Pharmacokinetics of Cephradine Suspension in Infants and Children

Author:

Ginsburg Charles M.1,McCracken George H.1

Affiliation:

1. Department of Pediatrics, The University of Texas Health Science Center at Dallas, Southwestern Medical School, Dallas, Texas 75235

Abstract

The pharmacokinetics of cephradine suspension were studied in 16 infants and children who were 13 months to 8 years and 3 months of age (means age, 3.5 years). Mean peak concentrations of 21.3 and 9.9 μg/ml were achieved at 30 min after administration of 60-mg/kg doses to fasting and nonfasting patients. The area under the serum concentration-time curve was 26% larger in fasting than in fed subjects. The half-life of cephradine in serum was 0.8 and 1.0 h in fasting and fed groups, respectively. Antimicrobial activity was detected in 49% of all salivary samples; in 75% of specimens, the concentrations were less than the 50% minimum inhibitory concentration for most pneumococci and group A streptococci. Urinary concentrations of cephradine ranged from 28 to 8,760 μg/ml and were independent of feeding status.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference8 articles.

1. Cephradine, a new orally absorbed cephalosporin antibiotic;Gradesbusch H. H.;Adv. Antimicrob. Antineoplast. Chemother.,1972

2. Cephradine absorption and excretion in fasting and non-fasting volunteers;Harvengt C.;J. Clin. Pharmacol.,1973

3. Pharmacologic evaluation of orally administered antibiotics in infants and children: Effect of feeding on bioavailability;McCracken G. H.;Pediatrics,1978

4. Influence of probenecid and food on the bioavailability of cephradine in normal male subjects;Mischler T. W.;J. Clin. Pharmacol.,1974

5. Ritschel W. A. 1976. Handbook of basic pharmacokinetics p. 235-243. Drug Intelligence Publications Inc. Hamilton Ill.

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