Effect of aluminum hydroxide/magnesium hydroxide antacid and bismuth subsalicylate on gastric pH in horses.
Abstract: To assess the effect of aluminum hydroxide/magnesium hydroxide antacid and bismuth subsalicylate on gastric pH in clinically normal horses and to develop guidelines on the use of these agents for treatment of peptic ulcer disease in horses. Methods: Prospective, randomized, controlled trial. Methods: 5 clinically normal adult horses with chronically implanted gastric cannulas. Methods: Each horse received all 5 treatments (30 g of aluminum hydroxide/15 g of magnesium hydroxide, 12 g of aluminum hydroxide/6 g of magnesium hydroxide, 10.5 g of bismuth subsalicylate, 26.25 g of bismuth subsalicylate, and 5% methylcellulose control) with only 1 experiment performed each day. Gastric pH was measured via a glass electrode inserted through the gastric cannula for 1 hour before treatment and continued for 2 hours after treatment. Food or water was not given to the horses during the experiment. Measurements of gastric pH obtained during posttreatment hours were compared with pretreatment gastric pH values. Results: Only a dose of 30 g of aluminum hydroxide/ 15 g of magnesium hydroxide resulted in a significant increase in gastric pH over baseline or control values. Mean pH was 5.2 +/- 0.62 and 4.59 +/- 0.48 for posttreatment hours 1 and 2, respectively. Conclusions: Oral administration of 30 g of aluminum hydroxide/15 g of magnesium hydroxide to adult horses should result in a mean hourly gastric pH > or = 4.0 for at least 2 hours.
Publication Date: 1996-05-15 PubMed ID: 8641951
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- Clinical Trial
- Journal Article
- Randomized Controlled Trial
- Research Support
- Non-U.S. Gov't
Summary
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The study focuses on evaluating the effects of aluminum hydroxide/magnesium hydroxide antacid and bismuth subsalicylate on the gastric pH levels in horses. The results indicate that a specific dosage of these compounds causes a significant increase in gastric pH, potentially aiding in the treatment of peptic ulcer disease in horses.
Research Methods
- The researchers involved five clinically healthy adult horses in a randomized, controlled trial.
- The horses each received the five treatments in question: 30 grams of aluminum hydroxide/15 grams of magnesium hydroxide, 12 grams of aluminum hydroxide/6 grams of magnesium hydroxide, 10.5 grams of bismuth subsalicylate, 26.25 grams of bismuth subsalicylate, and a 5% methylcellulose control.
- Food or water was not given to the horses during the experimentation period.
- Gastric pH was measured both before and for two hours after the administration of the treatments, using a glass electrode inserted through a previously implanted gastric cannula.
Results
- Of all the treatments, only a dose of 30 grams of aluminum hydroxide/15 grams of magnesium hydroxide resulted in a significant increase in the horses’ gastric pH levels compared to the baseline or control values.
- The mean pH for the mentioned treatment was 5.2 and 4.59 for post-treatment hours 1 and 2, respectively.
Conclusion
- The oral administration of 30 grams of aluminum hydroxide/15 grams of magnesium hydroxide to adult horses could lead to a mean hourly gastric pH level of over or equal to 4.0 for at least two hours following treatment.
- The research may offer insights into effective practices for treating peptic ulcer disease in horses, particularly through managing gastric pH levels.
Cite This Article
APA
Clark CK, Merritt AM, Burrow JA, Steible CK.
(1996).
Effect of aluminum hydroxide/magnesium hydroxide antacid and bismuth subsalicylate on gastric pH in horses.
J Am Vet Med Assoc, 208(10), 1687-1691.
Publication
Researcher Affiliations
- Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville 32610-0136, USA.
MeSH Terms
- Administration, Oral
- Aluminum Hydroxide / administration & dosage
- Aluminum Hydroxide / pharmacology
- Aluminum Hydroxide / therapeutic use
- Animals
- Antacids / administration & dosage
- Antacids / pharmacology
- Antacids / therapeutic use
- Bismuth / administration & dosage
- Bismuth / pharmacology
- Bismuth / therapeutic use
- Drug Therapy, Combination
- Female
- Gastric Acidity Determination / veterinary
- Gastric Mucosa / metabolism
- Horse Diseases / drug therapy
- Horses / metabolism
- Hydrogen-Ion Concentration
- Magnesium Hydroxide / administration & dosage
- Magnesium Hydroxide / pharmacology
- Magnesium Hydroxide / therapeutic use
- Male
- Organometallic Compounds / administration & dosage
- Organometallic Compounds / pharmacology
- Organometallic Compounds / therapeutic use
- Peptic Ulcer / drug therapy
- Peptic Ulcer / veterinary
- Prospective Studies
- Salicylates / administration & dosage
- Salicylates / pharmacology
- Salicylates / therapeutic use
- Stomach / drug effects
Citations
This article has been cited 6 times.- Bustamante CC, de Paula VB, Rabelo IP, Fernandes CC, Kishi LT, Canola PA, Lemos EGM, Valadão CAA. Effects of Starch Overload and Cecal Buffering on Fecal Microbiota of Horses.. Animals (Basel) 2022 Dec 6;12(23).
- Hewetson M, Tallon R. Equine Squamous Gastric Disease: Prevalence, Impact and Management.. Vet Med (Auckl) 2021;12:381-399.
- Sykes BW, Hewetson M, Hepburn RJ, Luthersson N, Tamzali Y. European College of Equine Internal Medicine Consensus Statement--Equine Gastric Ulcer Syndrome in Adult Horses.. J Vet Intern Med 2015 Sep-Oct;29(5):1288-99.
- Woodward MC, Huff NK, Garza F Jr, Keowen ML, Kearney MT, Andrews FM. Effect of pectin, lecithin, and antacid feed supplements (Egusin®) on gastric ulcer scores, gastric fluid pH and blood gas values in horses.. BMC Vet Res 2014;10 Suppl 1(Suppl 1):S4.
- Hellings IR, Larsen S. ImproWin® in the treatment of gastric ulceration of the squamous mucosa in trotting racehorses.. Acta Vet Scand 2014 Mar 13;56(1):13.
- Doucet MY, Vrins AA, Dionne R, Alva R, Ericsson G. Efficacy of a paste formulation of omeprazole for the treatment of naturally occurring gastric ulcers in training standardbred racehorses in Canada.. Can Vet J 2003 Jul;44(7):581-5.
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