盐酸曲美他嗪

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1.盐酸曲美他嗪片说明书修订要求.

1.盐酸曲美他嗪片说明书修订要求.

附件1盐酸曲美他嗪片说明书修订要求【适应症】曲美他嗪适用于在成年人中作为附加疗法对一线抗心绞痛疗法控制不佳或无法耐受的稳定型心绞痛患者进行对症治疗。

【用法用量】口服,一次20mg(1片),一日3次,进餐时服用。

3个月后评价治疗效果,若无治疗作用可停药。

肾功能损害的患者:对于中度肾功能损害(肌酐清除率30∼60 ml/min)患者(参见【注意事项】和【药代动力学】),推荐剂量为每次服用20mg (1片),一日2次,即早、晚用餐期间各服用1片。

【不良反应】不良反应,即被认为至少可能与曲美他嗪治疗相关的不良事件,按以下常规频率列表如下:很常见(≥1/10);常见(≥1/100 至<1/10);不常见(≥1/1,000至<1/100);罕见(≥1/10,000至<1/1,000);极罕见(<1/10,000);未知(无法通过已有数据估算)。

—1—【禁忌】1.对药品任一组分过敏者禁用。

2.帕金森病、帕金森综合征、震颤、不宁腿综合征以及其他相关的运动障碍者。

3.严重肾功能损害者(肌酐清除率<30ml/min)。

【注意事项】—2—曲美他嗪不作为心绞痛发作时的对症治疗用药,也不适用于对不稳定心绞痛或心肌梗死的初始治疗。

曲美他嗪不应用于入院前或入院后最初几天的治疗。

心绞痛发作时,对冠状动脉病况应重新评估,并考虑治疗的调整(药物治疗和可能的血运重建)。

曲美他嗪可引起或加重帕金森症状(震颤、运动不能、张力亢进),应定期进行检查,尤其针对老年患者。

出现可疑情况时,应由神经科医生进行适当检查。

发生运动障碍时,如帕金森症状、不宁腿综合征、震颤、步态不稳,应彻底停用曲美他嗪。

这些事件发生率低,且停药后通常是可逆的。

多数患者停用曲美他嗪后4个月内恢复。

如果停药后帕金森症状持续4个月以上,则应征询神经科医生的意见。

可能会出现与步态不稳或低血压相关的跌倒,特别是对于服用抗高血压药物的患者(参见【不良反应】)。

对于预期暴露量会增加的患者,开具曲美他嗪处方时应谨慎:- 中度肾功能损害(参见【用法用量】和【药代动力学】)- 超过75岁以上的老年患者(参见【用法用量】)。

盐酸曲美他嗪片

盐酸曲美他嗪片

Holter


24-to48-小时心电监测
发现日常活动中的无症状心肌缺血 发现持续1分钟以上的ST段压低
运动试验:方法
测力计脚踏车 自动踏板器 化学运动试验
增量 (瓦特)
120W
90W 60W
30W
3min 6min 9min 时间(分)
极量运动:做功直至心绞痛发作
次极量运动:通过计算做功达到极量运动的80%-90%
心室收缩期(心室收缩) 舒张期(休息)
心脏:依赖于3个指数进行收缩的泵
前负荷 “作用于心脏的重量 ”(于舒张末期作用 于心室的压力取决于静脉回流) 后负荷 “作用于心脏的阻力”(当主动脉瓣打开时, 心室射血所遇到的阻力) 收缩性 心肌纤维固有的特点,与负荷条件无关。
心脏:需要营养的器官
供给
供给 需求
心绞痛阈值
需求
稳定型心绞痛的分级
加拿大心血管协会(比NYHA分级更精确)
“常规体力活动不引发心绞痛”如走路,上楼梯等。当具有 使劲的快速的或持续的体力活动时,心绞痛发作。
“常规活动轻度受限”。当走路或上楼梯较快,上坡行走, 或进餐后走路或上楼梯,或在寒冷时,或起风时,或于情绪 压力下,或于清醒后仅数小时。以正常步伐和正常条件行走 超过两条平街或上楼超过一层。
当心绞痛阈值到达时,或当超过冠脉储备量时, 心绞痛就发作。 典型症状:疼痛 起病: 突然 部位: 中线、胸骨后分布 传布: 额和左臂 性质: 紧缩感、伴有焦虑 特点: 舌下含服硝酸甘油缓解
稳定型心绞痛
劳累或情绪激动诱发心绞痛,持续几周无变化。 稳定型心绞痛可持续几年,随着粥样硬化病变的进展 发展成为不稳定型心绞痛。
-- 稳定性心绞痛的危险分层

