JAC Advance Access published online on March 24, 2004
Journal of Antimicrobial Chemotherapy, doi:10.1093/jac/dkh167
© 2004 by The British Society for Antimicrobial Chemotherapy
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Original article
1 Centre for Pharmaceutical
Research, University of South Australia,
Adelaide; Facility for Anti-infective
Drug Development and Innovation, Victorian College of Pharmacy,
Monash University, Parkville, Melbourne, Vic 3052;
* Corresponding author. E-mail: Roger.Nation{at}vcp.monash.edu.au.
Received 7 May 2003
; revised 3 February 2004
; accepted 5 February 2004
Objectives: To determine the disposition
of colistin methanesulphonate (CMS) and colistin following intravenous
(iv) administration of CMS in rats. Methods: Five rats received a single iv bolus
of 15 mg/kg CMS. Plasma concentrations of CMS and of colistin formed
by the hydrolysis of CMS were determined by HPLC. The pharmacokinetic
parameters of CMS and colistin were calculated using non-compartmental
analysis. Results: Total body clearance, volume of distribution
at steady state and terminal half-life of CMS averaged 11.7 mL/min/kg,
299 mL/kg and 23.6 min, respectively. The mean terminal half-life
of colistin was 55.7 min. Approximately 60% of the dose
was eliminated via the urine in 24 h and presented as a mixture
of CMS and colistin. Conclusions: Colistin appeared in plasma soon
after administration of CMS, indicating rapid conversion of CMS
into colistin. CMS had a shorter terminal half-life than did colistin,
indicating that the disposition of the colistin generated from CMS
was rate-limited by its elimination. Most of the dose was recovered
in urine, half in the form of colistin. The high percentage of colistin
recovered in urine was believed to be formed by hydrolysis of CMS
in the bladder and in the collection vessel, and/or conversion from
CMS in the kidney.
Keywords: antibacterials, HPLC, Pseudomonas
aeruginosa
Pharmacokinetics of colistin methanesulphonate
and colistin in rats following an intravenous dose of colistin methanesulphonate
2 Centre for Pharmaceutical
Research, University of South Australia,
Adelaide
3 Facility for Anti-infective
Drug Development and Innovation, Victorian College of Pharmacy,
Monash University, Parkville, Melbourne, Vic 3052;
4 Department of Microbiology and Infectious
Diseases, Women’s and Children’s Hospital,
North Adelaide, Australia
5 School of Pharmaceutical,
Molecular and Biomedical Sciences, University of South Australia,
Adelaide;
6 Department
of Pharmacy, Women’s and Children’s Hospital,
North Adelaide, Australia
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