Gastrointestinal Therapeutics 2

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Questions and Answers

What could be a possible cause for reduced appetite in cats?

  • Increased physical activity
  • Higher than normal food intake
  • Chronic inflammatory diseases (correct)
  • Fever from viral infections

Which drug principle is essential when treating gastrointestinal disease?

  • Use of broad-spectrum antibiotics only
  • Modification of gastrointestinal flora (correct)
  • Direct inhibition of gastrointestinal motility
  • Stimulation of appetite regardless of disease

What can excessive appetite in domesticated species indicate?

  • An underlying behavioral issue
  • Malnutrition or undernutrition
  • Obesity-related health problems (correct)
  • Normal metabolic processes

What is a key pharmacological principle of antiparasitic treatments?

<p>They should act selectively against parasites (D)</p> Signup and view all the answers

Which of these is NOT a common reason for gastrointestinal dysfunction in domesticated species?

<p>Increase in dietary fibers (B)</p> Signup and view all the answers

What is the primary mechanism of action for metronidazole?

<p>Inhibits nucleic acid function (D)</p> Signup and view all the answers

Which of the following is NOT a characteristic of Acute Haemorrhagic Diarrhoea Syndrome (HGE)?

<p>Low plasma proteins (A)</p> Signup and view all the answers

Which broad-spectrum anthelmintic should be classified as a prodrug?

<p>Febantel (D)</p> Signup and view all the answers

What is a common treatment approach for Acute Haemorrhagic Diarrhoea Syndrome?

<p>Aggressive symptomatic/supportive care (D)</p> Signup and view all the answers

What is the effect of benzimidazoles on parasites?

<p>Inhibits glucose uptake and causes glycogen depletion (C)</p> Signup and view all the answers

Which of the following statements is true regarding benzimidazoles?

<p>Prolonged exposure increases the efficacy of benzimidazoles. (B)</p> Signup and view all the answers

What distinguishes triclabendazole from other benzimidazoles?

<p>It is effective against early immature stages of Fasciola hepatica. (A)</p> Signup and view all the answers

What is the role of nicotinic agonists in parasitology?

<p>They induce rapid and reversible muscle paralysis. (C)</p> Signup and view all the answers

Which age should puppies and kittens be dosed with fenbendazole?

<p>At 2, 5, 8, and 12 weeks of age. (B)</p> Signup and view all the answers

Which drug is known for being effective against late immature stages of parasites?

<p>Nitroxynil. (C)</p> Signup and view all the answers

Which class of drugs is selective for nematode muscles?

<p>Imidazothiazoles (C)</p> Signup and view all the answers

What effect do macrocyclic lactones have on nematodes?

<p>Hyperpolarisation and flaccid paralysis (A)</p> Signup and view all the answers

What is praziquantel primarily used for?

<p>To cause severe damage to the parasite integument (D)</p> Signup and view all the answers

Which agent inhibits folate synthesis in protozoa?

<p>Trimethoprim/sulphonamide (TMPS) (A)</p> Signup and view all the answers

What compound classification does ivermectin belong to?

<p>Macrocyclic Lactones (A)</p> Signup and view all the answers

Which drug is specifically mentioned as having persistent activity for preventative worm strategies?

<p>Ivermectin (A)</p> Signup and view all the answers

What is believed to be the mechanism of action for praziquantel?

<p>Changes in divalent cation fluxes (A)</p> Signup and view all the answers

Which drug class includes pyrantel?

<p>Tetrahydropyrimidines (D)</p> Signup and view all the answers

Which appetite stimulant is known for having effects typically seen within 30 minutes?

<p>mirtazapine (A)</p> Signup and view all the answers

What is a characteristic of probiotics?

<p>They are live microorganisms that confer health benefits. (D)</p> Signup and view all the answers

Which appetite stimulant is a ghrelin agonist and was recently approved?

<p>capromorelin (A)</p> Signup and view all the answers

What approach is NOT recommended for encouraging a cat to eat?

<p>Offering food for an extended period (D)</p> Signup and view all the answers

What is the primary reason for anorexia in pets?

<p>Usually secondary to another condition (C)</p> Signup and view all the answers

Which of the following is a common endoparasite?

<p>Cestodes (B)</p> Signup and view all the answers

In terms of gastrointestinal health, what is the role of prebiotics?

<p>They support beneficial microorganisms through selective fermentation. (A)</p> Signup and view all the answers

Why should the use of diazepam as an appetite stimulant be avoided?

<p>It carries a high risk of acute hepatic necrosis. (A)</p> Signup and view all the answers

Which drug is commonly used as an appetite stimulant with anti-nausea effects?

