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1.
Enantioselective behaviour of drugs used in domestic animals: a review   总被引:6,自引:0,他引:6  
The chirality of drugs, with particular reference to agents used in veterinary medicine, is reviewed. Basic concepts of chirality and aspects of the methodology for the separation of enantiomers are considered. Chiral compounds are in common use in animals and their pharmacological actions and side-effects (pharmacodynamics) and absorption into and fate within the body (pharmacokinetics) are of fundamental importance; pharmacodynamic and pharmacokinetic properties of enantiomeric pairs commonly differ and this has major implications for their effective and safe therapeutic use. As examples of the particular significance of chirality in veterinary medicine, the following drug classes are reviewed; benzimidazole anthelmintics, cloprostenol, verapamil, ketamine, halogenated hydrocarbon anaesthetics and 2-arylpropionic acid anti-inflammatory drugs. The implications of chirality for drug product development and approval by registration authorities are discussed.  相似文献   

2.
Objective – To review the use of IV lipid emulsion (ILE) for the treatment of toxicities related to fat‐soluble agents; evaluate current human and veterinary literature; and to provide proposed guidelines for the use of this emerging therapy in veterinary medicine and toxicology. Data Sources – Human and veterinary medical literature. Human Data Synthesis – Human data are composed mostly of case reports describing the response to treatment with ILE as variant from mild improvement to complete resolution of clinical signs, which is suspected to be due to the variability of lipid solubility of the drugs. The use of ILE therapy has been advocated as an antidote in cases of local anesthetic and other lipophilic drug toxicoses, particularly in the face of cardiopulmonary arrest and unsuccessful cardiopulmonary cerebral resuscitation. Veterinary Data Synthesis – The use of ILE therapy in veterinary medicine has recently been advocated by animal poison control centers for toxicoses associated with fat‐soluble agents, but there are only few clinical reports documenting successful use of this therapy. Evidence for the use of ILE in both human and veterinary medicine is composed primarily from experimental animal data. Conclusions – The use of ILE appears to be a safe therapy for the poisoned animal patient, but is warranted only with certain toxicoses. Adverse events associated with ILE in veterinary medicine are rare and anecdotal. Standard resuscitation protocols should be exhausted before considering this therapy and the potential side effects should be evaluated before administration of ILE as a potential antidote in cases of lipophilic drug toxicoses. Further research is waranted.  相似文献   

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近年来,在市场和政策的双重促进下,中兽药行业发展突飞猛进,但作为一个资源依赖型的产业,兽用中药资源的利用与开发对行业的健康可持续发展至关重要。本文首先就兽用中药资源的历史发展及开发现状展开了论述,然后针对如何开发兽用中药新资源进行了重点探讨。指出新资源的开发,有助于扩充中兽药行业的药物来源,减少与人药的资源争夺,降本增效,促进中兽药行业高质量健康发展;同时提出新资源的开发应坚持中兽医药理论为指导,并以临床疗效为最终导向,走中兽药特色的道路。  相似文献   

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群体药代动力学(PPK)和群体药效学(PPD)是近年来快速发展的药学领域。文章综述了群体药代动力学近年来的发展,包括优缺点、研究方法、参数估算以及在兽医上的应用。在研究方法中,以非线性混合效应模型法(NONMEM)应用最广,而最大期望值法(EM)也有其优点。群体药代动力学在兽医应用范围不断拓宽,已在群体药效学分析、个体化给药、临床用药和新药开发等方面发展。  相似文献   

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IV lipid emulsion (ILE) therapy is emerging as a potential antidote for lipophilic drug toxicities in both human and veterinary medicine. ILE has already gained acceptance in human medicine as a treatment of local anesthetic systemic toxicity, but its mechanism of action, safety margins, and standardized dosing information remains undetermined at this time. Experimental and anecdotal use of ILE in the human and veterinary literature, theorized mechanisms of action, current dosing recommendations, potential adverse effects, and indications for use in human and veterinary emergency medicine are reviewed herein.  相似文献   

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It is clear from this discussion that the predictable effects of aging on the disposition and effect of therapeutic agents in veterinary medicine are in dire need of study. Theoretical concepts are important in that they may help rationalize a therapeutic regimen or help explain a drug toxicity, but they need to be explored in well-controlled studies to determine which of all the possible alterations in drug behavior are important and which are merely academic curiosities. In the meantime, the clinician is advised to treat the geriatric patient in a more cautious manner and to develop a therapeutic regimen that is based on the patient's probable alterations in physiologic function, remembering that although aging is not a disease, its effect on a drug's ability to produce both efficacy and toxicity can be just as profound.  相似文献   

