablet, the mean plasma level was approximately 50 per cent of that observed in the morning samples during the steady state. During the steady state (Figure 3) on the fifth and tenth days, blood samples were taken 57
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