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Topic:Pharmacokinetics

Pharmacokinetics in horses involves the study of how drugs are absorbed, distributed, metabolized, and excreted in equine species. This field of study provides insights into the time course of drug concentrations within the horse's body and helps in understanding the effects of various pharmaceuticals. Key parameters in equine pharmacokinetics include absorption rates, bioavailability, half-life, and clearance. These parameters can vary significantly due to factors such as age, breed, and health status of the horse. This page compiles peer-reviewed research studies and scholarly articles that explore the pharmacokinetic profiles of different drugs in horses, aiming to optimize dosing regimens and improve therapeutic outcomes in equine medicine.
Pharmacokinetics of furosemide administered 4 and 24 hours prior to high-speed exercise in horses.
Journal of veterinary pharmacology and therapeutics    October 22, 2017   Volume 41, Issue 2 224-229 doi: 10.1111/jvp.12458
Knych HK, Vale A, Wilson WD, Kass PH, Arthur RM, Jones JH.Furosemide is a diuretic agent used commonly in racehorses to attenuate the bleeding associated with exercise-induced pulmonary hemorrhage (EIPH). The current study describes serum and urine concentrations and the pharmacokinetics of furosemide following administration at 4 and 24 hrs prior to maximal exercise. Eight exercised adult Thoroughbred horses received a single IV administration of 250 mg of furosemide at 4 and 24 hrs prior to maximal exercise on a high-speed treadmill. Blood and urine samples were collected at time 0 and at various times for up to 72 hrs and furosemide concentrat...
In vitro susceptibility of Borrelia burgdorferi isolates to three antibiotics commonly used for treating equine Lyme disease.
BMC veterinary research    September 29, 2017   Volume 13, Issue 1 293 doi: 10.1186/s12917-017-1212-3
Caol S, Divers T, Crisman M, Chang YF.Lyme disease in humans is predominantly treated with tetracycline, macrolides or beta lactam antibiotics that have low minimum inhibitory concentrations (MIC) against Borrelia burgdorferi. Horses with Lyme disease may require long-term treatment making frequent intravenous or intramuscular treatment difficult and when administered orally those drugs may have either a high incidence of side effects or have poor bioavailability. The aim of the present study was to determine the in vitro susceptibility of three B. burgdorferi isolates to three antibiotics of different classes that are commonly us...
Misoprostol Inhibits Equine Neutrophil Adhesion, Migration, and Respiratory Burst in an In Vitro Model of Inflammation.
Frontiers in veterinary science    September 28, 2017   Volume 4 159 doi: 10.3389/fvets.2017.00159
Martin EM, Till RL, Sheats MK, Jones SL.In many equine inflammatory disease states, neutrophil activities, such as adhesion, migration, and reactive oxygen species (ROS) production become dysregulated. Dysregulated neutrophil activation causes tissue damage in horses with asthma, colitis, laminitis, and gastric glandular disease. Non-steroidal anti-inflammatory drugs do not adequately inhibit neutrophil inflammatory functions and can lead to dangerous adverse effects. Therefore, novel therapies that target mechanisms of neutrophil-mediated tissue damage are needed. One potential neutrophil-targeting therapeutic is the PGE1 analog, m...
Pharmacokinetics of ceftazidime after regional limb perfusion in standing horses.
Veterinary surgery : VS    September 27, 2017   Volume 46, Issue 8 1120-1125 doi: 10.1111/vsu.12720
Oreff GL, Tatz AJ, Dahan R, Segev G, Haberman S, Britzi M, Kelmer G.To determine the metacarpophalangeal joint fluid concentrations of ceftazidime administered via regional limb perfusion (RLP). Methods: Eight healthy horses. Methods: RLP was performed by injecting 2 g of ceftazidime and 60 mL of perfusate volume in the cephalic vein of standing, sedated horses. Serum and synovial fluid from the metacarpophalangeal joint were collected before perfusion and at 0.5, 2, 6, 12, 24 hours postperfusion. Ceftazidime concentrations were measured via liquid chromatography. Maximal concentration (C ), area under the curve (AUC), half-life of the drug (T ½), and the tim...
Pharmacokinetics and selected pharmacodynamics of trazodone following intravenous and oral administration to horses undergoing fitness training.
