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The Veterinary clinics of North America. Equine practice2017; 33(1); 1-15; doi: 10.1016/j.cveq.2016.11.001

Nonsteroidal Anti-inflammatory Drug Use in Horses.

Abstract: Nonsteroidal anti-inflammatory drugs (NSAIDs) are effective anti-inflammatory and analgesic agents and are arguably the most commonly used class of drugs in equine medicine. This article provides a brief review of the mechanism of action, therapeutic uses, pharmacokinetics, and adverse effects associated with their use in horses. The use of COX-2 selective NSAIDs in veterinary medicine has increased over the past several years and special emphasis is given to the use of these drugs in horses. A brief discussion of the use of NSAIDs in performance horses is also included.
Publication Date: 2017-02-09 PubMed ID: 28190614DOI: 10.1016/j.cveq.2016.11.001Google Scholar: Lookup
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Summary

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The research article discusses the use, effects, and function of nonsteroidal anti-inflammatory drugs (NSAIDs) in horses, particularly focusing on COX-2 selective NSAIDs, along with a brief mention of their impact on performance horses.

Mechanism of Action

  • The article reviews the mode of function of NSAIDs in managing inflammation and providing analgesic relief. It is noted in the literature that these drugs effectively inhibit the cyclooxygenase enzyme, which leads to a decrease in the production of prostaglandins – chemicals that cause inflammation and pain.

Therapeutic Uses

  • NSAIDs are frequently applied in equine medicine for their anti-inflammatory and analgesic properties. These properties make them beneficial for a range of conditions in horses, including musculoskeletal injuries, colic (abdominal pain), postoperative pain, and other inflammatory diseases.

Pharmacokinetics

  • The article delves into the pharmacokinetics of NSAIDs in the equine body, focusing on how the drugs are assimilated, distributed, metabolized, and eventually excreted in horses. Understanding the pharmacokinetics of NSAIDs enables better therapeutic management and increases the effectiveness of these drugs.

Adverse Effects

  • While NSAIDs are highly beneficial, the research paper accentuates the possible adverse effects that can occur with their use. These effects may include gastrointestinal ulcers, renal toxicity, and potential alteration in platelet function. Thus, careful management of drug dosage is crucial to avoid adverse events.

COX-2 Selective NSAIDs

  • The paper underscores the increased use of COX-2 selective NSAIDs in veterinary medicine over recent years. These drugs selectively inhibit the COX-2 enzyme, which produces prostaglandins; they therefore have less of an effect on the COX-1 enzyme and are associated with less gastrointestinal toxicity. The literature mentions the use of these selective NSAIDs in horse medicine, with a focus on the potential benefits and drawbacks.

Use of NSAIDs in Performance Horses

  • Lastly, the paper briefly discusses the use of NSAIDs in performance horses. These drugs, with their anti-inflammatory and analgesic properties, may potentially impact the horse’s performance. The considerations involved in using NSAIDs in these horses – pertaining to ethical, regulatory, and health concerns – are briefly touched upon.

Cite This Article

APA
Knych HK. (2017). Nonsteroidal Anti-inflammatory Drug Use in Horses. Vet Clin North Am Equine Pract, 33(1), 1-15. https://doi.org/10.1016/j.cveq.2016.11.001

Publication

ISSN: 1558-4224
NlmUniqueID: 8511904
Country: United States
Language: English
Volume: 33
Issue: 1
Pages: 1-15

Researcher Affiliations

Knych, Heather K
  • K.L. Maddy Equine Analytical Chemistry Laboratory, School of Veterinary Medicine, University of California, Davis, 620 West Health Science Drive, Davis, CA 95616, USA. Electronic address: hkknych@ucdavis.edu.

MeSH Terms

  • Animals
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Horse Diseases / drug therapy
  • Horses

