Population pharmacokinetics of phenytoin in Singapore Chinese

Eur J Clin Pharmacol. 1990;39(2):177-81. doi: 10.1007/BF00280055.

Abstract

The pharmacokinetics of phenytoin was studied in 66 epileptic Chinese children and adults. The data were analysed by the population approach, using the non-linear mixed effect model, in the MULTI (ELS) program. There was no age or gender-related effect on either the apparent maximum elimination rate (kmax) or Michaelis-Menten constant (KM). Kmax was related to body weight 0.656. The population pharmacokinetics was similar in children and adults. Kmax and KM were estimated to be 30.72 mg.kg-0.656 day-1 and 2.307 mg.l-1, respectively. Kmax was higher than reported values, and KM was comparable to that reported in a study in Japanese, but was much lower than that reported in studies of European patients. The inter-individual variability of KM (CV 65.58%) was substantially higher than that of kmax (CV 28.49%), and the residual (intra-individual) variability was found 21.33% (CV).

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aging / metabolism
  • Bayes Theorem
  • Body Weight
  • Child
  • Child, Preschool
  • China / ethnology
  • Female
  • Humans
  • Infant
  • Male
  • Middle Aged
  • Phenytoin / pharmacokinetics*
  • Regression Analysis
  • Sex Factors
  • Singapore

Substances

  • Phenytoin