Single-dose pharmacokinetics of imipenem-cilastatin in pediatric patients

D. Engelhard, I. Shalit, H. R. Stutman, R. Greenwood, J. Griffis, M. I. Marks

Research output: Contribution to journalArticlepeer-review

Abstract

The single-dose pharmacokinetics of two dosages of imipenem-cilastatin (1:1), 10 and 25 mg/kg, were studied in ten children. Plasma concentrations, half-lives, and areas under the curve of both imipenem and cilastatin were significantly greater at the 25 mg/kg dosage but the half-lives and clearances of the two drugs were similar to each other only at the larger dose. After a 25 mg/kg dose, the mean peak and trough (6 hr) plasma concentrations of imipenem were 78.8 and 0.68 μg/ml, respectively, and the half-lives of imipenem and cilastatin were 1.12 and 0.97 hr, respectively. Urinary excretion of imipenem was 43-47% during the 6 hr following administration of either dosage. No clinical or laboratory toxicity was noted. A 25 mg/kg dose of imipenem-cilastatin maintains serum concentrations of imipenem above the minimum inhibitory concentration (MIC) of potential pathogens for 4-6 hr and seems appropriate for multiple-dose studies. Our data suggest that a minimum dosage, >10 mg/kg, of cilastatin may be required to prolong the half-life of imipenem to adult values.

Original languageEnglish
Pages (from-to)273-279
Number of pages7
JournalPediatric Pharmacology
Volume5
Issue number4
StatePublished - 1986
Externally publishedYes

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