PMID- 29899212 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220409 IS - 2077-0383 (Print) IS - 2077-0383 (Electronic) IS - 2077-0383 (Linking) VI - 7 IP - 6 DP - 2018 Jun 14 TI - Pharmacokinetics of Tedizolid and Pseudoephedrine Administered Alone or in Combination in Healthy Volunteers. LID - 10.3390/jcm7060150 [doi] LID - 150 AB - Therapeutic doses of tedizolid phosphate, an oxazolidinone antibiotic, lack monoamine oxidase inhibition in vivo, potentially resulting in an improved safety profile versus other oxazolidinones. This randomized, double-blind, placebo-controlled, 2-period, 2-sequence, crossover, phase 1 study (NCT01577459) assessed the potential for pharmacokinetic (PK) interactions between tedizolid and pseudoephedrine. Eighteen healthy volunteers (age: 18(-)45 years) were block-randomized to 1 of 2 treatment sequences containing 2 treatment periods (tedizolid phosphate or placebo once daily for 4 days; single dose of pseudoephedrine 60 mg on day 5) separated by a 2-day washout. Median time to maximum plasma concentration for tedizolid and pseudoephedrine ranged from 3 to 4 h, regardless of treatment coadministration. Steady-state tedizolid had no effect on the PK of pseudoephedrine; geometric mean ratio and 90% confidence interval remained within the no-effect 0.8 to 1.25 boundaries. The maximum observed concentration of tedizolid decreased by approximately 14% when pseudoephedrine was coadministered; no changes in the area under the plasma concentration-time curve or the minimum observed plasma concentration occurred. All adverse events (AEs) were mild, and there were no serious AEs or study drug discontinuations. No meaningful PK interactions occurred between tedizolid and pseudoephedrine, and tedizolid was well tolerated when administered in conjunction with pseudoephedrine. FAU - Flanagan, Shawn AU - Flanagan S AD - Merck & Co., Inc., Kenilworth, NJ 07033, USA. sf.in.sd@earthlink.net. FAU - Minassian, Sonia L AU - Minassian SL AD - Minassian Biostatistics, Inc., San Diego, CA 92121, USA. sminassi@yahoo.com. FAU - Prokocimer, Philippe AU - Prokocimer P AD - Merck & Co., Inc., Kenilworth, NJ 07033, USA. ppkprokocimer@gmail.com. LA - eng PT - Journal Article DEP - 20180614 PL - Switzerland TA - J Clin Med JT - Journal of clinical medicine JID - 101606588 PMC - PMC6025247 OTO - NOTNLM OT - acute bacterial skin infections OT - antibiotics OT - drug interactions OT - infectious disease OT - oxazolidinone OT - pharmacokinetics COIS- S.F. was an employee of Merck at the time of the study. P.P. was an employee and a stockholder of Merck at the time of the study. S.L.M. is a consultant to Merck and was compensated for supporting this research. The authors have no other funding or conflicts of interest to disclose. EDAT- 2018/06/15 06:00 MHDA- 2018/06/15 06:01 PMCR- 2018/06/14 CRDT- 2018/06/15 06:00 PHST- 2018/06/06 00:00 [received] PHST- 2018/06/13 00:00 [accepted] PHST- 2018/06/15 06:00 [entrez] PHST- 2018/06/15 06:00 [pubmed] PHST- 2018/06/15 06:01 [medline] PHST- 2018/06/14 00:00 [pmc-release] AID - jcm7060150 [pii] AID - jcm-07-00150 [pii] AID - 10.3390/jcm7060150 [doi] PST - epublish SO - J Clin Med. 2018 Jun 14;7(6):150. doi: 10.3390/jcm7060150.