Database : HANSEN
Search on : ADMINISTRACAO ORAL [Subject descriptor]
References found : 9 [refine]
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Id:18426
Author:Teo, Steve K; Colburn, Wayne A; Tracewell, William G; Kook, Karin A; Stirling, David I; Jaworsky, Markian S; Scheffer, Michael A; Thomas, Steve D; Laskin, Oscar L
Title:Clinical pharmacokinetics of thalidomide ..-
Source:s.l; s.n; 2004. 17 p. ilus, tab, graf.
Abstract:Thalidomide is a racemic glutamic acid derivative approved in the US for erythema nodosum leprosum, a complication of leprosy. In addition, its use in various inflammatory and oncologic conditions in being investigated. Thalidomide interconverts between the (R)- and (S)-enantiomers in plasma, with protein binding of 55% and 65%, respectively. More than 90% of the absorbed drug is excreted in the urine and faeces within 48 hours. Thalidomide is minimally metabolised by the liver, but is spontaneously hydrolysed into numerous renally excreted products. After a single oral dose of thalidomide 200mg (as the US-approved capsule formulation) in healthy volunteers, absorption is slow and extensive, resulting in a peak concentration (Cmax) of 1-2mg/L at 3-4 hours after administration, absorption lag time of 30 minutes, total exposure (AUCoo) of 18mg - h/L, apparent elimination half-life of 6 hours and apparent systemic clearence of 10 L/H. Thalidomide pharmacokinetics are best described by a one-comportment model with first-order absorption and elimination. Because of the low solubility of the drug in the gastrointestinal tract, thalidomide exhibits absorption rate-limited pharmacolinetics (the 'flip-flop' phenomenon), with its elimination rate being faster than in absorption rate. The apparent elimination half-life of 6 hours therefore represents absorption, not elimination. The 'true' apparent volume of distribution was estimated to be 16L by use of the faster elimination-rate half-life. Multiple doses of thalidomide 200 mg/day over 21 days cause no change in the pharmacokinetics, with a steady-state Cmax (Cssmax) of 1.2 mg/L. Simulation of 400 and 800 mg/day also shows no accululation, with Css of 3.5 and 6.0 mg/L, respectively. Multiple-dose studies in cancer patients show pharmacokinetics comparable with those in healthy populations at similar dosages. Thalidomide exhibits a dose-proportional increase in AUC at doses from 50 to 400mg. Because of the low solubility of thalidomide Cmax is less than proportional to dose, and tmax is prolonged with increasing dose. Age, sex and smoking have no effect on the pharmacokinetics of thalidomide, and the effect of food is minimal. Thalidomide does not alter the pharmacokinetics of oral contraceptives, and is also unlikely to interact with warfarin and grapefruit juice. Since thalidomide is mainly hydrolysed and passively excreted, its pharmacokonetics are not expected to change in patients with impaired liver...(AU).
Descriptors:TALIDOMIDA/admin
TALIDOMIDA/sint quim
TALIDOMIDA/contra
TALIDOMIDA/hist
TALIDOMIDA/isol
TALIDOMIDA/farmacocin
TALIDOMIDA/normas
TALIDOMIDA/tox
TALIDOMIDA/uso terap
TALIDOMIDA/metab
ERITEMA NODOSO HANSENICO/quimioter
 ERITEMA NODOSO/etiol
 SINDROME DE IMUNODEFICIÊNCIA ADQUIRIDA FELINA/terap
 ADMINISTRACAO ORAL
 INTERACOES DE MEDICAMENTOS/fisiol
 RIFAMPINA/antag
 FENOBARBITAL/antag
 CIMETIDINA/antag
 DILTIAZEM/antag
 WARFARIN/antag
Limits:HUMANO
Location:BR191.1; 00948/s


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Id:13964
Author:Carsalade, Georges-Yves de; Achirafi, Aboubacar; Flageul, Béatrice
Title:Pentoxifylline in the treatment of erythema nodosum leprosum ..-
Source:s.l; s.n; Jan. 2003. 5 p. tab.
Abstract:Erythema nodosum leprosum (ENL) is a well-known serious complication affecting 10 per cent of lepromatous multibacillary leprosy patients. In the chronic form, its morbidity may be considerable. Thalidomide and systemic steroids are the two current effective drugs for the management of ENL. However, their use in endemic countries is often difficult and hazardous, and a search for new therapies is needed. We report our experience on the effects of pentoxifylline, a methylxanthine derivative, which has recently been suggested as a possible effective treatment for ENL attacks. (AU).
Descriptors:ERITEMA NODOSO/quimioter
ERITEMA NODOSO/patol
ESQUEMA DE MEDICACAO
ADMINISTRACAO ORAL
HANSENOSTATICOS/admin
HANSENOSTATICOS/uso terap
HANSENIASE VIRCHOWIANA/quimioter
HANSENIASE VIRCHOWIANA/patol
PENTOXIFILINA/admin
PENTOXIFILINA/uso terap
INDICE DE GRAVIDADE DE DOENCA
RESULTADO DE TRATAMENTO
Limits:HUMANO
MASCULINO
FEMININO
ADULTO
ADOLESCENTE
Electronic Medium:http://www.ilsl.br
Location:BR191.1; 09150/s


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Id:13871
Author:Shepard, C. C; Van Landingham, R; Walker, L. L
Title:Effect of levamisole on Mycobacterium leprae in mice ..-
Source:s.l; s.n; may 1977. 4 p. graf.
Descriptors:ADMINISTRACAO ORAL
VACINA BCG
INJECOES SUBCUTÂNEAS
HANSENIASE/imunol
LEVAMISOL/admin
LEVAMISOL/farmacol
MYCOBACTERIUM LEPRAE/ef drogas
MYCOBACTERIUM LEPRAE/cresc
Limits:ANIMAL
CAMUNDONGOS
SUPPORT, U.S. GOV'T, P.H.S.
Electronic Medium:http://www.ilsl.br
Location:BR191.1; 00596/s


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Id:13191
Author:Shepard, C. C; Van Landingham, R; Walker, L. L
Title:Effect of levamisole on Mycobacterium leprae in mice ..-
Source:s.l; s.n; may 1977. 14 p. tab, graf.
Abstract:Levamisole, an antihelminthic drug that is capable of enhancing immune responses in mice and in humans, was tested in experimental Mycobacterium leprae infections in mice by a number of schedules. Intermittent schedules were used, and administration of the drug was started (i) around the time of inoculation with M. leprae, (ii) when the M. leprae population was approaching the plateau level, (iii) after the onset of the plateau phase, or (iv) after BCG vaccination 28 days following the inoculation with M. leprae. No effect of drug could be discerned with any of the schedules.(AU).
Descriptors:MYCOBACTERIUM LEPRAE/ef drogas
MYCOBACTERIUM LEPRAE/cresc
LEVAMISOL/admin
LEVAMISOL/farmacol
HANSENIASE/imunol
INJECOES SUBCUTÂNEAS
VACINA BCG
ADMINISTRACAO ORAL
Limits:ANIMAL
CAMUNDONGOS
SUPPORT, U.S. GOV'T, P.H.S.
Electronic Medium:http://www.ilsl.br
Location:BR191.1; 00596/s


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Id:12231
Author:Dhople, Arvind M
Title:In vivo activity of epiroprim, a dihydrofolate reductase inhibitor, singly and in combination with dapsone, against mycobacterium leprae ..-
Source:s.l; s.n; 2002. 4 p. tab.
Descriptors:ADMINISTRAÇAO ORAL
TATUS
DAPSONA
DAPSONA
SINERGISMO DE DROGAS
ANTAGONISTAS DO ACIDO FOLICO
ANTAGONISTAS DO ACIDO FOLICO
LEPROSTATICOS
LEPROSTATICOS
CAMUNDONGOS
CAMUNDONGOS ENDOGAMICOS BALB C
MYCOBACTERIUM LEPRAE
MYCOBACTERIUM LEPRAE
TRIMETOPRIM
TRIMETOPRIM
TRIMETOPRIM
Limits:ANIMAL
Location:BR191.1; 08715/s


