2002
DOI: 10.1016/s0378-5173(01)00916-4
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Carbapenem antibiotics inhibit valproic acid transport in Caco-2 cell monolayers

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Cited by 38 publications
(17 citation statements)
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“…Inhibition of multidrug resistance-related protein 1 and/or canalicular multispecific organic anion transporter 2 by RIF is therefore expected to result in decreased bioavailability of CLR (Oswald et al, 2006;Giacomini et al, 2010). In addition, there exists evidence that basolateral transporters have an impact on the absorption of orally administered drugs (Torii et al, 2002). To discover intestinal uptake carriers for macrolides, further research particularly directed toward efflux transporters in the basolateral membrane of enterocytes is needed.…”
Section: Discussionmentioning
confidence: 99%
“…Inhibition of multidrug resistance-related protein 1 and/or canalicular multispecific organic anion transporter 2 by RIF is therefore expected to result in decreased bioavailability of CLR (Oswald et al, 2006;Giacomini et al, 2010). In addition, there exists evidence that basolateral transporters have an impact on the absorption of orally administered drugs (Torii et al, 2002). To discover intestinal uptake carriers for macrolides, further research particularly directed toward efflux transporters in the basolateral membrane of enterocytes is needed.…”
Section: Discussionmentioning
confidence: 99%
“…Since carbapenems are very slightly lipophilic and are hardly absorbed from the gastrointestinal tract when administered orally (20), no non-prodrug carbapenems are being developed for use as oral therapy. Based on our previous study of a suitable series of ester prodrug, we selected medoxomil ester, because of good oral absorption and the risk of formaldehyde generation from a pivoxil ester (21), although pivoxil esters of 2-aryl carbapenems also showed good oral absorption.…”
Section: Resultsmentioning
confidence: 99%
“…Some mechanisms have been proposed for the pharmacokinetic interaction between carbapenem antibiotics and VPA 9–14. They include the suppression of enterohepatic recirculation of VPA by a decrease in the number of enteric bacteria,9 enhancement of glucuronidation of VPA as well as the suppression of VPA glucuronide hydrolysis in the liver,10–13 and direct suppression of the intestinal absorption of VPA at the basolateral membrane by carbapenem antibiotics 13,14…”
Section: Discussionmentioning
confidence: 99%
“…At present, the concomitant use of carbapenem antibiotics with VPA is prohibited in Japan. Regarding the pharmacokinetic interactions between carbapenem antibiotics and VPA, several mechanisms have been proposed focusing on the absorption process of VPA including its enterohepatic recirculation or on the enhanced hepatic metabolism of VPA 9–14. However, further study is necessary to explain the mechanism of the interaction, because the pharmacokinetic interaction between carbapenem antibiotics and VPA is observed relatively rapidly even after the intravenous administration.…”
Section: Introductionmentioning
confidence: 99%