Plasma and urine concentrations of trimethoprim-sulphadiazine (co-trimazine) in children given one dose per day. 1988

U Jodal, and H Fellner
Department of Pediatrics, University of Göteborg, Ostra sjukhuset, Sweden.

Sulphadiazine (SDZ) and trimethoprim (TMP) combined into co-trimazine has a half-life of 10 h in the adult and therefore the use of 1 dose/day has been introduced in the treatment of patients with urinary tract infections (UTI). To investigate the pharmacokinetics of cotrimazine given once daily in infants and children, 14 patients aged 3-49 months were given 0.3-0.4 ml/kg of suspension containing 41 mg SDZ and 9 mg TMP/ml. In all patients the peak plasma levels of SDZ at steady state were greater than 15 mg/l and after 12 h mostly greater than 10 (range 7-22) mg/l. The corresponding levels of TMP were 0.5 and 0.1 (range 0.11-0.48) mg/l. The concentrations in urine at 24 h were in the children about 40 mg/l of SDZ and 10 mg/l of TMP and in the infants 35 and 2 mg/l respectively. Therefore, in the treatment of infants and children with UTI, 1 dose of co-trimazine/day should give adequate plasma and urine levels.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D008297 Male Males
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D004305 Dose-Response Relationship, Drug The relationship between the dose of an administered drug and the response of the organism to the drug. Dose Response Relationship, Drug,Dose-Response Relationships, Drug,Drug Dose-Response Relationship,Drug Dose-Response Relationships,Relationship, Drug Dose-Response,Relationships, Drug Dose-Response
D004338 Drug Combinations Single preparations containing two or more active agents, for the purpose of their concurrent administration as a fixed dose mixture. Drug Combination,Combination, Drug,Combinations, Drug
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000892 Anti-Infective Agents, Urinary Substances capable of killing agents causing urinary tract infections or of preventing them from spreading. Antiseptics, Urinary,Antiinfective Agents, Urinary,Urinary Anti-Infective Agents,Urinary Antiinfective Agents,Agents, Urinary Anti-Infective,Agents, Urinary Antiinfective,Anti Infective Agents, Urinary,Urinary Anti Infective Agents,Urinary Antiseptics
D013411 Sulfadiazine One of the short-acting SULFONAMIDES used in combination with PYRIMETHAMINE to treat toxoplasmosis in patients with acquired immunodeficiency syndrome and in newborns with congenital infections. Sulfazin,Sulfazine,Sulphadiazine,Zinc Sulfadiazine,Sulfadiazine, Zinc
D014295 Trimethoprim A pyrimidine inhibitor of dihydrofolate reductase, it is an antibacterial related to PYRIMETHAMINE. It is potentiated by SULFONAMIDES and the TRIMETHOPRIM, SULFAMETHOXAZOLE DRUG COMBINATION is the form most often used. It is sometimes used alone as an antimalarial. TRIMETHOPRIM RESISTANCE has been reported. Proloprim,Trimpex

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