Full spectrum cannabidiol-rich extract reduced propofol dosage required for anesthetic induction in dogs—a pilot study

IntroductionCannabinoids show great therapeutic potential, but their effect on anesthesia still remains unclear. Use of chronic recreational Cannabis in humans undergoing anesthetic procedures tends to require a higher dose when compared to non-users. On the other hand, studies on rodents and dogs h...

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Main Authors: João Lourenço Hasckel Gewehr, Maria Laura Enzele, Lucas Marlon Freiria, Morgana Martins Nunes, Júlia Spengler, Ana Paula Dondoerfer Teixeira, Erik Amazonas, Vanessa Sasso Padilha
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-04-01
Series:Frontiers in Veterinary Science
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Online Access:https://www.frontiersin.org/articles/10.3389/fvets.2024.1352314/full
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author João Lourenço Hasckel Gewehr
Maria Laura Enzele
Lucas Marlon Freiria
Morgana Martins Nunes
Júlia Spengler
Ana Paula Dondoerfer Teixeira
Erik Amazonas
Erik Amazonas
Vanessa Sasso Padilha
author_facet João Lourenço Hasckel Gewehr
Maria Laura Enzele
Lucas Marlon Freiria
Morgana Martins Nunes
Júlia Spengler
Ana Paula Dondoerfer Teixeira
Erik Amazonas
Erik Amazonas
Vanessa Sasso Padilha
author_sort João Lourenço Hasckel Gewehr
collection DOAJ
description IntroductionCannabinoids show great therapeutic potential, but their effect on anesthesia still remains unclear. Use of chronic recreational Cannabis in humans undergoing anesthetic procedures tends to require a higher dose when compared to non-users. On the other hand, studies on rodents and dogs have shown that cannabinoid agonists may potentiate certain anesthetics. This contrast of effects possibly occurs due to different time lengths of administration of different phytocannabinoids at different doses, and their distinct effects on the Endocannabinoid System, which is also affected by anesthetics such as propofol and isoflurane.MethodsTwenty-seven healthy male dogs, client-owned, ranging from 1 to 7 years, and from 5 to 35 kg were selected, mean weight 15.03±7.39 kg, with owners volunteering their animals to participate in the research performed in the Federal University of Santa Catarina (UFSC). Dogs were randomized into 3 groups. The Control Group (CON, n = 9), receiving only Extra Virgin Olive Oil, the same oil-base used in the treatment groups. Group 2 (G2, n = 9) received 2 mg/kg of total phytocannabinoids, and Group 3 (G3, n = 9) received 6 mg/kg of total phytocannabinoids. All groups received their treatments transmucosally, 75 min before their induction with propofol. Heart and respiratory rate, blood pressure, temperature and sedation were evaluated prior to, and at 30, 60, and 75  min after administration of the fsCBD-rich extract or Placebo extract. Preanesthetic medication protocol was also included across all treatment groups, 15  min before induction. Parametric data was analyzed with one-way ANOVA, followed by Student–Newman–Keuls (SNK) if significant statistical differences were found. Non-parametric data was analyzed using Friedman’s test, followed by Dunn test for comparisons between all timepoints in the same group. Kruskal-Wallis followed by Dunn was utilized for between groups comparisons. Propofol dose necessary for induction was analyzed through One-way ANOVA followed by Tukey’s Multiple Comparisons Test, using Instat by Graphpad, and differences were considered statistically significant when p < 0.05. Our analysis assessed if statistical significance was present between time points in the same group, and between groups in the same time points.ResultsIn our study, 6  mg/kg of total phytocannabinoids were able to reduce the dose of propofol necessary for induction by 23% when compared to the control group. The fsCBD-rich extract did not produce significant sedation within or between groups, although statistically significant differences in heart rate and systolic blood pressure were found.DiscussionOur findings indicate that phytocannabinoids could be an adjunct option in anesthesia, although further research is necessary to better confirm this data. Additionally, further research is needed to determine the best dosage, delivery method, time for administration, ideal molecular profile for desired effects, safety, drug–drug interactions, and transurgical effects.
