modelMilrinone

Diagram of Milrinone

Extends from Pharmacolibrary.Drugs.ATC.C.C01CE02.

Information

name:Milrinone
ATC code:C01CE02
route:intravenous
compartments:2
dosage:50mg
volume of distribution:0.5L
clearance:0.13L/kg/h
other parameters in model implementation

Milrinone is a phosphodiesterase 3 inhibitor used mainly for the short-term treatment of acute decompensated heart failure and for patients with severe heart failure unresponsive to conventional therapy. It produces positive inotropic and vasodilatory effects. Milrinone is approved and utilized in hospital settings, particularly in intensive care.

Pharmacokinetics

Pharmacokinetic parameters reported in adult patients with congestive heart failure after intravenous administration.

References

  1. Hornik, CP, et al., & Gonzalez, D (2019). Population Pharmacokinetics of Milrinone in Infants, Children, and Adolescents. Journal of clinical pharmacology 59(12) 1606–1619. DOI:10.1002/jcph.1499 PUBMED:https://pubmed.ncbi.nlm.nih.gov/31317556

  2. Commander, SJ, et al., & Hornik, CP (2022). The relationship between simulated milrinone exposure and hypotension in children. Cardiology in the young 32(5) 782–788. DOI:10.1017/S1047951121003103 PUBMED:https://pubmed.ncbi.nlm.nih.gov/34350821

  3. Pellicer, A, et al., & Cabañas, F (2013). Phase 1 study of two inodilators in neonates undergoing cardiovascular surgery. Pediatric research 73(1) 95–103. DOI:10.1038/pr.2012.154 PUBMED:https://pubmed.ncbi.nlm.nih.gov/23138399

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

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)