Safety in use due to outstanding systemic tolerability
Taurolidine is also licensed as an active pharmaceutical ingredient for the local treatment of infections such as peritonitis; up to 200 ml of taurolidine 2 % are instilled daily into the abdominal cavity and absorbed fully through the peritoneum. So far, no systemic side effects have been identified. The safety of taurolidine has also been confirmed in clinical studies with long-term intravenous administration of high doses (up to 20 g daily). (1) In the body, taurolidine is metabolised rapidly via the metabolites taurultam and methylol taurinamide, which also have an anti-microbial action, to taurine, an endogenous aminosulphonic acid, CO₂ and H₂O. (2) Therefore, no toxic effects are known or expected in the event of accidental injection.
- Gong, L., H. E. Greenberg, et al. (2007). “The pharmacokinetics of taurolidine metabolites in healthy volunteers.” J Clin Pharmacol 47(6): 697–703.
- Knight, B. I., G. G. Skellern, et al. (1981). “The characterisation and quantitation by high- performance liquid chromatography of the metabolites of taurolin.” Br J Clin Pharmacol 12 (3): 439–40.