Transformation and Excretion of Drugs in Biological Systems. IX. Interactions between Sulfinpyrazone and Sulfonamides, and between Oxyphenbutazone and Sulfonamides in Dogs

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Interactions between sulfinpyrazone and sulfonamides, and between oxyphenbutazone and sulfonamides, were investigated in dogs. The plasma level of sulfamethizole, sulfamethizole-N4-acetate and sulfisomezole-N4-acetate were prolonged by coadministration of sulfinpyrazone or oxyphenbutazone. But no alteration was observed in plasma level patterns of sulfisomezole and sulfanilamide. Sulfinpyrazone and oxyphenbutazone possess some displacing activity towards sulfonamides bound to dog plasma proteins. In renal clearance experiments, the clearance ratios of sulfamethizole, sulfamethizole-N4-acetate, and sulfisomezole-N4-acetate were markedly decreased after sulfinpyrazone infusion. The effect of oxyphenbutazone on sulfonamide excretion was relatively small compared with that of sulfinpyrazone, and oxyphenbutazone remarkably decreased the clearance ratio of sulfamethizole only. It became clear that prolongations of plasma levels of the certain sulfonamides by SPZ or OPB, are mainly caused by competitive interactions between the certain sulfonamides and the two anti-inflammatory drugs at renal secretory level.

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