Citations

This article has been cited 16 times.
  1. Saputro AL, Prastiya RA, Purnama MTE, Praja RN, Yuniarti WM, Maslamama ST, Burhanuddin A, Immanuela DM, Fadhila SN. Impact of dexamethasone on cortisol and luteinizing hormone levels in dairy goats with subclinical mastitis in Siliragung District, Banyuwangi. Open Vet J 2025;15(8):3459-3467.
    doi: 10.5455/OVJ.2025.v15.i8.9pubmed: 41035971google scholar: lookup
  2. Andrade LPR, Dutra HT, Ferreira JA, da Silva JSQ, Bittar MQ, Queiroz PJB. Partial Phallectomy and Penile Retroversion as a Surgical Approach for Severe Preputial Laceration in a Donkey (Equus asinus). Case Rep Vet Med 2025;2025:9036471.
    doi: 10.1155/crve/9036471pubmed: 40697770google scholar: lookup
  3. Söth R, Hoffmann ALC, Deeg CA. Enhanced ROS Production and Mitochondrial Metabolic Shifts in CD4(+) T Cells of an Autoimmune Uveitis Model. Int J Mol Sci 2024 Oct 26;25(21).
    doi: 10.3390/ijms252111513pubmed: 39519064google scholar: lookup
  4. Ignácio FS, Garcia LV, de Souza GG, Amatti LZ, de Barros LD, Bergfelt DR, Camargo GS, de Meira C, de Almeida BFM. Hematological and Biochemical Effects Associated with Prolonged Administration of the NSAID Firocoxib in Adult Healthy Horses. Vet Sci 2024 Jun 5;11(6).
    doi: 10.3390/vetsci11060256pubmed: 38922003google scholar: lookup
  5. de Carvalho JRG, Del Puppo D, Littiere TO, de Sales NAA, Silva ACY, Ribeiro G, de Almeida FN, Alves BG, Gatto IRH, Ramos GV, Ferraz GC. Functional infrared thermography imaging can be used to assess the effectiveness of Maxicam Gel(®) in pre-emptively treating transient synovitis and lameness in horses. Front Vet Sci 2024;11:1399815.
    doi: 10.3389/fvets.2024.1399815pubmed: 38919154google scholar: lookup
  6. Black JB, Frampton AR. Anti-inflammatory compounds reduce equine herpesvirus type 1 replication and cell-to-cell spread. Front Vet Sci 2023;10:1165917.
    doi: 10.3389/fvets.2023.1165917pubmed: 37275614google scholar: lookup
  7. Mercer MA, Davis JL, McKenzie HC. The Clinical Pharmacology and Therapeutic Evaluation of Non-Steroidal Anti-Inflammatory Drugs in Adult Horses. Animals (Basel) 2023 May 10;13(10).
    doi: 10.3390/ani13101597pubmed: 37238029google scholar: lookup
  8. Flood J, Stewart AJ. Non-Steroidal Anti-Inflammatory Drugs and Associated Toxicities in Horses. Animals (Basel) 2022 Oct 26;12(21).
    doi: 10.3390/ani12212939pubmed: 36359062google scholar: lookup
  9. Hoffmann SL, Seminoff K, McKemie DS, Kass PH, Knych HK. Pharmacokinetics of grapiprant and effects on TNF-alpha concentrations following oral administration to horses. J Vet Pharmacol Ther 2022 Sep;45(5):467-472.
    doi: 10.1111/jvp.13076pubmed: 35652132google scholar: lookup
  10. Ruíz-López P, Morgaz J, Quirós-Carmona S, Navarrete-Calvo R, Domínguez JM, Gómez-Villamandos RJ, Granados MM. Parasympathetic Tone Changes in Anesthetized Horses after Surgical Stimulation, and Morphine, Ketamine, and Dobutamine Administration. Animals (Basel) 2022 Apr 15;12(8).
    doi: 10.3390/ani12081038pubmed: 35454284google scholar: lookup
  11. Lemonnier LC, Thorin C, Meurice A, Dubus A, Touzot-Jourde G, Couroucé A, Leroux AA. Comparison of Flunixin Meglumine, Meloxicam and Ketoprofen on Mild Visceral Post-Operative Pain in Horses. Animals (Basel) 2022 Feb 21;12(4).
    doi: 10.3390/ani12040526pubmed: 35203234google scholar: lookup
  12. McReynolds CB, Yang J, Guedes A, Morisseau C, Garcia R, Knych H, Tearney C, Hamamoto B, Hwang SH, Wagner K, Hammock BD. Species Differences in Metabolism of Soluble Epoxide Hydrolase Inhibitor, EC1728, Highlight the Importance of Clinically Relevant Screening Mechanisms in Drug Development. Molecules 2021 Aug 19;26(16).
    doi: 10.3390/molecules26165034pubmed: 34443621google scholar: lookup
  13. Fasanello DC, Su J, Deng S, Yin R, Colville MJ, Berenson JM, Kelly CM, Freer H, Rollins A, Wagner B, Rivas F, Hall AR, Rahbar E, DeAngelis PL, Paszek MJ, Reesink HL. Hyaluronic acid synthesis, degradation, and crosslinking in equine osteoarthritis: TNF-α-TSG-6-mediated HC-HA formation. Arthritis Res Ther 2021 Aug 20;23(1):218.
    doi: 10.1186/s13075-021-02588-7pubmed: 34416923google scholar: lookup
  14. Ziegler AL, Blikslager AT. Sparing the gut: COX-2 inhibitors herald a new era for treatment of horses with surgical colic. Equine Vet Educ 2020 Nov;32(11):611-616.
    doi: 10.1111/eve.13189pubmed: 34305336google scholar: lookup
  15. Gretler SR, Finno CJ, McKemie DS, Kass PH, Knych HK. Metabolism, pharmacokinetics and selected pharmacodynamic effects of codeine following a single oral administration to horses. Vet Anaesth Analg 2020 Sep;47(5):694-704.
    doi: 10.1016/j.vaa.2020.04.004pubmed: 32654915google scholar: lookup
  16. de Oliveira MGC, Luna SPL, Nunes TL, Firmino PR, de Lima AGA, Ferreira J, Trindade PHE, Júnior RAB, de Paula VV. Post-operative pain behaviour associated with surgical castration in donkeys (Equus asinus). Equine Vet J 2021 Mar;53(2):261-266.
    doi: 10.1111/evj.13306pubmed: 32525236google scholar: lookup