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American journal of veterinary research2018; 79(4); 376-387; doi: 10.2460/ajvr.79.4.376

Effects of MK-467 hydrochloride and hyoscine butylbromide on cardiorespiratory and gastrointestinal changes induced by detomidine hydrochloride in horses.

Abstract: OBJECTIVE To compare the effects of MK-467 and hyoscine butylbromide on detomidine hydrochloride-induced cardiorespiratory and gastrointestinal changes in horses. ANIMALS 6 healthy adult horses. PROCEDURES Horses received detomidine hydrochloride (20 μg/kg, IV), followed 10 minutes later by MK-467 hydrochloride (150 μg/kg; DET-MK), hyoscine butylbromide (0.2 mg/kg; DET-HYO), or saline (0.9% NaCl) solution (DET-S), IV, in a Latin square design. Heart rate, respiratory rate, rectal temperature, arterial and venous blood pressures, and cardiac output were measured; blood gases and arterial plasma drug concentrations were analyzed; selected cardiopulmonary variables were calculated; and sedation and gastrointestinal borborygmi were scored at predetermined time points. Differences among treatments or within treatments over time were analyzed statistically. RESULTS With DET-MK, detomidine-induced hypertension and bradycardia were reversed shortly after MK-467 injection. Marked tachycardia and hypertension were observed with DET-HYO. Mean heart rate and mean arterial blood pressure differed significantly among all treatments from 15 to 35 and 15 to 40 minutes after detomidine injection, respectively. Cardiac output was greater with DET-MK and DET-HYO than with DET-S 15 minutes after detomidine injection, but left ventricular workload was significantly higher with DET-HYO. Borborygmus score, reduced with all treatments, was most rapidly restored with DET-MK. Sedation scores and pharmacokinetic parameters of detomidine did not differ between DET-S and DET-MK. CONCLUSIONS AND CLINICAL RELEVANCE MK-467 reversed or attenuated cardiovascular and gastrointestinal effects of detomidine without notable adverse effects or alterations in detomidine-induced sedation in horses. Further research is needed to determine whether these advantages are found in clinical patients and to assess whether the drug influences analgesic effects of detomidine.
Publication Date: 2018-03-28 PubMed ID: 29583040DOI: 10.2460/ajvr.79.4.376Google Scholar: Lookup
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  • Comparative Study
  • Journal Article

Summary

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The study examines the effects of two substances, MK-467 and hyoscine butylbromide, on certain physical changes caused by detomidine hydrochloride in horses. The main finding from the study is that MK-467 reduces cardiovascular and gastrointestinal effects triggered by detomidine without significant adverse effects on the horses.

Objective and Method

  • The study aims to compare the impacts of MK-467 and hyoscine butylbromide on cardiorespiratory and gastrointestinal changes initiated by detomidine hydrochloride in horses.
  • The study involved six healthy adult horses. The horses were given detomidine hydrochloride, which was followed by MK-467 hydrochloride, hyoscine butylbromide, or saline solution in varied combinations.
  • The researchers recorded and analyzed heart rate, respiratory rate, rectal temperature, blood pressures, blood gases, plasma drug concentrations, and gastrointestinal borborygmi, among other variables, at predetermined points in time.

Result Findings

  • The detomidine-induced hypertension and bradycardia in the horses were quickly reversed after the injection of MK-467. On the contrary, significant tachycardia and hypertension were observed for the group given hyoscine butylbromide.
  • Differences were considerable among all treatments in regard to heart rate and arterial blood pressure from 15 to 35 minutes and 15 to 40 minutes after the injection of detomidine, respectively.
  • Cardiac output was greater for the DET-MK and DET-HYO groups compared to DET-S at 15 minutes after the injection of detomidine. The left ventricular workload was notably high for the DET-HYO group.
  • Borborygmi score, which was reduced with all treatments, was restored most quickly with DET-MK. Sedation scores and pharmacokinetic parameters did not differ substantially between the DET-S and DET-MK groups.

Conclusions and Clinical Relevance

  • The study concluded that MK-467 manages to reverse or lessen the cardiovascular and gastrointestinal effects triggered by detomidine in horses, thereby firmly establishing its potential benefit.
  • The apparent lack of severe side effects or noticeable alterations in detomidine-induced sedation in horses also marks MK-467 as a promising tool in dealing with detomidine-induced conditions.
  • The study recommended further research to clarify whether these results can be replicated in different clinical patients, as well as to assess if the drug impacts the analgesic effects of detomidine.

Cite This Article

APA
Tapio HA, Raekallio MR, Mykkänen A, Mama K, Mendez-Angulo JL, Hautajärvi H, Vainio OM. (2018). Effects of MK-467 hydrochloride and hyoscine butylbromide on cardiorespiratory and gastrointestinal changes induced by detomidine hydrochloride in horses. Am J Vet Res, 79(4), 376-387. https://doi.org/10.2460/ajvr.79.4.376

Publication

ISSN: 1943-5681
NlmUniqueID: 0375011
Country: United States
Language: English
Volume: 79
Issue: 4
Pages: 376-387

Researcher Affiliations

Tapio, Heidi A
    Raekallio, Marja R
      Mykkänen, Anna
        Mama, Khursheed
          Mendez-Angulo, Jóse L
            Hautajärvi, Heidi
              Vainio, Outi M

                MeSH Terms

                • Animals
                • Blood Gas Analysis
                • Butylscopolammonium Bromide / pharmacology
                • Cardiac Output / drug effects
                • Cross-Over Studies
                • Drug Interactions
                • Female
                • Gastrointestinal Tract / drug effects
                • Heart Rate / drug effects
                • Horses
                • Hypnotics and Sedatives / pharmacology
                • Imidazoles / pharmacology
                • Male
                • Quinolizines / pharmacology
                • Respiration / drug effects

                Citations

                This article has been cited 2 times.
                1. Ekstrand C, Michanek P, Gehring R, Sundell A, Källse A, Hedeland M, Ström L. Plasma atropine concentrations associated with decreased intestinal motility in horses.. Front Vet Sci 2022;9:951300.
                  doi: 10.3389/fvets.2022.951300pubmed: 36118347google scholar: lookup
                2. Tapio H, Raekallio MR, Mykkänen A, Männikkö S, Scheinin M, Bennett RC, Vainio O. Effects of vatinoxan on cardiorespiratory function and gastrointestinal motility during constant-rate medetomidine infusion in standing horses.. Equine Vet J 2019 Sep;51(5):646-652.
                  doi: 10.1111/evj.13085pubmed: 30793362google scholar: lookup