Factors affecting serum phenobarbital concentration changes in pediatric patients receiving elixir and powder formulations

Autor: Chihiro Shiraishi, Hiroko Matsuda, Toru Ogura, Takuya Iwamoto
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of Pharmaceutical Health Care and Sciences, Vol 7, Iss 1, Pp 1-8 (2021)
Druh dokumentu: article
ISSN: 2055-0294
DOI: 10.1186/s40780-021-00190-2
Popis: Abstract Background Phenobarbital (PB) is commonly used as elixir and powder formulations in pediatric care. Its dose adjustment is performed based on individual drug concentration monitoring. Few studies have comprehensively analyzed the variation factors for serum PB concentration. In this study, we retrospectively investigated the factors that influence serum PB concentration and assessed the impacts of dosage formulation and administration route. Methods This retrospective cohort study covered clinical data from January 2007 to September 2019 at Mie University Hospital. The present study included 60 pediatric patients administered the elixir and powder of PB through oral route and enteral tube. Simple and multiple linear regression analyses were performed to identify the risk factors that affect the weight-corrected PB serum concentration/dose (C/D) ratio in pediatric patients. Six subgroups were also established according to the concomitant use of drugs that potentially inhibit PB metabolism, dosage formulation, and administration route to investigate the difference in the PB C/D ratio among the subgroups. Results A significant regression equation to predict the PB C/D ratio was found through simple and multiple linear regression analyses, with an adjusted coefficient of determination of 0.53 (p
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