Simultaneous determination of the combined and free concentrations of atorvastatin and its major metabolite in vitro and in vivo based on ultrafiltration coupled with UPLC-MS/MS method: an application in a protein binding rate and metabolism ability s
The metabolic process of atorvastatin may be inhibited in uremic hemodialysis patients, but the total concentration of atorvastatin did not change significantly; due to the decrease of protein binding rate increase the drug distribution of atorvastatin in the liver or muscle tissue, which may increase the risk of certain adverse reactions. We recommend that clinicians use free drug concentration monitoring to adjust the dose of atorvastatin to ensure patient safety for uremic hemodialysis patients.
Authors
- Ming-Chen Cao
- Xin Huang (ORCID: https://orcid.org/0000-0002-9785-6563)
- Bo‐Hao Tang (ORCID: https://orcid.org/0009-0000-8266-916X)
- Hai-Yan Shi
- Yi Zheng (ORCID: https://orcid.org/0000-0002-1585-7598)
- Wei Zhao (ORCID: https://orcid.org/0000-0003-3812-5952)
Institutions
- Qingdao University (CN)
- Shandong University of Traditional Chinese Medicine (CN)
- Shandong University (CN)
- Affiliated Hospital of Qingdao University (CN)
- Shandong Provincial QianFoShan Hospital (CN)
- Jimo District Qingdao Hospital of Traditional Chinese Medicine (CN)
- Shandong First Medical University (CN)
Publication Details
- Journal
- Frontiers in Cardiovascular Medicine
- Published
- 2024-10-24
- DOI
- https://doi.org/10.3389/fcvm.2024.1461181
- Citations
- 1
- Primary Topic
- Metabolomics and Mass Spectrometry Studies
- Type
- article
- Field-Weighted Citation Impact
- 0.23