Donato Giulia, Caspanello Tiziana, De Majo Massimo, Masucci Marisa, Iannelli Diego, Santoro Silvia, Caprì Alessandra, Iannelli Nicola Maria, Pennisi Maria Grazia
Department of Veterinary Science, University of Messina, 98168 Messina, Italy.
Clinica Veterinaria Camagna-VetPartners, 89124 Reggio di Calabria, Italy.
Vet Sci. 2024 Jan 18;11(1):39. doi: 10.3390/vetsci11010039.
Domperidone is used as an immunomodulatory drug for infection and disease in dogs. However, a pro-arrhythmic side effect, caused by prolonged QT intervals, is reported in humans. This pilot study evaluated the corrected QT (QTc) interval in dogs treated with domperidone for preventive or therapeutic management of leishmaniosis. The electrocardiogram and blood concentration of creatinine, urea nitrogen, sodium, potassium, and chloride were evaluated seven days before the start and on the last day of therapy in 17 dogs receiving domperidone for four weeks. In two dogs, the QTc interval was measured before and 2 h, 3 h, and 12 h after administration of the drug on the first day of treatment. After treatment, QTc measures and chloride concentrations increased significantly, although the QTc value slightly exceeded the upper reference limit only in one dog, and chloride concentrations were always normal. Creatinine concentrations significantly decreased after therapy. In the two dogs monitored at different times on the first day of treatment, QTc values were always normal. Domperidone caused a slight prolongation of QTc interval, and further studies should be made for a risk assessment in dogs with cardiac diseases, electrolytic imbalance, and in those receiving drugs increasing QT interval or competing with domperidone metabolism.
多潘立酮被用作犬类感染和疾病的免疫调节药物。然而,据报道,在人类中,它会因QT间期延长而产生促心律失常的副作用。这项初步研究评估了用多潘立酮治疗利什曼病的预防或治疗的犬类的校正QT(QTc)间期。在17只接受四周多潘立酮治疗的犬类中,在治疗开始前七天和治疗最后一天评估了心电图以及肌酐、尿素氮、钠、钾和氯的血药浓度。在两只犬中,在治疗第一天给药前以及给药后2小时、3小时和12小时测量了QTc间期。治疗后,QTc测量值和氯浓度显著增加,尽管只有一只犬的QTc值略超过参考上限,且氯浓度始终正常。治疗后肌酐浓度显著降低。在治疗第一天不同时间监测的两只犬中,QTc值始终正常。多潘立酮导致QTc间期略有延长,对于患有心脏病、电解质失衡的犬类以及正在接受延长QT间期或与多潘立酮代谢竞争的药物的犬类,应进行进一步研究以进行风险评估。