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This review provides a tutorial for individuals interested in quantitative veterinary pharmacology and toxicology and offers a basis for establishing guidelines for physiologically based pharmacokinetic (PBPK) model development and application in veterinary medicine. This is important as the application of PBPK modeling in veterinary medicine has evolved over the past two decades. PBPK models can be used to predict drug tissue residues and withdrawal times in food‐producing animals, to estimate chemical concentrations at the site of action and target organ toxicity to aid risk assessment of environmental contaminants and/or drugs in both domestic animals and wildlife, as well as to help design therapeutic regimens for veterinary drugs. This review provides a comprehensive summary of PBPK modeling principles, model development methodology, and the current applications in veterinary medicine, with a focus on predictions of drug tissue residues and withdrawal times in food‐producing animals. The advantages and disadvantages of PBPK modeling compared to other pharmacokinetic modeling approaches (i.e., classical compartmental/noncompartmental modeling, nonlinear mixed‐effects modeling, and interspecies allometric scaling) are further presented. The review finally discusses contemporary challenges and our perspectives on model documentation, evaluation criteria, quality improvement, and offers solutions to increase model acceptance and applications in veterinary pharmacology and toxicology.  相似文献   

9.
超高效液相色谱技术在兽药分析领域应用的研究进展   总被引:1,自引:0,他引:1  
超高效液相色谱技术是近年来迅速发展的基于小颗粒填料的液相色谱技术,具有快速、灵敏、准确、高效等众多优点,已成为药物检测和分析领域的研究热点之一。随着该技术的不断发展,其已在兽药研究开发和兽药残留检测等领域得到了较为广泛的应用。文章就超高液相色谱的技术特点及其实际应用进行综述,并对该项技术在未来兽药分析领域广阔的应用前景进行了展望。  相似文献   

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毛细管电泳免疫分析(CEIA)是结合毛细管的分离技术和特异性免疫分析技术而发展起来的一种新型的分析技术.因其较常规免疫分析方法具有很多的优越性,在许多分析领域都有所应用,特别是药物和蛋白质检测中.文章根据不同的分离模式,简述了毛细管电泳免疫分析技术在药物检测中的应用现状,并对其在兽药残留检测中应用前景予以展望.  相似文献   

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近年来,中兽药在现代畜禽养殖、对抗动物疫病、调节改善动物免疫力方面都发挥了重要的作用,但是其在畜禽给药途径和生物利用度方面还存在一定不足。畜禽消化系统的不同导致给药方式必然存在不同,兽用中药配方颗粒使用方便,而且生物利用度高于中药散剂。目前尚无兽用中药配方颗粒的相关研究,本文对兽用中药配方颗粒的研究进展进行归纳总结,以期为兽用中药配方颗粒的开发利用提供依据。  相似文献   

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药动/药效同步模型是将药动学和药效学结合,用于研究药理效应随时间变化规律的一种模型。药动/药效同步模型在药理学和毒理学研究、临床应用及新药评价等领域得到越来越广泛的应用。随着抗菌药物的发展,耐药性问题日益成为全球关注的焦点。将药动/药效同步模型引入兽药研究中,不仅能够优化给药方案,避免细菌耐药性的产生,也能够为新药的开发提供研究基础。论文对兽用抗菌药物的分类、药动/药效同步模型的研究方法及其在国内外兽药研究中的应用现状进行综述,以期为药动/药效同步模型的兽医临床应用提供参考。  相似文献   

13.
Use of viscoelastic point-of-care (POC) coagulation instrumentation is relatively new to veterinary medicine. In human medicine, this technology has recently undergone resurgence owing to its capacity to detect hypercoagulability. The lack of sensitive tests for detecting hypercoagulable states, along with our current understanding of in vivo coagulation, highlights the deficiencies of standard coagulation tests, such as prothrombin and partial thromboplastin times, which are performed on platelet-poor plasma. Viscoelastic coagulation analyzers can provide an assessment of global coagulation, from the beginning of clot formation to fibrinolysis, utilizing whole blood. In people, use of this technology has been reported to improve management of hemostasis during surgery and decrease usage of blood products and is being used as a rapid screen for hypercoagulability. In veterinary medicine, clinical use of viscoelastic technology has been reported in dogs, cats, foals, and adult horses. This article will provide an overview of the technology, reagents and assays, applications in human and veterinary medicine, and limitations of the 3 viscoelastic POC analyzers in clinical use.  相似文献   

