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American journal of veterinary research2013; 74(11); 1404-1408; doi: 10.2460/ajvr.74.11.1404

Evaluation of the use of atropine sulfate, a combination of butylscopolammonium bromide and metamizole sodium, and flunixin meglumine to ameliorate clinical adverse effects of imidocarb dipropionate in horses.

Abstract: To evaluate the ability of atropine sulfate, butylscopolammonium bromide combined with metamizole sodium, and flunixin meglumine to ameliorate the clinical adverse effects of imidocarb dipropionate in horses. Methods: 28 horses with piroplasmosis. Methods: 28 horses were randomly assigned to 4 equal groups according to the pretreatment administered. Fifteen minutes before administration of 2.4 mg of imidocarb dipropionate/kg IM, horses in the first group were pretreated with 0.02 mg of atropine sulfate/kg IV, the second group with a combination of 0.2 mg of butylscopolammonium bromide/kg IV and 25 mg of metamizole sodium/kg IV, the third group with 1.1 mg of flunixin meglumine/kg IV, and the fourth (control) group with 1 mL of saline (0.9% NaCl) solution/50 kg IV. Physical examination, including evaluation of rectal temperature, heart and respiratory rates, capillary refill time, mucous membrane color, hydration status, abdominal sounds, signs of abdominal pain, salivation, diarrhea, and number of defecations, was performed. Results: Imidocarb dipropionate use in the control group was associated with serious adverse effects including signs of abdominal pain (4/7 horses) and diarrhea (2/7). Horses pretreated with atropine had no diarrhea, but 6 had signs of abdominal pain. Only 1 horse that received butylscopolammonium-metamizole pretreatment had signs of abdominal pain and 3 had diarrhea, which was numerically but not significantly different than the control group. Of horses pretreated with flunixin, 3 had signs of abdominal pain and 3 had diarrhea. Conclusions: A combination of butylscopolammonium bromide and metamizole sodium may be useful to ameliorate the adverse effects of imidocarb dipropionate in horses, although group size was small and significant differences from the control group were not found.
Publication Date: 2013-10-31 PubMed ID: 24168305DOI: 10.2460/ajvr.74.11.1404Google Scholar: Lookup
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  • Journal Article
  • Randomized Controlled Trial
  • Research Support
  • Non-U.S. Gov't

Summary

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The study investigates the efficiency of specific drugs in minimizing the negative side effects of imidocarb dipropionate in horses with piroplasmosis. It observed that a combination of butylscopolammonium bromide and metamizole sodium might help in reducing these adverse effects, although the observed difference wasn’t significantly different from the control group due to the small group size.

Methods Used in Research

  • The study involved 28 horses diagnosed with piroplasmosis. They were randomly divided equally into four groups, each receiving a different pretreatment before being administered with imidocarb dipropionate.
  • The first group was pretreated with atropine sulfate, the second with a combination of butylscopolammonium bromide, and metamizole sodium, the third with flunixin meglumine, and the fourth (control group) received a saline solution.
  • A thorough physical examination was done on each horse, tracking vital signs such as rectal temperature, heart, and respiratory rates, capillary refill time, mucous membrane color, hydration status, and abdominal sounds. The researchers also observed signs of abdominal pain, salivation, diarrhea, and frequency of defecation.

Results of the Study

  • The use of imidocarb dipropionate, an anti-parasitic drug, resulted in serious side effects in the control group, including signs of abdominal pain and diarrhea.
  • Horses pretreated with atropine sulfate didn’t display signs of diarrhea, but many exhibited signs of abdominal pain.
  • Only one horse that received butylscopolammonium bromide and metamizole sodium showed signs of abdominal pain and three had diarrhea. The difference was not statistically significant from that of the control group but was numerically different.
  • Three horses pretreated with flunixin meglumine showed signs of abdominal pain and diarrhea.

Conclusion of the Research

  • The authors concluded that the combination of butylscopolammonium bromide and metamizole sodium might be effective in reducing the side effects of imidocarb dipropionate in horses.
  • However, the group sizes were small, and the differences from the control group were not found to be statistically significant, thereby limiting the confidence in these findings.

Cite This Article

APA
Abutarbush SM, Alfaqeeh SM, Mustafa G, Qura'n L, Al-Majali AM. (2013). Evaluation of the use of atropine sulfate, a combination of butylscopolammonium bromide and metamizole sodium, and flunixin meglumine to ameliorate clinical adverse effects of imidocarb dipropionate in horses. Am J Vet Res, 74(11), 1404-1408. https://doi.org/10.2460/ajvr.74.11.1404

Publication

ISSN: 1943-5681
NlmUniqueID: 0375011
Country: United States
Language: English
Volume: 74
Issue: 11
Pages: 1404-1408

Researcher Affiliations

Abutarbush, Sameeh M
  • Department of Veterinary Clinical Sciences, Faculty of Veterinary Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan.
Alfaqeeh, Sameh M
    Mustafa, Ghazi
      Qura'n, Lara
        Al-Majali, Ahmad M

          MeSH Terms

          • Abdominal Pain / chemically induced
          • Abdominal Pain / drug therapy
          • Abdominal Pain / veterinary
          • Administration, Intravenous / veterinary
          • Animals
          • Anti-Inflammatory Agents, Non-Steroidal / administration & dosage
          • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
          • Antiprotozoal Agents / adverse effects
          • Atropine / administration & dosage
          • Atropine / therapeutic use
          • Babesiosis / parasitology
          • Babesiosis / veterinary
          • Butylscopolammonium Bromide / administration & dosage
          • Butylscopolammonium Bromide / therapeutic use
          • Clonixin / administration & dosage
          • Clonixin / analogs & derivatives
          • Clonixin / therapeutic use
          • Diarrhea / chemically induced
          • Diarrhea / drug therapy
          • Diarrhea / veterinary
          • Dipyrone / administration & dosage
          • Dipyrone / therapeutic use
          • Female
          • Horse Diseases / chemically induced
          • Horse Diseases / drug therapy
          • Horse Diseases / parasitology
          • Horses / metabolism
          • Imidocarb / adverse effects
          • Imidocarb / analogs & derivatives
          • Male
          • Muscarinic Antagonists / administration & dosage
          • Muscarinic Antagonists / therapeutic use