American journal of veterinary research    September 26, 2017   Volume 78, Issue 10 1182-1192 doi: 10.2460/ajvr.78.10.1182
Knych HK, Mama KR, Steffey EP, Stanley SD, Kass PH.OBJECTIVE To measure concentrations of trazodone and its major metabolite in plasma and urine after administration to healthy horses and concurrently assess selected physiologic and behavioral effects of the drug. ANIMALS 11 Thoroughbred horses enrolled in a fitness training program. PROCEDURES In a pilot investigation, 4 horses received trazodone IV (n = 2) or orally (2) to select a dose for the full study; 1 horse received a vehicle control treatment IV. For the full study, trazodone was initially administered IV (1.5 mg/kg) to 6 horses and subsequently given orally (4 mg/kg), with a 5-week ...
Effect of feeding on the pharmacokinetics of oral minocycline in healthy adult horses.
Journal of veterinary pharmacology and therapeutics    September 11, 2017   Volume 41, Issue 1 e53-e56 doi: 10.1111/jvp.12456
Echeverria KO, Lascola KM, Giguère S, Foreman JH.Minocycline is commonly used to treat bacterial and rickettsial infections in adult horses but limited information exists regarding the impact of feeding on its oral bioavailability. This study's objective was to compare the pharmacokinetics of minocycline after administration of a single oral dose in horses with feed withheld and with feed provided at the time of drug administration. Six healthy adult horses were administered intravenous (2.2 mg/kg) and oral minocycline (4 mg/kg) with access to hay at the time of oral drug administration (fed) and with access to hay delayed for 2 hr after ...
Quantification of dimethylsulfoxide (DMSO) in equine plasma and urine using HILIC-MS/MS.
Drug testing and analysis    August 30, 2017   Volume 9, Issue 9 1472 doi: 10.1002/dta.2265
Salomonsson ML, Bondesson U, Hedeland M.No abstract available
Review of triazine antiprotozoal drugs used in veterinary medicine.
Journal of veterinary pharmacology and therapeutics    August 17, 2017   Volume 41, Issue 2 184-194 doi: 10.1111/jvp.12450
Stock ML, Elazab ST, Hsu WH.Triazines are relatively new antiprotozoal drugs that have successfully controlled coccidiosis and equine protozoal myeloencephalitis. These drugs have favorably treated other protozoal diseases such as neosporosis and toxoplasmosis. In this article, we discuss the pharmacological characteristics of five triazines, toltrazuril, ponazuril, clazuril, diclazuril, and nitromezuril which are used in veterinary medicine to control protozoal diseases which include coccidiosis, equine protozoal myeloencephalitis, neosporosis, and toxoplasmosis.
Bioavailability and tolerability of nebulised dexamethasone sodium phosphate in adult horses.
Equine veterinary journal    August 12, 2017   Volume 50, Issue 1 85-90 doi: 10.1111/evj.12724
Haspel AD, Giguère S, Hart KA, Berghaus LJ, Davis JL.Nebulisation of the injectable dexamethasone sodium phosphate (DSP) would offer an inexpensive way of delivering a potent corticosteroid directly to the lungs of horses with asthma. However, this approach would be advantageous only if systemic absorption is minimal and if the preservatives present in the formulation do not induce airway inflammation. Objective: To investigate the bioavailability of nebulised DSP and determine whether it induces airway inflammation or hypothalamic-pituitary-adrenal (HPA) axis suppression in healthy adult horses. Methods: Randomised crossover experiment. Methods...
A pilot study comparing the effect of orally administered esomeprazole and omeprazole on gastric fluid pH in horses.
New Zealand veterinary journal    August 7, 2017   Volume 65, Issue 6 318-321 doi: 10.1080/00480169.2017.1359125
Huxford KE, Dart AJ, Perkins NR, Bell R, Jeffcott LB.AIMS To compare the efficacy of an enteric coated esomeprazole paste with an enteric coated omeprazole paste to increase gastric pH after oral administration in horses. METHODS Nine adult Standardbred horses were randomly assigned to three groups, each containing three horses, for a study comprising three phases of 10 days, with an 18-day washout period between each phase. In each phase, three horses received either 0.5 mg/kg esomeprazole, 1 mg/kg omeprazole or a placebo, as an oral paste, once daily for 10 days (Days 0-9). Over the course of study all horses received all three treatments....
Pharmacokinetics and pharmacodynamics of meldonium in exercised thoroughbred horses.
