The effect of phenylbutazone on the serum protein binding and disposition of sulfadimethoxine (SDM) was investigated in the human and rabbit.
1. When SDM and phenylbutazone were co-administered, phenylbutazone considerably reduced the
in vivo binding of SDM to rabbit serum. However, the co-administration of phenylbutazone had little effect on the
in vivo binding of SDM to human serum.
2. N
4-Acetylsulfadimethoxine (N
4-AcSDM), a major metabolite of SDM, reduced the
in vitro binding of SDM to rabbit serum, but did not affect the
in vitro binding of SDM to human serum. In the rabbit, the serum concentration of N
4-AcSDM was clearly enhanced by the co-administration of phenylbutazone. Furthermore, phenylbutazone did not cause the reduction in both the
in vitro bindings of SDM to human and rabbit serum. These findings indicated that in the case of rabbit, phenylbutazone indirectly reduced the
in vivo binding of SDM to serum through the displacing effect of N
4-AcSDM.
3. The co-administration of phenylbutazone, as expected, significantly increased the total body clearance and steady-state volume of distribution of SDM in the rabbit, but did not in the human.
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