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Topic:Cortisol

Cortisol is a steroid hormone produced by the adrenal glands in horses, playing a significant role in the regulation of metabolism, immune response, and stress management. As a glucocorticoid, cortisol influences various physiological processes, including glucose metabolism, inflammation modulation, and the maintenance of homeostasis during stress. Its levels in horses can vary due to factors such as exercise, environmental changes, and psychological stressors. Cortisol is often measured to assess stress responses and overall well-being in equine health management. This page compiles peer-reviewed research studies and scholarly articles that explore the production, regulation, and implications of cortisol in equine physiology and health.
Increased cortisol release and transport stress do not influence semen quality and testosterone release in pony stallions.
Theriogenology    February 19, 2015   Volume 84, Issue 1 70-75 doi: 10.1016/j.theriogenology.2015.02.015
Deichsel K, Pasing S, Erber R, Ille N, Palme R, Aurich J, Aurich C.The use of breeding stallions for equestrian competitions requires that fertility is not negatively affected by competition or transport to the competition site. In this study, effects of cortisol release induced by road transport (600 km), adrenocorticotropic hormone (ACTH) administration (3 × 0.5 mg synthetic ACTH) and placebo treatment on semen quality and testosterone release were investigated in Shetland stallions (N = 13) using a crossover design. Saliva for cortisol and blood for testosterone analysis were collected for 10 weeks after treatments. Semen was collected daily for 5 days di...
Pre-analytical stability of adrenocorticotrophic hormone from healthy horses in whole blood, plasma and frozen plasma samples.
Veterinary journal (London, England : 1997)    February 11, 2015   Volume 204, Issue 1 123-124 doi: 10.1016/j.tvjl.2015.02.010
Prutton JS, Kass PH, Watson JL, Pusterla N.The stability of equine adrenocorticotrophic hormone (ACTH) in blood samples is not fully known. The study objectives were to determine ACTH stability (1) in whole blood and plasma over 72 h at either 4 or 21 °C, and (2) in plasma frozen at either -20 or -80 °C over 30 days. Nine horses were sampled and ACTH concentration were measured after storage as whole blood or plasma, at 4, 21, -20 and -80 °C for up to 30 days. The ACTH concentration was significantly reduced at 24 h but remained stable when plasma was frozen at -20 and -80 °C for 30 days. Beyond 24 h, samples stored a...
Effects of season, age, sex, and housing on salivary cortisol concentrations in horses.
Domestic animal endocrinology    January 21, 2015   Volume 52 11-16 doi: 10.1016/j.domaniend.2015.01.003
Aurich J, Wulf M, Ille N, Erber R, von Lewinski M, Palme R, Aurich C.Analysis of salivary cortisol is increasingly used to assess stress responses in horses. Because spontaneous or experimentally induced increases in cortisol concentrations are often relatively small for stress studies, proper controls are needed. This requires an understanding of the factors affecting salivary cortisol over longer times. In this study, we have analyzed salivary cortisol concentration for 6 mo in horses (n = 94) differing in age, sex, reproductive state, and housing. Salivary cortisol followed a diurnal rhythm with the highest concentrations in the morning and a decrease throug...
Serum cortisol concentration in horses with heaves treated with fluticasone proprionate over a 1 year period.
Research in veterinary science    December 23, 2014   Volume 98 112-114 doi: 10.1016/j.rvsc.2014.12.013
Munoz T, Leclere M, Jean D, Lavoie JP.The purpose of this study is to measure the effect of long-term administration of inhaled fluticasone proprionate on cortisol concentrations in heaves-affected horses. Eleven horses with heaves were treated with fluticasone at least once daily at dosages required to improve lung function or with antigen avoidance alone for 1 year. Morning serum cortisol was measured before and after 10, 30, 110, 190, 230, 280, and 320 days of treatment. Cortisol was also measured in the afternoon of day 330. Cortisol was significantly lower in the Fluticasone group on days 30, 110, and 190 when compared with t...
Effects of a continuous rate infusion of butorphanol in isoflurane-anesthetized horses on cardiorespiratory parameters, recovery quality, gastrointestinal motility and serum cortisol concentrations.
