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The purpose of this study was to assess the stability of colistin and colistin methanesulphonate (CMS) in human plasma under storage conditions typically used in clinical pharmacokinetic (PK) and PK/pharmacodynamic (PD) investigations.Human plasma (pH adjusted to 7.4) containing colistin (2 mg/L) or CMS (2 or 30 mg/L) was stored at −20, −70 or −80°C for 6–12 months. At periodic intervals, the concentrations of colistin in colistin-spiked samples, and of CMS and formed colistin in CMS-spiked samples, were analysed (n = 3 replicates at each time) by HPLC.The time course of colistin concentrations in colistin-spiked plasma showed a substantially better stability at −80 and −70°C than at −20°C. With regard to CMS-spiked plasma of 2 and 30 mg/L stored at −80 and −70°C, no quantifiable colistin formed over a 4 month period. However, the plasma spiked to 2 mg/L stored at −20°C showed a substantial concentration of colistin (∼0.4 mg/L) within 2 months. At all three storage temperatures, the stability of CMS was substantially better for the plasma spiked to contain 30 mg/L as compared with 2 mg/L.The results of our long-term stability study have significant implications for those involved in conducting clinical PK and PK/PD studies with CMS/colistin.