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One of the nine volunteers complained of a moderate headache and photophobia which developed 28 h after dosing and lasted approximately 12 h; it was difficult to assess if this was associated with the study drug. No hematological or biochemical abnormalities were encountered. There is little published data on the pharmacokinetics of clinafloxacin. A report of a dose range study 2 ; suggested that the agent was rapidly absorbed, with a Cmax of about 1 g ml for each 100-mg dose, and was eliminated from plasma with a t1 2 4.6 to 6.1 h; between 44 and 65% of the dose given was recovered in the urine over the 72 h after administration. The present study confirmed that clinafloxacin is rapidly absorbed. The plasma Cmax achieved 1.34 g ml ; is lower than that in the earlier report for the same dose. The highest value we noted 1.95 g ml ; was less than the mean value previously reported 2.5 g ml ; . The mean AUC0 s in both studies were similar, 10.2 g h ml the earlier study and 9.86 g h ml the present study. The urinary recovery in our study was also greater, with a mean of 71.8% over 48 h. The rapid and extensive penetration of clinafloxacin into the inflammatory exudate contrasts with that of trovafloxacin, for which the mean percent penetration was reported as 62.6% 9 ; and possibly reflects the high protein binding of trovafloxacin 87.9% ; 3 ; compared with that of clinafloxacin 2 to 7% ; 8 ; The mean penetration of clinafloxacin, 93.1%, was not significantly different from that described for sparfloxacin 113% ; 4 ; or lomefloxacin 100% ; 6 ; . In conclusion, the concentration in both plasma and inflammatory fluid was greater than the MIC at which 90% of the isolates are inhibited for the majority of the Enterobacteriaceae, Streptococcus pneumoniae, methicillin-susceptible Staphylococ.
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For example, sparfloxacin is associated with a high incidence of photosensitivity, grepafloxacin is associated with qtc prolongation, and lomefloxacin is associated with a high incidence of photosensitivity.
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Assessment of Cefazolin and Cefuroxime Tissue Penetration by Using a Continuous Intravenous Infusion. John E. Connors, Joseph T. DiPiro, Ronald G. Hayter, K. Dale Hooker, Johnny A. Stanfield, and Timothy R. Young. Interactions of Ceftazidime and Tobramycin in Patients with Normal and Impaired Renal Function. George R. Aronoff, Richard A. Brier, Rebecca S. Sloan, and Michael E. Brier. Pharmacokinetic Analysis of Cloxacillin Loss in Children Undergoing Major Surgery with Massive Bleeding. Maurice Levy, Patricia Egersegi, Andrew Strong, Angelo Tessoro, Michael Spino, Robert Bannatyne, David Fear, Jeffrey C. Posnick, and Gideon Koren . Pharmacokinetics of Cephem Antibiotics in Exudate of Pelvic Retroperitoneal Space after Radical Hysterectomy and Pelvic Lymphadenectomy. Kunihiko Ito, Motoki Hayasaki, and Teruhiko Tamaya . Application of a Bayesian Method To Monitor and Adjust Vancomycin Dosage Regimens. Agneta K. Hurst, Monica A. Yoshinaga, Gladys H. Mitani, Kimberly A. Foo, Roger W. Jelliffe, and Earl C. Harrison. Clinical Pharmacology of Imipenem and Cilastatin in Premature Infants during the First Week of Life. Michael D. Reed, Robert M. Kliegman, Toyoko S. Yamashita, Carolyn M. Myers, and Jeffrey L. Blumer . Phase I Study of Multiple-Dose Cefprozil and Comparison with Cefaclor. R. H. Barbhaiya, U. A. Shukla, C. R. Gleason, W. C. Shyu, R. B. Wilber, R. R. Martin, and K. A. Pittman. Comparison of Cefprozil and Cefaclor Pharmacokinetics and Tissue Penetration. R. H. Barbhaiya, U. A. Shukla, C. R. Gleason, W. C. Shyu, R. B. Wilber, and K. A. Pittman . Comparison of the Effects of Food on the Pharmacokinetics of Cefprozil and Cefaclor. R. H. Barbhaiya, U. A. Shukla, C. R. Gleason, W. C. Shyu, and K. A. Pittman . Pharmacokinetics of 3'-Fluoro-3'-Deoxythymidine