mechanism of the excessive sedative response of cirrhotics to benzodiazepines: Model experiments with triazolam
GÜL Bakti, Hans U. Fisch, Georg Karlaganis, Christoph Minder, Johannes Bircher – 1 July 1987 – Mechanisms responsible for disproportional sedation resulting from triazolam administration to patients with cirrhosis were investigated. Ordinary sedative doses (0.25 mg) were given p.o. to 8 cirrhotics and 18 controls. Plasma concentrations of unbound drug were assessed by capillary gas chromatography and equilibrium dialysis. Median apparent oral clearances of unbound triazolam were 14.8 ml per min per kg in cirrhotics and 23.9 ml per min per kg in controls (p < 0.01).