Age-related effects on nelfinavir and M8 pharmacokinetics: a population study with 182 children.

Author: BlancheStéphane, FirtionGhislaine, HirtDéborah, JullienVincent, PonsGérard, ReyElisabeth, TreluyerJean-Marc, UrienSaïk

Paper Details 
Original Abstract of the Article :
As a relationship between nelfinavir antiretroviral efficacy and plasma concentrations has been previously established, nelfinavir pharmacokinetics was investigated in order to optimize the individual treatment schedule in a pediatric population. A population pharmacokinetic model was developed to d...See full text at original site
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引用元:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1426418/

データ提供:米国国立医学図書館(NLM)

Nelfinavir Pharmacokinetics: A Pediatric Perspective

The field of pediatric pharmacokinetics is a fascinating and challenging one, as it involves understanding how medications behave in the rapidly changing bodies of children. This study delves into the pharmacokinetics of nelfinavir, an antiretroviral drug used to combat HIV, in a pediatric population. The researchers wanted to optimize treatment regimens for children by understanding how nelfinavir's concentration changes over time and how these changes are influenced by age and other factors. They analyzed data from 182 children treated with nelfinavir using a sophisticated population pharmacokinetic model, allowing them to capture the wide variations in drug behavior observed in children. The results indicated that nelfinavir's clearance and volume of distribution decrease with age, meaning that younger children may require higher doses to achieve the desired therapeutic effect. The researchers also found that certain medications, like nevirapine and efavirenz, can influence the elimination rate of nelfinavir's active metabolite, M8. This study provides valuable insights for optimizing nelfinavir dosing in children, ensuring that they receive the appropriate amount of medication for effective HIV treatment.

Optimizing Nelfinavir Dosing in Children: A Delicate Balancing Act

This research sheds light on the importance of age-appropriate dosing in pediatric HIV treatment. The researchers found that children younger than 2 months may require higher doses of nelfinavir to achieve therapeutic levels compared to older children. This finding underscores the need for careful monitoring and individualized dosing regimens in pediatric patients. The study also highlights the potential impact of co-administered medications on nelfinavir pharmacokinetics, emphasizing the need to consider drug interactions when prescribing nelfinavir to children.

Safe and Effective HIV Treatment in Children: A Journey Through the Desert

Imagine a caravan journeying through the desert, each camel carrying a precious cargo: the health of a child with HIV. Just as the caravan requires careful navigation and adjustments for the terrain, pediatric HIV treatment necessitates precise dosing and monitoring. This research provides a road map for optimizing nelfinavir therapy in children, ensuring their safe and effective journey toward health.

Dr.Camel's Conclusion

This study emphasizes the importance of personalized medicine in children, especially when it comes to antiretroviral therapy. Just as different camels in a caravan require different care based on their size and strength, children with HIV need tailored treatment based on their age and individual characteristics. This research helps us navigate the delicate balance of dosing and monitoring to ensure the best possible outcomes for our young patients.

Date :
  1. Date Completed 2006-04-27
  2. Date Revised 2018-11-13
Further Info :

Pubmed ID

16495250

DOI: Digital Object Identifier

PMC1426418

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English

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