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ESTIMATION OF PHARMACOKINETIC PARAMETERS AND ACCURACY OF THE PREDICTED EQUATION FOR LITHIUM DOSE IN CHILDRE N: A PILOT STUDY AT THE YUWAPRASART WAITHAYOPATHUM CHILD PSYCHIATRIC HOSPITAL

By: Tewthanom, Karunrat.
Contributor(s): Ongarjsakulman, Rinsook.
Publisher: M P Innovare Academic Sciences Pvt Ltd 2019Edition: Vol.11(1).Description: 72-78p.Subject(s): PHARMACEUTICSOnline resources: Click here In: International journal of pharmacy and pharmaceutical scienceSummary: Objective : The purpose of the study was to estimate the pharmacokinetic parameters and calculate the prec ision (%RMSE) of the predicted l ithium concentration equation. Method s : This research was studied from blood Lithium levels of Children who had visited Yuwaprasa rt Waithayopathum Child Psychia tric Hospital from 31 December 2009 -1 January 2011 The accuracy and precision of the equation were evaluated by the mathematical principle. The assist package software (WIN -NONLIN) was used to create pharmacokinetic parameters. Result s : Twenty -nine patien ts were recruited. The characteristics (mean +SD) presented as the followin g; age = 15.79 +2.6 4 y , weight = 69.75+22.28 kg and the daily dose = 858.62+ 274.53 mg. The trough Lithium concentrations (mean +SD) = 0.56+ 19 mg/l . The kinetic parameter (Mean +SD) pres ented as the followin g; t 1/2 Conclusio n : In conclusion, the modified Yukawa equation may be used for the prediction of l ithium concentration with 6.39% RMSE. =7.23 +3.38 hr., ke =0.12 +0.07 hr -1, Vd = 48.83 +15.60 L, AUC0 -12 =11.01 +5.61 mg x hr /l. The population pharmacokinetic parameter s; ke, and AUC (0 - ∞) = 0.151 hr -1 and 169.81, mg x hr./l respectively. The mod ified equation from Yukawa for l ithium cleara nce calculation and prediction l ithium concentrations were CL (mL/min) = [36.5+(0.242x BW (kg) -7.79]/Scr (mg/dL) and l ithium concentration (mg /l) = 4 x Dose (mg) /CL (mL/min)x73.89, respectively with 6.39 %RMSE (test for 20 patients data).
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Objective
:
The purpose of the study was to estimate the pharmacokinetic parameters and calculate the prec
ision (%RMSE) of the predicted l
ithium
concentration equation.
Method
s
:
This research was studied from blood Lithium levels of Children who had visited Yuwaprasa
rt Waithayopathum Child Psychia
tric
Hospital from 31 December 2009
-1 January 2011 The accuracy and precision of the equation were evaluated by the mathematical principle. The
assist package software (WIN
-NONLIN) was used to create pharmacokinetic parameters.
Result
s
:
Twenty
-nine patien
ts were recruited. The characteristics (mean
+SD) presented as the followin
g;
age = 15.79
+2.6
4 y
, weight = 69.75+22.28
kg and the daily dose = 858.62+
274.53 mg. The trough Lithium concentrations (mean
+SD) = 0.56+
19 mg/l
. The kinetic parameter
(Mean
+SD)
pres
ented as the followin
g;
t
1/2
Conclusio
n
:
In conclusion, the modified Yukawa equation may
be used for the prediction of l
ithium concentration with 6.39% RMSE.
=7.23
+3.38 hr., ke =0.12
+0.07 hr
-1, Vd = 48.83
+15.60 L, AUC0
-12 =11.01
+5.61 mg x hr
/l. The population
pharmacokinetic parameter
s;
ke, and AUC (0
-
∞) = 0.151 hr
-1 and 169.81, mg x hr./l
respectively. The mod
ified equation from
Yukawa for l
ithium
cleara
nce calculation and prediction l
ithium concentrations were CL (mL/min) = [36.5+(0.242x
BW (kg)
-7.79]/Scr (mg/dL) and l
ithium
concentration (mg
/l) = 4 x Dose (mg)
/CL (mL/min)x73.89, respectively with 6.39 %RMSE (test for 20 patients
data).

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