盐酸曲美他嗪片说明书

盐酸曲美他嗪片说明书

盐酸曲美他嗪片说明书盐酸曲美他嗪片(爱怡令)用于心绞痛发作的预防性治疗。

眩晕和耳鸣的辅助性对症治疗。

下面是店铺整理的盐酸曲美他嗪片说明书,欢迎阅读。

盐酸曲美他嗪片商品介绍通用名:盐酸曲美他嗪片生产厂家: 苏州长征-欣凯制药有限公司批准文号:国药准字H20073709药品规格:20mg*15片药品价格:¥15元盐酸曲美他嗪片说明书【通用名称】盐酸曲美他嗪片【商品名称】盐酸曲美他嗪片(爱怡令)【英文名称】TrimetazidinedihydrochlorideTablets【拼音全码】YanSuanQuMeiTaZhenPian(AiYiLing)【主要成份】盐酸曲美他嗪片(爱怡令)主要成份为盐酸曲美他嗪,化学名称:1-(2,3,4-三甲氧基苯甲基)哌嗪二盐酸盐。

分子式:C14H22N2O3·2HCl分子量:339.3【性状】盐酸曲美他嗪片(爱怡令)为薄膜衣片,除去薄膜衣后呈白色。

【适应症/功能主治】心绞痛发作的预防性治疗。

眩晕和耳鸣的辅助性对症治疗。

【规格型号】20mg*15s【用法用量】口服,每24小时60mg,每日3次,每次1片,三餐时服用。

【不良反应】极少数患者有胃肠不适(恶心、呕吐)。

由于辅料日落黄FCFS(E110)及胭脂红A(E124)的存在,有产生过敏反应的危险。

【禁忌】对药品任一组份过敏者禁用。

哺乳期通常不推荐使用(参见孕妇及哺乳期妇女用药)。

【注意事项】此药不作为心绞痛发作时的对症治疗用药,也不适用于对不稳定心绞痛或心肌梗死的初始治疗。

此药不应用于入院前或入院后初几天的治疗。

心绞痛发作时,对冠状动脉病况应重新评估,并考虑治疗的调整(药物治疗和可能的血运重建)。

【儿童用药】未进行该项实验且无可靠参考文献。

【老年患者用药】未进行该项实验且无可靠参考文献。

【孕妇及哺乳期妇女用药】妊娠:动物实验没有提示致畸作用;但是由于缺乏临床资料,致畸的危险不能排除。

因此,从安全的角度考虑,好避免在妊娠期间服用该药物。

心血管口服药

心血管口服药

心血管口服药一、万爽力(Vasorel)【通用名】盐酸曲美他嗪片【外文名】Trimetazidine , Vastarel, Vasorel【适应症】临床适用于冠脉功能不全,心绞痛,血流动力学药物单独治疗无效的心绞痛,糖尿病冠心病,陈旧性心肌梗塞等。

针剂可用于严重的心肌缺血状况如:左心室功能不全,CABG手术,PTCA手术,严重的缺血性心肌病。

对伴有严重心功能不全者可与洋地黄并用。

【功用作用】为作用较强的抗心绞痛药,其起效较硝酸甘油慢,但作用持续时间较长。

具有对抗肾上腺素、去甲肾上腺素及加压素的作用,能降低血管阻力,增加冠脉血流量及周围循环血流量,促进心肌代谢及心肌能量的产生。

同时能减低心脏工作负荷。

降低心肌耗氧量及心肌能量的消耗,从而改善心肌氧的供需平衡。

尚能增加对强心甙的耐受性。

【用量用法】口服:每次20mg,1日3次,饭后服;【注意事项】1.个别可有头晕、食欲不振、皮疹等。

2.新近心肌梗塞病人忌用。

【规格】片剂:每片20mg。

针剂:每支4mg二、倍他乐克【功效主治】高血压、心绞痛,心肌梗塞后的维持治疗,心律失常,甲状腺机能亢进。

【药理作用】本药属于2A类即无部分激动活性的β1-受体阻断药(心脏选择性β-受体阻断药)。

它对β1-受体有选择性阻断作用,无PAA(部分激动活性),无膜稳定作用。

其阻断β-受体的作用约与普萘洛尔(PP)相等,对β1-受体的选择性稍逊于阿替洛尔。

美托洛尔对心脏的作用如减慢心率、抑制心收缩力、降低自律性和延缓房室传导时间等与普萘洛尔、阿替洛尔(AT)相似,其降低运动试验时升高的血压和心率的作用也与PP、AT相似。

