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右美托咪定经马舌下给药后的药代动力学和药效学

Pharmacokinetics and pharmacodynamics of detomidine following sublingual administration to horses.

作者信息

Dimaio Knych Heather K, Stanley Scott D

机构信息

K. L. Maddy Equine Analytical Chemistry Laboratory, Department of Veterinary Molecular Biosciences, School of Veterinary Medicine, University of California-Davis, Davis, CA 95616, USA.

出版信息

Am J Vet Res. 2011 Oct;72(10):1378-85. doi: 10.2460/ajvr.72.10.1378.

DOI:10.2460/ajvr.72.10.1378
PMID:21962281
Abstract

OBJECTIVE

To characterize pharmacokinetics and pharmacodynamics of detomidine gel administered sublingually in accordance with label instructions to establish appropriate withdrawal guidelines for horses before competition.

ANIMALS

12 adult racehorses.

PROCEDURES

Horses received a single sublingual administration of 0.04 mg of detomidine/kg. Blood samples were collected before and up to 72 hours after drug administration. Urine samples were collected for 5 days after detomidine administration. Plasma and urine samples were analyzed via liquid chromatography-mass spectrometry, and resulting data were analyzed by use of noncompartmental analysis. Chin-to-ground distance, heart rate and rhythm, glucose concentration, PCV, and plasma protein concentration were also assessed following detomidine administration.

RESULTS

Mean ± SD terminal elimination half-life of detomidine was 1.5 ± 1 hours. Metabolite concentrations were below the limit of detection (0.02, 0.1, and 0.5 ng/mL for detomidine, carboxydetomidine, and hydroxydetomidine, respectively) in plasma by 24 hours. Concentrations of detomidine and its metabolites were below the limit of detection (0.05 ng/mL for detomidine and 0.10 ng/mL for carboxydetomidine and hydroxydetomidine) in urine by 3 days. All horses had various degrees of sedation after detomidine administration. Time of onset was ≤ 40 minutes, and duration of sedation was approximately 2 hours. Significant decreases, relative to values at time 0, were detected for chin-to-ground distance and heart rate. There was an increased incidence and exacerbation of preexisting atrioventricular blocks after detomidine administration.

CONCLUSIONS AND CLINICAL RELEVANCE

A 48-hour and 3-day withdrawal period for detection in plasma and urine samples, respectively, should be adopted for sublingual administration of detomidine gel.

摘要

目的

根据标签说明,对舌下给予右美托咪定凝胶的药代动力学和药效学进行表征,以制定赛马比赛前适当的停药指南。

动物

12匹成年赛马。

程序

马匹接受0.04 mg/kg右美托咪定的单次舌下给药。在给药前及给药后长达72小时采集血样。在右美托咪定给药后5天收集尿样。通过液相色谱-质谱法分析血浆和尿样,并使用非房室分析对所得数据进行分析。在右美托咪定给药后还评估了下颌至地面距离、心率和心律、葡萄糖浓度、红细胞压积和血浆蛋白浓度。

结果

右美托咪定的平均±标准差终末消除半衰期为1.5±1小时。到24小时时,血浆中代谢物浓度低于检测限(右美托咪定、羧基右美托咪定和羟基右美托咪定分别为0.02、0.1和0.5 ng/mL)。到3天时,尿中右美托咪定及其代谢物浓度低于检测限(右美托咪定为0.05 ng/mL,羧基右美托咪定和羟基右美托咪定为0.10 ng/mL)。所有马匹在右美托咪定给药后均有不同程度的镇静作用。起效时间≤40分钟,镇静持续时间约为2小时。相对于0时的值,下颌至地面距离和心率显著降低。右美托咪定给药后,既往存在的房室传导阻滞的发生率增加且加重。

结论及临床意义

舌下给予右美托咪定凝胶时,血浆和尿样检测的停药期应分别采用48小时和3天。

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