modelA03FA02

Diagram of A03FA02

Extends from Pharmacokinetic.Models.PK_2C_enteral.

Information

name:Cisapride
ATC code:A03FA02
route:oral
compartments:2
dosage:10mg
volume of distribution:2.68L
clearance:0.39L/h/kg
other parameters in model implementation

Cisapride is a gastroprokinetic agent that was used primarily to treat gastroesophageal reflux disease (GERD) and other gastrointestinal motility disorders. It acts as a serotonin 5-HT4 receptor agonist, stimulating acetylcholine release at enteric neurons to enhance gut motility. Due to its ability to cause serious cardiac arrhythmias (QT prolongation, torsades de pointes), cisapride has been withdrawn or restricted in many countries and is no longer widely approved for use.

Pharmacokinetics

Pharmacokinetic parameters reported for healthy adult volunteers of both sexes receiving single oral doses of cisapride.

References

  1. Caraballo, L, et al., & Marzi, M (2014). [Proarrhythmic effects of domperidone in infants: a systematic review]. Farmacia hospitalaria : organo oficial de expresion cientifica de la Sociedad Espanola de Farmacia Hospitalaria 38(5) 438–444. DOI:10.7399/fh.2014.38.5.7957 PUBMED:https://pubmed.ncbi.nlm.nih.gov/25344138

  2. Kearns, GL, et al., & van den Anker, JN (2003). Cisapride disposition in neonates and infants: in vivo reflection of cytochrome P450 3A4 ontogeny. Clinical pharmacology and therapeutics 74(4) 312–325. DOI:10.1016/S0009-9236(03)00225-X PUBMED:https://pubmed.ncbi.nlm.nih.gov/14534518

  3. Johnson, TN, et al., & Tucker, GT (2006). Prediction of the clearance of eleven drugs and associated variability in neonates, infants and children. Clinical pharmacokinetics 45(9) 931–956. DOI:10.2165/00003088-200645090-00005 PUBMED:https://pubmed.ncbi.nlm.nih.gov/16928154

Parameters

TypeNameDefaultDescription
Modelica.Units.SI.Massweight (from PK_1C)75patient weight (kg)
Modelica.Units.SI.SpecificVolumeVdPerKg (from PK_1C)0.9Volume of distribution (L/kg)
Modelica.Units.SI.MassFractionF (from PK_1C)0.8bioavailiability (0-1)
Pharmacolibrary.Types.ClearanceCl (from PK_1C)20clearance
Modelica.Units.SI.TimeadminTime (from PK_1C)60first administration time (s)
Modelica.Units.SI.TimeadminDuration (from PK_1C)600administration duration (s)
Modelica.Units.SI.TimeadminPeriod (from PK_1C)8*60*60period of administration (default 8 hours)(s)
Pharmacolibrary.Types.MassadminMass (from PK_1C)1000administration mass (mg)
IntegeradminCount (from PK_1C)8number of dose administered (1)
Pharmacolibrary.Types.VolumeVd (from PK_1C)VdPerKg*weightVolume of distribution (m3)
Pharmacolibrary.Types.MassConcentrationCmin (from PK_1C)0.004minimal therapeutic range
Pharmacolibrary.Types.MassConcentrationCmax (from PK_1C)0.008minimal therapeutic range
Pharmacolibrary.Types.MassConcentrationCtox_peak (from PK_1C)0.012toxicity peak level
Pharmacolibrary.Types.MassConcentrationCtox_trough (from PK_1C)0.006toxicity trough level
Pharmacolibrary.Types.VolumeVdp (from PK_2C)VdpPerKg*weightVolume of distribution (m3)
Modelica.Units.SI.SpecificVolumeVdpPerKg (from PK_2C)0.9Volume of distribution peripheral(l/kg)
Pharmacolibrary.Types.Clearancek12 (from PK_2C)1intercompartmental C-P clearance
Pharmacolibrary.Types.Clearancek21 (from PK_2C)1intercompartmental P-C clearance
Pharmacolibrary.Types.TransferRateka (from PK_2C_enteral)0.016666666666666666first order absorption rate
Modelica.Units.SI.TimeTlag (from PK_2C_enteral)600delay between oral administration and absorption (default 10min)

Connectors

TypeNameDefaultDescription
Types.ConcentrationOutputC_central (from PK_1C)
Interfaces.ConcentrationPort_bcentralCPort (from PK_1C)
Interfaces.ConcentrationPort_bperipheralCPort (from PK_2C)
Pharmacolibrary.Types.ConcentrationOutputC_peripheral1 (from PK_2C)

Components

TypeNameDefaultDescription
Pharmacokinetic.NoPerfusedTissueCompartmentcentral (from PK_1C)
Pharmacokinetic.ClearanceDrivenEliminationelim (from PK_1C)
Sources.PeriodicDoseperiodicDose (from PK_1C)
Modelica.Units.SI.Timet1_2 (from PK_1C)elimination half-life
Pharmacolibrary.Pharmacokinetic.TransferFirstOrderNonSymtransfer (from PK_2C)
Pharmacolibrary.Pharmacokinetic.NoPerfusedTissueCompartmentperipheral (from PK_2C)

Revisions

  • 06/2025 Tomas Kulhanek, generated model from data extracted from PUBMED, DrugBank and LLM(GPT4.1)