2023 journal article

Pharmacokinetics and pharmacodynamics of intramuscular alfaxalone in central bearded dragons (Pogona vitticeps): effect of injection site

VETERINARY ANAESTHESIA AND ANALGESIA, 50(3), 280–288.

By: S. Shippy*, H. Allgood*, K. Messenger n, J. Hernandez*, B. Gatson, M. Bustamante*, A. Alexander*, J. Wellehan Jr, A. Johnson*

author keywords: alfaxalone; bearded dragon; injectable anes-thesia; pharmacokinetics; Pogona vitticeps; sedation
MeSH headings : Animals; Anesthetics / pharmacology; Cross-Over Studies; Injections, Intramuscular / veterinary; Prospective Studies
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Source: Web Of Science
Added: June 26, 2023

{"Label"=>"OBJECTIVE", "NlmCategory"=>"OBJECTIVE"} To evaluate the pharmacodynamic effects and pharmacokinetics of a single intramuscular (IM) injection of alfaxalone in central bearded dragons (Pogona vitticeps) when injected at a cranial versus a caudal site. {"Label"=>"STUDY DESIGN", "NlmCategory"=>"METHODS"} Prospective, masked, randomized crossover study. {"Label"=>"ANIMALS", "NlmCategory"=>"METHODS"} A total of 13 healthy bearded dragons weighing 0.48 ± 0.1 kg. {"Label"=>"METHODS", "NlmCategory"=>"METHODS"} Alfaxalone (10 mg kg {"sup"=>"-1"} ) was administered IM to 13 bearded dragons in the triceps muscle (cranial treatment) or the quadriceps muscle (caudal treatment) separated by 4 weeks. Pharmacodynamic variables included movement score, muscle tone score and righting reflex. Blood was obtained from the caudal tail vein using a sparse sampling methodology. Plasma alfaxalone concentrations were determined using liquid chromatography-mass spectrometry, and pharmacokinetic analysis was performed using nonlinear mixed-effects modeling. Differences in variables between injection sites were analyzed using a nonparametric Wilcoxon signed-rank test for paired data with significance set at p ≤ 0.05. {"Label"=>"RESULTS", "NlmCategory"=>"RESULTS"} Time to loss of righting reflex score was not different, median (interquartile range), between cranial and caudal treatments [8 (5-11) and 8 (4-12) minutes, respectively, p = 0.72]. Time to recovery of righting reflex was also not different between cranial and caudal treatments [80 (44-112) and 64 (56-104) minutes, respectively, p = 0.75]. Plasma alfaxalone concentrations were not significantly different between treatments. The population estimate (95% confidence intervals) for volume of distribution per fraction absorbed was 1.0 (0.79-1.20) L kg {"sup"=>"-1"} , clearance per fraction absorbed was 9.6 (7.6-11.6) mL minute {"sup"=>"-1"} kg {"sup"=>"-1"} , absorption rate constant was 2.3 (1.9-2.8) minute {"sup"=>"-1"} and elimination half-life was 71.9 (52.7-91.1) minutes. {"Label"=>"CONCLUSIONS AND CLINICAL RELEVANCE", "NlmCategory"=>"CONCLUSIONS"} Regardless of the injection site, IM alfaxalone (10 mg kg {"sup"=>"-1"} ) produced reliable chemical restraint in central bearded dragons, appropriate for nonpainful diagnostic procedures or anesthetic premedication.