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Amoxicillin pharmacokinetics in pregnant women: modeling and simulations of dosage strategies.

Amoxicillin pharmacokinetics in pregnant women: modeling and simulations of dosage strategies. Research Abstract Details 

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  • Amoxicillin pharmacokinetics in pregnant women: modeling and simulations of dosage strategies. Abstract Text:

    Amoxicillin is recommended for anthrax prevention in pregnancy. The objective of this study was to evaluate the pharmacokinetics of amoxicillin during pregnancy and postpartum (PP). Sixteen women received amoxicillin during gestation (18-22 weeks (T2) and 30-34 weeks (T3)) as well as 3 months postpartum (PP) to evaluate single-dose pharmacokinetics. Amoxicillin compartmental pharmacokinetic parameters were used to simulate amoxicillin concentration-time profiles following different dosage strategies. Amoxicillin CL(renal) (T2: 24.8+/-6.7 l/h, P<0.001; T3: 24.0+/-3.9 l/h, P<0.001; and PP: 15.3+/-2.6 l/h) and renal CL(secretion) (T2: 280+/-105 ml/min, P<0.002; T3: 259+/-54 ml/min, P<0.001; and PP: 167+/-47 ml/min) were higher during pregnancy than postpartum. Simulations suggest that amoxicillin concentrations adequate to prevent anthrax may be difficult to achieve during pregnancy and postpartum. Increases in amoxicillin CL(renal) and renal CL(secretion) reflect increases in filtration and secretory transport or diminished reabsorption in the kidneys. Amoxicillin may not be an appropriate antibiotic for post-anthrax exposure prophylaxis.

    Amoxicillin pharmacokinetics in pregnant women: modeling and simulations of dosage strategies. Publishing Authors By Initials

    For similar reproductive and urinary physiology: reproduction: pregnancy: pregnancy trimesters: pregnancy trimester, third research abstracts see: reproductive and urinary physiology: reproduction: pregnancy: pregnancy trimesters: pregnancy trimester, third research

    PUBMED ID PMID:

    MEDLINE DATE:

    Amoxicillin pharmacokinetics in pregnant women: modeling and simulations of dosage strategies. Journal Published:

    PUBLICATION TYPE: Research Support, U.S. Gov't,

    Journal: Clinical pharmacology and therapeutics

    VOLUME: 81

    Page Numbers: 547-56

    Journal Abbreviation: Clin. Pharmacol. Ther.

    ISSN: 0009-9236

    DAY: 28

    MONTH: 02

    YEAR: 2007

    Amoxicillin pharmacokinetics in pregnant women: modeling and simulations of dosage strategies. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 372741

    Amoxicillin pharmacokinetics in pregnant women: modeling and simulations of dosage strategies. Keywords Mesh Terms:

    KEYWORDS: Pregnancy Trimester, Third

    MESH TERMS: metabolism

    Chemical & Substance for Abstract: Amoxicillin pharmacokinetics in pregnant women: modeling and simulations of dosage strategies. Information

    Substance Name: Amoxicillin

    Registry Number: 26787-78-0

    Grant and Affiliation Information for Amoxicillin pharmacokinetics in pregnant women: modeling and simulations of dosage strategies.

    AFFILIATION: Department of Bioengineering, University of Washington, Seattle, Washington, USA.

    Country: United States

    United States Research PublicationUnited States Research Publication

    AGENCY: United States NIBIB

    GRANT: P41 EB001975

    ACRONYM: EB

    MEDLINETA: Clin Pharmacol Ther

    REFSOURCE: Clin Pharmacol Ther. 2007 Apr;81(4):481-

    DATABASENAME:

    ACCESSION NUMBER:

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