Para-aminosalicylic acid plasma concentrations in children in comparison with adults after receiving a granular slow-release preparation

J Trop Pediatr. 2013 Apr;59(2):90-4. doi: 10.1093/tropej/fms053. Epub 2012 Nov 21.

Abstract

There are no paediatric data regarding slow-release para-aminosalicylic acid (PAS). We studied PAS plasma concentrations in 10 children receiving a single 150 mg/kg dose daily or 75 mg/kg twice daily and 12 adults receiving 4 g twice daily. Blood specimens pre-dose and 2, 4, 6, 8 and 12 h post-dose from the children and 2, 3, 4, 5, 6, 8 and 12 h post-dose from the adults were analysed by high performance liquid chromatography MS/MS. The mean Cmax in children receiving PAS 75 mg/kg and 150 mg/kg and adults receiving 4 g was 45.40, 56.49 and 51.3 µg/ml, respectively (p = 0.614); the AUC0-12 was 233.3, 277.9 and 368.0 µg/h/ml (p = 0.587). No parameters differed significantly between children and adults nor between the two doses in the same children. A 150 mg/kg PAS dosage given as one or two daily doses leads to plasma concentrations in children similar to those of adults receiving 4 g PAS twice daily.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Aminosalicylic Acid / administration & dosage
  • Aminosalicylic Acid / blood
  • Aminosalicylic Acid / pharmacokinetics*
  • Antitubercular Agents / administration & dosage
  • Antitubercular Agents / blood
  • Antitubercular Agents / pharmacokinetics*
  • Area Under Curve
  • Body Weight
  • Child
  • Child, Preschool
  • Chromatography, High Pressure Liquid
  • Delayed-Action Preparations
  • Dose-Response Relationship, Drug
  • Drug Administration Schedule
  • Female
  • Humans
  • Infant
  • Male
  • Middle Aged
  • Prospective Studies
  • South Africa
  • Tandem Mass Spectrometry
  • Tuberculosis / drug therapy*
  • Young Adult

Substances

  • Antitubercular Agents
  • Delayed-Action Preparations
  • Aminosalicylic Acid