mayur661
☆    

India,
2010-06-02 17:05
(5864 d 16:50 ago)

Posting: # 5413
Views: 8,921
 

 Azithromycin [Design Issues]

Azithromycin suspension is for paediatric population BE study is performed on adults. Azithromycin suspension BE study should be performed on body weight basis?


Edit: Category changed. See here. [Helmut]
Dr_Dan
★★  

Germany,
2010-06-02 17:26
(5864 d 16:29 ago)

@ mayur661
Posting: # 5415
Views: 7,463
 

 Azithromycin

Hi
The purpose of a BE study is to detect differences in formulations and it is not necessary to reflect clinical use (that's why you can perform the study in population different to the target population). Therefore you can standardise your dose if you have a two way cross-over design. In a parallel design study you should use body weight adjusted dose to reduce inter-subject variability.
Regards
Dan

Kind regards and have a nice day
Dr_Dan
Helmut
★★★
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Homepage
Vienna, Austria,
2010-06-02 21:47
(5864 d 12:08 ago)

@ mayur661
Posting: # 5417
Views: 7,513
 

 Azithromycin

Dear mayur661,

I would suggest to add a more common name to your signature.

I agree with Dan; see also this post and the linked document.

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kumarnaidu
★    

Mumbai, India,
2016-01-11 13:51
(3815 d 19:04 ago)

@ Helmut
Posting: # 15811
Views: 6,317
 

 Azithromycin

Dear All,
Recently we did one pilot study on Azithromycin Suspension. In this study we found that the reference drug is showing two peaks. And the study fails for the Cmax. Can anybody suggest what could be the possible reason for getting this kind of concentration curve for reference?

Kumar Naidu
Dr_Dan
★★  

Germany,
2016-01-12 17:50
(3814 d 15:04 ago)

@ kumarnaidu
Posting: # 15816
Views: 6,158
 

 Azithromycin

Dear kumarnaidu,
After oral administration, azithromycin is distributed throughout the entire body. Pharmacokinetic studies have shown clearly higher azithromycin levels in the tissues than in the plasma (up to 50 times the maximum observed concentration in plasma). This indicates that the substance is bound in the tissues in considerable quantities.
Kind regards
Dr_Dan

Kind regards and have a nice day
Dr_Dan
nobody
nothing

2016-01-13 09:21
(3813 d 23:34 ago)

@ Dr_Dan
Posting: # 15818
Views: 6,092
 

 Azithromycin

Happy new year everybody!

Secondary peaks may be caused by:

- Discontinuous gastric transit
https://www.ncbi.nlm.nih.gov/pubmed/11456119

- Absorption windows throughout the GI tract

- Enteroheptic circulation/metabolism+GI cleavage
https://www.ncbi.nlm.nih.gov/pubmed/17283195
https://www.ncbi.nlm.nih.gov/pubmed/17201457

- Other things like redistribution from peripheral compartments in a non-linear fashion

- Things I forgot or didn't even know ;-)

btw:

https://www.ncbi.nlm.nih.gov/pubmed/15283305

Kindest regards, nobody
kumarnaidu
★    

Mumbai, India,
2016-01-13 12:01
(3813 d 20:53 ago)

@ nobody
Posting: # 15820
Views: 6,119
 

 Azithromycin

Thanks a lot Dr Dan and Nobody.

Kumar Naidu
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