Læknablaðið : fylgirit - 01.05.1978, Page 72

Læknablaðið : fylgirit - 01.05.1978, Page 72
physiological entities. For example is the term ke used to denote the rate of the overall elimina- tion, i.e. the sum of the rates for biotrans- formation in the liver, renal filtration and excretion etc. If ia drug is administered instantaneously to the central compartment a plot of the natural logorithm as a funetion of the time after the administration gives a curve with two distinct linear components; the initial called the alpha or the distribution phase and the second slower phase the beta or the elimination phase. The final slope is inversely proportional to the bio- logical half-life, but not equal to -ke (eq.2). A computer programme was written which through an iterative process converted the four parameters o<,^i , k^i and Vi in order to reduce the sum of squared differences between the experi- mentally determined concentration-time data and the values calculated from Eq. 1. From these four parameters ke, kj2 and V2 were calculated according to Eqs. 2, 3 and 4, respectively. The area under the concentration-time curve from the time of administration to any time "t" was calcu- lated by integration (Eq. 5). In order to evaluate the statistical significance of the parameter estimates the computer pro- gramme included a calculation of their asymptotic standard deviations. If the standard deviation exceeded half the parameter value, the parameter estimate was considered to be too unreliable and was excluded form the rest of the analysis. B es ults: Fig. 2 shows a typical semilogarithmic plot of the serum concentration as a function of the time for one person. The line indicates the concen- trations predicted by the two-compartmental model. It can be scen that for 5 hours the model renders a good description of the data. Six hours after the administration however, there is a rise in the serum concentration for . this and all the other persons. The reason for this secondary rise in the serum concentration has not been established, but a reasonable explanation might be that indomethacin excretcd in the bile is being reabsorbed from the gut. Whatever the reason may be, thc phenomenon restricted the kinetic analysis to the first 5 hours. Fig. 3 shows a linear plot of thc mcan serum concentration for all persons before and after treatment with aspirin. It can be seen that aspirin 500 mg twice daily during 1 week 70
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