Abstract
The pharmacokinetics of intramuscularly administered kanamycin in normal healthy adults was found to be independent of dose. Plasma levels were adequately described by a one-compartment body model characterized by an elimination half-life of 2.4 hr and a volume of distribution of 19.6 liters. The renal clearance of kanamycin in normals was found to be about 4.6 liters/hr. The Cutler and Orme relationship, kanamycin half-life=3 × serum creatinine (mg %), was found to accurately estimate kanamycin half-lives in patients with varying degrees of renal insufficiency. In normal subjects, kanamycin serum levels during repetitive dosing were accurately predicted from single-dose studies.
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References
J. Koch-Weser. Serum drug concentrations as therapeutic guides.New Engl. J. Med. 287, No. 5, 227–231 (1972).
W. M. Bennett, I. Singer, and C. H. Coggins. A practical guide to drug usage in adult patients with unpaired renal function.J. Am. Med. Ass.,23, 1468–1475 (1970).
M. M. Reidenberg.Renal Function and Drug Action, Saunders, Philadelphia (1971).
P. A. Bunn, A. Baltch, and O. Krajnyak. Clinical experiences with kanamycin.N. Y. Acad. Sci., pp. 109–121 (1958).
M. Winfield, G. O. Crisp, M. H. Maxwell, and C. R. Kleeman. Nephrotoxic effects of kanamycin: A preliminary report.N.Y. Acad. Sci., pp. 140–148 (1958).
C. M. Kunin and M. Finland. Persistence of antibiotics in blood of patients with acute renal failure. III. Penicillin, streptomycin, erythromycin, and kanamycin.J. Clin. Invest.,38, 1509–1519 (1959).
E. L. Quinn, M. C. McHenry, J. P. Truant, and F. Cox. The use of kanamycin in selected patients with serious infections caused by Gram-negative bacilli: Serum concentration and inhibition studies in patients with azotemia given reduced doses.N.Y. Acad. Sci., pp. 850–853 (1966).
A. W. S. Sorenen, L. Szabo, A. Pedersen, and A. Scharff. Correlation between renal function and serum half-life of kanamycin and its application to dosage adjustment.Postgrad. Med. J. Suppl., pp. 37–43 (May 1967).
B. M. Orme and R. E. Cutler. The relationship between kanamycin pharmacokinetics: Distribution and renal function.Clin. Pharmacol. Therap.,10, 543–550 (1969).
R. E. Cutler and B. M. Orme. Correlation of serum creatinine concentration and kanamycin half-life.J. Am. Med. Ass.,209, 539–542 (1969).
G. A. Cronk and D. E. Naumann. The absorption and excretion of kanamycin in human beings.J. Lab. Clin. Med.,53, 888–895 (1959).
R. H. Teske and S. B. Miller. Pulmonary absorption and retention of kanamycin after repeated inhalation administration of kanamycin aerosol.Appl. Microbiol.,19, 583–585 (1970).
J. G. Wagner.Biopharmaceutics and Relevant Pharmacokinetics, Drug Intelligence Publications, Hamilton, Ill. (1971).
H. Welch, W. W. Wright, H. I. Weinstein, and A. W. Staffa.In vitro and pharmacological studies with kanamycin.N.Y. Acad. Sci., p. 77 (1958).
A. White and V. Knight. Kanamycin: Pharmacological, microbiological, and clinical observations.N.Y. Acad. Sci., pp. 277–288 (1958).
J. T. Doluisio, J. C. LaPiana, and L. W. Dittert. Pharmacokinetics of ampicillin-trihydrate, sodium ampicillin and sodium dicloxacillin following intramuscular injection.J. Pharm. Sci.,60, 715–719 (1971).
P. D. Stull, F. Shainfeld, and A. A. Hellebusch. Data reported to Bristol Laboratories, Division of Bristol-Meyers Company, Syracuse, N.Y. (To be published).
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Doluisio, J.T., Dittert, L.W. & LaPiana, J.C. Pharmacokinetics of kanamycin following intramuscular administration. Journal of Pharmacokinetics and Biopharmaceutics 1, 253–265 (1973). https://doi.org/10.1007/BF01062351
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DOI: https://doi.org/10.1007/BF01062351