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Pharmacokinetics and Saturable Absorption of Gabapentin in Nursing Home Elderly Patients

Overview of attention for article published in The AAPS Journal, January 2017
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Title
Pharmacokinetics and Saturable Absorption of Gabapentin in Nursing Home Elderly Patients
Published in
The AAPS Journal, January 2017
DOI 10.1208/s12248-016-0022-z
Pubmed ID
Authors

Ghada F. Ahmed, Sai Praneeth R. Bathena, Richard C. Brundage, Ilo E. Leppik, Jeannine M. Conway, Janice B. Schwartz, Angela K. Birnbaum

Abstract

Pharmacokinetic data of gabapentin (GBP) in community-dwelling elderly patients show a significant effect of advanced age on GBP pharmacokinetics due to altered renal function. However, there are no data in elderly nursing home (NH) patients to evaluate gabapentin absorption and elimination. Our objective was to characterize the pharmacokinetics of GBP in elderly nursing home patients maintained on GBP therapy. This was a prospective pharmacokinetic study in elderly nursing home patients (≥60 years) receiving GBP for the management of chronic pain or epilepsy from seven nursing homes. Pharmacokinetic parameters were estimated by nonlinear mixed-effects modeling. A one-compartment model described the data and clearance (CL) was associated with estimated glomerular filtration rate (eGFR) (p < 0.0001). The GBP CL in elderly nursing home patients was 2.93 L/h. After adjusting for the effect of GFR, GBP CL was not affected by age, sex, body weight, or comorbidity scores. No significant effects of body size measures, age, and sex were detected on volume of distribution. Dose-dependent bioavailability of GBP was demonstrated, and the saturable absorption profile was described by a nonlinear hyperbolic function. Prediction-corrected visual predictive check (pc-VPC) suggests adequate fixed- and random-effects models that successfully simulated the mean trend and variability in gabapentin concentration-time profiles. In this analysis, the parameters of the hyperbolic nonlinearity appear to be similar between elderly and younger adults.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 53 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 53 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 9 17%
Other 7 13%
Student > Master 7 13%
Student > Ph. D. Student 4 8%
Student > Doctoral Student 3 6%
Other 10 19%
Unknown 13 25%
Readers by discipline Count As %
Nursing and Health Professions 9 17%
Medicine and Dentistry 8 15%
Pharmacology, Toxicology and Pharmaceutical Science 6 11%
Neuroscience 3 6%
Social Sciences 3 6%
Other 5 9%
Unknown 19 36%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 30 April 2017.
All research outputs
#14,934,072
of 22,968,808 outputs
Outputs from The AAPS Journal
#876
of 1,293 outputs
Outputs of similar age
#243,630
of 421,667 outputs
Outputs of similar age from The AAPS Journal
#15
of 32 outputs
Altmetric has tracked 22,968,808 research outputs across all sources so far. This one is in the 32nd percentile – i.e., 32% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,293 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.0. This one is in the 28th percentile – i.e., 28% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 421,667 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 39th percentile – i.e., 39% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 32 others from the same source and published within six weeks on either side of this one. This one is in the 34th percentile – i.e., 34% of its contemporaries scored the same or lower than it.