Pharmacokinetic aspects of guanfacine withdrawal syndrome in a hypertensive patient with chronic renal failure.

Autor: Kiechel, J., Lavene, D., Guerret, M., Comoy, E., Godin, M., Fillastre, J.
Zdroj: European Journal of Clinical Pharmacology; 1983, Vol. 25 Issue 4, p463-466, 4p
Abstrakt: The unusual observation of a withdrawal syndrome due to guanfacine in a hypertensive patient with chronic renal failure led to a study of the kinetics of the drug in this patient. The principal pharmacokinetic parameters of guanfacine were greatly altered, with extended biotransformation and a decrease in the half-life compared to the values observed in other cases of severe renal insufficiency. Associated treatment with phenobarbital had had a considerable effect, as shown by the results of a further kinetic study 2 months after withdrawal of the phenobarbital. The findings then were in good agreement with reference values which strongly suggests a consequence of the enzyme inducing effect of phenobarbital. Advice about the dosage regimen in such cases is given. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index