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Quantitative analysis of the disopyramide concentration‐effect relationship.
Author(s) -
Whiting B,
Holford NH,
Sheiner LB
Publication year - 1980
Publication title -
british journal of clinical pharmacology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.216
H-Index - 146
eISSN - 1365-2125
pISSN - 0306-5251
DOI - 10.1111/j.1365-2125.1980.tb04799.x
Subject(s) - disopyramide , pharmacokinetics , plasma concentration , pharmacology , active metabolite , oral administration , pharmacodynamics , medicine , metabolite , anesthesia
1. A combined pharmacokinetic‐pharmacodynamic model has been used to analyse the relationship between QT prolongation and changes in plasma concentration which occurred after disopyramide was given intravenously and orally to eight healthy subjects. 2. The pharmacokinetic models appropriate to intravenous and oral disopyramide have been extended by an ‘effect compartment’ which has no influence on the predetermined mass of drug in the body. 3. The model incorporates an adjustment for lag of effect behind any rapid changes in plasma concentration such as occur in the early distributive phase following intravenous administration. This permits calculation of the proportionality constant relating plasma concentration to effect. 4. Irrespective of the route of administration the mean (+/‐ s.d.) prolongation of the QT interval was 14.5 +/‐ 6.5 ms/micrograms ml‐1. 5. There was no evidence that metabolite produced during first pass after oral administration made any significant contribution to effect. 6. This modelling technique should be applicable to the study of the concentration‐effect relationship of a number of other drugs, both in health and in disease.