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1 From the Departments of Pharmacology and Bacteriology, The Medical-Research Division, Sharp and Dohme, Inc. Glenolden, Penna.
It has been found that the continuous infusion of sodium p-aminohippurate facilitates a physiological economy by the body of single intravenous injections of penicillin. When compared with similar experiments, wherein penicillin but no p-aminohippuric acid was injected, the effectiveness of the latter agent may be judged by: 1) the prolonged maintenance of a determinable plasma concentration of penicillin, 2) a marked prolongation of the period of time over which penicillin was excreted, 3) a definite descrease in the rate of excretion of penicillin, and 4) a marked decrease in the amount of penicillin recovered in the urine in a given period of time.
It was concluded that the manner in which this effect has been produced was by a competition between p-aminohippuric acid and penicillin for excretion by the renal tubular epithelium. This appeared to be the case, since the renal clearance of penicillin, which normally approximates the renal plasma flow of dogs, can be depressed to or below that measuring glomerular filtration rate by the simultaneous administration of sodium p-aminohippurate intravenously to maintain a plasma concentration that causes its own clearance to be less than maximal.
Submitted on August 16, 1944
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