Drug testing and analysis    August 1, 2017   Volume 9, Issue 9 1392-1399 doi: 10.1002/dta.2214
Knych HK, Stanley SD, McKemie DS, Arthur RM, Bondesson U, Hedeland M, Thevis M, Kass PH.Although developed as a therapeutic medication, meldonium has found widespread use in human sports and was recently added to the World Anti-Doping Agency's list of prohibited substances. Its reported abuse potential in human sports has led to concern by regulatory authorities about the possible misuse of meldonium in equine athletics. The potential abuse in equine athletes along with the limited data available regarding the pharmacokinetics and pharmacodynamics of meldonium in horses necessitates further study. Eight exercised adult thoroughbred horses received a single oral dose of 3.5, 7.1, ...
Rapid Mechanistic Evaluation and Parameter Estimation of Putative Inhibitors in a Single-Step Progress-Curve Analysis: The Case of Horse Butyrylcholinesterase.
Molecules (Basel, Switzerland)    July 26, 2017   Volume 22, Issue 8 1248 doi: 10.3390/molecules22081248
Stojan J.Highly efficient and rapid lead compound evaluation for estimation of inhibition parameters and type of inhibition is proposed. This is based on a single progress-curve measurement in the presence of each candidate compound, followed by the simultaneous analysis of all of these curves using the ENZO enzyme kinetics suite, which can be implemented as a web application. In the first step, all of the candidate ligands are tested as competitive inhibitors. Where the theoretical curves do not correspond to the experimental data, minimal additional measurements are added, with subsequent processing ...
Pharmacokinetic profile and partitioning in red blood cells of romifidine after single intravenous administration in the horse.
Veterinary medicine and science    July 20, 2017   Volume 3, Issue 4 187-197 doi: 10.1002/vms3.70
Romagnoli N, Al-Qudah KM, Armorini S, Lambertini C, Zaghini A, Spadari A, Roncada P.The aims of this study were to assess the plasma concentrations of romifidine in horses after intravenous injection, to evaluate the red blood cell (RBC) partitioning of the anaesthetic drug, and to improve knowledge regarding its sedative effect in horses describing the pharmacokinetic model. Eight adult Standardbred horses received a single bolus of romifidine at a dosage of 100 g/kg. Blood samples (5 mL) were collected immediately before romifidine administration (), and at 2, 5, 10, 15, 20, 25, 30, 40, 50, 60, 75, 90, 105, 120, 150 and 180 min after injection. A sedation score was recor...
Determination of vitacoxib, a novel COX-2 inhibitor, in equine plasma using UPLC-MS/MS detection: Development and validation of new methodology.
Journal of chromatography. B, Analytical technologies in the biomedical and life sciences    July 15, 2017   Volume 1061-1062 270-274 doi: 10.1016/j.jchromb.2017.07.024
Wang J, Zhao T, Kong J, Peng H, Lv P, Li J, Cao X, Zhang S.Vitacoxib is an imidazole derivative and the novel COX-2 selective inhibitor to be marketed for veterinary use as nonsteroidal anti-inflammatory drugs. No analytical assay to quantify vitacoxib in equine plasma samples has been published to date. In the current study, we aim to develop and validate a brief, quick and sensitive UPLC-MS/MS method for quantification of vitacoxib in equine plasma samples. Plasma samples were precipitated with methyl tert-butyl ether. The Phenomenex column (Kinetex 50×2.1mm i.d. particle size=2.6μm, C18, 100Å) at 25°C was used in chromatographic separation with...
Duration of action of mepivacaine and lidocaine in equine palmar digital perineural blocks in an experimental lameness model.
Veterinary surgery : VS    July 13, 2017   Volume 46, Issue 7 986-993 doi: 10.1111/vsu.12689
Hoerdemann M, Smith RL, Hosgood G.To establish and compare the onset and duration of action of 2 local anesthetics based on objective lameness and skin sensitivity assessment. Methods: Interventional crossover experimental trial with balanced randomization. Methods: Eight horses. Methods: Reversible forelimb lameness was induced in 8 horses. A palmar digital nerve block (PDNB) was applied with mepivacaine or lidocaine (both 2%). Quantitative lameness and skin sensitivity data were collected with an inertial sensor system and a force gauge, respectively. The times to lameness resolution/skin desensitization (T1), consistent lam...
Role of muscarinic receptors in the contraction of jejunal smooth muscle in the horse: An in vitro study.
