Study on Carbamazepine induced electrocardiographic, blood pressure and echocardiographic changes in the dog
Subject Areas :
Veterinary Clinical Pathology
رامین Kaffash Elahi
1
,
Daryoush Mohajeri
2
,
Alireza Nourazar
3
,
Yasin Bagheri
4
1 - Assistant Professor, Department of Clinical Sciences, Faculty of Veterinary Medicine, Tabriz Branch, Islamic Azad University, Tabriz, Iran.
2 - Professor, Department of Pathobiology, Faculty of Veterinary Medicine, Tabriz Branch, Islamic Azad University, Tabriz, Iran.
3 - Assistant Professor, Department of Basic Sciences, Faculty of Veterinary Medicine, Tabriz Branch, Islamic Azad University, Tabriz, Iran.
4 - Young Researchers and Elite Club, Tabriz Branch, Islamic Azad University, Tabriz, Iran.
Received: 2018-06-19
Accepted : 2019-07-20
Published : 2019-07-23
Keywords:
Dog,
Electrocardiogram,
Blood pressure,
Carbamazepin,
Echocardiogram,
Abstract :
Carbamazepine is used as an anticonvulsant drug in the treatment of simple slight convulsion and generalized tonic-clonic, trigeminal neuralgia, and also as preventive agent in manic depressive. Carbamazepine reduces synaptic transmission by prolonging the inactivity of cellular sodium-potassium pump. Considering the clinical use of carbamazepine, the current study aimed to evaluate its cardiac effects in dogs. In this experimental-interventional study, fourteen native 1.5-2 years old female mixed breed dogs were procured and after laboratory testing and physical examination to ensure their general health status, they were divided into treatment and control groups (7 dogs in each group). On day zero, before drug administration, the electrocardiogram, echocardiogram and blood pressure was recorded. Both groups were maintained in the same conditions and carbamazepine was given orally to the treatment group for 7 days (with a dose of 8 mg/kg). After completing the administration period, the electrocardiogram, echocardiogram and blood pressure was obtained once again and the data were analyzed by one-way ANOVA. Blood pressure was significantly reduced in the treatment group (p < /em><0.05). Significant changes were also induced by carbamazepine in the dogs’ electrocardiogram and echocardiogram (p < /em><0.05). According to the results of the current study, it was found that carbamazepine could decrease blood pressure and induce notable alterations in the electrocardiogram and echocardiogram of dogs.
References:
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Al-Wabel, N.A., Strauch, S.M., Keene, B.W., Nakayama, T. and Hamlin, R.L. (2002). Electrocardiographic and hemodynamic effects of cisapride alone and combined with erythromycin in anesthetized dogs. Cardiovascular Toxicology, 2(3): 195-207.
Apfelbaum, J.L., Chen, C., Mehta, S.S. and Gan, T.J. (2003). Postoperative pain experience: results from a national survey suggest postoperative pain continues to be undermanaged. Anesthesia and Analgesia, 97(2): 534-540.
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Cunha, A.O.S., Mortari, M.R., Liberato, J.L. and Dos Santos, W.F. (2009). Neuroprotective effects of diazepam, carbamazepine, phenytoin and ketamine after pilocarpine-induced status epilepticus. Basic and Clinical Pharmacology and Toxicology, 104(6): 470-477.
Ciszowski, K., Szpak, D. and Jenner, B. (2007). The influence of carbamazepine plasma level on blood pressure and some ECG parameters in patients with acute intoxication. Przeglad Lekarski, 64(4-5): 248-251.
Czapiński, P. and Terczyński, A. (1996). Open randomized comparative trial of sodium valproate and carbamazepine in adult onset epilepsy. Neurologia I Neurochirurgia Polska, 30(3): 419-426.
Durelli, L., Massazza, U. and Cavallo, R. (1989). Carbamazepine toxicity and poisoning. Medical Toxicology and Adverse Drug Experience, 4(2): 95-107.
Engel, J., Pedley, T.A. and Aicardi, J. (1998). Epilepsy: a comprehensive textbook. Philadelphia: Lippincott-Raven, pp: 50-62.
Fent, K., Weston, A.A. and Caminada, D. (2006). Ecotoxicology of human pharmaceuticals. Aquatic Toxicology, 76(2): 122-159.
Ferrari, B.T., Paxeus, N., Giudice, R.L., Pollio, A. and Garric, J. (2003). Ecotoxicological impact of pharmaceuticals found in treated wastewaters: study of carbamazepine, clofibric acid, and diclofenac. Ecotoxicology and Environmental Safety, 55(3): 359-370.
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Kasarskis, E.J., Kuo, C.S., Berger, R. and Nelson, K.R. (1992). Carbamazepine induced cardiac dysfunction. Characterization of two distinct clinical syndromes. Archives of Internal Medicine, 152(1): 186-191.
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Readnower, R.D., Davis, L.M. and Sullivan, P.G. (2011). Novel Neuroprotective Strategies and Targets of Intervention in Epilepsy, Epilepsy in Children-Clinical and Social Aspects. 15th ed., Croatia: Intech Open, pp: 80-90.
Schneider, B.J. (2001). A study in animal ethics in New Brunswick. Canadian Veterinary Journal, 42(7): 540-547.
Smith, H.S. and Argoff, C.E. (2011) Pharmacological treatment of diabetic neuropathic pain. Drugs, 71(5): 557-589.