其对血管和支气管平滑肌的收缩作用较PP为弱,因此对呼吸道的影响也较小,但仍强于AT。

美托洛尔也能降低血浆肾素活性。

【药物相互作用】与西咪替丁合用或预先使用奎尼丁均可增加美托洛尔的血浆浓度;与利血平合用可增强本品作用,需注意低血压与心动过速。

【不良反应】1、心血管系统:心率减慢、传导阻滞、血压降低、心衰加重、外周血管痉挛导致的四肢冰冷或脉搏不能触及、雷诺现象。

盐酸曲美他嗪原料标准

盐酸曲美他嗪原料标准

盐酸曲美他嗪原料标准
盐酸曲美他嗪是一种常用的药物,主要用于治疗精神分裂症、躁郁症等精神疾病。

而作为一种药物,盐酸曲美他嗪的原料标准非常重要。

首先,盐酸曲美他嗪的原料应该是纯度高的。

这就要求生产厂家必须采用高质量的原材料,并在生产过程中进行严格的质量控制。

只有这样,才能保证盐酸曲美他嗪的纯度达到标准。

其次,盐酸曲美他嗪的原料应该符合国家相关规定。

在国家相关法规和标准的指导下,生产厂家应该选择符合规定的原材料,并按照规定进行生产和质量控制。

这样才能保证盐酸曲美他嗪的安全性和有效性。

除此之外,盐酸曲美他嗪的原料还应该具备以下特点:
1. 稳定性好。

盐酸曲美他嗪的原料应该具备良好的稳定性,可以在不同环境条件下保持稳定的化学性质和药效。

2. 可溶性好。

盐酸曲美他嗪的原料应该具有良好的可溶性,可以在水中迅速溶解,并且不会出现沉淀和结晶等问题。

3. 毒副作用小。

盐酸曲美他嗪的原料应该具有较小的毒副作用,对人体不会产生严重的不良反应。

总之,盐酸曲美他嗪的原料标准非常重要,对于药物的质量和安全性有着至关重要的影响。

因此,在生产和使用过程中,必须严格按照相关标准进行操作,以确保药物的质量和安全性。

治疗稳定型心绞痛的良药——盐酸曲美他嗪

治疗稳定型心绞痛的良药——盐酸曲美他嗪
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盐酸曲美他嗪片的功能主治

盐酸曲美他嗪片的功能主治

盐酸曲美他嗪片的功能主治1. 什么是盐酸曲美他嗪片盐酸曲美他嗪片是一种药物,主要成分为盐酸曲美他嗪。

盐酸曲美他嗪是一种中枢性镇静药物,具有镇静、抗焦虑和抗抑郁的作用。

2. 盐酸曲美他嗪片的功能盐酸曲美他嗪片具有多种功能,以下是它的主要功能:2.1 镇静作用盐酸曲美他嗪片具有镇静作用,可以缓解焦虑和紧张情绪。

它通过作用于中枢神经系统,调节神经递质的平衡,从而产生镇静效果。

2.2 改善失眠盐酸曲美他嗪片对失眠患者也具有较好的疗效。

它能够促进睡眠,并且改善睡眠质量,减少夜间醒来的次数。

对于由于焦虑和紧张导致的失眠,盐酸曲美他嗪片可以帮助恢复正常的睡眠。

2.3 抗抑郁作用盐酸曲美他嗪片对于一些轻度或中度抑郁症状也有一定的抗抑郁作用。

它能够调节大脑内的神经递质水平,改善情绪低落和抑郁状态。

2.4 缓解焦虑盐酸曲美他嗪片可以有效缓解焦虑症状。

它通过作用于大脑内的神经递质系统,减少焦虑情绪的产生,让人感到放松和宁静。

3. 盐酸曲美他嗪片的主治疾病盐酸曲美他嗪片主要用于以下疾病的治疗:3.1 焦虑症盐酸曲美他嗪片在治疗焦虑症方面表现出色。

它可以减轻焦虑情绪、紧张和恐惧感,提高患者的生活质量。

3.2 抑郁症对于轻度或中度抑郁症状的患者,盐酸曲美他嗪片也可以发挥一定的治疗作用。

它能够提升患者的情绪,改善抑郁状态。

3.3 失眠症盐酸曲美他嗪片对于失眠症患者也有一定的疗效。

它可以调节睡眠周期,改善睡眠质量,帮助恢复正常的睡眠。

3.4 精神紧张性疾病由于盐酸曲美他嗪片具有镇静作用,因此也常用于治疗精神紧张引起的疾病,如焦虑症、神经衰弱等。

4. 注意事项在使用盐酸曲美他嗪片时,需要注意以下事项:•应遵医嘱使用:使用盐酸曲美他嗪片前,应咨询医生并按照医生的建议使用。

•避免过量使用:不要超过医生推荐的剂量,并且不要长期连续使用,以防止出现药物依赖。

•不适合某些人群:孕妇、哺乳期妇女、儿童和老年人应在医生指导下使用。

同时,对于有肝功能障碍或肾功能损害的患者,应慎重使用。

盐酸曲美他嗪缓释片

盐酸曲美他嗪缓释片

盐酸曲美他嗪缓释片盐酸曲美他嗪缓释片:药物概述和临床应用引言盐酸曲美他嗪缓释片是一种常用的药物,广泛应用于治疗心脏病和高血压等疾病。

本文将从药物概述、药理作用、临床应用等方面来介绍盐酸曲美他嗪缓释片。

一、药物概述盐酸曲美他嗪缓释片是一种缓释剂型的药物,每片含有特定的剂量。

其主要成分为盐酸曲美他嗪,属于钙通道阻滞剂的一种。

盐酸曲美他嗪是一种白色结晶性粉末,可溶于水,具有降压、减轻心脏负荷、增加冠脉血流等功能。

二、药理作用1. 钙通道阻滞作用:盐酸曲美他嗪通过阻断细胞膜上的钙离子通道,减少心肌细胞内钙离子浓度,从而降低心肌细胞的收缩能力,减轻心脏负荷,达到降压的效果。

2. 冠脉扩张作用:盐酸曲美他嗪具有扩张冠脉血管的作用,增加冠脉血流量,改善心肌缺血状况,对于一些冠心病患者来说,可以缓解胸痛症状。

3. 抑制交感神经系统:盐酸曲美他嗪可以通过抑制交感神经系统的活性,降低心脏的收缩频率和力度,减轻心脏负荷。

4. 利尿作用:盐酸曲美他嗪还具有利尿作用,可以增加尿量,帮助排除多余的液体,降低血容量,减轻心脏负荷。

三、临床应用盐酸曲美他嗪缓释片主要用于以下情况:1. 高血压:盐酸曲美他嗪可以降低血压,减轻高血压带来的心脏负荷,改善心血管系统功能。

一般建议每天口服1片,每日一次或每日两次。

2. 心绞痛:盐酸曲美他嗪可以扩张冠脉血管,增加心肌血流,缓解心绞痛的症状。

一般建议每天口服1片,每日两次。

3. 心力衰竭:盐酸曲美他嗪可以降低心肌负荷,改善心肌功能,减轻心力衰竭的症状。

一般建议每天口服1片,每日一次。

4. 血管性头痛:盐酸曲美他嗪可以减少交感神经系统的兴奋,缓解血管性头痛的症状。

一般建议每次口服1片,每日最多3次。

注意事项和副作用在使用盐酸曲美他嗪缓释片时,需要注意以下事项:1. 注意遵医嘱:请遵循医生的建议和处方用药,不要自行更改剂量或停止用药。

2. 注意个体差异:每个人对药物的反应都可能存在差异,如果出现严重的不良反应,应立即就医。

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Ultrasonic microdialysis coupled with capillary electrophoresis electrochemiluminescence study the interaction between trimetazidine dihydrochloride and human serum albuminShuangjiao Sun,Chanjuan Long,Chunyao Tao,Sa Meng,Biyang Deng *Key Laboratory for the Chemistry and Molecular Engineering of Medicinal Resources (Ministry of Education of China),School of Chemistry and Pharmaceutical Sciences,Guangxi Normal University,Guilin 541004,ChinaH I G H L I G H T SG R A P H I C A L A B S T R A C TA homemade ultrasonic (US)micro-dialysis (MD)device was described. The equilibrium speed was improved about 6times using USMD.The binding speed was improved 4times using US technique.New method for the determination of binding sites number and binding constant wasdeveloped.A R T I C L E I N F OArticle history:Received 12June 2014Received in revised form 1August 2014Accepted 6August 2014Available online 13August 2014Keywords:Ultrasonic microdialysis Capillary electrophoresis Electrochemiluminescence Trimetazidine dihydrochloride Human serum albuminA B S T R A C TThe paper describes a homemade ultrasonic microdialysis device coupled with capillary electrophoresis electrochemiluminescence (CE-ECL)for studying the interaction between human serum albumin (HSA)and trimetazidine dihydrochloride (TMZ).The time required for equilibrium by ultrasonic microdialysis was 45min,which was far less than that by traditional dialysis (240min).It took 80min to achieve the required combination equilibrium by normal incubation and only 20min by pared with traditional dialysis,the use of ultrasonic microdialysis simpli fied experimental procedures,shortened experimental time and saved consumption of sample.A simple,sensitive and selective determination of TMZ was developed using CE-ECL and the parameters that affected ECL intensity were optimized.Under the optimized conditions,the linear range of TMZ was from 0.075to 80m mol/L (r 2=0.9974).The detection limit was 26nmol/L with RSD of 2.8%.The number of binding sites and binding constant were 1.54and 15.17L/mol,respectively.ã2014Elsevier B.V.All rights reserved.1.IntroductionTrimetazidine dihydrochloride (TMZ,Fig.S1in Supporting Information)is an effective and well-tolerated anti-anginal meta-bolic agent used for optimizing myocardial energy metabolism,protecting the adenosine triphosphate generation process,reducing the intracellular acidosis,preventing the accumulation of sodiumand calcium and maintaining stable environment in the cell.Meanwhile,it is an antiadrenergic drug that can reduce vascular resistance,increase blood flow of coronary artery and improve heart function.It also has a curative effect in the treatment of angina pectoris,acute myocardial infarction,ischemic heart disease,idiopathic dilated heart,heart failure,arrhythmia and other diseases [1–8].The increasing interests in metabolic modulation in recent years need to develop quick analytical methods for the determina-tion of TMZ.Supplementry material related to this article found,in the online version,at /10.1016/j.aca.2014.08.012.