In-vivo activity and tolerance of conventional formulation versus fat emulsion formulation of amphotericin B in experimental disseminated candidiasis in neutropenic rabbits

J Antimicrob Chemother. 1997 Mar;39(3):427-30. doi: 10.1093/jac/39.3.427.

Abstract

Amphotericin B can cause significant toxicity but this can be reduced by direct dilution into a fat emulsion (Intralipid). To investigate the potential use of amphotericin B diluted in Intralipid, a study was made of its activity in the treatment of subacute disseminated candidiasis in persistently granulocytopenic rabbits, compared with the same dose of amphotericin B diluted in dextrose. Amphotericin-B-fat emulsion was at least as effective as amphotericin-B-dextrose. Amphotericin-B-fat emulsion was significantly more effective than amphotericin-B-dextrose therapy in reducing candida colony counts in both kidney and liver tissues (P < 0.05). Furthermore, amphotericin-B-fat emulsion was found less toxic on the renal function than conventional amphotericin B (P < 0.05). From these experimental results, we conclude that amphotericin-B-fat emulsion (Intralipid) was at least as effective and less toxic than conventional amphotericin B.

Publication types

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

MeSH terms

  • Amphotericin B / administration & dosage*
  • Amphotericin B / therapeutic use
  • Amphotericin B / toxicity
  • Animals
  • Candidiasis / complications
  • Candidiasis / drug therapy*
  • Creatinine / blood
  • Fat Emulsions, Intravenous
  • Glucose
  • Kidney / drug effects
  • Male
  • Neutropenia / complications
  • Neutropenia / physiopathology*
  • Rabbits
  • Urea / blood

Substances

  • Fat Emulsions, Intravenous
  • Amphotericin B
  • Urea
  • Creatinine
  • Glucose