Renal Tubular Secretion of Pralidoxime in Man

Abstract

Pralidoxime chloride is a quaternary ammonium compound used to reactivate organophosphate-inhibited cholinesterase. The drug is rapidly cleared from the plasma by renal tubular secretion, though the mechanism has not been specifically identified. Reduction of pralidoxime clearance rates and prolongation of the biologic half-life after thiamine administration, as compared to those after para-aminohippurate (PAH) administration, suggest that pralidoxime is secreted as an organic base. Furthermore, reduced excretion of pralidoxime under conditions of both urine alkalinization and urine acidification implicate an active reabsorption of pralidoxime not heretofore described.

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Document Details

Document Type
Technical Report
Publication Date
Jan 01, 1974
Accession Number
AD0774289

Entities

People

  • Frederick R. Sidell
  • Richard D. Swartz

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DTIC Thesaurus Topics

  • Acids
  • Ammonium Compounds
  • Blood
  • Blood Flow
  • Cardiovascular Physiological Phenomena
  • Chemical Warfare Agents
  • Chlorides
  • Clearances
  • Computer Programs
  • Computers
  • Excretion
  • Health Services
  • Medical Personnel
  • Organic Acids
  • Poisoning
  • Secretion
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  • Cardiovascular Physiology
  • Neurotoxicology