
pmid: 14122543
SUMMARYEquations relating serum concentrations of phenobarbital, dose/kg body weight, and rate of elimination were derived. Agreement between calculated and observed concentration‐time curves was obtained in 5 of 6 subjects, and between calculated and observed ratios of level to dose in 18 patients. The average ratio of serum levels to dose/kg body weight was 10.0 μg/ml per mg/kg. The average rate of elimination was 13.3 %/24 h, in agreement with previous findings. From the rates of elimination the time to 95% level was calculated to be 2–4 weeks with an average of 3 weeks. It is suggested that the dose of phenobarbital be doubled during the first 4 days of medication, thereby reducing the time to level to about 3 days.A modification of the procedure of Lous for the determination of phenobarbital in serum is described. One‐ml serum samples were used for single determinations; the standard deviation of the determination was 0.4 μg/ml.RÉSUMÉLes auteurs ont résolu des équations concernant la concentration en phénobarbital du sérum (quantité/kg de poids du corps) et le taux de son élimination. Le rapport calculé et le rapport observé dans les courbes du temps de concentration ont été obte‐nus chez 5 sur 6 sujets et celui entre les taux calculés et observés du niveau de la dose a été obtenu chez 18 malades. La moyenne des niveaux de la dose du sérum/kg de poids du corps a été 10.0 μg/ml par mg/kg. La moyenne du taux d'élimination est 13.3%/24 h en accord avec les résultats attendus. Quant aux niveaux d'élimination, le temps au niveau de 95% a été calculéà 2–4 semaines, 3 semaines en moyenne. Les auteurs suggèrent que la dose de phénobarbital soit doublée durant les 4 premiers jours du traitement, de manière à réduire à 3 jours environ le temps d'obtention du niveau.Description d'une modification de la méthode de Lous pour la détermination du phénobarbital du sérum. Des échantillons d'un‐ml de sérum sont employés pour des déterminations isolées; déviation standard de la détermination a été 0.4 μg/ml.
Male, Epilepsy, Metabolism, Phenobarbital, Humans, Blood Chemical Analysis
Male, Epilepsy, Metabolism, Phenobarbital, Humans, Blood Chemical Analysis
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