The pharmacokinetics of netilmicin, gentamicin, and tobramycin in plasma and in perilymph of guinea pigs were studied after a single intravenous Ototoxicity on both the vestibular and cochlear portions of the inner ear is a recognized side effect of aminoglycoside antibiotic therapy. It has been reported that the aminoglycoside antibiotics that are widely used in clinical practice, such as gentamicin, tobramycin, and amikacin, show similar perilymph drug concentrations (5) and provoke substantially overlapping ototoxic reactions (1, 3, 5, 9). Studies on neomycin, streptomycin, dihydrostreptomycin, and kanamycin (8, 11) also have shown that the relative ability of each aminoglycoside antibiotic to reach greater perilymph concentration was directly related to the extent of their ototoxic damage in guinea pigs. These data suggest a possible relationship between the drug concentration achieved in the inner ear and the ototoxicity of aminoglycoside antibiotics.Netilmicin, a new semisynthetic aminoglycoside antibiotic and a 1-N-ethyl derivative of sisomicin, has been demonstrated in animals to be several times less ototoxic (1, 2, 4, 12) than gentamicin, tobramycin, sisomicin, amikacin, and kanamycin. Since the available information on the pharmacokinetics of aminoglycoside antibiotics in guinea pigs is limited, the present study was conducted to obtain detailed pharmacokinetics of gentamicin, netilmicin, and tobramycin in the perilymph as well as in the plasma of guinea pigs. A possible relationship between the pharmacokinetic properties of the aminoglycoside antibiotics and their comparative ototoxicities was also examined.
MATERIALS AND METHODSStudy procedure. A total of 157 guinea pigs weighing between 300 and 350 g and with normal Preyer's reflex were used in this study.For the pharmacokinetic study in plasma, 15 of the experimental animals were randomly divided into three drug treatment groups of 5 animals each. Each animal was anesthetized with tribromoethanol (200 mg/kg, intraperitoneal injection), and both the left jugular vein and right carotid artery were cannulated. The animals were then placed in restricted cages. After complete recovery from anesthesia, the assigned drug (gentamicin, netilmicin, or tobramycin) was administered intravenously into the jugular vein at a dose of 40