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Pharmacokinetics - parenteral medication

Groups of five pigs received intramuscular (i/m) doses of tiamulin base 11mg/kg and 22mg/kg bodyweight (equivalent to 13.6 and 27.2mg thf/kg bodyweight respectively) once daily for four consecutive days. (Trials by Anderson M.D. and others [?])
 

On the last day of medication the pigs were killed and the tissues harvested for microbiological assay. The results are shown in the following table.

 

USA Anderson, M.D. and others (1994)
Parenteral
dosage rate (thf)
equivalent
Tiamutin® (tiamulin) activity (μg/g)
Lung Tonsils Colon
mucosa
Colon
contents
13.6mg/kg 26.9 3.23 2.58 3.09
27.2mg/kg 71.0 8.44 8.99 24.9
a = < limit of sensitivity of assay

 
 

A further study was conducted by McKellar, Q. A. and others (2004) to determine the plasma and target tissue distribution of Tiamutin injectable following a single i/m injection of 15mg tiamulin hydrogen fumarate per kg bodyweight.
 

Blood, lung tissue, colon wall and colon contents were collected and all samples stored at -20ºC until analysis.
 

The following parameters were determined:
 

C max – mean maximum plasma concentration
AUC - area under plasma concentration time curve
T max - Time of C max
AUC - area under plasma concentration time curve
MRT - mean residence time (See table below)

 
 

UK McKellar, Q.A. and others (2004)
Pharmacokinetics of Tiamutin® (tiamulin) in tissues calculated from mean concentrations from each time of kill following single i/m injection of tiamulin
  Plasma Colon
wall
Colon
contents
Lung
AUC (μg h/ml) 12.82 64.51 314.23 231.52
AUMC (μg h2/ml) 252.02 1252.78 9013.0 3868.1
MRT (h) 19.66 19.42 28.68 16.71
C max (μg/ml) 0.61 2.27 12.75 9.60
t max (h) 4.00 6.00 24.00 4.00
a = < limit of sensitivity of assay

 
 

The C max and AUC values were very much higher for colon wall, colon contents and lung, than for plasma.
 

The mean tiamulin plasma and tissue levels are depicted below.

 

UK McKellar, Q.A. and others (2004)
Pharmacokinetics of Tiamutin® (tiamulin) in tissues calculated from mean concentrations from each time of kill following single i/m injection of tiamulin

 
 

The concentrations of tiamulin in the lung tissues were much higher than in plasma. The ratio of mean lung/plasma concentrations were between 15:1 and 19:1 from 2 to 4 hours post-injection and even larger at 24 hrs and 32 hrs post-injection.
 

Mean lung concentrations were quite constant at approx 8.0µg/ml between 2 and 8 hours post-injection and were still in excess of 3.0µg/ml at 32 hours post-injection.
 

This study demonstrated that tissue concentrations in target tissues such as lung, colon and colon contents, achieved with a single i/m injectable dose of 15mg thf/kg bodyweight, exceeded the MIC values for key respiratory and enteric pathogens e.g. M. hyopneumoniae, Actinobacillus pleuropneumoniae, Brachyspira hyodysenteriae, Brachyspira pilosicoli and Lawsonia intracellularis.
 

 

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