Research in veterinary science    July 11, 2017   Volume 115 387-392 doi: 10.1016/j.rvsc.2017.07.012
Menozzi A, Pozzoli C, Poli E, Bontempi G, Serventi P, Meucci V, Intorre L, Bertini S.Nonselective antimuscarinic drugs are clinically useful in several pathologic conditions of horses, but, blocking all muscarinic receptor (MR) subtypes, may cause several side effects. The availability of selective antimuscarinic drugs could improve therapeutic efficacy and safety. We aimed to enlighten the role of different MR subtypes by evaluating the effects of nonselective, and selective M, M and M MR antagonists on the contractions of horse jejunum. Segments of circular muscle of equine jejunum, were put into organ baths, connected to isotonic transducers, and the effects on ACh concentr...
Successful use of lipid emulsion to resuscitate a foal after intravenous lidocaine induced cardiovascular collapse.
Equine veterinary journal    June 26, 2017   Volume 49, Issue 6 767-769 doi: 10.1111/evj.12699
Vieitez V, Gómez de Segura IÁ, Martin-Cuervo M, Gracia LA, Ezquerra LJ.Lipid emulsion has been reported to be effective for the treatment of local anaesthetic overdoses in rats, dogs and man. Objective: To describe the successful treatment of cardiovascular lidocaine toxicity in a foal with intravenous lipid administration. Methods: Observational study: case report. Methods: An 8-month-old Arabian cross foal was anaesthetised for removal of the right alar fold and nasal plate. Anaesthesia was maintained with isoflurane in oxygen and lidocaine administered with a loading dose followed by a continuous rate infusion (CRI). The anaesthetic period was uneventful and 3...
A physiologically based model for tramadol pharmacokinetics in horses.
Journal of theoretical biology    June 23, 2017   Volume 429 46-51 doi: 10.1016/j.jtbi.2017.06.028
This work proposes an application of a minimal complexity physiologically based pharmacokinetic model to predict tramadol concentration vs time profiles in horses. Tramadol is an opioid analgesic also used for veterinary treatments. Researchers and medical doctors can profit from the application of mathematical models as supporting tools to optimize the pharmacological treatment of animal species. The proposed model is based on physiology but adopts the minimal compartmental architecture necessary to describe the experimental data. The model features a system of ordinary differential equations...
Pharmacokinetics of chloramphenicol base after oral administration in adult horses.
Journal of the American Veterinary Medical Association    June 18, 2017   Volume 251, Issue 1 90-94 doi: 10.2460/javma.251.1.90
McElligott EM, Sommardahl CS, Cox SK.OBJECTIVE To determine the pharmacokinetics of chloramphenicol base after PO administration at a dose of SO mg/kg (22.7 mg/lb) in adult horses from which food was not withheld. DESIGN Prospective crossover study. ANIMALS 5 adult mares. PROCEDURES Chloramphenicol base (SO mg/kg) was administered PO to each horse, and blood samples were collected prior to administration (0 minutes) and at 5, 10, 15, and 30 minutes and 1, 2, 4, 8, and 12 hours thereafter. Following a washout period, chloramphenicol sodium succinate (25 mg/kg [11.4 mg/lb]) was administered IV to each horse, and blood samples were ...
In vitro anti-LPS dose determination of ketorolac tromethamine and in vivo safety of repeated dosing in healthy horses.
Journal of veterinary pharmacology and therapeutics    June 10, 2017   Volume 41, Issue 1 98-104 doi: 10.1111/jvp.12425
Bianco AW, Moore GE, Cooper BR, Taylor SD.Flunixin meglumine (FM) is a commonly used Nonsteroidal anti-inflammatory drug (NSAID) in horses, but clinical efficacy is often unsatisfactory. Ketorolac tromethamine (KT) demonstrates superior efficacy compared to other NSAIDs in humans, but its anti-inflammatory effects have not been investigated in the horse. Safety of repeated dosing of KT has not been evaluated. The first objective was to conduct a dose determination study to verify that a previously described dosage of KT would inhibit Lipopolysaccharide (LPS)-induced eicosanoid production in vitro, and to compare KT effects of this inh...
The presence of minocycline in the tear film of normal horses following oral administration and its anticollagenase activity.
