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Plasma protein binding of furosemide in the elderly
Authors:G M Pacifici  A Viani  H -U Schulz  H -J Frercks
Affiliation:(1) Department of General Pathology, Medical School, University of Pisa, Pisa, Italy;(2) Department of Geriatrics, Medical University, University of Lübeck, Lübeck, Germany
Abstract:Summary The protein binding of furosemide was investigated in plasma from 22 old and 11 young subjects by equilibrium dialysis. The unbound fraction of furosemide was 3.16% in plasma from the elderly and 1.71% in plasma from the young. A significant correlation was found between the unbound fraction of furosemide and the plasma concentration of albumin. The average number of binding sites was 3.8 (elderly) and 2.7 (young) 10–6 mol/g albumin. The average association constant (K) was 4.3 (elderly) and 4.2 (young) 105 M–1. By increasing the concentration of furosemide up to 200 µg/ml buffer the unbound fraction of the drug rose to 5.2% (elderly) and 3.5% (young).
Keywords:furosemide  plasma protein binding  old age  youth
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