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Pharmacokinetics of ammonium sulfate gradient loaded liposome‐encapsulated oxymorphone and hydromorphone in healthy dogs
Authors:Lesley J Smith  Butch K Kukanich  Lisa A Krugner‐Higby  Brynn H Schmidt  Timothy D Heath
Institution:1. Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin, , Madison, WI, USA;2. Department of Anatomy and Physiology, College of Veterinary Medicine, Kansas State University, , Manhattan, KS, USA;3. School of Pharmacy, University of Wisconsin, , Madison, WI, USA
Abstract:ObjectiveTo evaluate the pharmacokinetics, in dogs, of liposome–encapsulated oxymorphone and hydromorphone made by the ammonium sulfate gradient loading technique (ASG).AnimalsFour healthy purpose–bred Beagles aged 9.5 ± 3.2 months and weighing 13.4 ± 2.3 kg.Study designRandomized cross–over design.MethodsEach dog was given either 4.0 mg kg?1 of ASG–oxymorphone or 8.0 mg kg?1 of ASG–hydromorphone SC on separate occasions with a 3–month washout period. Blood was collected at baseline and at serial time points up to 1032 hours (43 days) after injection for determination of serum opioid concentrations. Serum opioid concentrations were measured with HPLC–MS and pharmacokinetic parameters were calculated using commercial software and non–compartmental methods.ResultsSerum concentrations of oxymorphone remained above the limit of quantification for 21 days, while those for hydromorphone remained above the limit of quantification for 29 days. Cmax for ASG–oxymorphone was 7.5 ng mL?1; Cmax for ASG–hydromorphone was 5.7 ng mL?1.Conclusions and clinical relevanceOxymorphone and hydromorphone, when encapsulated into liposomes using the ammonium sulfate gradient loading technique, result in measureable serum concentrations for between 3 to 4 weeks. This formulation may have promise in the convenient use of opioids for clinical treatment of chronically painful conditions in dogs.
Keywords:dog  hydromorphone  opioids  oxymorphone  pain management
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