Plasma concentrations of thioridazine metabolites and ECG abnormalities
β Scribed by Louis A. Gottschalk; Eugene Dinovo; Robert Biener; Bina R. Nandi
- Publisher
- John Wiley and Sons
- Year
- 1978
- Tongue
- English
- Weight
- 381 KB
- Volume
- 67
- Category
- Article
- ISSN
- 0022-3549
No coin nor oath required. For personal study only.
β¦ Synopsis
Five acute schizophrenic patients were given a standard thioridazine dose (4 mg/kg/day po). Their plasma concentrations of thioridazine and its metabolites were determined by GLC, and their ECG's were recorded routinely. In four of the five patients, abnormal ECG's (malformation of the T-wave or lengthening of the repolarization time) were found whenever plasma concentrations of the thioridazine ring sulfoxide were elevated. No relationship could be detected between the appearance of ECG abnormalities and the concentrations of thioridazine and its other metabolites.
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The determination of therapeutic levels of glyceryl trinitrate (GTN), isosorbide dinitrate (ISDN), pentaerythritol tetranitrate (PETN), and their metabolites in human plasma was conducted using the TEA Analyzer interfaced to a high-performance liquid chromatograph (HPLC-TEA). Chromatographic separat
## Abstract Efficient, mild syntheses of the three major metabolites **2**β**4** of the important antipsychotic drug thioridazine (**1**) have been developed. The cardiotoxic metabolite **2** with a ring sulfoxide moiety was prepared in 96% yield by oxidation of **1** with NaIO~4~ under acidic cond