S. Soback et al., EFFECT OF LACTATION ON SINGLE-DOSE PHARMACOKINETICS OF NORFLOXACIN NICOTINATE IN EWES, Antimicrobial agents and chemotherapy, 38(10), 1994, pp. 2336-2339
In a three-way crossover trial, six healthy Finnish-Merino-Awassi ewes
were given a single intravenous injection of norfloxacin nicotinate (
in a dose equivalent to 25 mg of norfloxacin base per kg of body weigh
t) during nursing, 1 day after weaning, and 1 month after weaning. Blo
od and milk samples were collected at different time intervals followi
ng dosing, and norfloxacin concentrations were determined by a highper
formance liquid chromatography assay. The serum drug concentration ver
sus time data were analyzed by a noncompartmental approach which was b
ased on the statistical-moment theory. The total body clearance values
were 4.2 +/- 1.3 (injection during nursing), 1.6 +/- 0.3 (injection 1
day after weaning), and 3.1 +/- 0.8 ml/min/kg (injection 1 month afte
r weaning). The mean residence times were 335 +/- 83, 797 +/- 129, and
481 +/- 102 min and terminal half-lives were 266 +/- 51, 603 +/- 94,
and 372 +/- 68 min for the respective treatments. The estimated volume
s of distribution at steady state were 1.3 +/- 0.1, 1.2 +/- 0.1, and 1
.4 +/- 0.2 liter/kg for the respective treatments. Milk norfloxacin co
ncentrations were up to 40 times higher than the corresponding concent
rations in serum during lactation. Accordingly, in ewes with 1.5 liter
of milk in the udder more than half of the drug in the animal appeare
d to be in the milk. Therapeutic concentrations of norfloxacin could b
e detected in the sera of suckling lambs, implicating that fluoroquino
lone therapy should be discouraged during breast feeding. In lactating
ewes and in ewes with full udders, moment analysis calculations did n
ot show a significant difference between the system moment mean reside
nce time and the system matrix mean residence time values. Thus, the p
harmacokinetics of norfloxacin in the three groups could be described
by the classical two-compartment open-body model with input and output
occurring from the central compartment. The results did not support t
he existence of a distinguishable milk compartment. Milk secretion see
med to act as one of the clearance processes of the drug when milk was
continuously removed.