Pharmacokinetics of levosimendan and its circulating metabolites in patients with heart failure after an extended continuous infusion of levosimendan.

Autor: Antila, Saila, Kivikko, Matti, Lehtonen, Lasse, Eha, Jaan, Heikkila, Aira, Pohjanjousi, Pasi, Pentikainen, Pertti J.
Předmět:
Zdroj: British Journal of Clinical Pharmacology; Apr2004, Vol. 57 Issue 4, p412-415, 4p
Abstrakt: The purpose of the study was to characterize the pharmacokinetics of levosimendan and its metabolites OR-1855 and OR-1896 in patients with congestive heart failure. Levosimendan was administered as a continuous intravenous infusion for 7 days. Twelve subjects received the drug at an infusion rate of 0.05 µg kg−1 min−1 and 12 at a rate 0.1 µg kg−1 min−1. Steady state concentrations of levosimendan were achieved within 4 h. Peak concentrations of the metabolites occurred after termination of the infusion. The mean (± SD) half-life of the active metabolite OR-1896 was 81 ± 37 h after the lower dose and 81 ± 28 h after the higher dose ( P = 0.992, 95% confidence interval on the difference −27.5, 27.7). The metabolites of levosimendan, OR-1855 and OR-1896, were formed and eliminated slowly, their peak concentrations occurring after termination of the 7-day infusion of the drug. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index