SINGLE-DOSE PHARMACOKINETICS OF IMIPENEM-CILASTATIN IN PEDIATRIC-PATIENTS

  • 1 January 1986
    • journal article
    • research article
    • Vol. 5  (4) , 273-279
Abstract
The single-dose pharmacokinetics of two dosages of imipenem-cilastatin (1:1), 10 and 25 mg/kg, were studied in ten children. Plasma concentrations, half-lives, and areas under the curve of both imipenem and cilastatin were significantly greater at the 25 mg/kg dosage but the half-lives and clearances of the two drugs were similar to each other only at the larger dose. After a 25 mg/kg dose, the mean peak and trough (6 hr) plasma concentrations of imipenem were 78.8 and 0.68 .mu.g/ml, respectively, and the half-lives of imipenem and cilastatin were 1.12 and 0.97 hr, respectively. Urinary excretion of imipenem was 43-47% during the 6 hr following administration of either dosage. No clinical or laboratory toxicity was noted. A 25 mg/kg dose of imipenem-cilastatin maintains serum concentrations of imipenem above the minimum inhibitory concentration (MIC) of potential pathogens fro 4-6 hr and seems appropriate for multiple-dose studies. Our data suggest that a minimum dosage, > 10 mg/kg, of cilastatin may be required to prolong the half-life of imipenem to adult values.

This publication has 0 references indexed in Scilit: