Levofloxacin and Ciprofloxacin Decrease Procainamide and N -Acetylprocainamide Renal Clearances

Author:

Bauer Larry A.12,Black Douglas J.1,Lill Jennifer S.3,Garrison Julie3,Raisys Vidmantas A.2,Hooton Thomas M.4

Affiliation:

1. Department of Pharmacy, University of Washington, Seattle, Washington

2. Department of Laboratory Medicine, University of Washington, Seattle, Washington

3. Department of Pharmacy Services, University of Washington, Seattle, Washington

4. Department of Medicine, University of Washington, Seattle, Washington

Abstract

ABSTRACT Ten healthy adults participated in a randomized, crossover drug interaction study testing procainamide only, procainamide plus levofloxacin, and procainamide plus ciprofloxacin. During levofloxacin therapy, most procainamide and N -acetylprocainamide (NAPA) pharmacokinetic parameters, including decreased renal clearances and renal clearance/creatinine clearance ratios, changed ( P < 0.05). During ciprofloxacin treatment, only procainamide and NAPA renal clearances decreased significantly.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference21 articles.

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2. Alteration in the pharmacokinetic disposition of ciprofloxacin by simultaneous administration of azlocillin

3. Bauer L. A. 2001. Applied clinical pharmacokinetics 1st ed. p. 26-49. McGraw-Hill New York N.Y.

4. Bauer, L. A., D. Black, and A. Gensler. 1990. Procainamide-cimetidine drug interaction in elderly male patients. J. Am. Geriatr. Soc.38:467-469.

5. Bauer, L. A., D. Black, A. Gensler, and J. Sprinkle. 1989. Influence of age, renal function and heart failure on procainamide clearance and n-acetylprocainamide serum concentrations. Int. J. Clin. Pharmacol. Ther. Toxicol.27:213-216.

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