Therapeutic effects of ciprofloxacin on the pharmacokinetics of carbamazepine in healthy adult male volunteers.
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Shahzadi A, Javed I, Aslam B, Muhammad F, Asi MR, Ashraf MY, Zia-ur-Rahman
Therapeutic effects of ciprofloxacin on the pharmacokinetics of carbamazepine in healthy adult male volunteers.
Pak J Pharm Sci. 2011 Jan;24(1):63-8.
- PubMed ID
- 21190921 [ View in PubMed]
- Abstract
Carbamazepine is a (CYP1A2 and CYP3A4 enzyme inducer) medicine which is used by epileptic patients for a long time. During the course of therapy, patients are generally caught by other diseases like urinary tract infections, upper respiratory tract infection, skin and soft tissue infection etc. To cure them, physicians commonly prescribe fluoroquinolones like Ciprofloxacin (CYP1A2 inhibitor) along with Carbamazepine (CBZ). Interactions may result without recognition which may lead to unforeseen toxicity, untoward effects or even therapeutic failure. Therefore, studies were conducted to investigate the effect of Ciprofloxacin on the pharmacokinetics of carbamazepine in healthy adult male volunteers. The main objective of this study was to generate new knowledge regarding CBZ and ciprofloxacin interaction for physicians and research workers dealing with these medicines. Eight healthy adult male volunteers were selected to assess the effect of ciprofloxacin on the pharmacokinetics of carbamazepine. After overnight fast the selected male volunteers were given CBZ orally. Blood samples were drawn at different time intervals after medication. Then the same volunteers were given CBZ along with ciprofloxacin. Blood samples were again drawn at the same time intervals as done previously. Plasma was separated from the blood samples. Concentration of CBZ in the plasma samples was determined by using HPLC technique. Results of the present study indicated that ciprofloxacin significantly increased the plasma concentration of CBZ when given concurrently to the healthy adult male volunteers. Ciprofloxacin increased Cmax, AUC and t(1/2) while it decreased the CL and Vd of CBZ when administered concurrently to the adult volunteers. Change in pharmacokinetic parameters was due to slow metabolism or elimination of CBZ when given concurrently with ciprofloxacin to the adult volunteers. This is probably due to the inhibition of CYP3A4 isoenzyme by ciprofloxacin which is responsible for metabolism of CBZ. Ciprofloxacin increased the plasma concentration of CBZ so dose adjustment as well as drug monitoring of CBZ is required when both the drugs are given concurrently. The knowledge regarding interaction between ciprofloxacin and CBZ would be helpful for the pharmaceutical industries, physicians and a blessing for the patients.
DrugBank Data that Cites this Article
- Drug Enzymes
Drug Enzyme Kind Organism Pharmacological Action Actions Besifloxacin Cytochrome P450 1A2 Protein Humans NoInhibitorDetails Cinoxacin Cytochrome P450 1A2 Protein Humans NoInhibitorDetails Gemifloxacin Cytochrome P450 1A2 Protein Humans NoInhibitorDetails Nemonoxacin Cytochrome P450 1A2 Protein Humans NoInhibitorDetails Norfloxacin Cytochrome P450 1A2 Protein Humans UnknownInhibitorDetails Orbifloxacin Cytochrome P450 1A2 Protein Humans NoInhibitorDetails Prulifloxacin Cytochrome P450 1A2 Protein Humans NoInhibitorDetails Rosoxacin Cytochrome P450 1A2 Protein Humans NoInhibitorDetails Rufloxacin Cytochrome P450 1A2 Protein Humans NoInhibitorDetails Sarafloxacin Cytochrome P450 1A2 Protein Humans NoInhibitorDetails Sitafloxacin Cytochrome P450 1A2 Protein Humans NoInhibitorDetails Sparfloxacin Cytochrome P450 1A2 Protein Humans UnknownInhibitorDetails - Drug Interactions
Drugs Interaction Integrate drug-drug
interactions in your softwareCarbamazepineCiprofloxacin The serum concentration of Carbamazepine can be increased when it is combined with Ciprofloxacin.