Phenobarbitone population pharmacokinetics from routine clinical data: role of patient characteristics for estimating dosing regimens

J Pharm Pharmacol. 1992 Sep;44(9):755-60. doi: 10.1111/j.2042-7158.1992.tb05514.x.

Abstract

Routine clinical pharmacokinetic data collected from patients receiving phenobarbitone have been analysed to evaluate the role of patient characteristics for estimating dosing regimens. The data were analysed using NONMEM, a computer program designed for population pharmacokinetic analysis that allows pooling of data. The pharmacokinetic model of phenobarbitone was described using a one-compartment steady-state model. The effect of a variety of developmental and demographic factors on clearance was investigated. NONMEM estimates indicated a nonlinear function of total body weight as the optimum adjustment of phenobarbitone clearance. Concomitant administration of phenobarbitone and other antiepileptic drugs showed a decrease of phenobarbitone clearance in young children. The dosing method based on clearance values obtained by NONMEM analysis allowed the prediction of the steady-state concentration as a function of maintenance dose with acceptable error for therapeutic drug monitoring.

MeSH terms

  • Adolescent
  • Aging / metabolism
  • Anticonvulsants / pharmacokinetics
  • Body Weight / drug effects
  • Child
  • Drug Interactions
  • Female
  • Humans
  • Male
  • Models, Biological
  • Phenobarbital / administration & dosage
  • Phenobarbital / pharmacokinetics*
  • Population

Substances

  • Anticonvulsants
  • Phenobarbital