title: Pharmacokinetics and inflammatory fluid penetration of cefpodoxime proxetil in volunteers.
abstract: The pharmacokinetics of cefpodoxime were determined after a single oral dose of 261 mg of cefpodoxime proxetil, equivalent to 200 mg of cefpodoxime, was given to each of six healthy male volunteers. Concentrations in serum, urine, and cantharidin-induced inflammatory fluid were measured by a microbiological assay. The mean peak level in plasma was 2.1 micrograms/ml, attained at a mean time of 2.9 h. The mean half-life of elimination from serum was 2.2 h. The inflammatory exudate was penetrated moderately rapidly, the mean peak level being 1.7 micrograms/ml at 3.5 h. The mean percent penetration of the inflammatory exudate was 103.7. The mean 24-h urine recovery of cefpodoxime was 32.2%. This study suggests that cefpodoxime proxetil taken once or twice daily will be sufficient to treat urinary or systemic infections caused by susceptible pathogens.
authors.affiliation: Department of Medical Microbiology, Dudley Road Hospital, Birmingham, United Kingdom.
authors.forename: P
authors.initials: P
authors.lastname: O'Neill
authors.forename: K
authors.initials: K
authors.lastname: Nye
authors.forename: G
authors.initials: G
authors.lastname: Douce
authors.forename: J
authors.initials: J
authors.lastname: Andrews
authors.forename: R
authors.initials: R
authors.lastname: Wise
mesh_terms: D000328:Adult; D001419:Bacteria / Q000187:drug effects; D001768:Blister / Q000378:metabolism; D015296:Ceftizoxime / Q000031:analogs & derivatives* / Q000493:pharmacokinetics / Q000494:pharmacology; D006207:Half-Life; D006801:Humans; D007249:Inflammation / Q000378:metabolism*; D008297:Male; D013237:Stereoisomerism; D000097623:Cefpodoxime; D000097627:Cefpodoxime Proxetil
chemical_list: D015296:Ceftizoxime; D000097623:Cefpodoxime; D000097627:Cefpodoxime Proxetil