Linear pharmacokinetic behavior of ropinirole during multiple dosing in patients with Parkinson's disease.

Autor: Hubble J; Ohio State University Parkinson's Disease Center, Columbus 43210, USA., Koller WC, Atchison P, Taylor AC, Citerone DR, Zussman BD, Friedman CJ, Hawker N
Jazyk: angličtina
Zdroj: Journal of clinical pharmacology [J Clin Pharmacol] 2000 Jun; Vol. 40 (6), pp. 641-6.
Abstrakt: The objectives of this study were to measure the pharmacokinetics of ropinirole at steady state when the drug is used as an adjunct to L-dopa and evaluate the long-term tolerability of ropinirole in this indication. Twenty-four patients who were taking L-dopa for Parkinson's disease and experiencing a lack of symptomatic control were recruited. Patients received open-label adjunctive treatment with ropinirole for up to 2 years. The starting dose was 0.5 mg bid, which could be titrated to a maximum of 6.0 mg tid. Ropinirole demonstrated approximately dose-linear pharmacokinetics at steady state; corresponding values were higher during tid than bid dosing. A reduction in mean L-dopa dose was maintained throughout the trial. The combination of L-dopa and ropinirole was generally well tolerated, with only 1 patient withdrawing from treatment because of adverse events. Thus, ropinirole shows approximately linear steady-state pharmacokinetics and a good safety profile when administered with L-dopa.
Databáze: MEDLINE