Skip to main content
Log in

The influence of uremia on the accessibility of phosphomycin into interstitial tissue fluid

  • Originals
  • Published:
European Journal of Clinical Pharmacology Aims and scope Submit manuscript

Summary

The entry and persistence of phosphomycin in interstitial tissue fluid (ITF) were studied in 9 patients with normal renal function and 8 patients with varying degrees of renal impairment, all of whom received a single i.v. dose of 30 mg/kg. ITF was obtained from skin blisters produced by suction. The antibiotic followed a two-compartment open kinetic model. In patients with normal renal function, phosphomycin is incorporated rapidly into the ITF reaching a level of 60.4 µg/ml 60 min after administration. There was no statistically significant difference between the elimination rates from serum and ITF. The serum half-life of the slow disposition phase was 1.75 h in patients with normal renal function. There was a linear correlation between the elimination half-life of phosphomycin in serum and ITF in subjects with differing degrees of renal impairment.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Ng PK (1980) Determining aminoglycoside dosage and blood levels using a programmable calculator. Am J Hosp Pharm 37: 225–231

    Google Scholar 

  2. Lisalo E (1977) Clinical pharmacokinetics of digoxin. Clin Pharmacokinet 2: 1–16

    Google Scholar 

  3. Van der Kleijn E, Schobben F, Vree TB (1980) Clinical pharmacokinetics of antiepileptic drugs. Drug Intell Clin Pharmacol 14: 674–685

    Google Scholar 

  4. Gram LF (1977) Plasma level monitoring of tricyclic antidepressant therapy. Clin Pharmacokinet 2: 237–251

    Google Scholar 

  5. Benet LZ (1972) General treatment of linear mammillary models with elimination from any comparment as used in pharmacokinetics. J Pharm Sci 61: 536–541

    Google Scholar 

  6. Levy G, Gibaldi M, Jusko WJ (1969) Multicompartment pharmacokinetic models and pharmacology effects. J Pharm Sci 58: 422–424

    Google Scholar 

  7. Notari RE (1980) Biopharmaceutics and clinical pharmacokinetics. An introduction. Marcel Dekker, New York Basel

    Google Scholar 

  8. Ritschel WA, Banarer M, Diaz D, Margary JB, Otero JD (1980) Analog computer monitoring and evaluation of a dosing nomogram for gentamicin based on the C'min Method: part I. Int J Clin Pharmacol Ther Toxicol 18: 425–430

    Google Scholar 

  9. Welling PG, Craig WA (1976) Pharmacokinetics in disease states modifying renal function. The effect of disease states on drugs pharmacokinetics. Benet LZ (ed) American Pharmaceutical Association, Washington, pp 155–187

    Google Scholar 

  10. Dettli L (1977) Elimination kinetics and dosage adjustment of drugs in patients with kidney disease. Prog Pharmacol 1: 17–23

    Google Scholar 

  11. Klotz U (1976) Pathophysiological and disease-induced changes in drug distribution volume: pharmacokinetics implications. Clin Pharmacokinet 1: 204–218

    Google Scholar 

  12. Reidemberg MM, Drayer DE (1978) Effect of renal disease upon drug disposition. Drug Metab Rev 8: 293–302

    Google Scholar 

  13. Bennett WM, Porter GA, Bagby SP, McDonald WJ (1976) Drug and renal disease. Livingstone, New York Edinburgh

    Google Scholar 

  14. Dominguez-Gil AA, Garcia MJ, Cepeda M, Lanao JM, Dominguez-Gil A (1981) Influence of acute renal impairment in the penetration of cefoxitin into interstitial tissue fluid in rabbits. Clin Ther 3: 413–424

    Google Scholar 

  15. Hendlin D, Stapley ED, Jackson M, Wallick H, Miller W, Chajet L, Kahan FM, Foltz EL, Woodruff HB, Mata JM, Hernandez S, Mochales S (1969) Phosphomycin a new antibiotic produce by strains of streptomyces. Science 166: 122–123

