Sufentanil disposition. Is it affected by erythromycin administration?

Abstract:

BACKGROUND:Because oral erythromycin administration has been associated with reduced elimination of alfentanil, suspicion has been raised about related opioids with similar metabolic pathways. A controlled crossover study of sufentanil pharmacokinetics was undertaken to resolve this issue. METHODS:Six subjects had measurements of plasma concentrations for 9 h after intravenous administration of sufentanil (3 micrograms/kg). Each subject was studied following no erythromycin (control) and after 1- and 7-day courses of erythromycin base. RESULTS:Plasma concentrations during the 9 h of measurement were similar before and after erythromycin. Terminal half-life and clearance and distribution volume did not change significantly among treatment groups. Values measured after 7 days of erythromycin were similar to controls. CONCLUSIONS:Prior administration of erythromycin does not alter pharmacokinetics of sufentanil in the 9 h following sufentanil administration. Thus, there are no apparent clinical consequences of prior or concomitant erythromycin administration in patients receiving sufentanil for procedures of 9 h or less.

journal_name

Anesthesiology

journal_title

Anesthesiology

authors

Bartkowski RR,Goldberg ME,Huffnagle S,Epstein RH

subject

Has Abstract

pub_date

1993-02-01 00:00:00

pages

260-5

issue

2

eissn

0003-3022

issn

1528-1175

journal_volume

78

pub_type

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