Veterinary ophthalmology    June 9, 2017   Volume 21, Issue 1 58-65 doi: 10.1111/vop.12479
Monk CS, Jeong SY, Gibson DJ, Plummer CE.Tetracyclines have activity against matrix metalloproteinases (MMP). Oral medications with effects on the ocular surface are of interest in patients where repeated topical dosing is limited. The aim of this study was to characterize the concentration of minocycline in the tears of normal horses after oral administration and to determine if this level directly inhibits MMP activity. Methods: Five healthy adult ponies were administered oral minocycline (Wedgewood Pharmacy; Swedesboro, NJ) at 4 mg/kg every 12 h for 5 days. Tears were collected at T = 2, 26, 50, 56, 74, 80, and 98 h. Tear minocycl...
Pharmacokinetics of the anti-androgenic drug flutamide in healthy stallions.
Veterinary journal (London, England : 1997)    June 7, 2017   Volume 224 50-54 doi: 10.1016/j.tvjl.2017.06.001
Mendoza FJ, Serrano-Rodriguez JM, Buzon-Cuevas A, Perez-Ecija A.Alternatives to surgical castration are necessary for controlling the sexual behaviour of stallions with breeding potential in training and competition. Flutamide is a potent selective non-steroidal androgen receptor competitive antagonist that has been used in human beings as an anti-androgenic drug. In this study, the pharmacokinetics and bioavailability of flutamide and its main active metabolite, 2-hydroflutamide, were determined in seven healthy mature stallions. Single doses of flutamide (1mg/kg intravenously, 1mg/kg orally in fasted horses, 5mg/kg orally in fasted horses and 5mg/kg oral...
Pharmacokinetic and pharmacodynamic effects of two omeprazole formulations on stomach pH and gastric ulcer scores.
Equine veterinary journal    June 6, 2017   Volume 49, Issue 6 802-809 doi: 10.1111/evj.12691
Raidal SL, Andrews FM, Nielsen SG, Trope G.Limited data are available on the relative pharmacokinetics and pharmacodynamics of different omeprazole formulations. Objective: To compare pharmacokinetic and pharmacodynamic effects of a novel omeprazole formulation against a currently registered product. Methods: Masked 2 period, 2 treatment crossover. Methods: Twelve clinically healthy horses were studied over two 6-day treatment periods. Horses were randomly assigned to receive a novel omeprazole paste (Ulcershield: ULS) or a currently registered reference omeprazole product (OMO). Gastric pH was measured continuously for 10 h on the day...
Evidence of boldenone, nandrolone, 5(10)-estrene-3β-17α-diol and 4-estrene-3,17-dione as minor metabolites of testosterone in equine.
Drug testing and analysis    June 1, 2017   Volume 9, Issue 9 1337-1348 doi: 10.1002/dta.2192
Wong JKY, Leung DKK, Curl P, Schiff PJ, Lam KKH, Wan TSM.The detection of boldenone, nandrolone, 5(10)-estrene-3β,17α-diol, and 4-estrene-3,17-dione in a urine sample collected from a gelding having been treated with testosterone (500 mg 'Testosterone Suspension 100', single dose, injected intramuscularly) in 2009 led the authors' laboratory to suspect that these 'testicular' steroids could be minor metabolites of testosterone in geldings. Administration trials on six castrated horses with Testosterone Suspension 100 confirmed that low levels of boldenone, nandrolone, 5(10)-estrene-3β,17α-diol, and 4-estrene-3,17-dione could indeed be detected ...
Development of a Sustained-Release Voriconazole-Containing Thermogel for Subconjunctival Injection in Horses.
Investigative ophthalmology & visual science    May 27, 2017   Volume 58, Issue 5 2746-2754 doi: 10.1167/iovs.16-20899
Cuming RS, Abarca EM, Duran S, Wooldridge AA, Stewart AJ, Ravis W, Babu RJ, Lin YJ, Hathcock T.To determine in vitro release profiles, transcorneal permeation, and ocular injection characteristics of a voriconazole-containing thermogel suitable for injection into the subconjunctival space (SCS). In vitro release rate of voriconazole (0.3% and 1.5%) from poly (DL-lactide-co-glycolide-b-ethylene glycol-b-DL-lactide-co-glycolide) (PLGA-PEG-PLGA) thermogel was determined for 28 days. A Franz cell diffusion chamber was used to evaluate equine transcorneal and transscleral permeation of voriconazole (1.5% topical solution, 0.3% and 1.5% voriconazole-thermogel) for 24 hours. Antifungal activit...
Update on the use of cyclooxygenase-2-selective nonsteroidal anti-inflammatory drugs in horses.
