Effect of propranolol on pharmacokinetics of clozapine in schizophrenic patients: a meta-analysis.

Clozapine Drug interaction Meta-analysis Pharmacokinetic Propranolol

Journal

European journal of clinical pharmacology
ISSN: 1432-1041
Titre abrégé: Eur J Clin Pharmacol
Pays: Germany
ID NLM: 1256165

Informations de publication

Date de publication:
19 Apr 2024
Historique:
received: 25 01 2024
accepted: 09 04 2024
medline: 19 4 2024
pubmed: 19 4 2024
entrez: 19 4 2024
Statut: aheadofprint

Résumé

Clozapine is the effective therapy for treatment-refractory schizophrenia. However, the use of clozapine is limited by its adverse effects. As propranolol is frequently used for the prevention and treatment of clozapine-induced tachycardia, we performed a meta-analysis to evaluate the effects of propranolol on steady state pharmacokinetics of clozapine in schizophrenic patients. We included 16 retrospective studies on the effects of propranolol on steady state pharmacokinetics of clozapine in schizophrenic patients, with data from both generic and brand name treatment phases in eight clozapine bioequivalence studies conducted in a single center in China from 2018 to 2022. Review Manager 5.4 was used for meta-analysis of the included studies. The SMDs with 95% CIs of AUC The combination with propranolol could significantly increase systemic exposure and extended T

Identifiants

pubmed: 38639762
doi: 10.1007/s00228-024-03690-w
pii: 10.1007/s00228-024-03690-w
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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Auteurs

Xiding Yang (X)

Department of Pharmacy, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China.
Phase I Clinical Trial Center, The Second Xiangya Hospital of Central South University, Changsha, China.

Qiangyong Yan (Q)

Department of Pharmacy, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China.
Phase I Clinical Trial Center, The Second Xiangya Hospital of Central South University, Changsha, China.

Lingfeng Yang (L)

Phase I Clinical Trial Center, The Second Xiangya Hospital of Central South University, Changsha, China.
Department of Metabolism & Endocrinology, The Second Xiangya Hospital of Central South University, Changsha, China.

Jingjing Li (J)

Department of Pharmacy, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China.
Phase I Clinical Trial Center, The Second Xiangya Hospital of Central South University, Changsha, China.

Xiao Fan (X)

Department of Pharmacy, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China.
Phase I Clinical Trial Center, The Second Xiangya Hospital of Central South University, Changsha, China.

Jindong Chen (J)

Department of Psychiatry, The Second Xiangya Hospital of Central South University, Changsha, China.

Haishan Wu (H)

Department of Psychiatry, The Second Xiangya Hospital of Central South University, Changsha, China.

Yongyu Yang (Y)

Department of Pharmacy, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China. yongyuyang@csu.edu.cn.

Ronghua Zhu (R)

Department of Pharmacy, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China. ubillow@csu.edu.cn.
Phase I Clinical Trial Center, The Second Xiangya Hospital of Central South University, Changsha, China. ubillow@csu.edu.cn.

Pingfei Fang (P)

Department of Pharmacy, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China. fangpingfei@csu.edu.cn.
Phase I Clinical Trial Center, The Second Xiangya Hospital of Central South University, Changsha, China. fangpingfei@csu.edu.cn.

Classifications MeSH