Acta cirurgica brasileira    December 18, 2014   Volume 29, Issue 12 801-806 doi: 10.1590/S0102-86502014001900006
Dias BP, Araújo MA, Deschk M, Trein TA, Pinheiro NC, Perri SH, Rodrigues CA, Santos PS.To assess the cardiorespiratory parametes, recovery, gastrointestinal motility and serum cortisol concentrations in horses anesthetized with isoflurane with or without a continuous rate infusion (CRI) of butorphanol for orchiectomy. Methods: Twelve adult, intact, male horses weighing 332 ± 55 kg were included in the study. Xilazine was administered as premedication. Anesthesia was induced with ketamine and midazolam and maintained with isoflurane. Butorphanol (0.025 mg kg-1 bolus) or an equivalent volume of saline (0.9%) was given intravenously followed by a CRI of butorphanol (BG) (13 µg kg...
Dexamethasone acutely regulates endocrine parameters in stallions and subsequently affects gene expression in testicular germ cells.
Animal reproduction science    December 2, 2014   Volume 152 47-54 doi: 10.1016/j.anireprosci.2014.11.007
Ing NH, Brinsko SP, Curley KO, Forrest DW, Love CC, Hinrichs K, Vogelsang MM, Varner DD, Welsh TH.Testicular steroidogenesis and spermatogenesis are negatively impacted by stress-related hormones such as glucocorticoids. The effects of two injections of a therapeutic dose of dexamethasone (a synthetic glucocorticoid, 0.1mg/kg; i.v.) given 24h apart to each of three stallions were investigated and compared to three saline-injected control stallions. Dexamethasone decreased circulating concentrations of cortisol by 50% at 24h after the initial injection. Serum testosterone decreased by a maximum of 94% from 4 to 20h after the initial injection of dexamethasone. Semen parameters of the dexame...
Changes in plasma leptin concentration during different types of exercises performed by horses.
Animal : an international journal of animal bioscience    August 19, 2014   Volume 8, Issue 9 1456-1461 doi: 10.1017/S1751731114001220
Kędzierski W.Leptin is a tissue-derivative adipokine that regulates appetite, food intake and energy expenditure. It is still not clear how exercise affects plasma leptin concentration in horses. The aim of this study was to evaluate the influence of exercise intensity and duration on plasma leptin levels in working horses. A total of 38 horses were prospectively included in the study and grouped according to the type of exercise they performed: dressage (six stallions, group D), jumping (12 stallions, group J), race (12 Thoroughbred horses, six stallions and six mares, group R) and harness (10 light draft...
The relationship of dominance, reproductive state and stress in female horses (Equus caballus).
Behavioural processes    July 21, 2014   Volume 107 15-21 doi: 10.1016/j.beproc.2014.07.005
York CA, Schulte BA.Maintaining a dominant position in a hierarchy requires energetically expensive aggressive displays and physical exertion. Lab based winner-loser studies, often conducted with individuals from non-social species, have shown that subordinates have higher stress hormone levels than dominant individuals. However, in wild studies on cooperative breeders, displays of aggression used to maintain dominance status are associated with elevated stress hormone levels. The effect of reproductive state on dominance and stress has not been addressed within either of these situations. The purpose of this stu...
Effect of different head and neck positions on behaviour, heart rate variability and cortisol levels in lunged Royal Dutch Sport horses.
Veterinary journal (London, England : 1997)    July 16, 2014   Volume 202, Issue 1 26-32 doi: 10.1016/j.tvjl.2014.07.005
Smiet E, Van Dierendonck MC, Sleutjens J, Menheere PP, van Breda E, de Boer D, Back W, Wijnberg ID, van der Kolk JH.Different head-and-neck positions (HNPs) are discussed in relation to potential welfare issues. To evaluate the effect on welfare, seven Royal Dutch Sport horses were studied in five predetermined HNPs: (1) unrestrained (HNP1); (2) neck raised, bridge of nose around the vertical (HNP2); (3) neck lowered and considerably flexed, bridge of nose pointing towards the chest (HNP4); (4) neck raised and extended, bridge of nose in front of the vertical (HNP5), and (5) neck lowered and flexed, bridge of nose pointing towards the carpus (HNP7). A standardised exercise test (SET) of 34 min consisted o...
Neonatal glucocorticoid overexposure programs pituitary-adrenal function in ponies.
