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Effect of the injection site on the pharmacokinetics of procaine penicillin G in horses.

Abstract: The plasma penicillin concentrations were determined in 5 horses given an IV injection of sodium penicillin G; plasma penicillin concentrations were also determined in a crossover experiment, where animals were given procaine penicillin G subcutaneously at 1 site and IM at 4 sites. The mean penicillin plasma peak concentration and bioavailability were highest after the drug was injected in the neck and biceps musculature. Injections in the gluteal muscle and in the subcutaneous sites resulted in similar, but lower, more persistent penicillin plasma concentrations and a lower bioavailability than were obtained with injection in the neck and biceps musculature. The pharmacokinetic data obtained after penicillin was administered via the pectoral muscle route exhibited an intermediate position. Therapeutic implications of the routes of administration with respect to hemolytic streptococcal infections are discussed.
Publication Date: 1986-11-01 PubMed ID: 3789498
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  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

This research investigates the effect of different injection sites on the pharmacokinetics of procaine penicillin G in horses. The study shows that injecting the drug into the neck and biceps results in higher penicillin plasma peak concentration and bioavailability.

Study Methodology

  • The study started by monitoring the effects of an intravenous injection of sodium penicillin G on five horses. The plasma penicillin concentrations were evaluated in this phase.
  • The researchers then conducted a crossover experiment where they observed the variations in plasma penicillin concentrations in animals given procaine penicillin G through subcutaneous injections at one site, and intramuscular injections at four separate sites.

Main Findings

  • The highest penicillin plasma peak concentration and bioavailability were observed when the drug was injected into the neck and biceps musculature of the horses. The term “bioavailability” refers to the fraction of an administered drug that reaches the systemic circulation and is available at the site of action to produce its effects.
  • In contrast, injections in the gluteal muscle and in the subcutaneous sites resulted in similar, but lower and more persistent penicillin plasma concentrations. Moreover, the bioavailability of the drug was also found to be lower when injected at these sites, compared to the neck and biceps musculature.
  • The pharmacokinetic data obtained after administering penicillin via the pectoral muscle route occupied an intermediate position between the above two scenarios. This means that injection in the pectoral muscle resulted in neither the highest nor the lowest penicillin plasma concentrations and bioavailability.

Therapeutic implications

  • The study also discusses the therapeutic implications of the varying routes of administration with respect to treating hemolytic streptococcal infections. Hemolytic streptococcal infections are bacterial infections that can cause a variety of illnesses in horses, often requiring antibiotic treatment.
  • The findings of this research could influence future practices for the administration of procaine penicillin G in horses. The choice of injection site might be affected, especially when treating hemolytic streptococcal infections.

Cite This Article

APA
Firth EC, Nouws JF, Driessens F, Schmaetz P, Peperkamp K, Klein WR. (1986). Effect of the injection site on the pharmacokinetics of procaine penicillin G in horses. Am J Vet Res, 47(11), 2380-2384.

Publication

ISSN: 0002-9645
NlmUniqueID: 0375011
Country: United States
Language: English
Volume: 47
Issue: 11
Pages: 2380-2384

Researcher Affiliations

Firth, E C
    Nouws, J F
      Driessens, F
        Schmaetz, P
          Peperkamp, K
            Klein, W R

              MeSH Terms

              • Animals
              • Blood Proteins / metabolism
              • Buttocks
              • Horses / metabolism
              • Injections, Intramuscular
              • Injections, Intravenous
              • Injections, Subcutaneous
              • Kinetics
              • Neck
              • Pectoralis Muscles
              • Penicillin G / metabolism
              • Penicillin G Procaine / administration & dosage
              • Penicillin G Procaine / metabolism
              • Protein Binding

              Citations

              This article has been cited 10 times.
              1. Lee JH, Kim GW, Kang HW, Hong JW, Lee HE, Kwon MG, Seo JS. Influence of Intramuscular Injection Sites on Pharmacokinetics of Amoxicillin in Olive Flounder (Paralichthys olivaceus) and Its Implication for Antibacterial Efficacy. Pharmaceutics 2023 Apr 5;15(4).
                doi: 10.3390/pharmaceutics15041153pubmed: 37111640google scholar: lookup
              2. Song Y, Day CM, Afinjuomo F, Tan JE, Page SW, Garg S. Advanced Strategies of Drug Delivery via Oral, Topical, and Parenteral Administration Routes: Where Do Equine Medications Stand?. Pharmaceutics 2023 Jan 4;15(1).
                doi: 10.3390/pharmaceutics15010186pubmed: 36678815google scholar: lookup
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              4. Ranheim B, Ween H, Egeli AK, Hormazabal V, Yndestad M, Søli NE. Benzathine penicillin G and procaine penicillin G in piglets: comparison of intramuscular and subcutaneous injection. Vet Res Commun 2002 Aug;26(6):459-65.
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              5. Alquarawi AA, Ali BH. A survey of the literature (1995-1999) on the kinetics of drugs in camels (Camelus dromedarius). Vet Res Commun 2000 May;24(4):245-60.
                doi: 10.1023/a:1006498816669pubmed: 10836270google scholar: lookup
              6. Baggot JD. Clinical pharmacokinetics in veterinary medicine. Clin Pharmacokinet 1992 Apr;22(4):254-73.
              7. Knych HK. Administration Studies in Equine Antidoping Research: Designing Scientific Investigations to Effectively Direct Medication Control in Racehorses. Drug Test Anal 2025 Sep;17(9):1560-1566.
                doi: 10.1002/dta.3857pubmed: 39876751google scholar: lookup
              8. Diez R, Rodriguez JM, Lopez C, de la Puente R, Sierra M, Diez MJ, Fernandez N, Garcia JJ, Sahagun AM. Pharmacokinetic Pattern of Menbutone in Calves after Single Intravenous and Intramuscular Administration. Animals (Basel) 2024 Aug 31;14(17).
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              9. Ferran AA, Roques BB, Chapuis L, Kuroda T, Lacroix MZ, Toutain PL, Bousquet-Melou A, Lallemand EA. Predicted efficacy and tolerance of different dosage regimens of benzylpenicillin in horses based on a pharmacokinetic study with three IM formulations and one IV formulation. Front Vet Sci 2024;11:1409266.
                doi: 10.3389/fvets.2024.1409266pubmed: 38881781google scholar: lookup
              10. Lallemand EA, Bousquet-Mélou A, Chapuis L, Davis J, Ferran AA, Kukanich B, Kuroda T, Lacroix MZ, Minamijima Y, Olsén L, Pelligand L, Portugal FR, Roques BB, Santschi EM, Wilson KE, Toutain PL. Pharmacokinetic-pharmacodynamic cutoff values for benzylpenicillin in horses to support the establishment of clinical breakpoints for benzylpenicillin antimicrobial susceptibility testing in horses. Front Microbiol 2023;14:1282949.
                doi: 10.3389/fmicb.2023.1282949pubmed: 37954237google scholar: lookup