Blood Level Determin a t ions and Pharmacokinetic Stud ies of Anticonvulsants i n Ethiopian Epileptics
dc.contributor.advisor | Dagne Ermias (PhD) | |
dc.contributor.author | Haile Bisrat | |
dc.date.accessioned | 2018-06-16T12:57:15Z | |
dc.date.accessioned | 2023-11-09T16:20:05Z | |
dc.date.available | 2018-06-16T12:57:15Z | |
dc.date.available | 2023-11-09T16:20:05Z | |
dc.date.issued | 1987-06 | |
dc.description.abstract | A gas chromatographic method was employed to monitor plasma levels of phenytoin and phenobarbital in 101 Ethiopian epileptic patients who were on chronic drug treatment and kinetics and plasma level-response relationship was studied. 40% of the patients were on single drug treatment while the remaining were taking both phenytoin and phenobarbital . A very low correlation between dose and plasma level was observed and there was high variation among individuals. Although 86% of the patients were receiving 300 mg of phenytoin per day , some patients showed plasma levels as low as 5|ig / ml others as high as 60 pg/ ml . and ! ! About 70% of patients were seizure-free at the range of 10-20 pg /ml phenytoin levels. However the best range for maximum seizure control in this study was 20-30 p g / ml. At lower levels, that is below 10 pg /ml , and at higher levels above 30 jug/ml , the seizures were poorly controlled. The therapeutic range of phenobarbital for optimum control of seizure was found to be comparable with that of phenytoin ( 20-30 pg /ml ). The kinetics of phepytoin is best described by Michaelis- Menten kinetics. The most important parameters K and V m max were estimated and found to be 6.5 mg /lt and 6.9 mg /kg / d respectively. The maximum metabolic capacity, vmax ยป for | en_US |
dc.identifier.uri | http://etd.aau.edu.et/handle/12345678/1040 | |
dc.language.iso | en | en_US |
dc.publisher | Addis Ababa Universty | en_US |
dc.subject | Anticonvulsants in Ethiopian Epileptics | en_US |
dc.title | Blood Level Determin a t ions and Pharmacokinetic Stud ies of Anticonvulsants i n Ethiopian Epileptics | en_US |
dc.type | Thesis | en_US |