Bioavailability and Pharmacokinetics of Sulphadiazine, N4-acetylsulphadiazine and Trimethoprim following Intravenous and Intramuscular Administration of a Sulphadiazine/Trimethoprim Combination in Sheep

  • G. C. Batzias
  • G. A. Delis
  • M. Koutsoviti-Papadopoulou
Article

Abstract

The combination of sulphadiazine and trimethoprim is extensively used in farm animal species; however, there are no data concerning its pharmacokinetics after intramuscular administration in sheep. Twelve rams of the Chios breed were used to study the disposition of sulphadiazine, its metabolite N4-acetylsulphadiazine and trimethoprim after intravenous (i.v.) and intramuscular (i.m.) administration of a sulphadiazine/trimethoprim (5:1) combination in sheep. Sulphadiazine bioavailability (±SD) was 69.00%±10.51%. The half-life of the terminal phase (4.10±0.58 h afteri. v., and 4.03±0.31 h after i.m. administration) was significantly higher than the respective value for trimethoprim (0.59±0.19 h) afteri.v. administration. The maintenance of a constant plasma concentration ratio after i.v. administration was therefore impossible. The acetylation capacity in sheep, determined by the AUC ratio between N4-acetylsulphadiazine and the parent compound, sulphadiazine, was very low (less than 4%). The most remarkable finding of this study was that trimethoprim was not detected in sheep plasma after i.m. injection. In conclusion, according to the findings of the present study, following i.v. administration of the sulphadiazine/trimethoprim combination, trimethoprim can be considered as the limiting factor for any possible synergistic effect, and the i.m. route cannot be recommended in sheep.

Keywords

bioavailability pharmacokinetics sheep sulphadiazine trimethoprim 

Abbreviations

AUC

area under the concentration–time curve

AUMC

area under the first moment curve

bw

body weight

Cl

total body clearance

Cmax

maximum plasma concentration

CV

coefficient of variation

F

bioavailability

HPLC

high-performance liquid chromatography

i.v.

intravenous(ly)

i.m.

intramuscular(ly)

LOQ

limit of quantification

MIC

mean inhibitory concentration

MRT

mean residence time

N4-acetyl-SDZ

N4-acetylsulphadiazine

NCA

non-compartmental analysis

p.o.

oral(ly)

SA

sulphonamides

s.c.

subcutaneous(ly)

