Kinetics of drug-drug interactions in sheep: tolbutamide and sulfadimethoxine.

Abstract:

:The interaction between sulfadimethoxine and tolbutamide in sheep involving displacement from protein binding sites was investigated quantitatively. A 52% increase in the unbound plasma concentration of tolbutamide was observed in vitro at 37 degrees after the addition of sulfadimethoxine (100 microgram/ml) to sheep plasma containing tolbutamide (50 microgram/ml). Transient changes in tolbutamide's unbound and total plasma concentrations were noted after acute intravenous administration of sulfadimethoxine to sheep receiving a constant intravenous infusion of tolbutamide. These observations were consistent with displacement of tolbutamide from plasma and tissue binding sites and redistribution of the displaced tolbutamide into body water spaces. The steady state of both agents featured little change in the total plasma tolbutamide concentration, a 150% increase in the unbound plasma tolbutamide concentration, and an inhibition of tolbutamide oxidation by sulfadimethoxine. A model is presented and mathematical relationships are derived that permit a quantitation of the interaction and that indicate the sulfadimethoxine's constant of metabolic inhibition (K1) for tolbutamide metabolism is 65 microgram/ml.

journal_name

J Pharm Sci

authors

Thiessen JJ,Rowland M

doi

10.1002/jps.2600660803

subject

Has Abstract

pub_date

1977-08-01 00:00:00

pages

1063-70

issue

8

eissn

0022-3549

issn

1520-6017

pii

S0022-3549(15)39496-X

journal_volume

66

pub_type

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