Guzman David Sanchez-Migallon, Knych Heather K, Olsen Glenn H, Paul-Murphy Joanne R
J Avian Med Surg. 2017 Jun;31(2):102-107. doi: 10.1647/2015-155.
Previous studies have validated the clinical use of opioids with μ-receptor affinities for pain management in raptors. Buprenorphine appears to have a longer duration of action and minimal adverse effects when compared to other opioids in American kestrels ( Falco sparverius ). To determine the pharmacokinetics of a sustained release formulation of buprenorphine in kestrels, we administered a commercially available product (Buprenorphine SR-LAB; Wildlife Pharmaceuticals, Windsor, CO, USA) intramuscularly and subcutaneously to adult kestrels in a partial-crossover experimental design study. A total of 12 birds (6 males and 6 females) were assigned randomly to 3 groups of 4 birds each. A single dose of Buprenorphine SR-LAB (1.8 mg/kg) was administered intramuscularly (IM), and blood samples were collected at 0.25, 3, and 24 hours (n = 4); 1, 6, and 48 hours (n = 4); and 2, 12, and 72 hours (n = 4) after drug administration. Plasma buprenorphine concentrations were measured by tandem liquid chromatography-mass spectrometry. Pharmacokinetic parameters were determined by use of least squares linear regression and noncompartmental analysis of naïve pooled data. After 1 year, the same dose of buprenorphine was administered subcutaneously (SC) to 12 birds divided into 3 groups as previously, and blood samples were collected at the same times after drug administration. Maximum plasma buprenorphine concentration was measured at 15 minutes after IM and SC administration. Mean plasma buprenorphine concentrations were >1 ng/mL for 48 hours after IM and SC administration. The elimination half-life was 13.5 and 11.1 hours for IM and SC administration, respectively. Depending on the severity and type of pain, adjunctive therapy, and the individual response, Buprenorphine SR-LAB administered at 1.8 mg/kg IM or SC to American kestrels would require administration every 12 to 72 hours to manage pain. Further pharmacodynamic and clinical evaluations are warranted in kestrels and other raptors to establish accurate dosing recommendations.
先前的研究已经证实,具有μ受体亲和力的阿片类药物在猛禽疼痛管理中的临床应用是有效的。与美国红隼(Falco sparverius)中的其他阿片类药物相比,丁丙诺啡似乎具有更长的作用持续时间和最小的不良反应。为了确定丁丙诺啡缓释制剂在红隼体内的药代动力学,我们在一项部分交叉实验设计研究中,对成年红隼进行了肌肉注射和皮下注射一种市售产品(丁丙诺啡SR-LAB;Wildlife Pharmaceuticals,美国科罗拉多州温莎市)。总共12只鸟(6只雄性和6只雌性)被随机分为3组,每组4只。单次肌肉注射丁丙诺啡SR-LAB(1.8mg/kg),并在给药后0.25、3和24小时(n = 4);1、6和48小时(n = 4);以及2、12和72小时(n = 4)采集血样。通过串联液相色谱-质谱法测量血浆丁丙诺啡浓度。药代动力学参数通过对原始汇总数据进行最小二乘线性回归和非房室分析来确定。1年后,将相同剂量的丁丙诺啡皮下注射给12只鸟,这些鸟如前所述分为3组,并在给药后相同时间采集血样。肌肉注射和皮下注射后15分钟测量血浆丁丙诺啡的最大浓度。肌肉注射和皮下注射后48小时内,血浆丁丙诺啡平均浓度>1ng/mL。肌肉注射和皮下注射的消除半衰期分别为13.5小时和11.1小时。根据疼痛的严重程度和类型、辅助治疗以及个体反应,以1.8mg/kg的剂量肌肉注射或皮下注射给美国红隼的丁丙诺啡SR-LAB,需要每12至72小时给药一次以控制疼痛。有必要对红隼和其他猛禽进行进一步的药效学和临床评估,以建立准确的给药建议。