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Journal of veterinary internal medicine2011; 25(5); 1127-1133; doi: 10.1111/j.1939-1676.2011.0763.x

Distribution of flunixin meglumine and firocoxib into aqueous humor of horses.

Abstract: Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used systemically for the treatment of inflammatory ocular disease in horses. However, little information exists regarding the ocular penetration of this class of drugs in the horse. Objective: To determine the distribution of orally administered flunixin meglumine and firocoxib into the aqueous humor of horses. Methods: Fifteen healthy adult horses with no evidence of ophthalmic disease. Methods: Horses were randomly assigned to a control group and 2 treatment groups of equal sizes (n = 5). Horses assigned to the treatment groups received an NSAID (flunixin meglumine, 1.1 mg/kg PO q24h or firocoxib, 0.1 mg/kg PO q24h for 7 days). Horses in the control group received no medications. Concentrations of flunixin meglumine and firocoxib in serum and aqueous humor and prostaglandin (PG) E(2) in aqueous humor were determined on days 1, 3, and 5 and aqueous : serum ratios were calculated. Results: Firocoxib penetrated the aqueous humor to a significantly greater extent than did flunixin meglumine at days 3 and 5. Aqueous : serum ratios were 3.59 ± 3.32 and 11.99 ± 4.62% for flunixin meglumine and firocoxib, respectively. Ocular PGE(2) concentrations showed no differences at any time point among study groups. Conclusions: Both flunixin meglumine and firocoxib penetrated into the aqueous humor of horses. This study suggests that orally administered firocoxib penetrates the aqueous humor better than orally administered flunixin meglumine at label dosages in the absence of ocular inflammation. Firocoxib should be considered for the treatment of inflammatory ophthalmic lesions in horses at risk for the development of adverse effects associated with nonselective NSAID administration.
Publication Date: 2011-07-22 PubMed ID: 21781166DOI: 10.1111/j.1939-1676.2011.0763.xGoogle Scholar: Lookup
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  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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This research studied how well two anti-inflammatory drugs, flunixin meglumine and firocoxib, penetrate the eye fluid in horses. The results suggest that it is better to use firocoxib for inflammation in the eyes of horses as it is better absorbed than flunixin meglumine.

Study Design, Methodology and Participants

  • The research was carried out using 15 healthy adult horses which were free of any eye disease.
  • These horses were randomly split into three groups: a control group with no medication, and two treatment groups given one of the two drugs (flunixin meglumine and firocoxib).
  • Each treatment group had an equal number of horses (n=5), and the drugs were administered orally at the standard dose rate for seven days.
  • On days 1, 3, and 5 of the treatment period, the researchers analyzed the concentration of both drugs in the horses’ serum and eye fluid. They also measured the amount of prostaglandin E(2) – a chemical marker of inflammation – in the eye fluid.

Study Results

  • Firocoxib was found to penetrate the eye fluid of the horses to a significantly greater extent than flunixin meglumine on days 3 and 5 of treatment.
  • The ratios of drug concentration in the eye fluid versus the serum were 3.59 ± 3.32% and 11.99 ± 4.62% for flunixin meglumine and firocoxib, respectively, pointing to more efficient absorption of firocoxib.
  • There was no significant difference in the concentration of prostaglandin E(2) in the eye fluid among different study groups on any day, suggesting neither drug had an effect on the inflammatory marker.

Research Conclusion

  • Both flunixin meglumine and firocoxib showed penetration into the eye fluid of the horses. However, orally administered firocoxib was notably more efficient at penetrating the eye fluid than flunixin meglumine.
  • These findings suggest that firocoxib could potentially be more effective for treating inflammation in the eyes of horses. Its superior absorption and distribution characteristics might make it an ideal choice for treating equine ocular disorders, particularly in those horses at risk for adverse effects of nonselective NSAID administration.
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Cite This Article

APA
Hilton HG, Magdesian KG, Groth AD, Knych H, Stanley SD, Hollingsworth SR. (2011). Distribution of flunixin meglumine and firocoxib into aqueous humor of horses. J Vet Intern Med, 25(5), 1127-1133. https://doi.org/10.1111/j.1939-1676.2011.0763.x

Publication

ISSN: 1939-1676
NlmUniqueID: 8708660
Country: United States
Language: English
Volume: 25
Issue: 5
Pages: 1127-1133

Researcher Affiliations

Hilton, H G
  • William R. Pritchard Veterinary Medical Teaching Hospital, University of California, Davis, CA, USA. hhilton@stanford.edu
Magdesian, K G
    Groth, A D
      Knych, H
        Stanley, S D
          Hollingsworth, S R

            MeSH Terms

            • 4-Butyrolactone / analogs & derivatives
            • 4-Butyrolactone / analysis
            • 4-Butyrolactone / blood
            • 4-Butyrolactone / pharmacokinetics
            • Animals
            • Anti-Inflammatory Agents, Non-Steroidal / analysis
            • Anti-Inflammatory Agents, Non-Steroidal / blood
            • Anti-Inflammatory Agents, Non-Steroidal / pharmacokinetics
            • Aqueous Humor / chemistry
            • Aqueous Humor / metabolism
            • Clonixin / analogs & derivatives
            • Clonixin / analysis
            • Clonixin / blood
            • Clonixin / pharmacokinetics
            • Dinoprostone / analysis
            • Female
            • Horses / blood
            • Horses / metabolism
            • Intraocular Pressure
            • Male
            • Sulfones / analysis
            • Sulfones / blood
            • Sulfones / pharmacokinetics