SD

standard deviation

SDZ

sulphadiazine

SEM

standard error of the mean

SMX

sulphamethoxazole

t

terminal half-life

TBA

tetra-n-butylammonium hydrogensulphate

Tmax

time of maximum plasma concentration

TMP

trimethoprim

UV

ultraviolet

Vss

volume of distribution at steady state

Vz

volume of distribution based on the terminal (elimination) phase

lz

slope of the terminal portion of the concentration–time curve

References

  1. Atef, M., Al-Khayyat, A.A. and Fahd, K., 1978. Pharmacokinetics and tissue distribution of trimethoprim in sheep. Zentralblatt für Veterinärmedizin Reihe A, 25, 579–584PubMedGoogle Scholar
  2. Baert, K., De Baere, S., Croubels, S. and De Backer, P., 2003. Pharmacokinetics and oral bioavailability of sulfadiazine and trimethoprim in broiler chickens. Veterinary Research Communications, 27, 301–309PubMedCrossRefGoogle Scholar
  3. Barnett, M. and Bushby, S.R.M., 1970. Trimethoprim and the sulphonamides. Veterinary Record, 87, 43–51PubMedGoogle Scholar
  4. Batzias, G.C., Kotsaki-Kovatsi, V.-P., Koutsoviti-Papadopoulou, M., Botsoglou, N. and Kounenis, G., 2000. Effect of Escherichia coli endotoxin-induced fever on pharmacokinetics of sulfadiazine-trimethoprim combination in broilers. Journal of Veterinary Pharmacology and Therapeutics, 23(supplement 1, on CD Rom)Google Scholar
  5. Batzias, G.C., Botsoglou, N.A., Kotsaki-Kovatsi, V.-P. and Kounenis, G., 2002. New simple liquid chromatograp h ic method for the deter mination of trimethoprim, sulfadiazine and N4-acetylsulfadiazine in plasma of broilers. Journal of Chromatography B, 769, 253–259CrossRefGoogle Scholar
  6. Bishop, Y., 2001. The Veterinary Formulary, 6th edn, (Pharmaceutical Press, London)Google Scholar
  7. Bogan, J.A., Galbraith, A., Baxter, P., Ali, N.M. and Marriner, S.E., 1984. Effect of feeding on the fate of orally administered phenylbutazone, trimethoprim and sulphadiazine in the horse. Veterinary Record, 115, 599–600PubMedGoogle Scholar
  8. Brown, M.P., Kelly, R.H., Stover, S.M. and Gronwall, R., 1983. Trimethoprim–sulfadiazine in the horse: serum, synovial, peritoneal and urine concentrations after single-dose intravenous administration. American Journal of Veterinary Research, 44, 540–543PubMedGoogle Scholar
  9. Bushby, S.R.M. and Hitchings, G.H., 1968. Trimethoprim, a sulphonamide potentiator. British Journal of Pharmacology, 33, 72–90Google Scholar
  10. Bushby, S.R.M., 1980. Sulfonamide and trimethoprim combinations. Journal of the American Veterinary Medical Association, 176, 1049–1053PubMedGoogle Scholar
  11. Clarke, C.R., Short, C.R., Corstvet, R.E. and Nobles, D., 1989. Effect of Pasteurella haemolytica infection on the distribution of sulfadiazine and trimethoprim into tissue chambers implanted subcutaneously in cattle. American Journal of Veterinary Research, 50, 1551–1556PubMedGoogle Scholar
  12. Craig, G.R. and White, G., 1976. Studies in dogs and cats dosed with trimethoprim and sulphadiazine. Veterinary Record, 98, 82–86PubMedGoogle Scholar
  13. Garwacki, S., Lewicki, J., Wiechetek, M., Grys, S., Rutkowski, J. and Zaremba, M., 1996. A study on the pharmacokinetics and tissue residues of an oral trimethoprim/sulphadiazine formulation in healthy pigs. Journal of Veterinary Pharmacology and Therapeutics, 19, 423–430PubMedGoogle Scholar
  14. Gibaldi, M. and Perrier, D., 1982. Pharmacokinetics, 2nd edn, (Marcel Dekker Inc., New York)Google Scholar
  15. Greko, C., Bengtsson, B., Franklin, A., Jacobson, S.-O., Wiese, B. and Luthman, J., 2002. Efficacy of trimethoprim–sulfadoxine against Escherichia coli in a tissue cage model in calves. Journal of Veterinary Pharmacology and Therapeutics, 25, 413–424PubMedCrossRefGoogle Scholar
