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Equine veterinary journal1983; 15(2); 158-167; doi: 10.1111/j.2042-3306.1983.tb01745.x

Biochemical and haematological effects of phenylbutazone in horses.

Abstract: Five matched pairs of horses were used to investigate the effects of phenylbutazone on a range of physiological, biochemical and haematological variables. The drug was given by mouth daily for 15 consecutive days at the manufacturer's recommended dose rates to one group of horses (Group A); the second group (Group B) received equivalent doses of a placebo. For some of the measured parameters, significant changes were recorded in both groups, indicating background instability. Significant decreases in serum total protein, albumin, plasma pH, viscosity and magnesium, and an increase in albumin: globulin ratio occurred in Group A, but not in Group B. These changes were, therefore, attributed to phenylbutazone or its metabolites. Toxicologically, the change in pH is probably unimportant but the decrease in protein concentration may have resulted from a protein losing enteropathy and/or from decreased synthesis in the liver. In one animal which received phenylbutazone, clinical signs of toxicity (lethargy, inappetence, oedema) were observed and evidence of hepatotoxicity and haematological changes were also noted in this horse. It is concluded that recommended dose rates of phenylbutazone should never be exceeded and that the period for which the highest dose (4.4 mg/kg body weight twice daily for four days) is administered should be reduced. In clinical cases, where phenylbutazone toxicity is suspected, measurement of serum or plasma protein concentration might provide an indication of the need to reduce dose levels or stop therapy.
Publication Date: 1983-04-01 PubMed ID: 6873049DOI: 10.1111/j.2042-3306.1983.tb01745.xGoogle Scholar: Lookup
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  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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The research article assesses the physiological, biochemical, and haematological effects of administering phenylbutazone, an anti-inflammatory medication, to horses over a period of 15 days. The study results indicated measurable changes in some horses’ health markers attributed to the drug.

Methodology and Experiment Grouping

  • The study employed five pairs of horses. Two distinct groups were formed for the experiment. Group A was given phenylbutazone in daily doses as recommended by the manufacturer for 15 consecutive days while the horses in Group B were administered a placebo in equivalent doses.

Identification of Changes in Measured Parameters

  • Across both groups, significant changes were recorded in some physiological, biochemical, and haematological variables. This highlighted that there may be some background instability in these parameters in horses.
  • Group A, which received phenylbutazone, showed notable decreases in serum total protein, albumin, plasma pH, viscosity, and magnesium levels. They also showed an increase in the albumin: globulin ratio. These changes did not occur in the placebo group (Group B), suggesting that the alterations could be due to phenylbutazone or its metabolites.

Implications and Suggestions from the Findings

  • The pH changes, although significant, are believed to be unimportant from a toxicological perspective. However, the decrease in protein concentration is a concern. It may be caused by a protein-losing enteropathy or decreased synthesis in the liver – both considered detrimental effects.
  • One horse that received phenylbutazone presented clinical signs of toxicity, manifested as lethargy, inappetence, and oedema. This specific horse also showed evidence of hepatotoxicity and haematological changes, indicating potential adverse effects of phenylbutazone.
  • The study concluded that the drug’s dose recommendations should not be exceeded. In fact, the duration for which the highest dose is given should be shortened.
  • The team suggest that serum or plasma protein concentration could aid in identifying suspected cases of phenylbutazone toxicity in actual clinical scenarios. This could help in deciding whether the dosage of the drug should be reduced or the therapy stopped altogether.

Cite This Article

APA
Lees P, Creed RF, Gerring EE, Gould PW, Humphreys DJ, Maitho TE, Michell AR, Taylor JB. (1983). Biochemical and haematological effects of phenylbutazone in horses. Equine Vet J, 15(2), 158-167. https://doi.org/10.1111/j.2042-3306.1983.tb01745.x

Publication

ISSN: 0425-1644
NlmUniqueID: 0173320
Country: United States
Language: English
Volume: 15
Issue: 2
Pages: 158-167

Researcher Affiliations

Lees, P
    Creed, R F
      Gerring, E E
        Gould, P W
          Humphreys, D J
            Maitho, T E
              Michell, A R
                Taylor, J B

                  MeSH Terms

                  • Animals
                  • Blood Chemical Analysis / veterinary
                  • Blood Proteins / metabolism
                  • Body Temperature / drug effects
                  • Body Weight / drug effects
                  • Diet
                  • Female
                  • Heart Rate / drug effects
                  • Hematologic Tests / veterinary
                  • Horses / blood
                  • Horses / physiology
                  • Male
                  • Phenylbutazone / administration & dosage
                  • Phenylbutazone / pharmacology
                  • Phenylbutazone / toxicity
                  • Rectum
                  • Respiration / drug effects

                  Citations

                  This article has been cited 2 times.
                  1. Worboys M, Toon E. Phenylbutazone (Bute, PBZ, EPZ): one drug across two species. Hist Philos Life Sci 2018 Mar 26;40(2):27.
                    doi: 10.1007/s40656-018-0191-4pubmed: 29582183google scholar: lookup
                  2. Ellison RS, Jacobs RM. The isoelectric focusing properties of serum alkaline phosphatase in disease and following prednisolone and phenylbutazone administration in the horse. Can J Vet Res 1990 Jan;54(1):126-31.
                    pubmed: 2306661