Mononuclear and Polymorphonuclear Leukocyte Dispositions of Clarithromycin and Azithromycin in AIDS Patients Requiring Mycobacterium avium Complex Prophylaxis

Author:

Bui Khanh Q.1,McNabb JoCarol1,Li Chonghua1,Nightingale Charles H.2,Nicolau David P.13

Affiliation:

1. Department of Pharmacy Research,1

2. Department of Research Administration,2 and

3. Department of Medicine, Division of Infectious Diseases,3Hartford Hospital, Hartford, Connecticut 06102

Abstract

ABSTRACT The intracellular dispositions of clarithromycin and azithromycin in AIDS patients requiring Mycobacterium avium complex (MAC) prophylaxis were studied. The dispositions of both drugs in mononuclear and polymorphonuclear leukocytes were markedly different. Our data support the proven efficacy of these agents for MAC prophylaxis since clarithromycin and azithromycin displayed sustained intracellular concentrations which exceeded their MICs for MAC throughout the dosing periods.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference19 articles.

1. Abbott Laboratories Biaxin package insert. 1996 Abbott Laboratories North Chicago Ill

2. The role of advanced generation macrolides in the prophylaxis and treatment of Mycobacterium avium complex (MAC) infections.;Amsden G. W.;Drugs,1997

3. Bui K. Q. McNabb J. C. Li C. Nightingale C. H. Nicolau D. P. Abstr. 255. 36th Annual Meeting of the Infectious Diseases Society of America 1998

4. Once-a-week azithromycin in AIDS patients: tolerability, kinetics, and effects on zidovudine disposition

5. Single- and multiple-dose pharmacokinetics of clarithromycin, a new macrolide antimicrobial.;Chu S.-Y.;J. Clin. Pharmacol.,1993

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