Domestic animal endocrinology    July 3, 2014   Volume 50 45-49 doi: 10.1016/j.domaniend.2014.06.006
Jellyman JK, Valenzuela OA, Allen VL, Forhead AJ, Holdstock NB, Fowden AL.The present study tested the hypothesis that overexposure to endogenous glucocorticoids in neonatal life alters the reactivity of the hypothalamic-pituitary-adrenal (HPA) axis in ponies at 1 and 2 yr of age. Newborn foals received saline (0.9% NaCl, n = 8, control) or long-acting adrenocorticotropic hormone (ACTH1-24) (Depot Synacthen 0.125 mg intramuscularly twice daily, n = 9) for 5 d after birth to raise cortisol concentrations 5- to 6-fold. At 1 and 2 yr of age, HPA axis function was assessed by bolus administration of short-acting ACTH1-24 (1 μg/kg intravenous) and insulin (0.5 U/kg...
Serum cortisol concentrations in horses with colic.
Veterinary journal (London, England : 1997)    June 10, 2014   Volume 201, Issue 3 370-377 doi: 10.1016/j.tvjl.2014.06.005
Mair TS, Sherlock CE, Boden LA.Few studies have evaluated cortisol concentrations in horses with colic. In humans with septic shock, high cortisol levels are associated with an increased risk of death. The objectives of this study were to compare the serum total cortisol concentrations (STCCs) in horses with colic to those without colic, and to assess whether the STCC relates to the pathological nature or outcome of the disease. STCCs were determined at presentation in horses with colic and in systemically healthy 'control' horses. Horses with colic were grouped based on clinical and clinico-pathological parameters at admis...
[Stress parameters and behaviour of horses in walkers with and without the use of electricity].
Schweizer Archiv fur Tierheilkunde    April 2, 2014   Volume 156, Issue 4 163-169 doi: 10.1024/0036-7281/a000571
Giese C, Gerber V, Howald M, Bachmann I, Burger D.In order to investigate stress responses of horses in walkers with and without electricity, 12 horses were trained during 3 weeks in a horse walker with and without the use of electricity (3.7 kV). To evaluate the stress response, cortisol levels in the blood were measured, the heart rate was monitored using the Polar® system and the behaviour was evaluated. Neither the cortisol levels nor the heart rates showed any relevant statistically significant difference between horses moved in the horse walker with or without the use of electricity. The highest cortisol levels and heart rates were rec...
Analgesic and gastrointestinal effects of epidural morphine in horses after laparoscopic cryptorchidectomy under general anesthesia.
Veterinary anaesthesia and analgesia    February 27, 2014   Volume 41, Issue 4 430-437 doi: 10.1111/vaa.12133
Martin-Flores M, Campoy L, Kinsley MA, Mohammed HO, Gleed RD, Cheetham J.To evaluate the hypothesis that epidural morphine (0.1 mg kg(-1) ) decreases pain in horses after laparoscopic surgery without adversely affecting gastrointestinal (GI) motility. Methods: Randomized clinical trial. Methods: Eighteen horses undergoing laparoscopic cryptorchidectomy under general anesthesia. Methods: Horses were randomly assigned to receive either epidural morphine (0.1 mg kg(-1) ) or no epidural before the start of surgery. Pain behaviors were assessed during the first two post-operative days using a numerical rating scale. Barium-filled spheres were administered through a naso...
Effects of hyperflexion on acute stress responses in ridden dressage horses.
Physiology & behavior    February 8, 2014   Volume 128 39-45 doi: 10.1016/j.physbeh.2014.01.024
Christensen JW, Beekmans M, van Dalum M, VanDierendonck M.The effects of hyperflexion on the welfare of dressage horses have been debated. This study aimed to investigate acute stress responses of dressage horses ridden in three different Head-and-Neck-positions (HNPs). Fifteen dressage horses were ridden by their usual rider in a standardised 10-min dressage programme in either the competition frame (CF), hyperflexion ("Low-Deep-and-Round"; LDR) or a looser frame (LF) in a balanced order on three separate test days. Heart rate (HR), heart rate variability parameters (HRV), behaviour and rein tension were recorded during the test. Salivary cortisol c...
Plasma cortisol concentration increases within 6 hours of stabling in RAO-affected horses.
