
doi: 10.1093/jac/48.2.259
pmid: 11481298
A multiple-dose, open-labelled, randomized, two period crossover human volunteer study was performed (i) to describe the pharmacokinetic profile and safety profile of piperacillin and tazobactam (P/T) administered 6.0/0.75 g and 8.0/1.0 g q12h and (ii) to characterize the pharmacodynamic profile of these regimens against a variety of common targeted pathogens. Blood samples were collected after the third dose and concentrations of P/T were determined by a validated high-performance liquid chromatography assay. Pharmacokinetic profiles of P/T were determined by non-compartment analysis. Percentage time above the MIC (%T > MIC) of piperacillin was calculated for a range of MICs. In this study, no adverse events were attributed after multiple administrations of either 6.0/0.75 g or 8.0/1.0 g dose regimens. The peak concentration, half-life and area under the curve (AUC0-(0-tau)) of piperacillin were significantly different by a paired t-test (P MIC for MICs < or =32 mg/L, while a similar value for the 6.0/0.75 g regimen was < or = 16 mg/L. High-dose P/T regimens with extended interval were well tolerated and provide adequate dynamic exposure for a variety of susceptible pathogens.
Adult, Male, Piperacillin, Cross-Over Studies, Penicillanic Acid, Microbial Sensitivity Tests, Piperacillin, Tazobactam Drug Combination, Area Under Curve, Humans, Drug Therapy, Combination, Female
Adult, Male, Piperacillin, Cross-Over Studies, Penicillanic Acid, Microbial Sensitivity Tests, Piperacillin, Tazobactam Drug Combination, Area Under Curve, Humans, Drug Therapy, Combination, Female
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