*Corresponding author.Tel.:+867735845726;fax:+867732120958.E-mail address:dengby16@ (B.Deng)./10.1016/j.aca.2014.08.0120003-2670/ã2014Elsevier B.V.All rights reserved.Analytica Chimica Acta 851(2014)37–42Contents lists available at ScienceDirectAnalytica Chimica Actaj o u r n a l h o m e p a g e :w w w.e l s e v i e r.c o m /l o c a t e /a caSeveral methods have been reported for the determination of TMZ such as HPLC[9],RPLC[10],voltammetry[11],mass spectrometry[12,13],spectrophotometry[14–16],chemilumines-cence[17].The method for the determination of TMZ using CE-ECL has not been reported.There are two types of molecular structures in blood.One is in molecular state(free drugs),and the other one is reversibly associated with plasma proteins.Only the free drug molecules are able to cross membrane barriers and be distributed to tissues and organs and exert pharmacological effect[18].When free drugs are delivered into tissues and organs or are cleared away,the combined drugs could separate from combining site to make up for the free drugs.Thus,the reversible combination of drugs with protein is critically involved in drug pharmacokinetics and pharmacodynamics.Therefore,it is important to study the combination of drugs and HSA[19].Equilibrium dialysis[20], ultrafiltration method[21],ultracentrifugation,gelfiltration and microdialysis[22]are main methods to study the interaction between drugs and protein.Among these techniques,the equilibrium dialysis is regarded as the reference method.The traditional dialysis device contains three units(dialysis bag,vessel loaded dialysate,and mechanical stirrer).It has the disadvantages of low efficiency and time consuming due to low speed of mechanical stirrer.The normal incubation was carried out in shaking table.Ultrasound is helpful when small molecules pass through the dialysis membrane and reach the equilibrium quickly. Therefore,dialysis assisted with ultrasound can improve the analysis speed,effectively shorten the equilibrium time[23]. CE-ECL is simple,fast,highly sensitive and has better precision and wide linear range.In recent years,many papers have been reported regarding the application of CE-ECL on drug determination [24–31],but only some of them concerned about the interaction between drugs and protein[32,33].Besides,it takes several hours for some drugs to reach the combination equilibrium with HAS by traditional method,which is time-consuming[32,33].This work designed an ultrasonic microdialysis device for studying the combination balance and dialysis equilibrium between HSA and TMZ.In37 C,the time for combination balance and dialysis equilibrium of HSA with TMZ were80min and240min, respectively.However,they were only20min and45min when assisted with ultrasonic.The paper chose the condition of ultrasonic to study the combination balance and equilibrium dialysis between HSA and TMZ at the same time,which simplified the experimental steps,shortened experimental time and obtained the binding-sites number and binding constant.2.Experimental2.1.Reagents and apparatusThe CE-ECL system was produced by Xi’an Remex Electronic Science-Tech Co.,Ltd.(Xi’an,China)and consists of four main parts: a numerical control capillary electrophoresis high-voltage power supply,a multifunction chemiluminescence detector,a multichan-nel data collection analyzer and a numerical controlflow injection sample injector.The end-column ECL cell is composed of a three-electrode system:a Pt disk as work electrode,a Pt wire as auxiliary electrode and Ag/AgCl(saturated KCl)as the reference electrode. An uncoated fused-silica capillary(75m m I.D)with the length of 50cm was obtained from Yongnian Optical Conductive Fiber Plant (Hebei,China).The dialysis membrane(15kDa)was obtained from Union Carbide Corporation(Chicago,IL,USA);Model HSJ-4A pH meter was produced by Shanghai Precision and Scientific Instrument Corporation(Shanghai,China);Model SK3200H ultrasonic cleaner was produced by Shanghai Kudos Ultrasonic Instrument Co.,Ltd.