The DOI matches its Crossref record; 206 of the 212 references it cites were found in a registry or an index.
Physiological, Pharmacokinetic, and Pharmacodynamic Changes in Space
Abstract
Medications have been taken since the first Mercury flight in 1967 and, since then, have been used for several indications such as space motion sickness, sleeplessness, headache, nausea, vomiting, back pain, and congestion. As the duration of space missions get longer, it is even more likely that astronauts will encounter some of the acute illnesses that are frequently seen on Earth. Microgravity environment induces several physiological changes in the human body. These changes include cardiovascular degeneration, bone decalcification, decreased plasma volume, blood flow, lymphocyte and eosinophil levels, altered hormonal and electrolyte levels, muscle atrophy, decreased blood cell mass, increased immunoglobulin A and M levels, and a decrease in the amount of microsomal P-450 and the activity of some of its dependent enzymes. These changes may be expected to have severe implications on the pharmacokinetic and pharmacodynamic properties of drug substances.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“This variation in blood and plasma flow can affect the rate of drug absorption, distribution, and elimination110,113.”
Citations
Cites
Integrins: Versatility, modulation, and signaling in cell adhesion
Hynes, R. O. (1992) · Cell · doi:10.1016/0092-8674(92)90115-s · Cited by 9,857
Biology of Natural Killer Cells
Trinchieri, G. (1989) · Advances in Immunology · doi:10.1016/s0065-2776(08)60664-1 · Cited by 2,902
STAI manual for the State-trait anxiety inventory
Cd, S. (1970) · Medical Entomology and Zoology · Cited by 2,433
Salivary cortisol in psychoneuroendocrine research: recent developments and applications
Kirschbaum, C., & Hellhammer, D. H. (1994) · Psychoneuroendocrinology · doi:10.1016/0306-4530(94)90013-2 · Cited by 2,107
Kishimoto, T. (1989) · Blood · doi:10.1182/blood.v74.1.1.bloodjournal7411 · Cited by 2,068
The Pathophysiologic Roles of Interleukin-6 in Human Disease
Papanicolaou, D. A., Wilder, R. L., Manolagas, S. C., & Chrousos, G. P. (1998) · Annals of Internal Medicine · doi:10.7326/0003-4819-128-2-199801150-00009 · Cited by 1,146
Stress and immunity in humans: a meta-analytic review.
Herbert, T. B., & Cohen, S. (1993) · Psychosomatic Medicine · doi:10.1097/00006842-199307000-00004 · Cited by 1,100
The Free Hormone Hypothesis: A Physiologically Based Mathematical Model*
MENDEL, C. M. (1989) · Endocrine Reviews · doi:10.1210/edrv-10-3-232 · Cited by 961
(1993) · Choice Reviews Online · doi:10.5860/choice.30-4151 · Cited by 568
Catecholamine-Induced Leukocytosis: Early Observations, Current Research, and Future Directions
Benschop, R. J., Rodriguez-Feuerhahn, M., & Schedlowski, M. (1996) · Brain Behavior and Immunity · doi:10.1006/brbi.1996.0009 · Cited by 521
Research works printed but not linked: 9
- Grigor'yev AI, 1986, Results of Medical Research Performed on Board the “Salyut‐6‐Soyuz” Orbital Scientific Research Complex: Part I. Prime Crew Flights, 145
- Grigor'yev AI, 1986, Results of Medical Research Performed on Board the “Salyut‐6‐Soyuz” Orbital Scientific Research Complex: Part II. Flights of International Crew in the “Intercosmos” Program, 328
- 10.1290/1071-2690(2001)037<0073:POHHBM>2.0.CO;2 · DOI
- 10.1290/1071-2690(2001)037<0066:MMIAIP>2.0.CO;2 · DOI
- Huntoon CL, 1994, Space Physiology and Medicine, 351
- 10.1290/1071-2690(2001)037<0079:ECGADI>2.0.CO;2 · DOI
- Cintron NM, 1987, Results of the Life Sciences DSOs Conducted Aboard the Space Shuttle 1981–1986, 25
- Benet LZ, 1988, Pharmacokinetic Considerations of Space Flight