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spelling doaj.art-d6afd904ecd54fe4a706f1affa7f64402024-04-05T04:58:52ZengFrontiers Media S.A.Frontiers in Veterinary Science2297-17692024-04-011110.3389/fvets.2024.13523141352314Full spectrum cannabidiol-rich extract reduced propofol dosage required for anesthetic induction in dogs—a pilot studyJoão Lourenço Hasckel Gewehr0Maria Laura Enzele1Lucas Marlon Freiria2Morgana Martins Nunes3Júlia Spengler4Ana Paula Dondoerfer Teixeira5Erik Amazonas6Erik Amazonas7Vanessa Sasso Padilha8Veterinary Medicine, Federal University of Santa Catarina (UFSC), Curitibanos, BrazilVeterinary Medicine, Federal University of Santa Catarina (UFSC), Curitibanos, BrazilVeterinary Clinic School (CVE) of the Federal University of Santa Catarina (UFSC), Curitibanos, BrazilVeterinary Clinic School (CVE) of the Federal University of Santa Catarina (UFSC), Curitibanos, BrazilVeterinary Clinic School (CVE) of the Federal University of Santa Catarina (UFSC), Curitibanos, BrazilVeterinary Clinic School (CVE) of the Federal University of Santa Catarina (UFSC), Curitibanos, BrazilDepartment of Biosciences and One Health (BSU), Center for Rural Sciences (CCR), Federal University of Santa Catarina (UFSC), Curitibanos, BrazilCannabis Development and Innovation Center (PODICAN/UFSC), Curitibanos, BrazilDepartment of Biosciences and One Health (BSU), Center for Rural Sciences (CCR), Federal University of Santa Catarina (UFSC), Curitibanos, BrazilIntroductionCannabinoids show great therapeutic potential, but their effect on anesthesia still remains unclear. Use of chronic recreational Cannabis in humans undergoing anesthetic procedures tends to require a higher dose when compared to non-users. On the other hand, studies on rodents and dogs have shown that cannabinoid agonists may potentiate certain anesthetics. This contrast of effects possibly occurs due to different time lengths of administration of different phytocannabinoids at different doses, and their distinct effects on the Endocannabinoid System, which is also affected by anesthetics such as propofol and isoflurane.MethodsTwenty-seven healthy male dogs, client-owned, ranging from 1 to 7 years, and from 5 to 35 kg were selected, mean weight 15.03±7.39 kg, with owners volunteering their animals to participate in the research performed in the Federal University of Santa Catarina (UFSC). Dogs were randomized into 3 groups. The Control Group (CON, n = 9), receiving only Extra Virgin Olive Oil, the same oil-base used in the treatment groups. Group 2 (G2, n = 9) received 2 mg/kg of total phytocannabinoids, and Group 3 (G3, n = 9) received 6 mg/kg of total phytocannabinoids. All groups received their treatments transmucosally, 75 min before their induction with propofol. Heart and respiratory rate, blood pressure, temperature and sedation were evaluated prior to, and at 30, 60, and 75  min after administration of the fsCBD-rich extract or Placebo extract. Preanesthetic medication protocol was also included across all treatment groups, 15  min before induction. Parametric data was analyzed with one-way ANOVA, followed by Student–Newman–Keuls (SNK) if significant statistical differences were found. Non-parametric data was analyzed using Friedman’s test, followed by Dunn test for comparisons between all timepoints in the same group. Kruskal-Wallis followed by Dunn was utilized for between groups comparisons. Propofol dose necessary for induction was analyzed through One-way ANOVA followed by Tukey’s Multiple Comparisons Test, using Instat by Graphpad, and differences were considered statistically significant when p < 0.05. Our analysis assessed if statistical significance was present between time points in the same group, and between groups in the same time points.ResultsIn our study, 6  mg/kg of total phytocannabinoids were able to reduce the dose of propofol necessary for induction by 23% when compared to the control group. The fsCBD-rich extract did not produce significant sedation within or between groups, although statistically significant differences in heart rate and systolic blood pressure were found.DiscussionOur findings indicate that phytocannabinoids could be an adjunct option in anesthesia, although further research is necessary to better confirm this data. Additionally, further research is needed to determine the best dosage, delivery method, time for administration, ideal molecular profile for desired effects, safety, drug–drug interactions, and transurgical effects.https://www.frontiersin.org/articles/10.3389/fvets.2024.1352314/fulldouble blindplacebo controlledprospective clinical studycannabisphytocannabinoidanesthesia
spellingShingle João Lourenço Hasckel Gewehr
Maria Laura Enzele
Lucas Marlon Freiria
Morgana Martins Nunes
Júlia Spengler
Ana Paula Dondoerfer Teixeira
Erik Amazonas
Erik Amazonas
Vanessa Sasso Padilha
Full spectrum cannabidiol-rich extract reduced propofol dosage required for anesthetic induction in dogs—a pilot study
Frontiers in Veterinary Science
double blind
placebo controlled
prospective clinical study
cannabis
phytocannabinoid
anesthesia
title Full spectrum cannabidiol-rich extract reduced propofol dosage required for anesthetic induction in dogs—a pilot study
title_full Full spectrum cannabidiol-rich extract reduced propofol dosage required for anesthetic induction in dogs—a pilot study
title_fullStr Full spectrum cannabidiol-rich extract reduced propofol dosage required for anesthetic induction in dogs—a pilot study
title_full_unstemmed Full spectrum cannabidiol-rich extract reduced propofol dosage required for anesthetic induction in dogs—a pilot study
title_short Full spectrum cannabidiol-rich extract reduced propofol dosage required for anesthetic induction in dogs—a pilot study
title_sort full spectrum cannabidiol rich extract reduced propofol dosage required for anesthetic induction in dogs a pilot study
topic double blind
placebo controlled
prospective clinical study
cannabis
phytocannabinoid
anesthesia
url https://www.frontiersin.org/articles/10.3389/fvets.2024.1352314/full
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