Pharmacokinetics of a New Parenteral Formulation of
Tilmicosin-La in Cows
Lilia Gutiérrez1,
Rodrigo Soriano1,Ismael Martínez-Cortes2,
Jorge Miranda-Calderon1 and Héctor Sumano1*
1Departamento de Fisiología y Farmacología and
2Departamento de Medicina en Rumiantes Facultad de
Medicina Veterinaria y Zootecnia. Universidad Nacional Autónoma de
México. Av. Universidad 3000, Delegación Coyoacán, Ciudad de México
C.P. 04510, México *Corresponding author: sumano@ unam.mx
Abstract
The blood serum pharmacokinetics of a
Poloxamer-407 based new pharmaceutical preparation of 39% tilmicosin was
determined in cows. Two dose levels injected SC, were assessed: 10 mg/kg
(Til-LA10) and 26 mg/kg (Til-LA26). Tilmicosin was
determined using HPLC, also electrocardiographic (EKG) monitoring in all animals
before and at 1, 2 and 4 h after the injection of the drug was performed to
measure key EKG parameters, including heart rate. Maximum serum concentration
values were 2.6 µg/mL and 1.23 µg/mL, occurring 4.9 and 5.1 h after the
injection of Til-LA26 and Til-LA10, respectively. Mean
residence time was statistically larger for Til-LA26 (50.4±5.8 h)
than Til-LA10 (37.4±4.7 h) (P<0.05), with T½el of 39.8 h
for Til-LA26 and 33.2 h for Til-LA10. There were no
differences in relative bioavailability as adjusted for dose (AUMC of 8663
µg/mLžh2 for Til-LA26 and 2858 µg/mLžh2 for
Til-LA10). This new formulation as dosed for Til-LA26
possesses a long T½el of tilmicosin and resulted in a lack of changes
in the EKG and heart rate. Based on PK/PD ratios tilmicosin is regarded as a
time-dependent antibacterial drug. Considering a theoretical minimum therapeutic
serum concentration (MTC) of 0.1 µg/mL useful concentrations can be achieved
for up to 192 h with Til-LA26 and an AUC/MTC ratio of 1514 without
cardiac toxicity. Further studies are necessary to correlate PK/PD parameters
obtained with clinical efficacy and a more thorough analysis of cardiac toxicity
is required to determine the suitability of this preparation in bovine medicine.