Summary
Six patients, aged 52 to 71 years, with T-tube drainage of the common bile duct and a urinary catheter after cholecystectomy, were studied in order to evaluate the urinary and biliary excretion and pharmacokinetics of cefotiam in the early postoperative period. Each patient received cefotiam 1 g i.v. as a bolus injection. Cefotiam in plasma, urine, and bile were determined by HPLC. A 2-compartment open model with elimination from the central compartment satisfactorily fitted the plasma levels of the drug. The renal clearance of cefotiam (CLR=133 ml/min) was an order of magnitude greater than its biliary clearance (CLB=11.8 ml/min). Glomerular filtration was the main mechanism for elimination of cefotiam. The values of CLR and CLB in relation to the total plasma clearance (CL=138. ml/min) demonstrated the negligible role of metabolism in elimination of cefotiam in these patients.
Similar content being viewed by others
References
Boxenbaum HG, Riegelman S, Elashoff RM (1974) Statistical estimations in pharmacokinetics. J Pharmacokinet Biopharm 2: 123–148
Guyton AC (1981) Textbook of medical physiology, 6th edn. Saunders, Philadelphia London Toronto
Kemmerich B, Lode H, Belmega G, Jendroschek T, Borner K, Koeppe P (1983) Comparative pharmacokinetics of cefoperazone, cefotaxime, and moxalactam. Antimicrob Agents Chemother 23: 429–434
Meijer DKF, Weitering JG, Vermeer GA, Scaf AHJ (1979) Comparative pharmacokinetics of d-tubocurarine and metocurine in man. Anesthesiology 51: 402–407
Meijer DKF, Weitering JG, Vermeer GA (1983) Pharmacokinetics of biliary excretion in man V dibromosulfophthalein. Eur J Clin Pharmacol 24: 549–556
Riegelman S, Loo JCK, Rowland M (1968) Shortcomings in pharmacokinetic analysis by conceiving the body to exhibit properties of a single compartment. J Pharm Sci 57: 117–123
Rouan MC, Abadie F, Leclerc A, Juge F (1983) Systemic approach to the determination of cephalosporins in biological fluids by reversed-phase liquid chromatography. J Chromatogr 275: 133–144
Tanayama S, Kondo T, Kanai Y (1978) Metabolic fate of SCE-963, a new broad-spectrum cephalosporin, after parenteral administration in rats and dogs. J Antibiotics 31: 703–711
Wagner JG (1975) Fundamentals of clinical pharmacokinetics, 2nd edn. Drug Intelligence Publications, Hamilton, Illinois
Yamamoto T, Kuwahara I, Adachi Y, Yamaguchi N (1979) Clinical phase I studies on cefotiam (SCE-953). Chemotherapy 27 (S-3): 172–195
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Terziivanov, D., Gerova, Z., Vlahov, V. et al. Pharmacokinetics and quantitative characterization of cefotiam excretion after intravenous administration to patients after cholecystectomy. Eur J Clin Pharmacol 30, 439–444 (1986). https://doi.org/10.1007/BF00607957
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00607957