The possible acylating effects of cefotaxime on sulfisoxazole binding to serum proteins were evaluated in vitro in samples of human sera incubated with 50-1000 pg ml-l cefotaxime at 37" for 1 h and then dialyzed against saline. This incubation resulted in concentration-related increases in the free
Effect of serum protein binding on sulfisoxazole distribution, metabolism, and excretion in rats
โ Scribed by Avraham Yacobi; Gerhard Levy
- Publisher
- John Wiley and Sons
- Year
- 1979
- Tongue
- English
- Weight
- 531 KB
- Volume
- 68
- Category
- Article
- ISSN
- 0022-3549
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โฆ Synopsis
This investigation determined the effect of serum protein binding on the kinetics of sulfisoxazole distribution, metabolism, and excretion. Adult rats, whose serum free fraction of sulfisoxazole (at a total concentration of 81 +/- 6 micrograms/ml) was 0.05-0.24, received a rapid intravenous injection of 20 mg/kg. Sulfisoxazole concentrations in plasma declined biexponentially with time. There were pronounced and reproducible interindividual differences in the total, metabolic, and renal sulfisoxazole clearances, each positively correlated with the serum free fraction of sulfisoxazole. The renal sulfisoxazole clearance had a component unaffected by serum protein binding. The apparent central compartment volume increased with an increasing serum free sulfisoxazole fraction, but the latter had not apparent effect on the first exponential term of the biexponential equation describing sulfisoxazole elimination kinetics in rats. Serum protein binding was a major determinant of intersubject differences in sulfisoxazole excretion and biotransformation kinetics.
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