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Phenoxybenzamine for the treatment of severe nonresponsive diarrhea in the horse.

Abstract: Phenoxybenzamine, an alpha adrenergic antagonist, was administered IV to 6 clinically normal horses, 5 horses with experimentally induced diarrhea, and 7 horses with naturally-occurring diarrhea. It was established that a total of 2 mg of phenoxybenzamine/kg of body weight given in divided doses resulted in alpha adrenergic blockage of approximately 72 hours' duration, tranquilization, and mild constipation in the normal horse. The 5 experimental cases of diarrhea were involved in a laminitis research protocol in which laminitis was induced by oral carbohydrate overload. In all 5 of those cases, the severity of the diarrhea that accompanied the carbohydrate overload was reduced. The 7 clinical cases consisted of 2 foals and 5 adults with diarrhea, some of which were nonresponsive to conventional treatment. One of the foals did not respond to the phenoxybenzamine, and the other had a questionable response, whereas the 5 adults all responded favorably to the agent. It was concluded that phenoxybenzamine has a potential place in the therapy of some cases of diarrhea that are nonresponsive to conventional therapy. The mechanism of action of phenoxybenzamine on diarrhea is not known at this time.
Publication Date: 1982-04-01 PubMed ID: 7085456
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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.

The study investigates the use of the drug Phenoxybenzamine for treating severe cases of diarrhea in horses which haven’t responded to conventional treatments. It found that the drug was effective in most adult horses, but had mixed results in foals.

Methodology

  • The researchers used a total of 18 horses in this study. Six of these were clinically normal, five had diarrhea induced for the experiment, and seven had naturally occurring diarrhea.
  • Each horse was administered Phenoxybenzamine through an intravenous route. The dose was 2 mg of the drug per kilogram of the horse’s body weight. This dose was given in divided amounts.
  • The researchers then monitored the effects of the drug on each horse.

Results

  • The drug caused a blockage in the alpha adrenergic system of the healthy horses, which lasted around 72 hours. This effect was accompanied by tranquilization and mild constipation.
  • During the trials with the horses with experimentally induced diarrhea (a part of an unrelated laminitis study), the severity of the diarrhea reduced following treatment with Phenoxybenzamine.
  • In the group of horses with naturally occurring diarrhea, the treatment showed positive results in the adult horses but it wasn’t as effective with the foals. One foal did not respond to the treatment, whereas the other showed uncertain results.

Conclusion

  • The researchers concluded that Phenoxybenzamine may be beneficial in treating cases of severe horse diarrhea which haven’t responded to traditional treatments.
  • However, they stress further investigations are needed to fully understand why the drug works in this way, as the exact mechanism through which Phenoxybenzamine aids in alleviating diarrhea is not currently known.

Cite This Article

APA
Hood DM, Stephens KA, Bowen MJ. (1982). Phenoxybenzamine for the treatment of severe nonresponsive diarrhea in the horse. J Am Vet Med Assoc, 180(7), 758-762.

Publication

ISSN: 0003-1488
NlmUniqueID: 7503067
Country: United States
Language: English
Volume: 180
Issue: 7
Pages: 758-762

Researcher Affiliations

Hood, D M
    Stephens, K A
      Bowen, M J

        MeSH Terms

        • Animals
        • Blood Pressure / drug effects
        • Diarrhea / drug therapy
        • Diarrhea / veterinary
        • Female
        • Horse Diseases / drug therapy
        • Horses
        • Infusions, Parenteral / veterinary
        • Male
        • Phenoxybenzamine / administration & dosage
        • Phenoxybenzamine / pharmacology
        • Phenoxybenzamine / therapeutic use

        Citations

        This article has been cited 2 times.
        1. Rana AD, Dodiya K, Barvaliya MJ, Shah S, Purohit BM, Tripathi CR. Tamsulosin induced diarrhea: a case report.. Ther Adv Drug Saf 2017 Dec;8(12):389-390.
          doi: 10.1177/2042098617722659pubmed: 29204267google scholar: lookup
        2. Fouché N, Gerber V, Gorgas D, Marolf V, Grouzmann E, van der Kolk JH, Navas de Solis C. Catecholamine Metabolism in a Shetland Pony with Suspected Pheochromocytoma and Pituitary Pars Intermedia Dysfunction.. J Vet Intern Med 2016 Nov;30(6):1872-1878.
          doi: 10.1111/jvim.14606pubmed: 27859749google scholar: lookup