(Shanghai,China).Cary60UV–vis spectro-photometer was produced by Agilent Technologies,Australia Pty Ltd.(Australia).TMZ was obtained from the National Institute for the Control of Pharmaceutical and Biological Products(Beijing,China)and HAS (>96%,MW65.3kDa)was obtained from Sigma–Aldrich(St.Louis, MO,USA).Tris(2,20-bipyridyl)ruthenium(II)chloride hexahydrate was purchased from Alfa Aesar(Johnson Matthey,Ward Hill,MA, USA).Na2HPO4,Na3PO4and NaH2PO4were purchased fromXilongFig.1.Exploded view of microdialysis device(a);microdialysis device(b);ultrasonic microdialysis device(c).1forfixing cover with a sample-introducing hole;2for dialysis bag;3forfixing sleeve;4for centrifuge tube;5for thermometer;6for water outlet;7for water inlet;8for sample;9for dialysis liquid;10for ultrasonic cleaning instrument; 11forfloating frame.38S.Sun et al./Analytica Chimica Acta851(2014)37–42Chemical Co.,Ltd.(Guangdong,China).All reagents used were of analytical grade.Double-distilled water was used throughout. 2.2.ProceduresNew capillary was activated by0.1mol/L NaOH for12h.For daily use,the activated capillary was subsequentlyflushed with 0.1mol/L NaOH,filtered water and separation buffer for10min each.Between runs,the capillary wasflushed by separation buffer. The surface of the working electrode was polished with0.3m m alumina power and cleaned with water in an ultrasonic cleaner before use.The Ru(bpy)32+–phosphate solution was replaced every 2h during the experiments to maintain good reproducibility of the ECL measurements.In all experiments,samples were introduced into the capillary by electrokinetic injection at10kV for10s, separated in the capillary at9kV.Detection potential wasfixed at 1.25V.The separation buffer(pH7.5)contained15mmol/L phosphate.The potential of the photomultiplier tube(PMT)was operated at800V.2.3.Ultrasonic microdialysis deviceThe microdialysis device consists of a centrifuge tube,dialysis bag,fixing sleeve andfixing cover(see Fig.1a).In order to reduce the dead volume in dialysis bag and enhance dialysis efficiency, thefixing button was designed to be hard and thefixing part has the same height as thefixing sleeve.In the center of thefixing button,a hole was made for sample introduction.For the device, the volume of the centrifuge tube can be adjusted according to the experiment requirement.The volume of the centrifuge tube with the dialysis solution of500m L is750m L.The microdialysis equipment was shown in Fig.1b.In this equipment,the volume of dialysis bag is50m L.Normally,the temperature of human body is about37 C and too high temperature may cause the protein denaturation.In order to maintain a temperature with37 C for ultrasonic dialysis,the flowing water supplied by a pump with two pipes was used as ultrasonic media.In order to prevent the dialysis equipment from move,a foam was used forfixing the equipment.The whole ultrasonic dialysis device was shown in Fig.1c.3.Results and discussion3.1.Cyclic voltammetric scan and detection potentialWhen there was only Ru(bpy)32+in ECL detection,ECL intensity was weak,as shown in Fig.2a.An obvious enhancement to the ECL intensity was detected after adding TMZ into the ECL detection cell, as shown in Fig.2b.Therefore,based on this examination,a new sensitive method for determination of TMZ has been established.3.2.Optimization of detection potentialThe effect of detection potential on the ECL intensity of TMZ was investigated.As shown in Fig.S2(Fig.S2in Supporting Informa-tion),when detection potential changed from1.10V to1.40V,the ECL intensity reached a maximum at1.25V,so1.25V was selected as the ECL optimum detection potential.Supplementry material related to this article found,in the online version,at /10.1016/j.aca.2014.08.012.3.3.Optimization of pH in the ECL cellFor CE-ECL detection system,the reaction between Ru(bpy)32+ and analyte depends on the pH in the ECL cell,so the pH could directly affect the ECL intensity.Previous report indicated that the optimum concentration of Ru(bpy)32+and buffer were5mmol/L and50mmol/L in the ECL cell,respectively[34],so5mmol/L Ru (bpy)32+and50mmol/L buffer were chosen as experimental concentration.The effects of buffer pH on the ECL intensity was investigated with a range of6.0–9.0.The results indicated that the ECL intensities reached the maximum at pH7.5and then decreased with the increase in the