1. Pharmacodynamic interference between rifampicin and isoniazid.
- Author
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Llorens J, Serrano RJ, and Sanchez R
- Subjects
- Alanine Transaminase blood, Alkaline Phosphatase blood, Aspartate Aminotransferases blood, Bilirubin blood, Child, Preschool, Drug Interactions, Drug Therapy, Combination, Female, Humans, Isoniazid blood, Isoniazid urine, Liver Function Tests, Male, Prothrombin analysis, Rifampin blood, Rifampin urine, Isoniazid pharmacology, Liver drug effects, Rifampin pharmacology
- Abstract
This study includes 30 children below the age of 3 years, distributed in three groups of 10 children each. One group received 15 mg/kg/day of rifampicin (RAMP), the other received 15 mg/kg/day of isoniazid (INH) and the third received both drugs (RAMP + INH) at the same doses. Plasma levels of RAMP and INH were determined. At the same time, some hepatic function parameters were analyzed: bilirubin, transaminases, alkaline phosphatases and prothrombin. Plasma levels of INH administered alone show significantly higher levels on the 7th day with respect to the 1st day, thus demonstrating a marked tendency towards the accumulation of successive doses. Very significant differences exist between initial and final values of transaminases in the RAMP + INH group. There are no significant differences in the other two groups. These data suggest a hepatic overload when both drugs are simultaneously administered.
- Published
- 1978
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