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Journal of veterinary internal medicine2006; 20(3); 589-594; doi: 10.1892/0891-6640(2006)20[589:poaasi]2.0.co;2

Pharmacokinetics of acyclovir after single intravenous and oral administration to adult horses.

Abstract: The purpose of the study reported here was to describe the bioavailability and pharmacokinetics of acyclovir after intravenous and oral administration to horses. Six healthy adult horses were used in a randomized cross-over study with a 3 x 3 Latin square design. Three treatments were administered to each horse: 10 mg of injectable acyclovir/kg of body weight in 1 L of normal saline delivered as an infusion over 15 minutes; 10 mg of acyclovir/kg in tablets by nasogastric intubation; and 20 mg of acyclovir/kg in tablets by nasogastric intubation. A 2-week washout period was provided between each treatment. Serum samples were obtained for acyclovir assay using reversed-phase, high-performance liquid chromatography with fluorescence detection. Deproteinated serum was injected onto a C18 column, and elution occurred under isocratic conditions. The limit of quantification was 0.04 microg/mL. The assay exhibited suitable accuracy, precision, and recovery. The IV data were analyzed by a 3-compartment model, and oral data were analyzed noncompartmentally. Intragastric acyclovir administration at either dose was associated with high variability in serum acyclovir-time profiles, low Cmax, and poor bioavailability. The dosage of 20 mg/kg was associated with mean (+/- SD) Cmax of 0.19 +/- 0.10 microg/mL, and bioavailability was 2.8%. Inhibition of equine herpesvirus has been reported to require significantly higher acyclovir concentrations than those obtained here. The results of this study do not support a therapeutic benefit for the oral administration of acyclovir up to doses of 20 mg/kg.
Publication Date: 2006-06-01 PubMed ID: 16734094DOI: 10.1892/0891-6640(2006)20[589:poaasi]2.0.co;2Google Scholar: Lookup
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  • Journal Article
  • Randomized Controlled Trial
  • Research Support
  • Non-U.S. Gov't

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

This is a study about the performance and effects of the drug Acyclovir in horses, analyzing how it’s absorbed and processed in the body after being administered intravenously and orally.

Study Design

  • The study included six healthy adult horses that were part of a randomized cross-over study, following a 3 x 3 Latin square design. This is a research design that aims to control the variation in an experiment that could be coming from two sources, making the results more reliable.
  • Each horse received three different treatments: Acyclovir was provided intravenously and orally in two different doses.
  • To ensure no carry-over effects of the treatments, a 2-week washout period was set between each administration.

Methods

  • Blood samples were obtained from the horses for testing. The amount of acyclovir present in the samples was identified using a technique known as reversed-phase, high-performance liquid chromatography with fluorescence detection. The accuracy, precision, and recovery of the assay were determined to be satisfactory.
  • The serum containing the drug was processed and then injected onto a C18 column, a component used to separate compounds present in the serum. Elution, or separation of elements, was carried out under isocratic conditions, meaning a constant composition of the solvent.

Results

  • The study found that oral administration of the drug led to high variability in its levels over time, low maximum concentration (Cmax), and poor bioavailability (the proportion of the drug that enters the circulation when introduced into the body).
  • The researchers observed that a higher dose of 20mg/kg was linked with an average maximum concentration of 0.19 microg/mL. However, the bioavailability was still low, at 2.8%.
  • The results suggested that the concentrations of acyclovir required to inhibit equine herpesvirus are significantly higher than those achieved through the dosages used in this study.

Conclusion

  • The findings of the research do not support the use of acyclovir through oral administration up to doses of 20mg/kg, as they did not appear to provide a therapeutic benefit.

