Effect of acetaminophen on hepatic enzymes and renal analytes of ovary-hysterectomized dogs
DOI:
https://doi.org/10.17533/udea.rccp.v38n1a4Keywords:
Acetaminophen, analgesia, canines, dog, hepatic enzymes, hysterectomy, paracetamol, postoperative pain, renal function, surgery, toxicityAbstract
Background: Pain treatment in companion animals is of great importance nowadays. Alternative pain therapies should be studied in small species to improve life quality and well-being of patients. For years, acetaminophen has been misused in dogs and cats, producing toxic effects after administration at high doses. Objective: To evaluate the effects of pre- and post-surgical administration of acetaminophen (also called paracetamol) on renal and hepatic enzymes in dogs undergoing ovarian hysterectomy surgery, and its effect as a trans- and post-surgical analgesic therapy. Methods: An acetaminophen dose was administered 30 minutes before surgery and 48 hours after the procedure. Pain was assessed with the Glasgow Pain Scale during surgery and at 2, 6, 12 and 24 hours after the surgical procedure. Blood studies were performed seven days before surgery and five days after to evaluate the effect of acetaminophen on liver enzymes and renal analytes. Results: No significant changes in renal analytes and liver enzymes were observed after drug application every 6 and 8 hours for 48 hours. Furthermore, anesthesia and analgesia remained stable during the surgical procedure and a low score on pain scale was observed, indicating absence of postoperative pain despite the total time of surgery was longer than usual. Conclusion: Acetaminophen is an excellent analgesic for prolonged surgery and also for postoperative pain. Furthermore, it does not produce hepatic or renal alterations at the tested doses.
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Annandale A, Scheepers E, Fosgate GT. The effect of an ovariohysterectomy model practice on surgical times for final-year veterinary students' first live-animal ovariohysterectomies. J Vet Med Educ 2020; 47(1):44–55. https://doi.org/10.3138/jvme.1217-181r1
Donati PA, Tarragona L, Franco JVA, Kreil V, Fravega R, Diaz A, Verdier N, Otero PE. Efficacy of tramadol for postoperative pain management in dogs: systematic review and meta-analysis. Vet Anaesth Analg 2021; 48(3):283–296. https://doi.org/10.1016/j.vaa.2021.01.003
Ghanem CI, Pérez MJ, Manautou JE, Mottino AD. Acetaminophen from liver to brain: New insights into drug pharmacological action and toxicity. Pharmacol Res 2016; 109:119–131. https://doi.org/10.1016/j.phrs.2016.02.020
Gramatté T. Paracetamol absorption from different sites in the human small intestine. Br J Clin Pharmacol 1994; 608–611. http://doi.org/10.1111/j.1365-2125.1994.tb04312.x
Freeman LJ, Ferguson N, Fellenstein C, Johnson R, Constable PD. Evaluation of learning curves for ovariohysterectomy of dogs and cats and castration of dogs. J Am Vet Med Assoc 2017; 251(3):322–332. https://doi.org/10.2460/javma.251.3.322
Kelly K, O'Mahony B, Lindsay B, Jones T, Grattan TJ, Rostami-Hodjegan A, Stevens HN, Wilson CG. Comparison of the rates of disintegration, gastric emptying, and drug absorption following administration of a new and a conventional paracetamol formulation, using gamma scintigraphy. Pharm Res 2003; 20(10):1668–1673. https://doi.org/10.1023/a:1026155822121
Mondragón-Huerta CG, Bautista-Pérez R, Baiza-Gutman LA, Escobar-Sánchez ML, Valle-Mondragón LD, Salas-Garrido CG, Castro-Moreno P, Ibarra-Barajas M. Morphology and cyclooxygenase-2 and renin expression in the kidney of young spontaneously hypertensive rats. Vet Pathol 2022; 59(2):371–384. https://doi.org/10.1177/03009858211052663
Murrell JC, Psatha EP, Scott EM, Reid J, Hellebrekers LJ. Application of a modified form of the Glasgow pain scale in a veterinary teaching centre in the Netherlands. Vet Rec 2008; 162 (13):403–408. https://doi.org/10.1136/vr.162.13.403
Gruen ME, Lascelles BDX, Colleran E, Gottlieb A, Johnson J, Lotsikas P, Marcellin-Little D, Wright B. AAHA Pain Management Guidelines for Dogs and Cats. J Am Anim Hosp Assoc. 2022; 58(2):55–56. https://doi.org/10.5326/JAAHA-MS-7292
Hernández-Avalos I, Valverde A, Ibancovichi-Camarillo JA, Sánchez-Aparicio P, Recillas-Morales S, Osorio-Avalos J, Rodríguez-Velázquez D, Miranda-Cortés AE. Clinical evaluation of postoperative analgesia, cardiorespiratory parameters and changes in liver and renal function tests of paracetamol compared to meloxicam and carprofen in dogs undergoing ovariohysterectomy. PLoS One 2020; 15(2):e0223697. https://doi.org//10.1371/journal.pone.0223697
Pacheco M, Knowles TG, Hunt J, Slingsby LS, Taylor PM, Murrell JC. Comparing paracetamol/codeine and meloxicam for postoperative analgesia in dogs: a non-inferiority trial. Vet Rec 2020; 187(8): e61. https://doi.org/10.1136/vr.105487
Rodríguez-Fernández J, Garcia-Legler E, Villanueva-Badenas E, Donato MT, Gomez-Ribelles JL, Salmeron-Sánchez M, Gallego-Ferrer G, Tolosa L. Primary human hepatocytes-laden scaffolds for the treatment of acute liver failure. Biomater Adv 2023; 153: 213576. https://doi.org/10.1016/j.bioadv.2023.213576
Salem SI, Elgayed SSA, El- Kelany WM, El- Baky AA. Diagnostic studies on acetaminophen toxicosis in dogs. Glob Vet 2010; 5(2):72–78. https://www.idosi.org/gv/gv5(2)10/2.pdf
Satirapoj B, Lohachit P, Ruamvang T. Therapeutic dose of acetaminophen with fatal hepatic necrosis and acute renal failure. J Med Assoc Thai 2007; 90(6):1244–1247.
Serrano-Rodríguez JM, Mengual C, Quirós-Carmona S, Fernández J, Domínguez JM, Serrano-Caballero JM, Morgaz J, Navarrete-Calvo R, Gómez-Villamandos RJ, Granados MDM. Comparative pharmacokinetics and a clinical laboratory evaluation of intravenous acetaminophen in Beagle and Galgo Español dogs. Vet Anaesth Analg 2019; 46(2):226–235. https://doi.org/10.1016/j.vaa.2018.09.042
Simmons DL, Botting RM, Hla T. Cyclooxygenase isozymes: the biology of prostaglandin synthesis and inhibition. Pharmacol Rev 2004; 387–437. https://doi.org/10.1124/pr.56.3.3
Yu CHJ, Rupasinghe HPV. Cannabidiol-based natural health products for companion animals: Recent advances in the management of anxiety, pain, and inflammation. Res Vet Sci 2021; (140):38–46. http:// doi.org/10.1016/j.rvsc.2021.08.001
Zhang J, Zhou L, Zhang Y. Diagnostic values of blood urea nitrogen (BUN), creatinine (Cr), and the ratio of BUN to Cr for distinguishing heart failure from asthma and chronic obstructive pulmonary disease. Comput Math Methods Med 2022; 4586458. https://doi.org/10.1155/2022/4586458
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