The pharmacokinetics and pharmacodynamics of esomeprazole in sheep after intravenous dosing

Abomasal (gastric) ulceration is a morbidity in sheep, and currently, there is a paucity of pharmacokinetic and pharmacodynamic data for gastroprotectant drugs reported for this species. The proton pump inhibitor esomeprazole has been used in small animal and human patients for gastroprotection via...

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Main Authors: Joe S. Smith, Jessica Gebert, Kailee Bennett, Lisa Sams Ebner, Ryan Flynn, Pierre-Yves Mulon, Lainey Harvill, Olivia Grace Escher, Amanda Jo Kreuder, Joan Bergman, Sherry Cox
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-05-01
Series:Frontiers in Veterinary Science
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fvets.2023.1172023/full
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author Joe S. Smith
Joe S. Smith
Jessica Gebert
Kailee Bennett
Lisa Sams Ebner
Ryan Flynn
Pierre-Yves Mulon
Lainey Harvill
Olivia Grace Escher
Amanda Jo Kreuder
Joan Bergman
Sherry Cox
author_facet Joe S. Smith
Joe S. Smith
Jessica Gebert
Kailee Bennett
Lisa Sams Ebner
Ryan Flynn
Pierre-Yves Mulon
Lainey Harvill
Olivia Grace Escher
Amanda Jo Kreuder
Joan Bergman
Sherry Cox
author_sort Joe S. Smith
collection DOAJ
description Abomasal (gastric) ulceration is a morbidity in sheep, and currently, there is a paucity of pharmacokinetic and pharmacodynamic data for gastroprotectant drugs reported for this species. The proton pump inhibitor esomeprazole has been used in small animal and human patients for gastroprotection via increasing the gastric pH. The objective of this study was to report the pharmacokinetic parameters and pharmacodynamic effect of esomeprazole in sheep after single intravenous dosing. Four healthy adult Southdown cross ewes had blood collected over a 24  h time period after single intravenous dosing of esomeprazole at 1.0  mg/kg. Abomasal fluid was sampled over 24  h before and after esomeprazole administration. Plasma samples were analyzed for concentrations of esomeprazole and the esomeprazole metabolite, esomeprazole sulfone by high performance liquid chromatography. Pharmacokinetic and pharmacodynamic data were evaluated with specialized software. Esomeprazole was rapidly eliminated after IV administration. Elimination half-life, area under the curve, initial concentration (C0), and clearance were 0.2  h, 1,197  h*ng/mL, 4,321  ng/mL, and 0.83  mL/h/kg, respectively. For the sulfone metabolite elimination half-life, area under the curve and maximum concentration were 0.16  h, 22.5  h*ng/mL, and 65.0  ng/mL, respectively. Abomasal pH was significantly elevated from 1 to 6  h after administration and remained above 4.0 for at least 8 h after administration. No adverse effects were noted in these sheep. Esomeprazole was rapidly eliminated in sheep, similar to goats. Abomasal pH was increased, but future studies will be necessary to develop a clinical management approach to the use of esomeprazole in sheep.