Equine veterinary journal    December 19, 2013   Volume 46, Issue 5 642-644 doi: 10.1111/evj.12201
Shaba JJ, Behan Braman A, Robinson NE.In many inflammatory diseases plasma cortisol concentration (CORT) increases at the onset of acute inflammation, but the situation in recurrent airway obstruction (RAO) of horses is unknown. Methods: Split-plot repeated measures design with one grouping factor (disease) and two repeated factors (day and 3-hour intervals). Objective: To test the hypothesis that CORT increases as acute exacerbations of RAO develop. Methods: Four RAO-susceptible and 4 control horses were placed in a low dust environment (LDEnv) for 2 days followed by 2 days in a high dust environment (HDEnv). Exacerbations of RAO...
Effect of different head-neck positions on physical and psychological stress parameters in the ridden horse.
Journal of animal physiology and animal nutrition    December 13, 2013   Volume 98, Issue 5 901-907 doi: 10.1111/jpn.12155
Zebisch A, May A, Reese S, Gehlen H.Different head-neck positions (HNPs) are used in equestrian sports and are regarded as desirable for training and competition by riders, judges and trainers. Even though some studies have been indicative of hyperflexion having negative effects on horses, this unnatural position is frequently used. In the present study, the influence of different HNPs on physical and psychological stress parameters in the ridden horse was investigated. Heart rate (HR), heart rate variability (HRV) and blood cortisol levels were measured in 18 horses. Low frequency (LF) and high frequency (HF) are power componen...
Detection of endogenous cortisol in equine tears and blood at rest and after simulated stress.
Veterinary ophthalmology    December 13, 2013   Volume 17 Suppl 1 53-60 doi: 10.1111/vop.12128
Monk CS, Hart KA, Berghaus RD, Norton NA, Moore PA, Myrna KE.To determine whether cortisol is present in equine tears at rest and during simulated stress and compare tear cortisol to serum free and total cortisol. Methods: Fourteen healthy adult horses were included. Paired tear total cortisol and serum total and free cortisol concentrations were measured with ELISA, chemiluminescent immunoassay, and ultrafiltration methodology, respectively, in 10 horses at rest once daily for five consecutive days. In an additional four horses, paired tear and serum samples were collected for cortisol measurement before and after adrenocorticotropic hormone (ACTH) sti...
Short-term effect of ovariectomy on measures of insulin sensitivity and response to dexamethasone administration in horses.
American journal of veterinary research    November 28, 2013   Volume 74, Issue 12 1506-1513 doi: 10.2460/ajvr.74.12.1506
Bertin FR, Pader KS, Lescun TB, Sojka-Kritchevsky JE.To evaluate the effect of ovariectomy on insulin sensitivity in horses and determine whether the effects of suppression of the hypothalamo-pituitary-adrenal axis differ before and after ovariectomy. Methods: 6 healthy mares. Methods: The horses underwent an IV glucose tolerance test (IVGTT), an insulin sensitivity test, and a dexamethasone suppression test before and 5 weeks after ovariectomy. Body weight, serum cortisol and plasma ACTH concentrations, serum insulin-to-blood glucose concentration ratios, and changes in blood glucose concentration with time after injection of glucose or insulin...
Linking social environment and stress physiology in feral mares (Equus caballus): group transfers elevate fecal cortisol levels.
General and comparative endocrinology    November 22, 2013   Volume 196 26-33 doi: 10.1016/j.ygcen.2013.11.012
Nuñez CM, Adelman JS, Smith J, Gesquiere LR, Rubenstein DI.Feral horses (Equus caballus) have a complex social structure, the stability of which is important to their overall health. Behavioral and demographic research has shown that decreases in group (or band) stability reduce female fitness, but the potential effects on the physiological stress response have not been demonstrated. To fully understand how band stability affects group-member fitness, we need to understand not only behavioral and demographic, but also physiological consequences of decreases to that stability. We studied group changes in feral mares (an activity that induces instabilit...
Changes in salivary and plasma cortisol levels in Purebred Arabian horses during race training session.
Animal science journal = Nihon chikusan Gakkaiho    November 21, 2013   Volume 85, Issue 3 313-317 doi: 10.1111/asj.12146
Kędzierski W, Cywińska A, Strzelec K, Kowalik S.Physical activity and stress both cause an increase in cortisol release ratio. The aim of this study was to evaluate the use of saliva samples for the determination of cortisol concentrations indicating the work-load level in horses during race training. Twelve Purebred Arabian horses aged 3-5 years were studied during the routine training session. After the warm-up, the horses galloped on the 800 m sand track at a speed of 12.8 m/s. Three saliva samples, and three blood samples were collected from each horse. Both types of samples were taken at rest, immediately after return from the trac...
