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Antimicrobial Agents and Chemotherapy, February 2001, p. 612-615, Vol. 45, No. 2
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.
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
*
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.
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