pH(Fig.3).Therefore,pH7.5was selected.3.4.Optimization of the concentration and pH of running bufferThe effects of concentration and pH of running buffer on the ECL intensity were studied.The results were shown in Fig.S3(Fig.S3in Supporting Information)and Fig.4.When the buffer concentration was set at10mmol/L,the pH was investigated from6.0to8.5and the maximum intensity was observed at7.5.When pH value of the running buffer was kept at pH7.5,the buffer concentration was augmented gradually from5to25mmol/L.The results indicated that the highest ECL signals appeared when the buffer concentrationwasFig.2.The profile of electrochemiluminescence.Detection conditions:scan rate:100mV/s;50mmol/L pH7.5phosphate buffer containing5mmol/L Ru(bpy)32+(a),50mmol/L pH7.5phosphate buffer containing5mmol/L Ru(bpy)32+and20m mol/LTMZ(b).Fig.3.Effect of pH in the ECL cell on ECL intensity.Detection conditions:detectionpotential of1.25V;other conditions are the same as conditions in Fig.S2(Fig.S2inSupporting Information).S.Sun et al./Analytica Chimica Acta851(2014)37–423915mmol/L.Therefore,15mmol/L phosphate buffers at pH 7.5was chosen for following experiments.Supplementry material related to this article found,in the online version,at /10.1016/j.aca.2014.08.012.3.5.Optimization of separation voltageThe separation voltage directly in fluences the migration time and the ECL intensity of analyte.The increase of separation voltage would shorten analysis time.However,too high voltage led to Joule ’s heat.The effects of separation voltage on the ECL intensity was investigated varying from 7kV to15kV.As shown in Fig.S4(Fig.S4in Supporting Information),the ECL intensity reached its maximum values,when the separation voltage was 9kV.In this paper,9kV separation voltage was selected.Supplementry material related to this article found,in the online version,at /10.1016/j.aca.2014.08.012.3.6.Optimization of injection voltage and injection timeInjection voltage and injection time are other two important factors in fluencing ECL intensity of the tested analyte.The effect of injection time and injection voltage were investigated by altering injection voltage from 4kV to 14kV while keeping injection time constant and changing injection time from 4s to 14s when injection voltage was invariable.As shown in Fig.S5(Fig.S5in Supporting Information),the system had higher ECL signal when injection voltage was 10kV.Therefore,10kV was selected as the optimized injection voltage.ECL intensity became stronger with the increasing of the injection time,however,when too much sample was injected,electrophoresis peak was broadened.Considering the peak width and the peak shape,10s was selected as the optimized injection time.Supplementry material related to this article found,in the online version,at /10.1016/j.aca.2014.08.012.3.7.Linearity,detection limit and reproducibility of TMZUnder the optimized experimental conditions,as shown in Fig.5,with the increase of TMZ concentration,the ECL intensity enhanced.The linear concentration range and the detection limit were studied.The ECL intensity was linear with the concentration of TMZ in the range from 0.075to 80m mol/L,with a regression equation of y =56.14x (m mol/L)+14.83(R 2=0.9974).The detection limit was 26nmol/L (3s ).When six consecutive injections of20m mol/L TMZ were performed,the relative standard deviations (RSD)of the peak height and the migration time were 2.8%and 2.6%,respectively.4.Interaction between TMZ and HSA4.1.Study on dialysis timeThe combination of HSA with TMZ was studied by dialysis method.Dialysis bag was soaked in 15mmol/L phosphate buffer solution at pH 7.5before use and was fixed by the fixing device.A 50m L phosphate buffers at pH 7.5containing 20m mol/L TMZ and 10m mol/L HSA was injected into dialysis bag through the sample-introducing hole.The dialysis solutionwas 450m L phosphate buffers (15mmol/L)at pH 7.5.Both traditional dialysis and ultrasonic microdialysis were investigated using CE-ECL method by determin-ing the ECL intensity of dialysate every 15min or 30min.As shown in Fig.6,the ECLintensity increased withthedialysis timeandreached a stable value at 45min for ultrasonic microdialysis and at 240min for traditional dialysis.The stable value indicated the arrival of dialysis equilibrium and TMZ concentration would no longer change.Therefore,the time required for equilibrium by ultrasonic micro-dialysis was 45min,which was far