# Pharmacokinetics of Antibiotics in Crocodiles: A Review

**Authors:** Seavchou Laut, Saranya Poapolathep, Pandaree Sitthiangkool, Narumol Klangkaew, Napasorn Phaochoosak, Mario Giorgi, Elena Badillo, Elisa Escudero, Pedro Marín, Amnart Poapolathep

PMC · DOI: 10.3390/ani15101363 · Animals : an Open Access Journal from MDPI · 2025-05-08

## TL;DR

This review highlights the challenges in antibiotic dosing for crocodiles due to species-specific pharmacokinetic differences and calls for more research to improve treatment safety and effectiveness.

## Contribution

The paper emphasizes the need for species-specific pharmacokinetic studies to develop standardized antibiotic dosing in crocodiles.

## Key findings

- Pharmacokinetic variability exists among crocodilian species, affecting drug absorption, distribution, metabolism, and elimination.
- Environmental factors like temperature significantly influence antibiotic pharmacokinetics in crocodiles.
- Limited pharmacological data and standardized dosing regimens increase the risk of under- or over-dosing in clinical and conservation settings.

## Abstract

Antibiotics are used to treat bacterial infections in crocodiles; however, determining appropriate dosing regimens remains challenging due to interspecies variations in pharmacokinetics and the limited availability of pharmacological data. This review critically examined the commonly used antibiotics, their therapeutic efficacy, and the factors influencing optimal dosage. It identified the need for further pharmacokinetic (PK) and pharmacodynamic (PD) research to refine dosing strategies, thereby improving treatment outcomes and minimizing the risk of adverse effects.

This review aims to provide an overview of the pharmacokinetics of antibiotics in crocodilian species, focusing on species-specific variations in drug absorption, distribution, metabolism, and elimination (ADME), as well as the influence of environmental factors. A review of the available literature across crocodilian species reveals notable pharmacokinetic variability. Environmental influences, such as temperature and metabolic rate, are shown to impact these pharmacokinetic parameters significantly. Despite the frequent use of antibiotics in clinical and conservation settings, the lack of standardized dosing regimens presents risks of under- or over-dosing. This variability is compounded by limited research on species-specific drug metabolism and elimination processes. The review highlights the need for further pharmacokinetic studies to develop evidence-based dosing protocols, optimize therapeutic outcomes, and address concerns related to antimicrobial resistance. Future research should focus on filling the gaps in PK data to refine dosing strategies and ensure both efficacy and safety in crocodilian species.

## Full-text entities

- **Diseases:** tremors (MESH:D014202), sinusitis (MESH:D012852), pain (MESH:D010146), C. siamensis (OMIM:211750), pharyngitis (MESH:D010612), respiratory diseases (MESH:D012140), death (MESH:D003643), injury to (MESH:D014947), abscesses (MESH:D000038), urinary tract infections (MESH:D014552), toxicity (MESH:D064420), joint defects (MESH:D007592), irritation (MESH:D001523), Aeromonas hydrophila infections (MESH:D007239), compromised renal function (MESH:D058186), pneumonia (MESH:D011014), Gram-negative bacterial (MESH:D016905), bacterial disease (MESH:D001424), tetany (MESH:D013746), neuromuscular blockade (MESH:D020879), bacterial infectious diseases (MESH:D003141), nervous disorders (MESH:D009422), necrosis (MESH:D009336)
- **Chemicals:** tetracycline (MESH:D013752), Penicillins (MESH:D010406), aminoacyl-tRNA (MESH:D012346), Aminoglycosides (MESH:D000617), Azithromycin (MESH:D017963), cefotaxime (MESH:D002439), Enrofloxacin (MESH:D000077422), ENR (-), Clarithromycin (MESH:D017291), streptomycin (MESH:D013307), beta-lactam antibiotics (MESH:D008997), Fluoroquinolones (MESH:D024841), Ketolides (MESH:D048628), amikacin (MESH:D000583), ciprofloxacin (MESH:D002939), ceftriaxone (MESH:D002443), Macrolides (MESH:D018942), ceftiofur (MESH:C053503), Cephalosporins (MESH:D002511), Tetracyclines (MESH:D013754), ceftazidime (MESH:D002442), danofloxacin (MESH:C068581), marbofloxacin (MESH:C080260), oxytetracycline (MESH:D010118), neomycin (MESH:D009355), VP (MESH:C038467), Amoxicillin trihydrate (MESH:D000658), erythromycin (MESH:D004917), kanamycin (MESH:D007612), Gentamicin (MESH:D005839), tildipirosin (MESH:C576258), Beta-lactams (MESH:D047090), tobramycin (MESH:D014031)
- **Species:** Escherichia coli (E. coli, species) [taxon 562], Serpentes (snakes, infraorder) [taxon 8570], Chlamydia (genus) [taxon 810], Homo sapiens (human, species) [taxon 9606], Crocodylus porosus (Australian saltwater crocodile, species) [taxon 8502], Bacteria Latreille et al. 1825 (Bacteria stick insect, genus) [taxon 629395], Crocodylidae (crocodiles, family) [taxon 8493], Crocodylus siamensis (Siamese crocodile, species) [taxon 68455], Mycoplasma (genus) [taxon 2093], Metazoa (animals, kingdom) [taxon 33208], Aeromonas hydrophila (species) [taxon 644], Alligator mississippiensis (American alligator, species) [taxon 8496]

## Full text

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## References

72 references — full list in the complete paper: https://tomesphere.com/paper/PMC12108404/full.md

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Source: https://tomesphere.com/paper/PMC12108404