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Id:11657
Author:Dhople, Arvind M
Title:In vivo activity of epiroprim, a dihydrofolate reductase inhitor, singly and in combination with dapsone, against Mycobacterium leprae ..-
Source:s.l; s.n; 2002. 4 p. tab.
Descriptors:HANSENIASE
LEPROSTATICOS
LEPROSTATICOS
ADMINISTRAÇAO ORAL
DAPSONA
DAPSONA
MYCOBACTERIUM LEPRAE
MYCOBACTERIUM LEPRAE
TRIMETOPRIM
TRIMETOPRIM
TRIMETOPRIM
Location:BR191.1; 08453/s


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Id:11298
Author:Randhawa, B; Harris, E. B; Prabhakaran, K
Title:Bactericidal action of oral ampicillin/sulbactam against mycobacterium leprae ..-
Source:s.l; s.n; 1999. 3 p. graf.
Descriptors:ADMINISTRAÇAO ORAL
AMPICILINA
AMPICILINA
ANTIBIOTICOS COMBINADOS
ANTIBIOTICOS COMBINADOS
MEMBRO POSTERIOR
HANSENIASE
CAMUNDONGOS
CAMUNDONGOS ENDOGAMICOS BALB C
MODELOS BIOLOGICOS
MYCOBACTERIUM LEPRAE
MYCOBACTERIUM LEPRAE
SULBACTAM
SULBACTAM
Limits:ANIMAL
Location:BR191.1; 07237/s


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Id:10257
Author:Carrazza, Maria Zilda Nunes
Title:A metemoglobinemia e a dapsonemia como indicadores na intoxicacao aguda por dapsona ?-
Source:Sao Paulo; s.n; 1998. 81 p. tab, graf.
Thesis:Present for Universidade de Sao Paulo. Faculdade de Ciencias Farmaceuticas presented for the degree Doutor.
Abstract:Com o objetivo de fornecer uma contribuicao clinico-laboratorial, que permitisse avaliar a gravidade da intoxicacao por dapsona (DDS), foram estudadas as analises toxicologicas e os dados de 274 pacientes, dos quais 60 por cento mulheres. As analises toxicologicas laboratoriais foram efetuadas no Laboratorio do Centro de Controle de Intoxicacoes, da Prefeitura do Municipio de Sao Paulo, no periodo de janeiro de 1985 a dezembro de 1995. As idades dos pacientes variavam de 1 mes a 50 anos, razao pela qual foram distribuidos em grupos etarios: o grupo 1 constituido por 147 criancas menores de 5 anos de idade (55,2 por cento), o grupo 2 por 33 criancas de 5 a 12 anos (12,4 por cento), o grupo 3 por adolescentes de 13 a 18 anos (14,7 por cento) e o grupo 4 por 47 adultos de 19 a 50 anos (17,7 por cento)(AU).
Descriptors:METEMOGLOBINA
HANSENIASE
HANSENIASE
CENTROS DE TRATAMENTO DE ABUSO DE SUBSTANCIAS
QUIMIOTERAPIA COMBINADA
ADMINISTRAÇAO ORAL
BIOTRANSFORMAÇAO
TENTATIVA DE SUICIDIO
DAPSONA
TOXICOLOGIA
Location:BR191.1; . C335.900.10, C231m


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Id:9968
Author:Sehgal, Virendra N; Bhattacharya, Sambit N; Chattopadhaya, Debasish; Saha, Kunal
Title:Tumor necrosis factor: status in reactions in leprosy before and after treatment ..-
Source:s.l; s.n; 1993. 4 p. tab, graf.
Descriptors:ADMINISTRAÇAO ORAL
ANTIINFLAMATORIOS NAO ESTEROIDES
ANTIINFLAMATORIOS NAO ESTEROIDES
CLOROQUINA
CLOROQUINA
CLOROQUINA
CLOFAZIMINA
CLOFAZIMINA
ERITEMA NODOSO
ERITEMA NODOSO
HIPERSENSIBILIDADE TARDIA
HIPERSENSIBILIDADE TARDIA
LEPROSTATICOS
HANSENIASE DIMORFA
HANSENIASE DIMORFA
HANSENIASE TUBERCULOIDE
HANSENIASE TUBERCULOIDE
PREDNISOLONA
PREDNISOLONA
COMPRIMIDOS
FATOR DE NECROSE DE TUMOR
HANSENIASE LEPROMATOSA
HANSENIASE LEPROMATOSA
Location:BR191.1; 06612/s



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