학술논문

Pharmacokinetics and efficacy of orally administered acetaminophen (paracetamol) in adult horses with experimentally induced endotoxemia
Document Type
article
Source
Journal of Veterinary Internal Medicine. 37(2)
Subject
Veterinary Sciences
Agricultural
Veterinary and Food Sciences
Emerging Infectious Diseases
Infectious Diseases
Digestive Diseases
Sepsis
Clinical Trials and Supportive Activities
Hematology
Clinical Research
Brain Disorders
Evaluation of treatments and therapeutic interventions
6.1 Pharmaceuticals
Horses
Animals
Acetaminophen
Endotoxemia
Cross-Over Studies
Chromatography
Liquid
Tandem Mass Spectrometry
Horse Diseases
acetaminophen
fever
horse
pyrexia
Veterinary sciences
Language
Abstract
BackgroundAcetaminophen has been evaluated in horses for treatment of musculoskeletal pain but not as an antipyretic.ObjectivesTo determine the pharmacokinetics and efficacy of acetaminophen compared to placebo and flunixin meglumine in adult horses with experimentally induced endotoxemia.AnimalsEight university owned research horses with experimentally induced endotoxemia.MethodsRandomized placebo controlled crossover study. Horses were treated with acetaminophen (30 mg/kg PO; APAP), flunixin meglumine (1.1 mg/kg, PO; FLU), and placebo (PO; PLAC) 2 hours after administration of LPS. Plasma APAP was analyzed via LC-MS/MS. Serial CBC, lactate, serum amyloid A, heart rate and rectal temperature were evaluated. Serum IL-1β, IL-6, IL-8, IL-10, and TNF-α were evaluated by an equine-specific multiplex assay.ResultsMean maximum plasma APAP concentration was 13.97 ± 2.74 μg/mL within 0.6 ± 0.3 hour after administration. At 4 and 6 hours after treatment, both APAP (P =