Topical nonsteroidal anti-inflammatory drugs.
Abstract: No abstract available
Publication Date: 2023-09-19 PubMed ID: 37722741PubMed Central: PMC10506512DOI: 10.1503/cmaj.230578Google Scholar: Lookup
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- Journal Article
Summary
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This study gives an overview of the use and effects of Nonsteroidal anti-inflammatory drugs (NSAIDs) in equine practice, particularly in performance horses. It explains that while NSAIDs can reduce pain and let horses perform at their full potential, there are concerns over safety and the drugs’ lingering, longer-than-indicated effects on plasma concentrations.
Mechanism and Use of NSAIDs
- The research paper introduces the mechanism of NSAID, explaining that these drugs work by inhibiting the synthesis of prostanoids. This process is responsible for both the therapeutic and toxic effects of the drugs.
- NSAIDs are commonly used in treating acute and chronic musculoskeletal and soft-tissue conditions in horses. These conditions often cause pain and lameness, reducing the performance abilities of the animals.
Adverse Effects of NSAIDs
- The paper outlines the potential side effects of NSAIDs, emphasizing that they can cause gastrointestinal disturbances and hypoproteinemia, a condition characterized by abnormally low levels of protein in the blood.
- One of the key findings of the paper is that the pharmacologic impact of NSAIDs outlasts their presence in the horse’s bloodstream. This means that even after the drugs are no longer detectable in plasma concentrations, they could still influence the horse’s health and performance.
Implications for Performance Horses
- Despite these side effects, the paper highlights that NSAIDs don’t necessarily enhance performance in horses. Instead, by reducing pain and lameness, these drugs allow horses to perform at their full potential.
- However, such therapeutic use of NSAIDs has sparked concerns about the welfare of the horse. Prolonged or inappropriate use could potentially jeopardize the animal’s health and well-being.
Conclusions of the Research
- The research concludes by stating that NSAIDs have merited therapeutic uses in equine practice. However, they should only be administered when there is a clear clinical indication.
- Furthermore, the paper emphasizes the importance of using safe dosage rates and not compromising the welfare of performance horses.
Cite This Article
APA
Bhat C, Rosenberg H, James D.
(2023).
Topical nonsteroidal anti-inflammatory drugs.
CMAJ, 195(36), E1231.
https://doi.org/10.1503/cmaj.230578 Publication
Researcher Affiliations
- Department of Emergency Medicine (Bhat, Rosenberg, James); Department of Anesthesiology and Pain Medicine (James), University of Ottawa, Ottawa, Ont. cbhat01@gmail.com.
- Department of Emergency Medicine (Bhat, Rosenberg, James); Department of Anesthesiology and Pain Medicine (James), University of Ottawa, Ottawa, Ont.
- Department of Emergency Medicine (Bhat, Rosenberg, James); Department of Anesthesiology and Pain Medicine (James), University of Ottawa, Ottawa, Ont.
MeSH Terms
- Humans
- Anti-Inflammatory Agents, Non-Steroidal
Conflict of Interest Statement
Competing interests: Hans Rosenberg is a medicolegal expert for the Canadian Medical Protective Association and sits on the editorial board of the Canadian Journal of Emergency Medicine. No other competing interests were declared.
References
This article includes 5 references
- Derry S, Wiffen PJ, Kalso EA. Topical analgesics for acute and chronic pain in adults — an overview of Cochrane Reviews. Cochrane Database Syst Rev 2017 12;(5):CD008609.
- Zeng C, Doherty M, Persson MSM. Comparative efficacy and safety of acetaminophen, topical and oral non-steroidal anti-inflammatory drugs for knee osteoarthritis: evidence from a network meta-analysis of randomized controlled trials and real-world data. Osteoarthritis Cartilage 2021;29:1242–51.
- Kim M, Laumbach S, Amico J. Are topical NSAIDs safer than oral NSAIDs when treating musculoskeletal pain?. Evid Based Pract 2021;24:43.
- Qaseem A, McLean RM, O’Gurek D. Nonpharmacologic and pharmacologic management of acute pain from non-low back, musculoskeletal injuries in adults: a clinical guideline from the American College of Physicians and American Academy Of Family Physicians. Ann Intern Med 2020;173:739–48.
- . Osteoarthritis in over 16s: diagnosis and management [NICE guideline]. Paris (FR): National Institute for Health and Care Excellence; 2022.
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