Chinese Journal of Antituberculosis ›› 2021, Vol. 43 ›› Issue (9): 867-873.doi: 10.3969/j.issn.1000-6621.2021.09.003
• Guideline·Standard·Consensus • Previous Articles Next Articles
Beijing Chest Hospital, Capital Medical University, Editorial Board of Chinese Journal of Antituberculosis
Received:
2021-07-25
Online:
2021-09-10
Published:
2021-09-07
Beijing Chest Hospital, Capital Medical University, Editorial Board of Chinese Journal of Antituberculosis. Expert consensus on the therapeutic drug monitoring of anti-tuberculosis drugs[J]. Chinese Journal of Antituberculosis, 2021, 43(9): 867-873. doi: 10.3969/j.issn.1000-6621.2021.09.003
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药品 | 剂量 | 峰浓度(Cmax,mg/L) | 达峰时间(Tmax,h) | 半衰期(T1/2) |
---|---|---|---|---|
异烟肼 | 300mg/次,1次/d 900mg/次,2次/周 | 3~6 9~15 | 0.75~2.0 0.75~2.0 | 0.75~1.8h(快代谢型), 2.0~4.5h(慢代谢型) 0.75~1.8h(快代谢型), 2.0~4.5h(慢代谢型) |
利福平 | 600mg/次,1次/d | 8~24 | 1.5~2.0 | 2~5h |
利福布汀 | 300mg/次,1次/d | 0.45~0.9 | 3~4 | 25~36h |
利福喷丁 | 600mg/次,1次/da | 8~30 | 5~6 | 14~18h |
乙胺丁醇 | 25mg·kg-1·d-1 50mg/kg,2次/周 | 2~6 4~12 | 2~4 2~4 | 双相消除2~4h,12~14h 双相消除2~4h,12~14h |
吡嗪酰胺 | 25~35mg·kg-1·d-1 50mg/kg,2次/周 | 20~60 60~90 | 1~2 1~2 | 10~24h 10~24h |
左氧氟沙星 | 500~1000mg/d | 8~13 | 1~2 | 9h |
莫西沙星 | 400mg/d | 2.5~5 | 1~2 | 7h |
环丙沙星 | 750mg/d | 4.3 | 1~2 | 4h |
加替沙星 | 400mg/d | 2.33~3.59 | 1~2 | 7~14h |
利奈唑胺 | 600mg/次,1次/d 300mg/次,2次/d | 12~26 12~26 | 1.5 1.5 | 5~6h 5~6h |
贝达喹啉 | 400mg/次,1次/d(前2周); 200mg/次,3次/周(2周后) | 2.8~3.3(2周); 1.7(8周);1.3(24周) | 4~6 | 5.5个月 |
环丝氨酸 | 250~500mg/d | 20~35 | 2 | 15.79~25.1h |
氯法齐明 | 100mg/次,1次/d | 0.5~2 | 2~7 | 双相消除 |
德拉马尼 | 100mg/次,2次/d | 1.35(开始),4.14(稳态) | 4 | 30~38h |
普托马尼 | 200mg/次,1次/d | 1.4~2.6(开始), 2.3~4.3(稳态) | 5 | 16h |
乙硫异烟胺 | 250~500mg/d | 2~5 | 1~3 | 2~3h |
丙硫异烟胺 | 250~500mg/d | 1~5 | 3 | - |
链霉素/卡那霉素/阿米卡星 | 15mg·kg-1·d-1 50mg/kg,2次/周 | 35~45 65~80 | 0.5~1.5肌内注射 0.5~1.5肌内注射 | 2~3h 2~3h |
对氨基水杨酸 | 4000mg/d | 41~68(游离酸), 76~104(钠盐) | 3~4(游离酸), 0.5~1(钠盐) | 2~3h |
药品 | 剂量 | 有效性PK/PD参数 | AUC(mg·h/L)a | 有限采样策略(h) |
---|---|---|---|---|
异烟肼 | 5mg·kg-1·d-1 | AUC/MIC>567(肺) | 52 | 1,2.5,6;1,6,8 |
利福平 | 10mg·kg-1·d-1 | AUC/MIC>271 AUC/MIC=435~683 | 38.7 13 | 1,3,8 2,4 |
乙胺丁醇 | 25mg·kg-1·d-1 | AUC/MIC>119 | - | 0,2.5,6;2,4,8 |
吡嗪酰胺 | 25~35mg·kg-1·d-1 | AUC/MIC>8.42 | 363 | 0,2,6;0,5,8 |
左氧氟沙星 | 750~1000mg/d | AUC/MIC>119; AUC/MIC>320(耐药) | 110(85~200)b | 0,5 |
莫西沙星 | 400mg/d | 游离药物AUC/MIC>42; 游离药物AUC/MIC>53(耐药) | 35(10~80)b | 0,1.5,6;0,6 |
利奈唑胺 | 600mg/d | 游离药物AUC/MIC=119 | 107.5±30.16c | 0,2 |
贝达喹啉 | 400mg/次,1次/d(前2周); 200mg,3次/周 | AUC0~168h/MIC或C均值/MIC | AUC0~168h:187(53~689)d | - |
环丝氨酸 | 250~750mg/d | T>MIC30% | - | 4 |
阿米卡星 | 15~20mg·kg-1·d-1 6.5mg·kg-1·d-1 | Cmax/MIC>75;AUC/MIC>103 Cmax/MIC>20 | 568 113(49~232)d | 1,4 1,4 |
对氨基水杨酸 | 4000mg/d | 游离药物Cmin>1mg/L | - | - |
链霉素 | 12~18mg·kg-1·d-1 | - | 197±26c | 1,6 |
乙硫异烟胺 | 250~500mg/d | AUC/MIC>56.2;游离药物 AUC/MIC=42 | - | - |
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