Drug Res (Stuttg) 2014; 64(7): 343-347
DOI: 10.1055/s-0033-1358695
Original Article
© Georg Thieme Verlag KG Stuttgart · New York

Effect of Diclofenac on the Pharmacokinetics of Moxifloxacin in Rats

L. Chen
1   Department of Pediatrics of Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University, Shanghai, China
,
S. Guo
1   Department of Pediatrics of Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University, Shanghai, China
,
M. Xu
1   Department of Pediatrics of Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University, Shanghai, China
,
L.-X. Wu
1   Department of Pediatrics of Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University, Shanghai, China
,
J.-H. Zhang
1   Department of Pediatrics of Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University, Shanghai, China
› Author Affiliations
Further Information

Publication History

received 23 September 2013

accepted 10 October 2013

Publication Date:
13 November 2013 (online)

Abstract

A sensitive and specific method was developed and validated for the determination of moxifloxacin in plasma using HPLC. The effect of diclofenac (12.5, 25, 50 mg/kg) on the pharmacokinetics of orally administered moxifloxacin (40 mg/kg) in rats was investigated. Pharmacokinetic parameters of moxifloxacin were determined in rats following oral administration to rats in the presence and absence of diclofenac. The coadministration of the 2 drugs resulted in 10~29.5% decrease of the AUC and a 24.7~34% decrease of t1/2 for moxifloxacin; Tmax for moxifloxacin was 1.41~1.9-fold higher than that after the administration of moxifloxacin alone; Cmax for moxifloxacin decreased by 20.5~49%, as compared to that after the administration of moxifloxacin alone. Consequently, moxifloxacin and diclofenac should be monitored closely for potential drug interactions.

 
  • References

  • 1 Owens Jr RC, Ambrose PG. Antimicrobial safety: focus on fluoroquinolones. Clin Infect Dis 2005; 41: S144-S157
  • 2 Miravitlles M. Moxifloxacin in respiratory tract infections. Expert Opin Pharmacother 2005; 6: 283-293
  • 3 Lipsky BA, Baker CA. Fluoroquinolone toxicity profiles: a review focusing on newer agents. Clin Infect Dis 1999; 28: 352-364
  • 4 Shirasaki T, Harata N, Nakaye T et al. Interaction of various non-steroidal anti-inflammatories and quinolone antimicrobials on GABA response in rat dissociated hippocampal pyramidal neurons. Brain Res 1991; 562: 329-331
  • 5 Kita H, Matsuo H, Takanaga H et al. In vivo and in vitro toxicodynamic analyses of new quinolone- and nonsteroidal anti-inflammatory drug-induced effects on the central nervous system. Antimicrob Agents Chemother 1999; 43: 1091-1097
  • 6 Kim J, Ohtani H, Tsujimoto M et al. Quantitative comparison of the convulsive activity of combinations of twelve fluoroquinolones with five nonsteroidal antiinflammatory agents. Drug Metab Pharmacokinet 2009; 24: 167-174
  • 7 Matsuo H, Ryu M, Nagata A et al. Neurotoxicodynamics of the interaction between ciprofloxacin and foscarnet in mice. Antimicrob. Agents Chemother 1998; 42: 691-694
  • 8 Kumar AK, Sudha V, Srinivasan R et al. Simple and rapid liquid chromatography method for determination of moxifloxacin in saliva. J Chromatogr B Analyt Technol Biomed Life Sci 2011; 879: 3663-3667
  • 9 Chamseddin C, Jira TH. Comparison of the chromatographic behavior of levofloxacin, ciprofloxacin and moxifloxacin on various HPLC phases. Pharmazie 2011; 66: 244-248
  • 10 Xu YH, Li D, Liu XY et al. High performance liquid chromatography assay with ultraviolet detection for moxifloxacin: validation and application to a pharmacokinetic study in Chinese volunteers. J Chromatogr B Analyt Technol Biomed Life Sci 2010; 878: 3437-3441