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spelling doaj.art-e7aeba1a071a4c239561c934b33476032023-05-05T05:44:54ZengFrontiers Media S.A.Frontiers in Veterinary Science2297-17692023-05-011010.3389/fvets.2023.11720231172023The pharmacokinetics and pharmacodynamics of esomeprazole in sheep after intravenous dosingJoe S. Smith0Joe S. Smith1Jessica Gebert2Kailee Bennett3Lisa Sams Ebner4Ryan Flynn5Pierre-Yves Mulon6Lainey Harvill7Olivia Grace Escher8Amanda Jo Kreuder9Joan Bergman10Sherry Cox11Large Animal Clinical Sciences, College of Veterinary Medicine, University of Tennessee, Knoxville, TN, United StatesBiomedical Sciences, College of Veterinary Medicine, Iowa State University, Ames, IA, United StatesLincoln Memorial University, College of Veterinary Medicine, Harrogate, TN, United StatesLarge Animal Clinical Sciences, College of Veterinary Medicine, University of Tennessee, Knoxville, TN, United StatesLincoln Memorial University, College of Veterinary Medicine, Harrogate, TN, United StatesLarge Animal Clinical Sciences, College of Veterinary Medicine, University of Tennessee, Knoxville, TN, United StatesLarge Animal Clinical Sciences, College of Veterinary Medicine, University of Tennessee, Knoxville, TN, United StatesBiomedical and Diagnostic Sciences, College of Veterinary Medicine, University of Tennessee, Knoxville, TN, United StatesLarge Animal Clinical Sciences, College of Veterinary Medicine, University of Tennessee, Knoxville, TN, United StatesVeterinary Microbiology and Preventative Medicine, College of Veterinary Medicine, Iowa State University, Ames, IA, United StatesBiomedical and Diagnostic Sciences, College of Veterinary Medicine, University of Tennessee, Knoxville, TN, United StatesBiomedical and Diagnostic Sciences, College of Veterinary Medicine, University of Tennessee, Knoxville, TN, United StatesAbomasal (gastric) ulceration is a morbidity in sheep, and currently, there is a paucity of pharmacokinetic and pharmacodynamic data for gastroprotectant drugs reported for this species. The proton pump inhibitor esomeprazole has been used in small animal and human patients for gastroprotection via increasing the gastric pH. The objective of this study was to report the pharmacokinetic parameters and pharmacodynamic effect of esomeprazole in sheep after single intravenous dosing. Four healthy adult Southdown cross ewes had blood collected over a 24  h time period after single intravenous dosing of esomeprazole at 1.0  mg/kg. Abomasal fluid was sampled over 24  h before and after esomeprazole administration. Plasma samples were analyzed for concentrations of esomeprazole and the esomeprazole metabolite, esomeprazole sulfone by high performance liquid chromatography. Pharmacokinetic and pharmacodynamic data were evaluated with specialized software. Esomeprazole was rapidly eliminated after IV administration. Elimination half-life, area under the curve, initial concentration (C0), and clearance were 0.2  h, 1,197  h*ng/mL, 4,321  ng/mL, and 0.83  mL/h/kg, respectively. For the sulfone metabolite elimination half-life, area under the curve and maximum concentration were 0.16  h, 22.5  h*ng/mL, and 65.0  ng/mL, respectively. Abomasal pH was significantly elevated from 1 to 6  h after administration and remained above 4.0 for at least 8 h after administration. No adverse effects were noted in these sheep. Esomeprazole was rapidly eliminated in sheep, similar to goats. Abomasal pH was increased, but future studies will be necessary to develop a clinical management approach to the use of esomeprazole in sheep.https://www.frontiersin.org/articles/10.3389/fvets.2023.1172023/fullabomasal ulcerabomasal ulcerationewegastricgastroprotectantproton pump inhibitor (PPI)
spellingShingle Joe S. Smith
Joe S. Smith
Jessica Gebert
Kailee Bennett
Lisa Sams Ebner
Ryan Flynn
Pierre-Yves Mulon
Lainey Harvill
Olivia Grace Escher
Amanda Jo Kreuder
Joan Bergman
Sherry Cox
The pharmacokinetics and pharmacodynamics of esomeprazole in sheep after intravenous dosing
Frontiers in Veterinary Science
abomasal ulcer
abomasal ulceration
ewe
gastric
gastroprotectant
proton pump inhibitor (PPI)
title The pharmacokinetics and pharmacodynamics of esomeprazole in sheep after intravenous dosing
title_full The pharmacokinetics and pharmacodynamics of esomeprazole in sheep after intravenous dosing
title_fullStr The pharmacokinetics and pharmacodynamics of esomeprazole in sheep after intravenous dosing
title_full_unstemmed The pharmacokinetics and pharmacodynamics of esomeprazole in sheep after intravenous dosing
title_short The pharmacokinetics and pharmacodynamics of esomeprazole in sheep after intravenous dosing
title_sort pharmacokinetics and pharmacodynamics of esomeprazole in sheep after intravenous dosing
topic abomasal ulcer
abomasal ulceration
ewe
gastric
gastroprotectant
proton pump inhibitor (PPI)
url https://www.frontiersin.org/articles/10.3389/fvets.2023.1172023/full
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