  16. Gustafsson, A., Båverud, V., Franklin, A., Gunnarsson, A., Ögren, G. and Ingvast-Larsson, C., 1999. Repeated administration of trimethoprim/sulfadiazine in the horse–pharmacokinetics, plasma protein binding and influence on the intestinal microflora. Journal of Veterinary Pharmacology and Therapeutics, 22, 20–26PubMedCrossRefGoogle Scholar
  17. Kaartinen, L., Lohonen, K., Wiese, B., Franklin, A. and Pyörälä, S., 1999. Pharmacokinetics of sulphadiazine-trimethoprim in lactating dairy cows. Acta Veterinaria Scandinavica, 40, 271–278PubMedGoogle Scholar
  18. Kaartinen, L., Gips, M., Laurila, T., Hartel, H., Soback, S. and Pyörälä, S., 2000. Pharmacokinetics of sulphadoxine and trimethoprim and tissue irritation caused by two sulphadoxine–trimethoprim containing products after subcutaneous administration in preruminant calves. Veterinary Research, 31, 517–526PubMedCrossRefGoogle Scholar
  19. Knoppert, N.W., Nijmeijer, S.M., Van Duin, C.T.M., Korstanje, C., Van Gogh, H. and Van Miert, A.S.J.P. A.M., 1988. Some pharmacokinetic data of aditoprim and trimethoprim in healthy and tick-borne fever infected dwarf goats. Journal of Veterinary Pharmacology and Therapeutics, 11, 135–144PubMedGoogle Scholar
  20. Ladefoged, O., 1977. Pharmacokinetics of trimethoprim (TMP) in normal and febrile rabbits. Acta Pharmacologica et Toxicologica, 41, 507–514PubMedGoogle Scholar
  21. Löscher, W., Fassbender, C.P., Weissing, M. and Kietzmann, M., 1990. Drug plasma levels following administration of trimethoprim and sulphonamide combinations to broilers. Journal of Veterinary Pharmacology and Therapeutics, 13, 309–319PubMedGoogle Scholar
  22. Mengelers, M.J.B., Kleter, G.A., Hoogenboom, L.A.P., Kuiper, H.A. and Van Miert, A.S.J.P.A.M., 1997. The biotransformation of sulfadimethoxine, sulfadimidine, sulfamethoxazole, trimethoprim and aditoprim by primary cultures of pig hepatocytes. Journal of Veterinary Pharmacology and Therapeutics, 20, 24–32PubMedGoogle Scholar
  23. Nielsen, P. and Rasmussen, F., 1975a. Half-life and renal excretion of trimethoprim in swine. Acta Pharmacologica et Toxicologica, 36, 123–131Google Scholar
  24. Nielsen, P. and Rasmussen, F., 1975b. Elimination of trimethoprim in swine: comparison of results obtained by three analytical methods. Acta Pharmacologica et Toxicologica, 37, 309–316Google Scholar
  25. Nielsen, P. and Rasmussen, F., 1976a. Elimination of trimethoprim, sulphadoxine and their metabolites in goats. Acta Pharmacologica et Toxicologica, 38, 104–112Google Scholar
  26. Nielsen, P. and Rasmussen, F., 1976b. Influence of age on half-life of trimethoprim and sulphadoxine in goats. Acta Pharmacologica et Toxicologica, 38, 113–119Google Scholar
  27. Nielsen, P., Romváry, A. and Rasmussen, F., 1978. Sulphadoxine and trimethoprim in goats and cows. Absorption fraction, half-lives and the degrading effect of the ruminal flora. Journal of Veterinary Pharmacology and Therapeutics, 1, 37–46Google Scholar
  28. Nouws, J.F., Van Ginneken, V.J., Grondel, J.L. and Degen, M., 1993. Pharmacokinetics of sulphadiazine and trimethoprim in carp (Cyprinus carpioL.) acclimated at two different temperatures. Journal of Veterinary Pharmacology and Therapeutics, 16, 110–113PubMedGoogle Scholar
  29. Piercy, D.W.T., 1978. Distribution of trimethoprim/sulphadiazine in plasma, tissue and synovial fluids. Veterinary Record, 102, 523–524PubMedGoogle Scholar
