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Chloromycetin and Renal/liver disease

Result of checking the interaction of drug Chloromycetin and disease Renal/liver disease for safety when used together.

Check result:

Chloromycetin <> Renal/liver disease

Relevance: 23.07.2019 Reviewer: Shkutko P.M., M.D., in

When checking interaction based on authoritative sources Drugs.com, Rxlist.com, Webmd.com, Medscape.com there are contraindications or side effects that may cause harm or increase the negative effect from drug use in presence of concomitant diseases.

Consumer:

Chloramphenicol is primarily inactivated by glucuronyl transferase in the liver and eliminated in the urine as both parent drug and metabolites. In adults with normal renal and hepatic function, only 5% to 15% of a dose of chloramphenicol is excreted unchanged by the kidney, but approximately 30% is excreted when chloramphenicol is administered intravenously as the sodium succinate ester. However, the fraction of drug excreted unchanged may be highly variable, especially in neonates and children. Therapy with chloramphenicol should be administered cautiously in patients with significantly impaired renal and/or hepatic function, since drug accumulation may occur in such patients. The dosage should be reduced based on the degree of impairment as well as plasma drug concentrations.

References:

Narang AP, Dattta DV, Nath N, Mathur VS "Pharmacokinetic study of chloramphenicol in patients with liver disease." Eur J Clin Pharmacol 20 (1981): 479-83
Nahata MC, Powell DA "Bioavailability and clearance of chloramphenicol after intravenous chloramphenicol succinate." Clin Pharmacol Ther 30 (1981): 368-72
Azzollini F, Gazzaniga A, Lodola E, Natangelo R "Elimination of chloramphenicol and thiamphenicol in subjects with cirrhosis of the liver." Int J Clin Pharmacol Ther Toxicol 6 (1972): 130-4
"Product Information. Chloromycetin (chloramphenicol)." Parke-Davis, Morris Plains, NJ.
Slaughter RL, Pieper JA, Cerra FB, et al "Chloramphenicol sodium succinate kinetics in critically ill patients." Clin Pharmacol Ther 28 (1979): 69-77
Koup JR, Lau AH, Brodsky B, Slaughter RL "Chloramphenicol pharmacokinetics in hospitalized patients." Antimicrob Agents Chemother 15 (1979): 651-7
Burke JT, Wargin WA, Sheretz RJ, et al "Pharmacokinetics of intravenous chloramphenicol sodium succinate in adult patients with normal renal and hepatic function." J Pharmacokinet Biopharm 10 (1982): 601-14

Chloromycetin

Generic Name: chloramphenicol

Brand Name:

Synonyms: n.a.

What is Chloromycetin?