- 10.1007/BF00367282 · DOI
Cited by
Sorted by citations
Items 101–112 of 112
Challenges to Airway Management in Space
Reddy, P. B. (2021) · IntechOpen eBooks · doi:10.5772/intechopen.98932
Melatonin: A Promising Drug to Ameliorate Main Human Space Exploration Risks
Plano, S. A., Pesce, V. D., Cardinali, D. P., & Vigo, D. E. (2021) · Springer eBooks · doi:10.1007/978-3-319-50909-9_56-1
Utility of Drug Delivery Systems in Space Travel
Ahouansou, M. A., Ely, L. R., Alsbach, B. T., & Nesamony, J. (2022) · Springer eBooks · doi:10.1007/978-3-319-50909-9_62-1
Melatonin: A Promising Drug to Ameliorate Main Human Space Exploration Risks
Plano, S. A., Pesce, V. D., Cardinali, D. P., & Vigo, D. E. (2022) · Springer eBooks · doi:10.1007/978-3-030-05526-4_56
Applied cardiovascular physiology
Kirkman, E. (2010) · Anaesthesia & intensive care medicine · doi:10.1016/j.mpaic.2010.02.010
Zhu, D., Qiao, P., Zhou, Q., Sun, H., Xin, B., Wu, B., & Tang, C. (2024) · Frontiers in Microbiology · doi:10.3389/fmicb.2024.1331023
Changes of iron dynamics in the duodenum and bone marrow under partial gravity condition in mice
Ikeda, Y., Funamoto, M., Yamamoto, M., Ly-Nguyen, H. D., Imanishi, M., & Tsuchiya, K. (2025) · Life Sciences in Space Research · doi:10.1016/j.lssr.2025.03.007
Kubik, A. J., Theriot, C. A., Tang, A. R. W., Zawaski, J. A., & Saha, J. (2026) · Life Sciences in Space Research · doi:10.1016/j.lssr.2026.04.008
Mesenchymal stem cells and extracellular vesicles in space medicine
Kasoju, N., Mohanty, S., & Bhonde, R. (2026) · Elsevier eBooks · doi:10.1016/b978-0-443-45056-3.00025-x
Levin, M. A., Zhi, C., Asadi, A., & Nelson, A. M. (2026) · Elsevier eBooks · doi:10.1016/b978-0-443-27552-4.00022-1
Storage stability of Bacillus licheniformis after Shijian-19 satellite flight
Li, C., Lingying, L., Ren, Z., Li, Y., & Liu, H. (2026) · Frontiers in Microbiology · doi:10.3389/fmicb.2026.1875487
Turystyka kosmiczna a organizm człowieka
Szczepanowska, E., & Pietruszka, D. (2007) · Studia Periegetica
Metadata
- Authors
- Graebe, A., Schuck, E. L., Lensing, P., Putcha, L., & Derendorf, H.
- Affiliations
- Rutgers, The State University of New Jersey (US)
- University of Florida Health (US)
- Johnson Space Center (US)
- ORCID
- Derendorf, Hartmut
- Venue
- The Journal of Clinical Pharmacology
- Publisher
- Wiley
- Published
- 2004-08
- Volume
- 44
- Issue
- 8
- Pages
- 837-853
- ISSN
- 0021-9754 (ISSN-L)
- 0091-2700
- 1552-4604
- OpenAlex
- W2039553908
- Cited by
- 113
- References
- 212
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 5 · 2023: 5 · 2022: 11 · 2021: 7 · 2020: 5 · 2019: 8 · 2018: 1 · 2017: 5 · 2016: 6 · 2015: 4 · 2014: 4 · 2013: 6 · 2012: 1
- FWCI
- 0.74
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Clinical Pharmacology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology (medical) › Spaceflight effects on biology
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacogenetics and Drug Metabolism
- Physical Sciences › Engineering › Aerospace Engineering › Space Exploration and Technology
- Keywords
- microgravity, spaceflight, pharmacokinetics, pharmacodynamics, drug metabolism, astronauts, space motion sickness, bone decalcification, muscle atrophy, immunological changes, cytochrome P450, space medicine
- MeSH terms
- Aerospace Medicine, Body Water, Cardiovascular Physiological Phenomena, Pharmaceutical Preparations, Enzymes, Erythrocyte Count, Female, Hemodynamics, Hormones, Humans, Immunity, Kidney, Male, Muscular Atrophy, Pharmacokinetics, Sex Factors, Sodium, Space Flight, Time Factors, Weightlessness, Bone Demineralization, Pathologic
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review