  30. Prescott, J.F., 2000. Sulfonamides, diaminopyrimidines and their combinations. In: J.F. Prescott, J.D. Baggot and R.D. Walker (eds), Antimicrobial Therapy in Veterinary Medicine, 3rd edn, (Iowa State University Press, Ames, IA), 290–314Google Scholar
  31. Shoaf, S.E., Schwark, W.S. and Guard, C.L., 1987. The effect of age and diet on sulfadiazine/trimethoprim disposition following oral and subcutaneous administration to calves. Journal of Veterinary Pharmacology and Therapeutics, 10, 331–345PubMedGoogle Scholar
  32. Shoaf, S.E., Schwark, W.S. and Guard, C.L., 1989. Pharmacokinetics of sulfadiazine/trimethoprim in neonatal male calves: effect of age and penetration into cerebrospinal fluid. American Journal of Veterinary Research, 50, 396–403PubMedGoogle Scholar
  33. Sigel, C.W., Ling, G.V., Bushby, S.R.M., Woolley, J.L., DeAngelis, D. and Eure, S., 1981. Pharmacokinetics of trimethoprim and sulfadiazine in the dog: urine concentrations after oral administration. Americal Journal of Veterinary Research, 42, 996–1001Google Scholar
  34. Van Duijkeren, E., Vulto, A.G., Sloet Van Oldruitenborgh-Oosterbaan, M.M., Mevius, D.J., Kessels, B.G. F., Breukink, H.J. and Van Miert, A.S.J.P.A.M., 1994a. A comparative study of the pharmacokinetics of intravenous and oral trimethoprim/sulfadiazine formulations in the horse. Journal of Veterinary Pharmacology and Therapeutics, 17, 440–446Google Scholar
  35. Van Duijkeren, E., Vulto, A.G. and Van Miert, A.S.J.P.A.M., 1994b. Trimethoprim/sulphonamide combination in horse: A review. Journal of Veterinary Pharmacology and Therapeutics, 17, 64–73Google Scholar
  36. Van Gogh, H., 1980. Pharmacokinetics of nine sulphonamides in goats. Journal of Veterinary Pharmacology and Therapeutics, 3, 69–81Google Scholar
  37. Van Miert, A.S.J.P.A.M., 1994. The sulfonamide-diaminopyrimidine story. Journal of Veterinary Pharmacology and Therapeutics, 17, 309–316PubMedGoogle Scholar
  38. Van't Klooster, G.A.E., Kolker, H.J., Woutersen-Van Nijnanten, F.M.A., Noordhoek, J. and Van Miert, A. S.J.P.A.M., 1992. Determination of trimethoprim and its oxidative metabolites in cell culture media and microsomal incubation mixtures by high-performance liquid chromatography. Journal of Chromatography B, 579, 355–360CrossRefGoogle Scholar
  39. Vree, T.B. and Hekster, Y.A., 1987a. Sulfadiazine. In: H. Schönfeld (ed.), Clinical Pharmacokinetics of Sulfonamides and Their Metabolites, (S. Karger AG, Basel, Switzerland), 16–24Google Scholar
  40. Vree, T.B. and Hekster, Y.A., 1987b. Metabolism of sulfonamides. In: H. Schönfeld and F.E. Hahn (eds), Pharmacokinetics of Sulfonamides Revisited, (S. Karger AG, Basel, Switzerland), 5–64Google Scholar
  41. White, G., Piercy, D.W.T. and Gibbs, H.A., 1981. Use of a calf salmonellosis model to evaluate the therapeutic properties of trimethoprim and sulphadiazine and their mutual potentiation in vivo. Research in Veterinary Science, 31, 27–31PubMedGoogle Scholar
  42. Witkamp, R., 1992. Oxidative drug metabolism in ruminants and laboratory species, (PhD thesis, University of Utrecht)Google Scholar
  43. Youssef, S.A., El-Gendi, A.Y., El-Sayed, M.G., Atef, M. and Salam, S.A., 1981. Some pharmacokinetic and biochemical aspects of sulphadiazine and sulphadimidine in ewes. Journal of Veterinary Pharmacology and Therapeutics, 4, 173–182PubMedGoogle Scholar

Copyright information

© Springer Science + Business Media, Inc. 2005

Authors and Affiliations

  • G. C. Batzias
    • 1
  • G. A. Delis
    • 1
  • M. Koutsoviti-Papadopoulou
    • 1
  1. 1.Laboratory of Veterinary Pharmacology, School of Veterinary MedicineAristotle University of Thessaloniki (A.U.Th.)ThessalonikiGreece

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