The pharmacokinetics and distribution of ticarcillin and clavulanic acid were studied in rats and rabbits after intravenous coadministration of the compounds. The elimination half-lives for ticarcillin and clavulanic acid were similar in both rats (ticarcillin, 0.22 h; clavulanic acid, 0.24 h) and rabbits (ticarcillin, 0.38 h; clavulanic acid, 0.31 h). Both compounds distributed widely throughout rat tissues, and the patterns of distribution were similar to those observed for other j3-lactams. Values for penetration into rat pleural, peritoneal, and subcutaneous fluids calculated from the equation (AUCfljd/AUC,.rum) x 100, where AUC is the area under the concentration-time curve, were between 83 and 93% for ticarcillin and 86 and 103% for clavulanic acid. Values for penetration into tissue cages in rabbits were 139% 45% for ticarcillin and 109% + 22% for clavulanic acid. The penetration of clavulanic acid into rabbit cerebrospinal fluid was higher (P < 0.05) (4.0% 0.61%) than that of ticarcillin (1.3% ± 0.53%). Overall, the results show that ticarcillin and clavulanic acid distribute readily throughout body tissues and fluids and predict that the penicillin and ,-lactamase inhibitor would be present together at sites of infection.Ticarcillin is active against a broad range of gram-positive and -negative bacteria, including Pseudomonas aeruginosa. It shows moderate stability in the presence of the Richmond class I ,-lactamases but is inactivated by most other ,Blactamases encountered in clinical isolates. In the presence of the ,B-lactamase inhibitor clavulanic acid, however, the spectrum of activity is extended to include many bacterial strains resistant to ticarcillin alone (5,7,15).In the treatment of infections, the inhibitor should display distribution characteristics similar to ticarcillin to achieve effective concentrations of both compounds at infected sites. In the experiments described here, the pharmacokinetics and distribution properties of ticarcillin and clavulanic acid were characterized after intravenous coadministration of the two compounds to rats and rabbits. The doses administered in the experiments were calculated on the basis of dose/ surface area (11) to be comparable with a recommended dose of ticarcillin-clavulanic acid for humans (3 g of ticarcillin with 100 mg of clavulanic acid; 3.1 g of Timentin [Beecham Pharmaceuticals, Worthing, England] The blood samples removed from the rats at 5, 45, and 90 min and from the rabbits at 10 and 60 min were used for determination of the binding of ticarcillin and clavulanic acid to serum proteins. Portions of the samples were kept for bioassay, and the remaining volumes of sera were centrifuged through a Centrifree micropartition system (Amicon, Gloucestershire, England)