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Veterinary anaesthesia and analgesia2020; 47(4); 509-517; doi: 10.1016/j.vaa.2020.03.005

Pharmacokinetics and pharmacodynamics of hydromorphone hydrochloride in healthy horses.

Abstract: To determine the physiologic and behavioral effects and pharmacokinetic profile of hydromorphone administered intravenously (IV) to horses. Methods: Prospective, randomized, crossover study. Methods: A group of six adult healthy horses weighing 585.2 ± 58.7 kg. Methods: Each horse was administered IV hydromorphone (0.025 mg kg; treatment H0.025), hydromorphone (0.05 mg kg; treatment H0.05) or 0.9% saline in random order with a 7 day washout period. For each treatment, physiologic, hematologic, abdominal borborygmi scores and behavioral data were recorded over 5 hours and fecal output was totaled over 24 hours. Data were analyzed using repeated measures anova with significance at p < 0.05. Blood samples were collected in treatment H0.05 for quantification of plasma hydromorphone and hydromorphone-3-glucuronide and subsequent pharmacokinetic parameter calculation. Results: Hydromorphone administration resulted in a dose-dependent increase in heart rate (HR) and systolic arterial pressure (SAP). HR and SAP were 59 ± 17 beats minute and 230 ± 27 mmHg, respectively, in treatment H0.05 at 5 minutes after administration. No clinically relevant changes in respiratory rate, arterial gases or temperature were observed. The borborygmi scores in both hydromorphone treatments were lower than baseline values for 2 hours. Fecal output did not differ among treatments and no evidence of abdominal discomfort was observed. Recorded behaviors did not differ among treatments. For hydromorphone, mean ± standard deviation for volume of distribution at steady state, total systemic clearance and area under the curve until the last measured concentration were 1.00 ± 0.29 L kg, 106 ± 21 mL minute kg and 8.0 ± 1.5 ng hour mL, respectively. Conclusions: Hydromorphone administered IV to healthy horses increased HR and SAP, decreased abdominal borborygmi and did not affect fecal output.
Publication Date: 2020-04-11 PubMed ID: 32409257DOI: 10.1016/j.vaa.2020.03.005Google Scholar: Lookup
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  • Journal Article
  • Randomized Controlled Trial
  • Veterinary

Summary

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The research article investigates how the drug hydromorphone, when administered via intravenous route (IV), behaves in the bodies of healthy horses and what effects it has on their physiology and behavior.

Methodology

  • The experiment was set up with a cohort of six healthy, adult horses. The horses’ average weight was 585.2 ± 58.7 kg.
  • These horses were administered three different treatments in a randomized order. The treatments included two doses of hydromorphone (0.025 mg/kg and 0.05 mg/kg) and a saline solution. A seven-day washout period allowed any remnants of previous treatments to leave the horses’ bodies before another treatment was administered.
  • Over a period of five hours after giving the treatments, the researchers collected data on physiological and hematological variables, abdominal sounds (borborygmi) and the horses’ behavior. Fecal output over 24 hours was also recorded for each treatment.
  • Blood samples collected from horses receiving the larger dose of hydromorphone were analyzed to determine the concentration of hydromorphone and its byproduct, hydromorphone-3-glucuronide, in the plasma. These data were used to calculate different pharmacokinetic parameters.

Results

  • The administration of hydromorphone caused an increase in heart rate and systolic arterial pressure in the horses, with these effects being more pronounced with the higher hydromorphone dose.
  • The researchers didn’t observe any significant changes in respiratory rate, arterial gases, or body temperature across the three treatments. Similarly, the volume of fecal output didn’t differ between treatments, and none of the horses showed signs of abdominal discomfort.
  • The borborygmi scores decreased below baseline values for two hours after the administration of the hydromorphone treatments, indicating a reduction in gut activity.
  • Pharmacokinetic parameters for the metabolite hydromorphone-3-glucuronide revealed that the body rapidly distributes and eliminates the drug.

Conclusions

  • The research concluded that intravenously administered hydromorphone, while increasing heart rate and systolic arterial pressure, did not have observable effects on other vital signs or on fecal output in healthy horses.
  • The drug also reduced abdominal borborygmi for a period, suggesting reduced gut activity, but without resulting in any apparent digestive problems or discomfort for the horses.

Cite This Article

APA
Martins FC, Keating SC, Clark-Price SC, Schaeffer DJ, Lascola KM, DiMaio Knych H. (2020). Pharmacokinetics and pharmacodynamics of hydromorphone hydrochloride in healthy horses. Vet Anaesth Analg, 47(4), 509-517. https://doi.org/10.1016/j.vaa.2020.03.005

Publication

ISSN: 1467-2995
NlmUniqueID: 100956422
Country: United States
Language: English
Volume: 47
Issue: 4
Pages: 509-517
PII: S1467-2987(20)30070-2

Researcher Affiliations

Martins, Felipe C
  • Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois, Urbana, IL, USA.
Keating, Stephanie Cj
  • Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois, Urbana, IL, USA. Electronic address: skeating@illinois.edu.
Clark-Price, Stuart C
  • Department of Clinical Sciences, College of Veterinary Medicine, Auburn University, Auburn, AL, USA.
Schaeffer, David J
  • Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois, Urbana, IL, USA.
Lascola, Kara M
  • Department of Clinical Sciences, College of Veterinary Medicine, Auburn University, Auburn, AL, USA.
DiMaio Knych, Heather
  • Department of Molecular Biosciences, University of California Davis School of Veterinary Medicine, Davis, CA, USA.

MeSH Terms

  • Analgesics, Opioid / pharmacokinetics
  • Analgesics, Opioid / pharmacology
  • Animals
  • Behavior, Animal / drug effects
  • Cross-Over Studies
  • Female
  • Horses / metabolism
  • Hydromorphone / pharmacokinetics
  • Hydromorphone / pharmacology
  • Male
  • Prospective Studies

Citations

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