Kc. Gamble et al., ITRACONAZOLE PLASMA AND TISSUE CONCENTRATIONS IN THE SPINY LIZARD (SCELOPORUS SP) FOLLOWING ONCE-DAILY DOSING, Journal of zoo and wildlife medicine, 28(1), 1997, pp. 89-93
Mycotic infections in reptiles present as primary diseases and as seco
ndary problems in healing wounds and immunocompromised animals. A tria
zole antimycotic drug, itraconazole is orally active and well distribu
ted and is effective against many common fungal pathogens in humans. T
o assess plasma and tissue concentrations after oral dosing in reptile
s, a 23.5-mg/kg (mean) itraconazole dose was administered orally with
a standard food bolus once daily for 3 days to 10 groups of three or f
our spiny lizards (Sceloporus sp.). On days 0, 1, 2, 3, 4, 6, 9, 12, a
nd 18, group samples of blood, liver, and muscle were collected. Micro
biologic assay of itraconazole concentrations was performed on these p
ooled samples. Values from an elimination graph of the concentrations
of area under the curve (377.21 mu g.hr/ml) and terminal elimination h
alf-life (48.3 hr) were obtained for itraconazole in spiny lizard plas
ma. Peak itraconazole concentration of 2.48 mu g/ml was obtained in tw
o half-lives and would be expected to achieve steady state at approxim
ately 3.1 mu g/ml plasma concentration in 10 days. Peak liver concentr
ation of 4.27 mu g/ml was attained in 89.95 hr. Muscle concentration d
id not exceed 0.63 mu g/ml and declined by 97.3 hr. With this dosing r
egimen, itraconazole plasma and liver concentrations would persist wit
hin reported minimum inhibitory concentrations for many fungal pathoge
ns for 6 days beyond the peak concentration.