Volume 11, Number 5, 165-168, DOI: 10.1007/BF01959465

Faecal level of urobilinogen: an indication for the risk of superinfection and of failure of oral anticonception?

E. J. Vollaard, M. M. Jankowiak, N. F. Muller and H. A. L. Clasener

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Abstract

The influence of clindamycin, dicloxacillin, minocycline and norfloxacin on the faecal concentration of urobilinogen was investigated. The studied drugs were administered orally in standard dosage for six days to groups of six volunteers. A decrease in faecal concentration of urobilinogen following administration of clindamycin (P<0.01) and="" dicloxacillin=""><0.05) was="" found.="" the="" possible="" predictive="" value="" of="" a="" decrease="" of="" the="" faecal="" level="" of="" urobilinogen="" as="" an="" indicator="" for="" the="" impairment="" of="" microbial="" colonization="" resistance="" and="" for="" the="" risk="" of="" failure="" of="" oral="" anticonceptive="" treatment="" is="" discussed.="" it="" is="" suggested="" that="" clindamycin="" and="" dicloxacillin="" should="" not="" be="" combined="" with="" oral="" anticonceptive="" treatment="" unless="" more="" specific="" investigations="" have="" excluded="" interaction="" of="" these="" drugs="" with="" the="" oestrogen="" metabolism="" in="" the="">

Keywords  Clindamycin - Colonization resistance - Contraceptives, oral - Dicloxacillin - Drug interactions - Minocycline - Norfloxacin - Urobilinogen

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