modelJ01RA03

Diagram of J01RA03

Extends from Pharmacokinetic.Models.PK_1C.

Information

name:CefuroximeAndMetronidazole
ATC code:J01RA03
route:intravenous
compartments:1
dosage:1500mg
volume of distribution:18L
clearance:1200mL/min
other parameters in model implementation

Cefuroxime and metronidazole (ATC code J01RA03) is a fixed-dose combination of two antimicrobial agents. Cefuroxime is a second-generation cephalosporin antibiotic effective against a range of Gram-positive and Gram-negative bacteria, mainly used for perioperative prophylaxis and treatment of various infections. Metronidazole is an antiprotozoal and antibacterial agent particularly effective against anaerobic bacteria and protozoa, widely used for intra-abdominal and gynecological infections. This combination is used to provide broad-spectrum coverage for mixed infections, including surgical prophylaxis and treatment of intra-abdominal infections. Both drugs are approved and used in clinical practice.

Pharmacokinetics

No published pharmacokinetic models were found for the fixed-dose cefuroxime and metronidazole combination. Instead, typical adult pharmacokinetic parameters for intravenous administration were estimated from literature for each component.

References

  1. Sullins, AK, & Abdel-Rahman, SM (2013). Pharmacokinetics of antibacterial agents in the CSF of children and adolescents. Paediatric drugs 15(2) 93–117. DOI:10.1007/s40272-013-0017-5 PUBMED:https://pubmed.ncbi.nlm.nih.gov/23529866

Parameters

TypeNameDefaultDescription
Modelica.Units.SI.Massweight (from PK_1C)75patient weight (kg)
Modelica.Units.SI.SpecificVolumeVdPerKg (from PK_1C)0.9Volume of distribution (L/kg)
Modelica.Units.SI.MassFractionF (from PK_1C)0.8bioavailiability (0-1)
Pharmacolibrary.Types.ClearanceCl (from PK_1C)20clearance
Modelica.Units.SI.TimeadminTime (from PK_1C)60first administration time (s)
Modelica.Units.SI.TimeadminDuration (from PK_1C)600administration duration (s)
Modelica.Units.SI.TimeadminPeriod (from PK_1C)8*60*60period of administration (default 8 hours)(s)
Pharmacolibrary.Types.MassadminMass (from PK_1C)1000administration mass (mg)
IntegeradminCount (from PK_1C)8number of dose administered (1)
Pharmacolibrary.Types.VolumeVd (from PK_1C)VdPerKg*weightVolume of distribution (m3)
Pharmacolibrary.Types.MassConcentrationCmin (from PK_1C)0.004minimal therapeutic range
Pharmacolibrary.Types.MassConcentrationCmax (from PK_1C)0.008minimal therapeutic range
Pharmacolibrary.Types.MassConcentrationCtox_peak (from PK_1C)0.012toxicity peak level
Pharmacolibrary.Types.MassConcentrationCtox_trough (from PK_1C)0.006toxicity trough level

Connectors

TypeNameDefaultDescription
Types.ConcentrationOutputC_central (from PK_1C)
Interfaces.ConcentrationPort_bcentralCPort (from PK_1C)

Components

TypeNameDefaultDescription
Pharmacokinetic.NoPerfusedTissueCompartmentcentral (from PK_1C)
Pharmacokinetic.ClearanceDrivenEliminationelim (from PK_1C)
Sources.PeriodicDoseperiodicDose (from PK_1C)
Modelica.Units.SI.Timet1_2 (from PK_1C)elimination half-life

Revisions

  • 06/2025 Tomas Kulhanek, generated model from data extracted from PUBMED, DrugBank and LLM(GPT4.1)