Swaiman, K.F., Ashwal, S. and Ferriero, D.M. (2006). Pediatric Neurology: Principles and Practice. 4th ed., Elsevier Health Sciences, pp: 885-895.
Trojnar, M.K., Malek, R., Chroscinska, M., Nowak, S.A., Blaszczyk, B., Czuczwar, S.A.J., et al. (2002). Neuroprotective effects of antiepileptic drugs. Polish Journal of Pharmacology, 54(6): 557-566.
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Afshar, M., Moallem, S., Baharara, J. and Takjoo, T. (2010). The protective role of folic acid on tratogenic effect of Carbamazepine in Balb/c mice. Journal of Gorgan University of Medical Sciences, 12(3): 1-9. [In Persian]
Al-Wabel, N.A., Strauch, S.M., Keene, B.W., Nakayama, T. and Hamlin, R.L. (2002). Electrocardiographic and hemodynamic effects of cisapride alone and combined with erythromycin in anesthetized dogs. Cardiovascular Toxicology, 2(3): 195-207.
Apfelbaum, J.L., Chen, C., Mehta, S.S. and Gan, T.J. (2003). Postoperative pain experience: results from a national survey suggest postoperative pain continues to be undermanaged. Anesthesia and Analgesia, 97(2): 534-540.
Chadwick, D. and Vigabatrin European Monotherapy Study Group (VEMS Group). (1999). Safety and efficacy of vigabatrin and carbamazepine in ne wly diagnosed epilepsy: a multicentre randomised double-blind study. The Lancet, 345(9172): 13-19.
Cunha, A.O.S., Mortari, M.R., Liberato, J.L. and Dos Santos, W.F. (2009). Neuroprotective effects of diazepam, carbamazepine, phenytoin and ketamine after pilocarpine-induced status epilepticus. Basic and Clinical Pharmacology and Toxicology, 104(6): 470-477.
Ciszowski, K., Szpak, D. and Jenner, B. (2007). The influence of carbamazepine plasma level on blood pressure and some ECG parameters in patients with acute intoxication. Przeglad Lekarski, 64(4-5): 248-251.
Czapiński, P. and Terczyński, A. (1996). Open randomized comparative trial of sodium valproate and carbamazepine in adult onset epilepsy. Neurologia I Neurochirurgia Polska, 30(3): 419-426.
Durelli, L., Massazza, U. and Cavallo, R. (1989). Carbamazepine toxicity and poisoning. Medical Toxicology and Adverse Drug Experience, 4(2): 95-107.
Engel, J., Pedley, T.A. and Aicardi, J. (1998). Epilepsy: a comprehensive textbook. Philadelphia: Lippincott-Raven, pp: 50-62.
Fent, K., Weston, A.A. and Caminada, D. (2006). Ecotoxicology of human pharmaceuticals. Aquatic Toxicology, 76(2): 122-159.
Ferrari, B.T., Paxeus, N., Giudice, R.L., Pollio, A. and Garric, J. (2003). Ecotoxicological impact of pharmaceuticals found in treated wastewaters: study of carbamazepine, clofibric acid, and diclofenac. Ecotoxicology and Environmental Safety, 55(3): 359-370.
Iwamoto, T., Takasugi, Y., Higashino, H., Ito, H., Koga, Y. and Nakao, S. (2011). Antinociceptive action of carbamazepine on thermal hypersensitive pain at spinal level in a rat model of adjuvant-induced chronic inflammation. Journal of Anesthesia, 25(1): 86-87.
Kasarskis, E.J., Kuo, C.S., Berger, R. and Nelson, K.R. (1992). Carbamazepine induced cardiac dysfunction. Characterization of two distinct clinical syndromes. Archives of Internal Medicine, 152(1): 186-191.
Mayer, R.J. (2001). Harrison’s Principles of Internal Medicine. 15th ed., USA: New York, McGraw-Hill, pp: 581-588.
Neshat-Gharamaleky, M., Khayat-Nouri, M.H. and Pourshaban, M. (2010). Study of the effect of Carbamazepin orally administration on electrocardiogram changes (lead II) in cats. Journal of Clinical Research of Large Livestock, 4(12): 75-79. [In Persian]
Ramsey, I. (2014) BSAVA small animal formulary. 9th ed., Glasgow, British Small Animal Veterinary Association, pp: 49-51.
Readnower, R.D., Davis, L.M. and Sullivan, P.G. (2011). Novel Neuroprotective Strategies and Targets of Intervention in Epilepsy, Epilepsy in Children-Clinical and Social Aspects. 15th ed., Croatia: Intech Open, pp: 80-90.
Schneider, B.J. (2001). A study in animal ethics in New Brunswick. Canadian Veterinary Journal, 42(7): 540-547.
Smith, H.S. and Argoff, C.E. (2011) Pharmacological treatment of diabetic neuropathic pain. Drugs, 71(5): 557-589.
Swaiman, K.F., Ashwal, S. and Ferriero, D.M. (2006). Pediatric Neurology: Principles and Practice. 4th ed., Elsevier Health Sciences, pp: 885-895.
Trojnar, M.K., Malek, R., Chroscinska, M., Nowak, S.A., Blaszczyk, B., Czuczwar, S.A.J., et al. (2002). Neuroprotective effects of antiepileptic drugs. Polish Journal of Pharmacology, 54(6): 557-566.