Details

Autor(en) / Beteiligte

• Restitutti, Flavia
• Kaartinen, M Johanna
• Raekallio, Marja R
• Wejberg, Otto
• Mikkola, Emmi
• Del Castillo, Jerome R E
• Scheinin, Mika
• Vainio, Outi M

Titel

Plasma concentration and cardiovascular effects of intramuscular medetomidine combined with three doses of the peripheral alpha 2 -antagonist MK-467 in dogs

Ist Teil von

• Veterinary anaesthesia and analgesia, 2017-05, Vol.44 (3), p.417

Ort / Verlag

United States

Erscheinungsjahr

2017

Quelle

MEDLINE

Beschreibungen/Notizen

• We investigated the plasma concentrations and cardiovascular effects of intramuscularly (IM) administered medetomidine, administered alone or with three different doses of MK-467. Prospective, randomized, open, crossover trial. Eight purpose-bred healthy Beagle dogs. Each dog was administered four treatments: medetomidine 20 μg kg IM alone or mixed in the same syringe with MK-467 (200 μg kg , 400 μg kg or 600 μg kg ). Instrumentation was performed under standardized anaesthesia. The dogs were allowed to recover before measurement of baseline values. Composite sedation scores, cardiovascular variables, i.e., heart rate (HR), cardiac output (CO), mean arterial and central venous blood pressures (MAP and CVP) and arterial blood gases were recorded at baseline and for 60 minutes after treatment. Drug concentrations in venous plasma were analysed. Generalized linear mixed models for repeated measures with post hoc Bonferroni correction were used with statistical significance level set at α=0.05. All treatments initially demonstrated the effects of medetomidine: HR and CO decreased and CVP increased. MAP transiently increased and then significantly decreased from baseline with the two highest MK-467 doses. The cardiovascular effects of medetomidine disappeared more rapidly with MK-467 than with medetomidine alone. With medetomidine alone, sedation scores remained high until the end of the 60 minute follow-up. Maximum concentrations of medetomidine were more rapidly achieved and were higher with MK-467. Initial haemodynamic effects of medetomidine were not prevented by MK-467, but these effects were attenuated and their duration shortened by MK-467, independently of dose. Absorption of medetomidine was accelerated by MK-467, when administered concomitantly IM, resulting in faster sedation; addition of MK-467 shortened the sedative effect of medetomidine.