less than that by traditional dialysis (240min).UV –vis is the most common method for studying the combination of protein with drugs,the combinationofFig.4.Effect of concentration of the running buffer on ECL intensity.Detection conditions:pH of separation phosphate buffer for pH 7.5;other conditions are the same as conditions in Fig.S3(Fig.S3in SupportingInformation).Fig. 5.CE-ECL electropherograms of TMZ.Detection conditions:50mmol/L phosphate buffer (pH 7.5)containing 5mmol/L Ru(bpy)32+in ECL cell;detection potential of 1.25V;electrokinetic injection of 10kV Â10s;separation voltage of 9kV;separation buffer of 15mmol/L phosphate (pH 7.5);5m mol/L TMZ (a);10m mol/L TMZ (b);20m mol/L TMZ(c).Fig.6.Effect of dialysis time on ECL intensity.Normal dialysis (a);ultrasonic dialysis (b).40S.Sun et al./Analytica Chimica Acta 851(2014)37–420.10mmol/L HSA with 0.10mmol/L TMZ also investigated by UV –vis under the condition of normal incubation and ultrasonic incubation,respectively.As shown in Fig.7,it took 80min to achieve the required equilibrium by normal incubation.However,it was only 20min by ultrasonic incubation.As a result,the condition of ultrasonic can greatly improve the binding rate of HSA with TMZ and shorten the experimental period.4.2.The ultraviolet spectrum of HSA with TMZThe binding of HSA with TMZ was characterized by ultraviolet spectrum.As shown in Fig.S6a and Fig.S6b (Fig.S6in Supporting Information),both HSA and TMZ had UV absorption.The UV absorption enhanced as TMZ was added into the HSA solution (Fig.S6c),however,the absorption became weak after ultrasound for 20min (Fig.S6d).The decrease of absorption indicated the combination of HSA with TMZ.Supplementry material related to this article found,in the online version,at /10.1016/j.aca.2014.08.012.4.3.Study on the number of binding sites and binding constantThe dialysis membrane (<15kDa)allows the free TMZ passage and prevents the passage of HSA as well as the combined TMZ with HSA.The concentrations of free TMZ would be equivalent inside and outside of the dialysis bag after dialysis equilibrium.The quantity of the combined TMZ with HSA is equal to the total amount of TMZ minus the quantity of free TMZ.In order to study the number of binding sites and binding constant,a series of different concentrations of TMZ were mixed with 0.01mmol/L HSA in the microdialysis bag and different concentrations of free TMZ were determined after the equilibrium of ultrasonic microdialysis.In most cases,it is supposed that the drug (D )is bound to m types of independent binding sites on the protein (P ).The fraction (r )of bound drug molecules per protein molecule can be represented as [35]:r ¼½D bound ½P total ¼X mi ¼1n iK i ½D free1þK i ½D free (1)In the expression,[D bound ,P total ]and [D free ]represent the concen-trations of bound drug,total protein and free drug,respectively.The n i is the number of sites of class i involved in binding and K i stand for the binding constant.Considering that the nature of protein binding sites often remain unclear.Eq.(1)can be simpli fiedinto Eq.(2)by accounting for one type of binding sites on the protein:r ¼nK ½D free I þK ½D free (2)In the expression,n and K are the number of binding sites and the binding constant,respectively [36].If different [D free ]and the corresponding r were given,the binding curve could be established to estimate the number of sites and binding constant by non-linear fitting using origin 8.0.In this paper,the number of binding sites and the binding constant of HSA with TMZ was obtained by non-linear fitting with origin 8.0.The binding curve was shown in Fig.8and the fitting non-linear equation as follows:r ¼1:53Â15:15½D free 1þ15:15½D freeIt can be seen from the equation,the number of binding sites and the binding constant of HSA with TMZ were 1.53and 15.15L/mol,respectively.5.ConclusionsIn this work,a new CE-ECL method for the determination of TMZ was developed.A simple device for ultrasonic microdialysis was designed.The number of binding sites and binding constant between HSA and TMZ were investigated using the device coupled with CE-ECL.The number of binding sites and binding constant were 1.53and 15.15L/mol,pared with the other reported methods,the ultrasonic microdialysis in the paper simpli fied the experimental procedure,shortened experimental time and improved analysis ef 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