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Antimicrobial Agents and Chemotherapy, June 1998, p. 1512-1514, Vol. 42, No. 6
0066-4804/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.

Pharmacokinetic Studies of Fluconazole in Rabbits Characterizing Doses Which Achieve Peak Levels in Serum and Area under the Concentration-Time Curve Values Which Mimic Those of High-Dose Fluconazole in Humans

Arnold Louie,1 Qing-Feng Liu,1 George L. Drusano,1,2 Weiguo Liu,1 Martin Mayers,3 Elias Anaissie,4,dagger and Michael H. Miller1,*

Divisions of Infectious Diseases1 and Clinical Pharmacology,2 Albany Medical College, Albany, New York 12208; Department of Ophthalmology, Albert Einstein College of Medicine, Bronx, New York 100173; and Section of Infectious Diseases, University of Texas M. D. Anderson Cancer Center, Houston, Texas 770304

Received 23 May 1997/Returned for modification 17 October 1997/Accepted 19 March 1998

We conducted steady-state pharmacokinetic studies with high-dose fluconazole with rabbits and human volunteers. We then derived mathematical equations that predict the doses of fluconazole that should be given to rabbits to produce 24-h area under the concentration-time curve values and maximum concentrations in serum that are similar to those measured for humans given 800 to 2,000 mg of fluconazole per day. These equations provide a rational basis for designing future efficacy studies with rabbits and in evaluating the strength with which results of previously conducted studies using rabbit infection models can be extrapolated to the clinic.


* Corresponding author. Mailing address: Division of Infectious Diseases, Mail Code A-49, Albany Medical College, Albany, NY 12208. Phone: (518) 262-5343. Fax: (518) 262-6727. E-mail: michael_miller{at}ccgateway.amc.edu.

dagger Present address: University of Arkansas Medical Science Center, Little Rock, AR 72205.


Antimicrobial Agents and Chemotherapy, June 1998, p. 1512-1514, Vol. 42, No. 6
0066-4804/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.



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