Pharmacokinetics of regional limb perfusion using a combination of amikacin and penicillin in standing horses

Roee Dahan, Gil L. Oreff, Amos J. Tatz, Tal Raz, Malka Britzi, Gal Kelmer*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

The objectives of this study were to evaluate the compatibility and the pharmacokinetic properties of combined amikacin and penicillin administration by intravenous regional limb perfusion (IVRLP) in horses. A tourniquet was applied proximal to the carpus of 7 clinically healthy adult horses and 2 g of amikacin and 10 × 106 IU of penicillin (100 mL total volume) were sequentially injected into the cephalic vein just distal to the tourniquet. Synovial samples were collected from the joint at several times after injection. All samples were analyzed for amikacin and penicillin concentration. The mean maximum concentration (Cmax) of both amikacin and penicillin was over 10-fold the relevant minimal inhibitory concentration (MIC) for all horses and remained above those MICs for at least 24 hours. The results of this study indicate that combining amikacin with penicillin during IVRLP in normal horses delivers high therapeutic synovial concentrations of both drugs.

Original languageAmerican English
Pages (from-to)294-299
Number of pages6
JournalCanadian Veterinary Journal
Volume60
Issue number3
StatePublished - 2019

Bibliographical note

Publisher Copyright:
© 2019 Canadian Veterinary Medical Association. All rights reserved.

Fingerprint

Dive into the research topics of 'Pharmacokinetics of regional limb perfusion using a combination of amikacin and penicillin in standing horses'. Together they form a unique fingerprint.

Cite this