Oral absorption efficiency of acid-labile antibiotics from lipid-drug delivery systems

J Pharm Sci. 1975 May;64(5):869-72. doi: 10.1002/jps.2600640535.

Abstract

The utility of cholesterol, cholesteryl acetate, and beta-sitosterol in protecting and improving the oral absorption efficiency of acid-labile antibiotics is discussed. The potassium salts of penicillin G and penicillin V and erythromycin lactobionate were studied. The stability of the two penicillins in simulated gastric fluid was determined iodometrically. The rank order of acid protective activity was: cholesteryl acetate greater than beta-sitosterol greater than cholesterol. Oral administration of erythromycin lactobionate coated with cholesteryl acetate produced a twofold increase in human urinary excretion of erythromycin when compared with the uncoated material. Potassium salts of penicillin G and penicillin V coated with cholesteryl acetate yielded 1.6- and 2-fold higher urine levels, respectively, as compared with the uncoated candidates.

MeSH terms

  • Absorption
  • Administration, Oral
  • Adult
  • Anti-Bacterial Agents / administration & dosage
  • Anti-Bacterial Agents / metabolism*
  • Biological Availability
  • Cholesterol
  • Drug Stability
  • Erythromycin / metabolism
  • Humans
  • Lipids*
  • Male
  • Penicillin G / metabolism
  • Penicillin V / metabolism
  • Pharmaceutical Vehicles
  • Sitosterols
  • Tablets, Enteric-Coated

Substances

  • Anti-Bacterial Agents
  • Lipids
  • Pharmaceutical Vehicles
  • Sitosterols
  • Tablets, Enteric-Coated
  • Erythromycin
  • Cholesterol
  • Penicillin G
  • Penicillin V