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Antimicrobial Agents and Chemotherapy, February 2001, p. 612-615, Vol. 45, No. 2
0066-4804/01/$04.00+0   DOI: 10.1128/AAC.45.2.612-615.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.

Comparative Toxicities and Pharmacokinetics of Intrathecal Lipid (Amphotericin B Colloidal Dispersion) and Conventional Deoxycholate Formulations of Amphotericin B in Rabbits

Karl V. Clemons,1,2,3,* Raymond A. Sobel,4,5 Paul L. Williams,1,6 and David A. Stevens1,2,3

California Institute for Medical Research,1 and Department of Medicine, Division of Infectious Diseases,2 Santa Clara Valley Medical Center, San Jose, California 95128; Department of Medicine, Division of Infectious Diseases and Geographic Medicine,3 and Department of Pathology,4 Stanford University, Stanford, California 94305; Palo Alto Veterans Affairs Health Care System,5 Palo Alto, California 94304; and Kaweah Delta District Hospital, Visalia, CA 932916

Received 18 January 2000/Returned for modification 28 July 2000/Accepted 25 October 2000

The lipid formulation of amphotericin B, Amphotec (ABCD), has not been used intrathecally. After a single intrathecal dose or after four doses, conventionally formulated deoxycholate amphotericin B (AMB) (Fungizone) resulted in higher levels of amphotericin B in the cerebrospinal fluid of rabbits than did ABCD. Clinically and histologically, ABCD was about threefold less toxic than AMB after a single dose and 3- to 30-fold less toxic after multiple dosing. These data are encouraging for the potential use of ABCD as an intrathecal treatment.


* Corresponding author. Mailing address: Division of Infectious Diseases, Santa Clara Valley Medical Center, 751 South Bascom Ave., San Jose, CA 95128. Phone: (408) 998-4557. Fax: (408) 998-2723. E-mail: Karl.Clemons{at}slip.net.


Antimicrobial Agents and Chemotherapy, February 2001, p. 612-615, Vol. 45, No. 2
0066-4804/01/$04.00+0   DOI: 10.1128/AAC.45.2.612-615.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.



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