Lees Peter
The Royal Veterinary College, Hawkshead Campus, North Mymms, Hatfield, Hertfordshire AL9 7TA, UK.
Inflammopharmacology. 2003;11(4):385-99. doi: 10.1163/156856003322699564.
As in humans, pain in animals may be associated with a wide range of conditions and circumstances, ranging from acute trauma to joint diseases. Joint diseases are common in companion animal medicine (horse, dog, cat) and at least 80% of cases are classified as osteoarthritis (OA). Several drug classes are available for OA therapy, including corticosteroids, non-steroidal antiinflammatory drugs (NSAIDs), agents with potential disease modifying properties and nutraceuticals. For long-term maintenance OA treatment, particularly in the horse and dog, NSAIDs are routinely and extensively used. This review outlines the pharmacokinetics (PK) and pharmacodynamics (PD) of NSAIDs in companion and farm animal species. NSAID PK and PD have been studied in models of acute inflammation, which enable use of PK-PD modeling to facilitate (a) studies of mechanism of action at the molecular level and (b) prediction of dosages for clinical use. The PK-PD approach is a powerful but underutilized tool which also facilitates inter-species comparisons.
与人类一样,动物的疼痛可能与多种病症和情况相关,从急性创伤到关节疾病不等。关节疾病在伴侣动物医学(马、狗、猫)中很常见,至少80%的病例被归类为骨关节炎(OA)。有几类药物可用于OA治疗,包括皮质类固醇、非甾体抗炎药(NSAIDs)、具有潜在疾病修饰特性的药物和营养保健品。对于长期维持性OA治疗,特别是在马和狗中,NSAIDs被常规且广泛使用。本综述概述了NSAIDs在伴侣动物和农场动物物种中的药代动力学(PK)和药效动力学(PD)。NSAID的PK和PD已在急性炎症模型中进行了研究,这使得能够使用PK-PD模型来促进(a)分子水平作用机制的研究和(b)临床使用剂量的预测。PK-PD方法是一种强大但未充分利用的工具,它也有助于种间比较。