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Equine veterinary journal2013; 46(2); 252-255; doi: 10.1111/evj.12107

Plasma and pulmonary pharmacokinetics of desfuroylceftiofur acetamide after weekly administration of ceftiofur crystalline free acid to adult horses.

Abstract: Current labelling for the use of ceftiofur crystalline free acid (CCFA) in horses states that 2 i.m. doses must be administered 4 days apart to provide 10 days of therapeutic coverage. A 10 day treatment regimen is not sufficient for the long-term treatment of horses with severe lung consolidation or pleuropneumonia. There are currently no data to guide an appropriate dosing interval when a longer treatment regimen is warranted. Objective: To determine steady-state plasma and pulmonary epithelial lining fluid (PELF) concentrations of desfuroylceftiofur acetamide (DCA) after weekly i.m. administration of CCFA to adult horses. Methods: Experimental study. Methods: Seven adult horses received i.m. CCFA at a dose of 6.6 mg/kg bwt on Day 0, Day 4 and every 7 days thereafter for 3 additional doses. Concentrations of DCA in plasma and PELF were measured at various time intervals. Results: After weekly i.m. administration, the mean (± s.d.) steady-state peak DCA concentration in plasma (2.87 ± 1.50 μg/ml) was significantly higher than that in PELF (0.84 ± 0.53 μg/ml). Mean terminal half-lives in plasma (77.5 ± 17.5 h) and PELF (92.8 ± 59.0 h) were not significantly different. Concentrations of DCA in plasma and PELF remained in the therapeutic range for the entire dosing interval. Conclusions: After the initial 2-dose regimen 4 days apart, weekly i.m. administration of CCFA was well tolerated and resulted in plasma and PELF DCA concentrations above the minimal inhibitory concentration that inhibits growth of at least 90% of common lower respiratory tract pathogens of horses. Conclusions: Weekly administration of CCFA would appear appropriate when a treatment regimen longer than 10 days is warranted based on clinical signs and disease severity.
Publication Date: 2013-08-30 PubMed ID: 23679100DOI: 10.1111/evj.12107Google Scholar: Lookup
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  • Clinical Trial
  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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The research study involves an investigation into the efficiency and tolerability of ceftiofur crystalline free acid (CCFA) being administered weekly to adult horses for treatment of severe lung illnesses. The study concluded that weekly administration of CCFA for durations longer than the current protocol of 10 days, is both effective and well-tolerated in horses.

Research Objectives

  • The main objective of this study is to examine the effects of weekly intramuscular (i.m.) administration of CCFA in adult horses. The research focuses on finding an applicable and effective treatment protocol when a longer regimen than the currently recommended 10-day course is required.
  • An additional objective is to examine the levels of the drug metabolite, desfuroylceftiofur acetamide (DCA), in the plasma and the pulmonary epithelial lining fluid (PELF) of the horses and to keep track of the changes over time.

Research Methodology

  • Seven adult horses were given an i.m. dose of CCFA (6.6 mg/kg body weight) on Day 0 and Day 4. Then every subsequent 7 days, the horses received 3 more doses.
  • The researchers measured the concentrations of DCA in both plasma and PELF at various intervals to keep track of the drug’s effect.

Findings

  • The research determined that the peak concentration of DCA in the plasma of the horses was significantly higher than in their PELF after a weekly i.m. administration.
  • However, the terminal half-lives of DCA in both plasma and PELF were not significantly different, showing a controlled and consistent release of the drug in their systems.
  • DCA concentrations remained within the therapeutic range for the entire dosing interval, indicating the effectiveness of the weekly dosing.
  • From the findings, it became evident that following the initial two doses given 4 days apart, the weekly administration of CCFA was well tolerated by the horses.
  • The results also revealed that weekly CCFA administration could be appropriate for treatment regimens longer than 10 days based on clinical signs and disease severity. This allows for the effective treatment of severe lung consolidation or pleuropneumonia in horses.

Conclusions

  • The study concluded that weekly administration of CCFA resulted in steady and effective concentrations of DCA in both plasma and PELF. This points to the weekly dosage being a viable treatment option when a longer regimen is medically necessary.
  • The research could usher in new protocols for treating severe lung illnesses in horses, especially in cases where long-term treatment is required.

Cite This Article

APA
Fultz L, Giguère S, Berghaus LJ, Davis JL. (2013). Plasma and pulmonary pharmacokinetics of desfuroylceftiofur acetamide after weekly administration of ceftiofur crystalline free acid to adult horses. Equine Vet J, 46(2), 252-255. https://doi.org/10.1111/evj.12107

Publication

ISSN: 2042-3306
NlmUniqueID: 0173320
Country: United States
Language: English
Volume: 46
Issue: 2
Pages: 252-255

Researcher Affiliations

Fultz, L
  • Department of Large Animal Medicine, College of Veterinary Medicine, University of Georgia, USA.
Giguère, S
    Berghaus, L J
      Davis, J L

        MeSH Terms

        • Animals
        • Anti-Bacterial Agents / administration & dosage
        • Anti-Bacterial Agents / metabolism
        • Anti-Bacterial Agents / pharmacokinetics
        • Area Under Curve
        • Cephalosporins / administration & dosage
        • Cephalosporins / blood
        • Cephalosporins / metabolism
        • Cephalosporins / pharmacokinetics
        • Drug Administration Schedule
        • Female
        • Half-Life
        • Horses / blood
        • Horses / metabolism
        • Lung / metabolism

        Citations

        This article has been cited 2 times.
        1. Husulak ML, Manning ST, Meachem MD, Burgess HJ, Epp TY, Montgomery JB. Does antimicrobial therapy improve outcomes in horses with severe equine asthma and a positive tracheal wash bacterial culture?. Can J Vet Res 2018 Jul;82(3):184-191.
          pubmed: 30026642
        2. Caol S, Divers T, Crisman M, Chang YF. In vitro susceptibility of Borrelia burgdorferi isolates to three antibiotics commonly used for treating equine Lyme disease.. BMC Vet Res 2017 Sep 29;13(1):293.
          doi: 10.1186/s12917-017-1212-3pubmed: 28962614google scholar: lookup