Dow S W, Rosychuk R A, McChesney A E, Curtis C R
Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins 80523.
Am J Vet Res. 1990 Jul;51(7):1131-8.
Flunixin meglumine has been reported to induce gastrointestinal lesions in dogs when administered at therapeutic dosages. We administered flunixin meglumine to dogs daily for 10 days to assess the effect of this drug on the gastrointestinal tract. We also evaluated the possibility of corticosteroid potentiation of gastrointestinal toxicosis by concurrent administration of prednisone to 1 group of dogs. Dogs were monitored for gastrointestinal toxicosis by means of serial endoscopic evaluation, measurement of fecal occult blood, PCV, and total solid concentration, and by physical examination. There were 3 treatment groups of 5 dogs each. Group-1 dogs were given 2.2 mg of flunixin meglumine/kg daily, in 2 divided doses IM; group-2 dogs were given 4.4 mg of flunixin meglumine/kg daily, in 2 divided doses IM; and group-3 dogs were given 2.2 mg of flunixin meglumine/kg daily, in 2 divided doses IM plus 1.1 mg of prednisone/kg/d orally, in 2 divided doses. A fourth group of 5 dogs served as a control group. Endoscopically visible gastric mucosal lesions developed in all treated dogs within 4 days of initiating treatment. Lesions first developed in the gastric pylorus and antrum and lesions at these sites were more severe than those observed elsewhere. Dogs treated with flunixin meglumine plus prednisone developed the earliest and most severe lesions; lesion scores in group-2 dogs were higher than those in group-1 dogs. All dogs treated had occult blood in their feces by day 5 and its presence appeared to correlate more closely with endoscopic findings than did physical examination findings or changes in values for PCV or total solids.(ABSTRACT TRUNCATED AT 250 WORDS)
据报道,氟尼辛葡甲胺以治疗剂量给药时会在犬类中引发胃肠道病变。我们对犬类每日给予氟尼辛葡甲胺,持续10天,以评估该药物对胃肠道的影响。我们还评估了一组犬类同时给予泼尼松时皮质类固醇增强胃肠道中毒的可能性。通过连续内镜评估、粪便潜血测量、红细胞压积和总固体浓度测量以及体格检查来监测犬类的胃肠道中毒情况。有3个治疗组,每组5只犬。第1组犬每日按2.2毫克/千克的氟尼辛葡甲胺剂量,分2次肌肉注射;第2组犬每日按4.4毫克/千克的氟尼辛葡甲胺剂量,分2次肌肉注射;第3组犬每日按2.2毫克/千克的氟尼辛葡甲胺剂量,分2次肌肉注射,外加每日按1.1毫克/千克的泼尼松剂量,分2次口服。第四组5只犬作为对照组。在开始治疗后的4天内,所有接受治疗的犬类均出现了内镜可见的胃黏膜病变。病变首先出现在胃幽门和胃窦,这些部位的病变比其他部位观察到的更严重。接受氟尼辛葡甲胺加泼尼松治疗的犬类出现病变最早且最严重;第2组犬的病变评分高于第1组犬。到第5天时,所有接受治疗的犬类粪便中均有潜血,其出现似乎与内镜检查结果的相关性比体格检查结果或红细胞压积或总固体值的变化更密切。(摘要截取自250字)