and 3'-Deoxy-2', 3'-Didehydrothymidine in Rhesus Monkeys. Raymond F. Schinazi, F. Douglas Boudinot, Kokila J. Doshi, and Harold M. McClure . Safety of Fleroxacin Coadministered with Theophylline to Young and Elderly Volunteers. Marc Parent, Maurice St-Laurent, and Marc LeBel. Influence of Lomefloxacin on the Pharmacokinetics of Theophylline. Marc LeBel, Frangois Vall6e, and Maurice St-Laurent . Effects of Supraphysiologic Temperature and Broth Dilution on Serum Protein Binding. Roger L. White, Michael B. Kays, Todd A. Armstrong, and Lawrence V. Friedrich . Influence of Temperature on Degradation Kinetics of Ceftriaxone in Diluted and Undiluted Human Serum. M. J. Esteban, E. Cant6n, and F. Rius . Influence of Plasma Exchange Pheresis on Plasma Elimination of Ceftriaxone. Johan S. Bakken, Stephen J. Cavalieri, and David Gangeness . Penetration of SCH-39304, a New Antifungal Triazole, into Cerebrospinal Fluid of Primates. Thomas J. Walsh, Cindy Lester-McCully, Michael G. Rinaldi, Jack E. Wallace, Frank M. Balis, James W. Lee, Philip A. Pizzo, and David G. Poplack.
ABSTRACTS aneurysms in which an operative mortality of 5.4% is present. Good operative results without postoperative vasospasm is found in cases operated upon the first three days after rupture and after one week from subarachnoid hemorrhage. If operation occurred between the fourth and seventh day, then the incidence of postoperative vasospasm was increased. In 68 cases vasospasm occurred preoperatively. Eight of these patients died before surgery from vasospasm; 30 underwent surgery during vasospasm of which 15 deteriorated, probably as a result of vasospasm; 22 underwent surgery after vasospasm had subsided and developed permanent neurological deficit; and eight cases rebled when vasospasm began to subside. Drainage of the basal cisterns is recommended for operations within three days of SAH in order to prevent cerebral arteries from being exposed to vasoconstricting substances released from clots before they undergo lysis. This helps prevent vasospasm. Vasospasm which was extensive and diffuse carried a poor prognosis while vasospasm that was multisegmental carried a moderate prognosis. A good prognosis was seen in vasospasm which was limited to the arteries in the neighborhood of the aneurysm local ; . Prognosis was worse in patients with preoperative vasospasm rather than postoperative vasospasm. In summary, surgery of aneurysms is indicated during the first three days after the acute stage of SAH except cases in grade V. Surgery should be postponed between the fourth and eighth day after SAH until improvement is shown with conservative management. Patients who exhibit neurological deterioration after the eighth day should have repeat angiograms to detect vasospasm. If vasospasm is present, then operation is postponed until vasospasm subsides and neurological condition improves. AB-4676-78 Microsurgical Treatment of Cerebral Aneurysms at the Bifurcation of the Internal Carotid Artery and lovenox.
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| Table II. Exon-intron borders in the mouse ST8SiaIV gene 5-Exon splice donor CTC ATC GG gtaaatgcat Leu Ile Gly 38 ; GAG ATA AG gtgagtttct Glu Ile Arg 82 ; GTA ATA AG gtgagcatct Val Ile Arg 168 ; GTC AGA GG gtaagtggct Val Arg Gly 266 ; Intron 4: 10 kb Intron 3: 23 kb Intron 2: 7.5 kb Size of intron Intron 1: 6 kb Splice acceptor 3-exon tcttttcag A GAT GGT Asp Gly ccaatacag G AAG AAC Lys Asn tttcctcag G TGC AAT Cys Asn gtttcttag A TAC TGG Tyr Trp.
This work was supported in part by grants GM 32165 and GM 48349 from the National Institutes of Health. 1 Abbreviations used are: CYP2E1, cytochrome P450 2E1; NAPQI, N-acetylp-benzoquinone imine. Send reprint requests to: John T. Slattery, Ph.D., Department of Pharmaceutics, Box 357610, University of Washington, Seattle, WA 98195-7610. E-mail: jts u.washington and lupron.
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