title: Effect of protein binding on drug penetration into blister fluid.
abstract: The effect of protein binding on drug penetration into blister fluid was evaluated by using cefonicid, ceftizoxime, and cefotaxime. Drug concentrations in a chamber with a high surface area/volume ratio (i.e., paper disk) follow changes in serum more closely than do those in a chamber with a low surface area/volume ratio. Both the area under the concentration-time curve ratio and the concentration ratio (by the disk method) for cefonicid were statistically lower than the ratios for ceftizoxime and cefotaxime. The high degree of protein binding of cefonicid results in the availability of less drug for diffusion to blister fluid than with the low-protein-binding ceftizoxime and cefotaxime.
authors.affiliation: Department of Pharmacy Services, Hartford Hospital, Connecticut 06115.
authors.forename: W C
authors.initials: WC
authors.lastname: Shyu
authors.forename: R
authors.initials: R
authors.lastname: Quintiliani
authors.forename: C H
authors.initials: CH
authors.lastname: Nightingale
authors.forename: M N
authors.initials: MN
authors.lastname: Dudley
mesh_terms: D000328:Adult; D001768:Blister / Q000378:metabolism; D001798:Blood Proteins / Q000378:metabolism*; D002435:Cefamandole / Q000031:analogs & derivatives* / Q000378:metabolism / Q000493:pharmacokinetics; D015790:Cefonicid; D002439:Cefotaxime / Q000031:analogs & derivatives* / Q000378:metabolism / Q000493:pharmacokinetics*; D015296:Ceftizoxime; D005110:Extracellular Space / Q000378:metabolism*; D005260:Female; D006801:Humans; D008297:Male; D011485:Protein Binding; D014018:Tissue Distribution
chemical_list: D001798:Blood Proteins; D002435:Cefamandole; D015790:Cefonicid; D015296:Ceftizoxime; D002439:Cefotaxime