The influence of selected factors and sport results of endurance horses on their saliva cortisol concentration.
Polish journal of veterinary sciences    November 8, 2013   Volume 16, Issue 3 533-541 doi: 10.2478/pjvs-2013-0074
Janczarek I, Bereznowski A, Strzelec K.The aim of the study was to define the influence of the selected factors (gender, age, transportation time, riding distance and air temperature during the ride) on the cortisol secretion and finding a correlation between the hormone level and the horses' sport results (veterinary parameters and the ride route parameters). The research was performed on 38 Arabian pure breed horses taking part in the endurance rides. The cortisol level was measured with enzyme-immunological method in saliva samples, taken four times from each horse. In order to verify the differences between the mean results the...
Reduced-size microchips for identification of horses: response to implantation and readability during a six-month period.
The Veterinary record    October 24, 2013   Volume 173, Issue 18 451 doi: 10.1136/vr.101824
Wulf M, Aurich C, von Lewinski M, Möstl E, Aurich JE.In this study, readability of reduced-size microchips in horses and the response to implantation were analysed. It was hypothesised that small microchips can be implanted stress-free but are less readable than larger microchips. Adult mares (n=40) were implanted with a reduced-size microchip (10.9×1.6 mm) at the left side of the neck (size of conventional microchips 11.4×2.2 mm). Microchips were identified with three different scanners (A, B, C) immediately, and at 6, 12 and 28 weeks after implantation. Twelve out of the 40 mares were submitted to microchip implantation and control treatment...
Physiological, behavioral, and serological responses of horses to shaded or unshaded pens in a hot, sunny environment.
Journal of animal science    October 14, 2013   Volume 91, Issue 12 5926-5936 doi: 10.2527/jas.2013-6497
Holcomb KE, Tucker CB, Stull CL.Housing recommendations for horses invariably include providing access to shade on hot, sunny days, but the potential benefits have not been scientifically studied. This experiment measured physiological, behavioral, and serological responses of horses confined individually to completely shaded (SH) or completely unshaded (SUN) drylot pens during the summer in Davis, CA. Twelve healthy adult horses in a crossover design experienced both treatments for 5 d each. Rectal temperature, respiration rate, skin temperature, and sweat scores were recorded hourly from 1230 to 1730 h daily. Observations ...
Response of the hypothalamic-pituitary-adrenal axis to stimulation tests before and after exercise training in old and young Standardbred mares.
Journal of animal science    September 17, 2013   Volume 91, Issue 11 5208-5219 doi: 10.2527/jas.2013-6329
Liburt NR, McKeever KH, Malinowski K, Smarsh DN, Geor RJ.This study tested the hypotheses that age-induced alteration in cortisol, ACTH, and glucose concentrations are due to differences in the response of the hypothalamic-pituitary-adrenal axis and that exercise training would attenuate these differences. Six old (22.0±0.7 yr; mean±SE) and 6 young (7.3±0.6 yr) unfit Standardbred mares ran 3 graded exercise tests (GXT): before (GXT1), after 8 wk of training (GXT2), and at study end at 15 wk (GXT3). Mares trained 3 d/wk at 60% maximum heart rate. Each mare underwent 5 endocrine stimulation tests pre- and posttraining: 1) control (CON), 2) adrenoco...
Short-term whole body vibration exercise in adult healthy horses.
Polish journal of veterinary sciences    August 27, 2013   Volume 16, Issue 2 403-405 doi: 10.2478/pjvs-2013-0057
Carstanjen B, Balali M, Gajewski Z, Furmanczyk K, Bondzio A, Remy B, Hartmann H.The purpose of this study was to analyze the acute effect of whole body vibration exercise (WBVE) on clinical parameters and blood values in horses. Seven horses were exposed to a 10 min WBVE at a frequency of 15-21 Hz. Clinical parameters and venous blood samples were taken before and directly after WBVE. Acute short-term WBVE produced a decrease in serum cortisol (p = 0.02) and creatine-kinase (p = 0.02) values. Clinical parameters, hematology, fibrinogen, lactate, IGF-I, GGT, creatinine, myeloperoxidase activity and bone marker values were not significantly changed by WBVE. In adult sound h...