    Google Scholar 

  16. Kestle DG, Kirby WMM (1969) Clinical pharmacology and in vitro activity of fosphomycin. Antimicrob Agents Chemother 332–337

  17. Kwan KC, Wadke DA, Foltz EL (1971) Pharmacokinetics of fosphomycin in man I: intravenous administration. J Pharm Sci 60: 678–684

    Google Scholar 

  18. Kiistala V, Mustakallio KK (1967) Dermo-epidermal separation with suction. Electron microscopic and histochemical study of initial events of blistering of human skin. J Invest Dermatol 48: 466–467

    Google Scholar 

  19. Garrod LP (1978) In: Ed. Reeves DS, Phillips I, William JD, and Wilse HR (eds) Laboratory methods in antimicrobial chemotherapy. Churchill Livingstone, London New York

    Google Scholar 

  20. Foster TS, Bourne DWA (1977) Use of a programmable handheld calculator for clinical pharmacokinetics. Am J Hosp Pharm 34: 70–75

    Google Scholar 

  21. Foltz EL, Wallick H (1969) Pharmacodynamics of phosphonomycin after intravenous administration in man. Antimicrob Agents Chemother: 316–321

  22. Cadorniga R, Diaz M, Olay T (1977) Pharmacokinetic study of Fosfomycin and its bioavailability. Chemotherapy 23 (Suppl): 159–174

    Google Scholar 

  23. Garcia MJ, Dominguez-Gil A, Tabernero JM, Sanchez Tomero JA (1979) Pharmacokinetics of Cefoxitin in patients with normal or impaired renal function. Eur J Clin Pharmacol 16: 119–124

    Google Scholar 

  24. Meyers BR, Ribner S, Yancovitz S, Hirschman SZ (1976) Pharmacological studies with Cefamandole in human volunteers. Antimicrob Agents Chemother 9: 140–144

    Google Scholar 

  25. Binswanger U, Rouan MC, Lecaillon B, Bamatter F (1980) Pharmacokinetics of Cefotian in patients with impaired renal function. Abstracts (no 132) 2 nd. Mediterranean Congress of Chemotherapy, Nice. Richelme H (ed) Société Mediterranéenne de Chimiothérapie, Nice

    Google Scholar 

  26. Barrueco M, Garcia MJ, Otero MJ, Dominguez-Gil A, Martinez L, de Letona J (1981) Disposition of Cefoxitin in patients with pleural effusion. Clin Ther 3: 425–435

    Google Scholar 

  27. Farago E, Kiss IJ, Mihoczy L (1980) Data on sisomicin effect: Human pharmacokinetics and bacteriological studies. Int J Clin Pharmacol Ther Toxicol 18: 128–132

    Google Scholar 

  28. Madhavan T, Yaremchuk K, Levin N, Pohlod D, Burch K, Fisher E, Cox F, Quinn EL (1976) Effect of Renal failure and dialysis on the serum concentration of the aminoglycoside Amikacin. Antimicrob Agents Chemother 10: 464–466

    Google Scholar 

  29. Vicente MV, Olay T, Quecedo MCR, Rodriguez A (1979) Diffusion ofβ-lactam antibiotics and Fosfomycin to interstitial tissue fluid in rabbits. Chemotherapy 25: 329–335

    Google Scholar 

  30. Periti P, Mazzei T, Mini E, Nicoletti A, Lamanna A (1979) High dose Fosfomycin: Indications, tolerance and pharmacokinetics. Drugs Exp Clin Res 5: 373–377

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Fernandez Lastra, C., Mariño, E.L., Dominguez-Gil, A. et al. The influence of uremia on the accessibility of phosphomycin into interstitial tissue fluid. Eur J Clin Pharmacol 25, 333–338 (1983). https://doi.org/10.1007/BF01037944

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01037944

Key words

Navigation