Interaction of beta-lactam antibiotics on bilirubin-albumin complex: comparison by three methods, total bilirubin, unbound bilirubin and erythrocyte-bound bilirubin

Chemotherapy. 1990;36(2):91-7. doi: 10.1159/000238753.

Abstract

The effects of 'third-generation' cephalosporins and penicillin analogues on the concentrations of total unconjugated bilirubin, unbound bilirubin and erythrocyte-bound bilirubin were determined in blood samples. This study was performed, in vitro, at two bilirubin/albumin molar ratios and at various concentrations of antibiotics. The most effective displacers, considering the three methods, were antibiotics tightly bound to albumin: ceftriaxone and cefotetan. Cefoperazone, which is bound to albumin as tightly as these two antibiotics, caused no significant increase in unbound bilirubin but should be considered as a displacer drug on the basis of the variations of erythrocyte-bound bilirubin and total bilirubin. We suggest that drug interaction on bilirubin-albumin binding be investigated by several methods.

Publication types

  • Comparative Study

MeSH terms

  • Anti-Bacterial Agents / blood
  • Anti-Bacterial Agents / metabolism*
  • Anti-Bacterial Agents / pharmacology
  • Bilirubin / blood
  • Bilirubin / metabolism*
  • Drug Interactions
  • Erythrocytes / analysis
  • Erythrocytes / metabolism*
  • Humans
  • Protein Binding / drug effects
  • Serum Albumin / analysis
  • Serum Albumin / metabolism*
  • beta-Lactams

Substances

  • Anti-Bacterial Agents
  • Serum Albumin
  • beta-Lactams
  • Bilirubin