Article
Influence of adult age on the total and free clearance and protein binding of (R)- and (S)-warfarin.
British journal of clinical pharmacology - 1 Nov 2012
Jensen Berit Packert, Chin Paul Ken Leong, Roberts Rebecca Lee, Begg Evan James
Abstract excerpt
WHAT IS ALREADY KNOWN ABOUT THIS SUBJECT: Hepatic drug clearance is thought to be reduced with age. However for highly protein bound drugs, which are cleared by capacity-limited metabolism, studies on total clearance have been conflicting. The hypothesis that protein binding decreases with age has been used to explain this. Warfarin is a highly protein bound drug, which is cleared by capacity-limited metabolism....
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