Cite This Article

APA
Bentz BG, Maxwell LK, Erkert RS, Royer CM, Davis MS, MacAllister CG, Clarke CR. (2006). Pharmacokinetics of acyclovir after single intravenous and oral administration to adult horses. J Vet Intern Med, 20(3), 589-594. https://doi.org/10.1892/0891-6640(2006)20[589:poaasi]2.0.co;2

Publication

ISSN: 0891-6640
NlmUniqueID: 8708660
Country: United States
Language: English
Volume: 20
Issue: 3
Pages: 589-594

Researcher Affiliations

Bentz, Bradford G
  • Department of Veterinary Clinical Sciences, Center for Veterinary Health Sciences, Oklahoma State University, Stillwater 74078, USA. bradford.g.bentz@okstate.edu
Maxwell, Lara K
    Erkert, Ronald S
      Royer, Christopher M
        Davis, Michael S
          MacAllister, Charles G
            Clarke, Cyril R

              MeSH Terms

              • Acyclovir / administration & dosage
              • Acyclovir / blood
              • Acyclovir / pharmacokinetics
              • Administration, Oral
              • Animals
              • Antiviral Agents / administration & dosage
              • Antiviral Agents / blood
              • Antiviral Agents / pharmacokinetics
              • Area Under Curve
              • Chromatography, High Pressure Liquid
              • Cross-Over Studies
              • Female
              • Herpesviridae Infections / drug therapy
              • Herpesviridae Infections / veterinary
              • Herpesvirus 1, Equid
              • Horse Diseases / drug therapy
              • Horses / metabolism
              • Injections, Intravenous / veterinary
              • Male

              Citations

              This article has been cited 7 times.
              1. Khammesri S, Ampasavate C, Hongwiset D, Mektrirat R, Sangsrijan S, Brown JL, Thitaram C. Pharmacokinetics and analytical determination of acyclovir in Asian elephant calves (Elephas maximus).. Vet Anim Sci 2022 Mar;15:100227.
                doi: 10.1016/j.vas.2021.100227pubmed: 35024493google scholar: lookup
              2. Khammesri S, Mathura Y, Boonprasert K, Ampasavate C, Hongwiset D, Brown JL, Thitaram C. Successful treatment of elephant endotheliotropic herpesvirus infection in an Asian elephant (Elephas maximus) calf by oral acyclovir medication: Case report.. J Vet Med Sci 2021 Jan 14;83(1):125-129.
                doi: 10.1292/jvms.20-0375pubmed: 33239478google scholar: lookup
              3. Easton-Jones CA, Madigan JE, Barnum S, Maxwell LK, Taylor SD, Arnesen T, Pusterla N. Effect of valacyclovir on EHV-5 viral kinetics in horses with equine multinodular pulmonary fibrosis.. J Vet Intern Med 2018 Sep;32(5):1763-1767.
                doi: 10.1111/jvim.15230pubmed: 30221792google scholar: lookup
              4. Zhao Y, Feng G, Gao Z. Advances in diagnosis and non-surgical treatment of Bell's palsy.. J Otol 2015 Mar;10(1):7-12.
                doi: 10.1016/j.joto.2015.02.003pubmed: 29937775google scholar: lookup
              5. Carmichael RJ, Whitfield C, Maxwell LK. Pharmacokinetics of ganciclovir and valganciclovir in the adult horse.. J Vet Pharmacol Ther 2013 Oct;36(5):441-9.
                doi: 10.1111/jvp.12029pubmed: 23301502google scholar: lookup
              6. Brosnahan MM, Damiani A, van de Walle G, Erb H, Perkins GA, Osterrieder N. The effect of siRNA treatment on experimental equine herpesvirus type 1 (EHV-1) infection in horses.. Virus Res 2010 Feb;147(2):176-81.
              7. Garré B, Shebany K, Gryspeerdt A, Baert K, van der Meulen K, Nauwynck H, Deprez P, De Backer P, Croubels S. Pharmacokinetics of acyclovir after intravenous infusion of acyclovir and after oral administration of acyclovir and its prodrug valacyclovir in healthy adult horses.. Antimicrob Agents Chemother 2007 Dec;51(12):4308-14.
                doi: 10.1128/AAC.00116-07pubmed: 17846132google scholar: lookup