Zusammenfassung
Für Thioxanthene (Clopenthixol, Chlorprothixen, Flupentixol, Thiothixen, Zuclopenthixol) stehen verschiedene Arzneimittelformen als intravenöse oder orale Darreichungsformen und Depotzubereitungen zur Verfügung. Nach oraler Applikation werden die Thioxanthene nahezu vollständig resorbiert, aber aufgrund der ausgeprägten präsystemischen Elimination während der ersten Leberpassage fällt die orale Bioverfügbarkeit sehr gering aus. Im systemischen Kreislauf verteilt sich der Wirkstoff rasch mit dem Blut im Organismus. Thioxanthene sind lipophile Substanzen und kommen im Blut überwiegend an Plasmaproteine gebunden vor, bzw. sie verteilen sich im gesamten Organismus und reichern sich im Gewebe und in Membranen an. Auch bei den Thioxanthenen ist die Pharmakokinetik aus den bereits bei den Phenothiazinen genannten Gründen nicht hinreichend untersucht.
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Bagli, M., Rao, M.L., Fritze, J., Laux, G., König, P. (1998). Thioxanthene. In: Riederer, P., Laux, G., Pöldinger, W. (eds) Neuro-Psychopharmaka Ein Therapie-Handbuch. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6458-7_6
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