Population toxicokinetics of carbamazepine and its metabolite carbamazepine-10,11-epoxide in adults.

Autor:	Lukic V; National Poison Control Centre, Military Medical Academy, Belgrade, Serbia.; Medical Faculty of the Military Medical Academy, University of Defence, Belgrade, Serbia., Jankovic SM; Department of Pharmacology and Toxicology, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia.; Department of Clinical Pharmacology, University Clinical Center Kragujevac, Kragujevac, Serbia., Petrovic NZ; Department of Pharmacology and Toxicology, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia.; Department of Clinical Pharmacology, University Clinical Center Kragujevac, Kragujevac, Serbia., Vucinic S; National Poison Control Centre, Military Medical Academy, Belgrade, Serbia.; Medical Faculty of the Military Medical Academy, University of Defence, Belgrade, Serbia., Jovic Stosic J; National Poison Control Centre, Military Medical Academy, Belgrade, Serbia.; Medical Faculty of the Military Medical Academy, University of Defence, Belgrade, Serbia., Djordjevic S; National Poison Control Centre, Military Medical Academy, Belgrade, Serbia.; Medical Faculty of the Military Medical Academy, University of Defence, Belgrade, Serbia., Dragojevic-Simić V; Medical Faculty of the Military Medical Academy, University of Defence, Belgrade, Serbia.; Centre for Clinical Pharmacology, Military Medical Academy, Belgrade, Serbia.
Jazyk:	angličtina
Zdroj:	Expert opinion on drug metabolism & toxicology [Expert Opin Drug Metab Toxicol] 2024 Aug; Vol. 20 (8), pp. 817-825. Date of Electronic Publication: 2024 Jul 21.
DOI:	10.1080/17425255.2024.2381555
Abstrakt:	Background: Carbamazepine is one of the most commonly used antiseizure medications. Although carbamazepine pharmacokinetics in epileptic patients is well described, much less is known about these processes in the patients who experienced self-poisoning episode by this drug. Therefore, the aim of our investigation was to perform population toxicokinetics of carbamazepine and its metabolite carbamazepine-10,11-epoxide in adults. Research Design and Methods: Software program NONMEM and the ADVAN2 TRANS2 subroutine were used for establishing a population toxicokinetic model for the estimation of clearance and volume of distribution based on of the sum values of carbamazepine and carbamazepine-10,11-epoxide concentrations. Results: Our results indicated that the adult patients' ability to eliminate carbamazepine and carbamazepine-10,11-epoxide following acute carbamazepine self-poisoning was strongly associated with the high levels of CRP and ASP, as well as by the treatment with sedation. Conclusions: Our study should provide better understanding of the toxicokinetics of carbamazepine taken in overdose and better management of patient population admitted to hospital.
Databáze:	MEDLINE
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