14.
Evidence-based veterinary medicine is a relatively new field of study. Increased knowledge of medicine coupled with the increased ability of computers and other electronic devices present overwhelming information. The critically appraised topic (CAT) is one method to gather and evaluate information related to a clinical question. CATs in informatics are short summaries of evidence, usually found through literature searches, in response to a specifically stated, clinically oriented problem or question. This article describes a study in which each first-year veterinary student developed a CAT as a class project. The results of this project indicate that students were able to successfully develop CATs and that this exercise helped them understand evidence-based veterinary medicine concepts. Though some modification in this project will be made in the future, overall it was a worthwhile effort and will remain as an activity in the course.  相似文献   

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Feline vaccine associated fibrosarcomas are the second most common skin tumor in cats. Methods of treatment are: surgery, chemotherapy and radiotherapy. Nevertheless, the usage of cytostatics in feline vaccine associated sarcoma therapy is limited due to their adverse side effects, high toxicity and low biodistribution after i.v. injection. Therefore, much research on new therapeutic drugs is being conducted. In human medicine, the chick embryo chorioallantoic membrane (CAM) model is used as a cheap and easy to perform assay to assess new drug effectiveness in cancer treatment. Various human cell lines have different tumors growth on CAM. In veterinary medicine such model has not been described yet. In the present article derivation of feline vaccine associated fibrosarcoma cell line and its growth on CAM is described. The cell line and the tumor grown were confirmed by histopathological and immunohistochemical examination. As far as we believe, this is the first attempt to create such model, which may be used for further in vivo studies in veterinary oncology.  相似文献   

18.
Many chemotherapy drugs used in human patients are discarded after single use or within 24 h of reconstitution, as per the manufacturer's product label recommendations. This can be wasteful and costly to veterinary clients. This report reviews the published stability and storage data for 19 injectable chemotherapy drugs commonly used in veterinary medicine. Based on these data, storage procedures are presented, assuming aseptic technique and a closed system drug transfer device (CSDTD) are used for drug preparation and handling. Further studies on the risk of microbiological contamination of chemotherapeutics using a CSDTD, and validated high quality drug assays such as stability‐indicating high‐performance liquid chromatography, are required. The authors' intent is not to supersede product label recommendations, but to suggest that longer storage without significant loss of drug efficacy may be possible, thus reducing the costs of chemotherapeutics to some veterinary clients.  相似文献   

19.
In both human and veterinary medicine, it has been shown that flooding the market with different generics and/or ‘me‐too’ branded drugs has increased overall antibiotic consumption correlating with the emergence and spread of bacterial resistance to antibiotics. Another possible undesirable consequence of the promotion of generics is the promotion of an economic incentive that encourages the use of old drug products with very poor oral bioavailability, marketed with historical dosage regimens and extensively excreted in the environment. What veterinary medicine rather needs is new innovative and ‘ecofriendly’ antibiotics to actually enforce a more prudent use of antibiotics. For a pharmaceutical company, generics are inexpensive to manufacture and on a short‐term basis, the generic market is very appealing. However, on a long‐term basis, this marketing orientation provides a disincentive to the development of new and innovative products that will be required to meet the therapeutic needs of the veterinary community while being consistent with public health concerns. Indeed, for veterinary medicine, the key issue surrounding antibiotics is public health. It is the opinion of the authors that veterinary antibiotics and/or veterinary drug formulations should be innovative in terms of selectivity (no or minimal impact on the commensal gut flora), biodegradable (with minimal environmental disruption), and more expensive, with a strictly regulated market rather than unselective, cheap, and freely available drugs.  相似文献   

20.
Background – To review the physics of helium with regard to airway physiology, as well as known human and potential veterinary applications of administration of inhaled helium‐oxygen gas‐carrier mixture (heliox). Data Sources – Human and veterinary studies. Human Data Synthesis – Helium‐oxygen mixtures have been used in human medicine for over 70 years as an adjunct therapy in various upper and lower respiratory disorders. Helium's low density promotes laminar flow through partially obstructed airways, resulting in a decreased work of breathing. Veterinary Data Synthesis – Little to no evidence‐based medicine exists to support or oppose the use of heliox in veterinary species. However, domestic animal species and humans share several common pathophysiologic aspects of various obstructive airway disorders. Thus, veterinary patients may also ultimately and significantly benefit from this novel therapy. Conclusion – Prospective studies are needed in veterinary medicine to determine the utility of heliox in clinical scenarios.  相似文献   

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