Journal of the American Veterinary Medical Association    May 17, 2017   Volume 250, Issue 11 1271-1274 doi: 10.2460/javma.250.11.1271
Ziegler A, Fogle C, Blikslager A.Nonsteroidal anti-inflammatory drugs work through inhibition of cyclooxygenase (COX) and are highly effective for the treatment of pain and inflammation in horses. There are 2 clinically relevant isoforms of COX. Cyclooxygenase-1 is constitutively expressed and is considered important for a variety of physiologic functions, including gastrointestinal homeostasis. Thus, NSAIDs that selectively inhibit COX-2 while sparing COX-1 may be associated with a lower incidence of adverse gastrointestinal effects. Various formulations of firocoxib, a COX-2-selective NSAID, labeled for use in horses are av...
Disposition of levetiracetam in healthy adult horses.
Journal of veterinary pharmacology and therapeutics    May 15, 2017   Volume 41, Issue 1 92-97 doi: 10.1111/jvp.12417
Cesar FB, Stewart AJ, Boothe DM, Ravis WR, Duran SH, Wooldridge AA.Nine horses received 20 mg/kg of intravenous (LEV ); 30 mg/kg of intragastric, crushed immediate release (LEV ); and 30 mg/kg of intragastric, crushed extended release (LEV ) levetiracetam, in a three-way randomized crossover design. Crushed tablets were dissolved in water and administered by nasogastric tube. Serum samples were collected over 48 hr, and levetiracetam concentrations were determined by immunoassay. Mean ± SD peak concentrations for LEV and LEV were 50.72 ± 10.60 and 53.58 ± 15.94 μg/ml, respectively. The y-intercept for IV administration was 64.54 ± 24.99 μg...
Pharmacokinetics of firocoxib after intravenous administration of multiple consecutive doses in neonatal foals.
Journal of veterinary pharmacology and therapeutics    April 29, 2017   Volume 40, Issue 6 e23-e29 doi: 10.1111/jvp.12410
Wilson KE, Davis JL, Crisman MV, Kvaternick V, Zarabadipour C, Cheramie H, Hodgson DR.The purpose of this study was to determine the pharmacokinetic profile of intravenous firocoxib in neonatal foals. Six healthy foals were administered 0.09 mg/kg firocoxib intravenously once a day for 7 days. Blood was collected for plasma firocoxib analysis using high-performance liquid chromatography with fluorescence detection at times 0 (day 1 of study only) and 0.08, 0.25, 1, 2, 4, 6, 8, 16 and 24 hr on dose numbers 1, 5 and 7. Blood was also collected immediately prior to doses 3, 4, 5 and 7. Final samples were collected at 36, 48, 72 and 96 hr following the final dose. Noncompartmen...
Effects of tourniquet number and exsanguination on amikacin concentrations in the radiocarpal and distal interphalangeal joints after low volume intravenous regional limb perfusion in horses.
Veterinary surgery : VS    April 29, 2017   Volume 46, Issue 5 675-682 doi: 10.1111/vsu.12662
Schoonover MJ, Moser DK, Young JM, Payton ME, Holbrook TC.To determine the influence of a dual tourniquet technique and limb exsanguination on amikacin concentrations in the synovial fluid of the radiocarpal joint (RCJ) and distal interphalangeal joint (DIPJ) after low volume, cephalic intravenous regional limb perfusion (IVRLP). Methods: Randomized cross-over design. Methods: Six healthy adult horses. Methods: One gram of amikacin in 6 mL of 0.9% NaCl was infused via cephalic IVRLP in 6 standing, sedated horses using 4 techniques: proximal pneumatic tourniquet (P), proximal pneumatic tourniquet with exsanguination (PE), proximal pneumatic and distal...
Pharmacological treatments in asthma-affected horses: A pair-wise and network meta-analysis.
Equine veterinary journal    April 9, 2017   Volume 49, Issue 6 710-717 doi: 10.1111/evj.12680
Calzetta L, Roncada P, di Cave D, Bonizzi L, Urbani A, Pistocchini E, Rogliani P, Matera MG.Equine asthma is a disease characterised by reversible airflow obstruction, bronchial hyper-responsiveness and airway inflammation following exposure of susceptible horses to specific airborne agents. Although clinical remission can be achieved in a low-airborne dust environment, repeated exacerbations may lead to irreversible airway remodelling. The available data on the pharmacotherapy of equine asthma result from several small studies, and no head-to-head clinical trials have been conducted among the available medications. Objective: To assess the impact of the pharmacological interventions...
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