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Journal of equine veterinary science2023; 129; 104876; doi: 10.1016/j.jevs.2023.104876

Effect of Procaine Penicillin G and Flunixin Meglumine on Serum Amyloid A Response in Healthy Adult Horses.

Abstract: This study was designed to determine the effect of PPG and/or flunixin meglumine on SAA response when used at clinical dosing regimens in healthy adult horses. Six healthy adult horses were enrolled in a crossover study design including one control and three treatment groups: no treatment (control); PPG alone (intramuscularly q12h for 72h); flunixin meglumine alone (intravenously q24h for 72h); and PPG (intramuscularly q12h for 72h) and flunixin meglumine (intravenously q24h for 72h). Whole blood was collected at 0, 24, 48, 72, 96 and 120 hours post-initial drug administration to measure SAA using a commercial lateral-flow immunoassay. The washout period was 30 days. Individual SAA values were within the reference range (≤ 20 µg/mL) for almost all horses in the control group. One control horse displayed a SAA value of 28 µg/mL at 72 hours. All horses from the PPG group showed normal SAA values throughout the study. Apart from one horse (SAA of 24 µg/mL at 96 hours) from the flunixin meglumine group, all horses showed normal SAA values. For the PPG and flunixin meglumine group, 5 horses had SAA values within reference range. One horse displayed increased SAA values (32-45 µg/mL) between 48 to 96 hours post-drug administration. There was no difference in area under the SAA time curve amongst control and treatment groups (P > 0.05). The administration of intramuscular PPG and/or intravenous flunixin meglumine does not trigger an inflammatory response that induces a SAA value above reference range in most adult healthy horses.
Publication Date: 2023-07-13 PubMed ID: 37451522DOI: 10.1016/j.jevs.2023.104876Google Scholar: Lookup
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  • Journal Article
  • Research Support
  • U.S. Gov't
  • Non-P.H.S.

Summary

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The research study explores the impact of procaine penicillin G (PPG) and flunixin meglumine on serum amyloid A (SAA) responses when administered to healthy adult horses. The study concludes that administering PPG and/or flunixin meglumine to horses does not generally result in an inflammatory response above the norm, as indicated by the SAA values.

Research Method

  • The study involved six healthy adults horses subjected to different treatments in a cross-over research design. The treatments were divided into groups, which had a control group receiving no treatment, a group receiving PPG alone, a group given flunixin meglumine alone, and a fourth group that was administered both PPG and flunixin meglumine.
  • The PPG was administered intramuscularly every 12 hours for 72 hours, while the flunixin meglumine was given intravenously every 24 hours for the same period of 72 hours.
  • To measure the SAA response to these treatments, blood samples were collected at distinct intervals: 0, 24, 48, 72, 96, and 120 hours after the initial administration of the drugs. The SAA measurements were made using a lateral-flow immunoassay, a well-validated method of medical testing.

Results

  • The SAA values observed in the control group remained within the standard reference range, which is ≤ 20 µg/mL. Only one horse from this group showed an SAA value of 28 µg/mL at the 72-hour mark.
  • The group administered with PPG alone consistently showed SAA values within the standard range throughout the duration of the study.
  • Similarly, in the group given flunixin meglumine alone, the SAA values observed were within the normal range except for one horse, which showed an SAA of 24 µg/mL at the 96-hour mark.
  • In the combined treatment group, five horses had SAA values within the reference range, while one showed an increased SAA response ranging between 32-45 µg/mL from 48 to 96 hours post-drug administration.

Conclusion

  • The study concluded that the administration of PPG and/or flunixin meglumine doesn’t typically evoke an inflammatory response resulting in SAA value beyond the standard reference range in healthy adult horses.
  • The study found no significant difference in the levels of SAA response amongst the control group and the various treatment groups, implying the absence of any conspicuous inflammatory response.

Cite This Article

APA
Trsan J, Nottle BF, Pusterla N. (2023). Effect of Procaine Penicillin G and Flunixin Meglumine on Serum Amyloid A Response in Healthy Adult Horses. J Equine Vet Sci, 129, 104876. https://doi.org/10.1016/j.jevs.2023.104876

Publication

ISSN: 0737-0806
NlmUniqueID: 8216840
Country: United States
Language: English
Volume: 129
Pages: 104876

Researcher Affiliations

Trsan, Jurica
  • Equine Internal Medicine, William R. Pritchard Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California, Davis, CA. Electronic address: juricatrsan@gmail.com.
Nottle, Bridget F
  • Equine Internal Medicine, William R. Pritchard Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California, Davis, CA; Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO.
Pusterla, Nicola
  • Equine Internal Medicine, William R. Pritchard Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California, Davis, CA.

MeSH Terms

  • Horses
  • Animals
  • Anti-Inflammatory Agents, Non-Steroidal / pharmacology
  • Penicillin G Procaine
  • Serum Amyloid A Protein
  • Cross-Over Studies

Conflict of Interest Statement

Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Citations

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