Summary
The serum levels and the half life of ampicillin derived from Hetacillin after administration of the latter to a total of 61 rats classified in 7 groups were determined. Each of these groups was pre-treated for 15 days with the following inducers ; phenobarbital, diphenylhydantoin, diazepam, chlorpromazine and phenylbutazone. The control group received saline. The d-glucaric acid concentrat ion in the urine prior to and after the administration of inducers and the liver weight were taken as enzyme induction indices.
Results showed a positive correlation between the indices of induction and the levels of ampicillin originating from hetacillin with a significant correlation coefficient between the serum levels of ampicillin and urine d-glucaric acid for all drugs studied.
The different effect of the various drugs indicated that they could be classified into the following two groups : a) those that induced a significant increase of the levels and half life (t1/2) of ampicillin. The effect was significant in decreasing order for phenylbutazone (r = 0,990), diazepam (r = 0,990) and diphenylhydantoin (r = 0,753). b) those which initially resulted in a significant increase of the levels of ampicillin and thereafter in a decrease with a significant shortening of its V/2 too. The effect was most significant for phenobarbital (r = 0,887) and less so for chlorpromazine (r = 0,800). Only for these two drugs was a significant and actually negative correlation observed between d-glucaric acid and tl/2 that is : phenobarbital (r = − 0,967) chorpromazine (r = − 0,752). Results suggest an interaction of Hetacillin and the above inducers.
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Couvaris, M., Galanopoulou, P., Karageorgiou, C. et al. Bioavailability of hetacillin in rats after liver enzyme induction by various inducers with or without protein binding properties. European Journal of Drug Metabolism and Pharmacokinetics 10, 27–32 (1985). https://doi.org/10.1007/BF03189694
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DOI: https://doi.org/10.1007/BF03189694