Camargo F C, Robinson N E, Berney C, Eberhart S, Baker S, Detolve P, Derksen F J, Lehner A F, Hughes C, Tobin T
Maxwell H. Gluck Equine Research Center and the Department of Veterinary Science, University of Kentucky, Lexington, Kentucky 40546, USA.
Equine Vet J. 2007 May;39(3):215-20. doi: 10.2746/042516407x173334.
The bronchodilator effects of trimetoquinol (TMQ) have been studied when administered i.v. or intratracheally, but not in an aerosolised form.
To define the relationship between the therapeutic and adverse responses (therapeutic index) of TMQ when administered as an aerosol or by the oral route.
Increasing doses of TMQ were administered to horses with heaves as an aerosol and by the oral route. Dose ranged 100-1000 microg/horse for aerosolised TMQ and from 6-60 microg/kg bwt for the oral route. Airway and cardiac effects were assessed by measurement of maximal change in pleural pressure (deltaPplmax) and heart rate (HR), respectively. Side effects of sweating, agitation and muscle trembling were scored subjectively. Duration of action of aerosolised (1000 pg/horse) and oral (6-60 microg/kg bwt) TMQ was evaluated over 6 h.
Aerosol administration of TMQ caused dose-dependent bronchodilation but did not change HR or cause other observable side effects. When 1000 microg/horse was administered via aerosol, TMQ produced a 2-phase bronchodilation; an immediate effect lasting up to 30 min and a second phase between 2 and 4 h. Oral TMQ was therapeutically ineffective.
Aerosol administration of TMQ is a safe and effective method of producing bronchodilation in horses.
曲美托喹(TMQ)的支气管扩张作用已在静脉注射或气管内给药时进行过研究,但未对雾化形式进行研究。
确定TMQ以气雾剂或口服方式给药时的治疗反应与不良反应之间的关系(治疗指数)。
对患慢性阻塞性肺病的马匹以气雾剂和口服方式给予递增剂量的TMQ。气雾剂形式的TMQ剂量范围为100 - 1000微克/匹马,口服途径的剂量为6 - 60微克/千克体重。分别通过测量胸膜压力最大变化(deltaPplmax)和心率(HR)来评估气道和心脏效应。对出汗、躁动和肌肉颤抖等副作用进行主观评分。评估雾化(1000微克/匹马)和口服(6 - 60微克/千克体重)TMQ在6小时内的作用持续时间。
雾化给予TMQ引起剂量依赖性支气管扩张,但未改变心率或引起其他可观察到的副作用。当通过气雾剂给予1000微克/匹马时,TMQ产生双相支气管扩张;立即效应持续长达30分钟,第二阶段在2至4小时之间。口服TMQ治疗无效。
雾化给予TMQ是在马匹中产生支气管扩张的一种安全有效的方法。