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多西环素的药代动力学及多西环素实验性长效非肠道制剂在Wistar大鼠体内的组织浓度

Pharmacokinetics of doxycycline and tissue concentrations of an experimental long-acting parenteral formulation of doxycycline in Wistar rats.

作者信息

Vargas-Estrada Dinorah, Gutiérrez Lilia, Juarez-Rodríguez Ivan, Sumano Héctor

机构信息

Departamento de Fisiología y Farmacología, Facultad de Medicina Veterinaria y Zootecnia. Universidad Nacional Autónoma de México, Mexico City, Mexico.

出版信息

Arzneimittelforschung. 2008;58(6):310-5. doi: 10.1055/s-0031-1296512.

Abstract

Doxycycline hyclate (CAS 24390-14-5, doxycycline-h), an antibacterial with time-dependent action, was formulated as a non-irritating long-acting parenteral formulation based on a beta-cyclodextrin: poloxamer-based matrix (doxycycline-h-LA). Tissue and serum concentrations vs time profile were investigated after its subcutaneous injection to Wistar rats. Serum concentration profiles and key pharmacokinetic (PK) variables of doxycycline-h-LA were compared to the corresponding profiles and PK values obtained with an aqueous formulation of doxycycline-h administered either intramuscularly, orally or intravenously to Wistar rats. In all groups, the dose was 10 mg/kg. Doxycycline-h-LA showed outstanding bioavailability (951% or 477% if a correction formula is considered), as compared to the one obtained with an aqueous formulation (106-82%, respectively). Corresponding values for maximum serum concentration were 3.19 microg/ml and 3.00 microg/ml, respectively, and elimination half-lives were completely different: 42.49 h and 2.77 h for doxycycline-h-LA and the aqueous formulation, respectively. Considering minimal inhibitory concentrations of doxycycline for sensitive and resistant bacteria (from < or = 0.5 to > or =1.5 microg/ml), doxycycline-h-LA could be injected every 2 or 3 days, while aqueous doxycycline-h would require a dosing interval from 7.5 to 11 h. But if tissue concentrations are taken as braking points, the dosing interval will vary from 48 to 94 h. For doxycycline-h-LA, mean tissue:serum ratios were 2:1 for lungs, 9.8:1 for kidneys and 2.2:1 for intestine homogenates. These values are in close agreement with those found for the distribution of doxycycline in other species.

摘要

盐酸多西环素(CAS 24390-14-5,多西环素-h)是一种具有时间依赖性作用的抗菌药物,基于β-环糊精:泊洛沙姆基质被制成一种无刺激性的长效肠胃外制剂(多西环素-h-LA)。在将其皮下注射给Wistar大鼠后,研究了组织和血清浓度随时间的变化情况。将多西环素-h-LA的血清浓度曲线和关键药代动力学(PK)变量与通过向Wistar大鼠肌肉注射、口服或静脉注射多西环素-h水溶液制剂获得的相应曲线和PK值进行了比较。所有组的剂量均为10mg/kg。与水溶液制剂(分别为106%-82%)相比,多西环素-h-LA显示出出色的生物利用度(如果考虑校正公式则为951%或477%)。最大血清浓度的相应值分别为3.19μg/ml和3.00μg/ml,消除半衰期完全不同:多西环素-h-LA为42.49小时,水溶液制剂为2.77小时。考虑到多西环素对敏感菌和耐药菌的最小抑菌浓度(从≤0.5到≥1.5μg/ml),多西环素-h-LA可以每2或3天注射一次,而多西环素-h水溶液则需要7.5至11小时的给药间隔。但如果将组织浓度作为断点,给药间隔将在48至94小时之间变化。对于多西环素-h-LA,肺的平均组织:血清比值为2:1,肾为9.8:1,肠匀浆为2.2:1。这些值与在其他物种中发现的多西环素分布值密切一致。

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