Validation of a low-dose adrenocorticotropic hormone stimulation test in healthy neonatal foals.
Journal of the American Veterinary Medical Association    July 20, 2013   Volume 243, Issue 3 399-405 doi: 10.2460/javma.243.3.399
Stewart AJ, Wright JC, Behrend EN, Martin LG, Kemppainen RJ, Busch KA.To determine the lowest ACTH dose that would induce a significant increase in serum cortisol concentration and identify the time to peak cortisol concentration in healthy neonatal foals. Methods: Prospective randomized crossover study. Methods: 11 healthy neonatal foals. Methods: Saline (0.9% NaCl) solution or 1 of 4 doses (0.02, 0.1, 0.25, and 0.5 μg/kg [0.009, 0.045, 0.114, and 0.227 μg/lb]) of cosyntropin (synthetic ACTH) was administered IV. Serum cortisol concentrations were measured before and 10, 20, 30, 60, 90, 120, 180, and 240 minutes after administration of cosyntropin or saline s...
Hypothalamic-pituitary-adrenal axis responses of horses to therapeutic riding program: effects of different riders.
Physiology & behavior    May 15, 2013   Volume 118 138-143 doi: 10.1016/j.physbeh.2013.05.009
Fazio E, Medica P, Cravana C, Ferlazzo A.In order to determine whether therapeutic riding could result in higher levels of stress than recreational riding, hypothalamic-pituitary-adrenal (HPA) axis response was evaluated in six horses by monitoring circulating β-endorphin, ACTH and cortisol concentrations. Horses were already accustomed to be trained both for therapy and riding school activity since 2004. Intervention consisted of 60-minute therapeutic sessions, two times per week for 6weeks with different riders: disabled and recreational riders (session A and B respectively). The therapeutic riders' group (A) consisted of six chil...
Blood phagocyte activity after race training sessions in Thoroughbred and Arabian horses.
Research in veterinary science    May 8, 2013   Volume 95, Issue 2 459-464 doi: 10.1016/j.rvsc.2013.04.020
Cywinska A, Szarska E, Degorski A, Guzera M, Gorecka R, Strzelec K, Kowalik S, Schollenberger A, Winnicka A.Intensive exercise and exertion during competition promote many changes that may result in the impairment of immunity and increased susceptibility to infections. The aim of this study was to evaluate the activity of "the first line of defense": neutrophils and monocytes in racing Thoroughbred and Arabian horses after routine training sessions. Twenty-three (12 Thoroughbred and 11 Arabian) horses were examined. Routine haematological (number of red blood cells - RBC, haemoglobin concentration - HGB, haematocrit - HCT, total number of white blood cells - WBC), biochemical (creatine phosphokinase...
Monitoring the circadian rhythm of serum and salivary cortisol concentrations in the horse.
Domestic animal endocrinology    May 4, 2013   Volume 45, Issue 1 38-42 doi: 10.1016/j.domaniend.2013.04.001
Bohák Z, Szabó F, Beckers JF, Melo de Sousa N, Kutasi O, Nagy K, Szenci O.Daily fluctuations of cortisol concentration in the blood or saliva have been repeatedly reported. However, several contradictions in the existing literature appear on this subject. The present study was performed to definitively establish options for testing adrenocortical function. To the best of our knowledge, this is the first study to evaluate parallel circadian rhythms in salivary and serum cortisol concentrations during a 24-h period. Twenty horses were examined under the same conditions. Blood and saliva samples were taken every 2 h for 24 h to determine the daily changes in cortisol c...
Endocrine evaluation after an intra-articular therapeutic dosage of dexamethasone in horses.
Journal of veterinary pharmacology and therapeutics    April 1, 2013   Volume 36, Issue 6 542-549 doi: 10.1111/jvp.12046
Capolongo F, Gallina G, Fidani M, Baia F, Montesissa C.This study investigated whether a single intra-articular administration (IA) of dexamethasone (DEX) in horses at therapeutic dosage could exert a systemic effect by influencing the hypothalamic-pituitary-adrenal axis activity as a consequence of (limited) absorption and systemic distribution. The results indicated that DEX was detectable in urine collected 12-48 h after IA administration and that injection was accompanied by a reduced urine excretion of cortisol, 6β-hydroxycortisol (6βOHF) and two other metabolites of cortisol lasting up to 48 h post-DEX administration. The systemic effect...
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