<p>Mirtazapine (C)</p> Signup and view all the answers

What is the primary action of benzimidazoles in treating gastrointestinal diseases?

<p>Binding to parasite tubulin (D)</p> Signup and view all the answers

Which condition is metronidazole NOT used to treat?

<p>Dermatophytosis (D)</p> Signup and view all the answers

Which type of anthelmintic is levamisole classified as?

<p>Nicotinic agonist (C)</p> Signup and view all the answers

What is a potential consequence of irresponsible use of anthelmintics?

<p>Development of drug resistance (C)</p> Signup and view all the answers

Which of the following is NOT a characteristic of metronidazole?

<p>Has no anti-inflammatory effects (A)</p> Signup and view all the answers

What role does intestinal microbiota play in gastrointestinal health?

<p>Helping to maintain GI homeostasis (B)</p> Signup and view all the answers

Which drug is considered safe for use in puppies and lactating bitches?

<p>Fenbendazole (C)</p> Signup and view all the answers

Flashcards

Gastrointestinal Therapeutics: Modifying GI Function

Drugs used to alter how the digestive system works. Examples include drugs to increase or decrease appetite and those that impact the balance of bacteria in the gut.

Gastrointestinal Therapeutics: Treating GI Disease

A type of drug used to treat illnesses that affect the digestive system, covering a range of disorders like inflammation, infection, and tumors.

Reduced Appetite in Animals

A decreased desire to eat, often caused by chronic inflammation, infections, tumors, or side effects of cancer treatments.

Excessive Appetite in Animals

An increased desire to eat, often associated with being overweight.

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Imbalance in Intestinal Microbiota

An imbalance in the types and amounts of bacteria living in the gut, potentially leading to digestive problems.

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Chronic enteropathy

The condition where the digestive system is not able to absorb nutrients properly, leading to weight loss and other issues.

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Exocrine pancreatic insufficiency (EPI)

A condition where the pancreas doesn't produce enough digestive enzymes, leading to difficulty digesting food.

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Antibiotic responsive diarrhea

Diarrhea that goes away after antibiotics are given, suggesting an underlying infection.

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Motility disturbance

The movement of the digestive system is disrupted, leading to problems like constipation or diarrhea.

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Appetite stimulants

Stimulants that help increase appetite in animals.

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Cyproheptadine

A type of appetite stimulant that works by blocking the action of serotonin, which can increase hunger.

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Intestinal microbiota

The collection of microorganisms, mostly bacteria, that live in the digestive tract.

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Prebiotics

Substances that promote the growth of beneficial bacteria in the gut.

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Acute Haemorrhagic Diarrhoea Syndrome (HGE)

A severe condition characterized by sudden onset of bloody diarrhea and vomiting, often leading to dehydration, rapid heart rate, weak pulse, and even shock in severe cases.

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Clostridium perfringens

A type of bacteria known to produce toxins that are associated with HGE.

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Benzimidazoles

A drug class that targets and inhibits the function of tubulin in parasites, ultimately causing their death. These drugs are effective against various parasites such as roundworms (nematodes), tapeworms (cestodes) and even Giardia.

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β-tubulin

A protein located in the cytoskeleton of parasites that plays a crucial role in cell division, movement, and structure. Benzimidazoles target this specific protein.

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Taenia spp.

A group of large tapeworms that can infect both humans and animals. Benzimidazoles are effective treatments for these parasites.

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Fenbendazole

A type of Benzimidazole that is effective against various worms in ruminants and horses. It can be safely used in puppies and kittens, with specific dose adjustments for their age.

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Triclabendazole

A type of Benzimidazole that is highly effective against liver flukes (Fasciola hepatica), including both immature and adult stages. It is the only drug that can effectively target immature flukes during their early development.

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Nicotinic Agonists

Drugs that act by stimulating nicotinic acetylcholine (ACh) receptors. They cause a quick and temporary paralysis of muscles, leading to a 'spastic' or rigid effect.

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Toltrazuril (TMPS)

A medication used to treat various protozoal infections, including Eimeria, Toxoplasma, and Neospora. Also effective against Giardia cysts and trophozoites.

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Giardiasis

A common parasitic infection of the intestines, often causing diarrhea.

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Anthelmintics

Drugs used to eliminate parasites from a host, such as worms, flukes, and protozoa.

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Benzimidazoles (Group 1 white drenches)

A group of anthelmintics that often come in white drenches and work by binding to tubulin in parasites, effective against both roundworms and tapeworms.

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Nicotinic agonists (Group 2 yellow drenches)

Anthelmintics that cause a spastic paralysis in roundworms (nematodes), often coming in yellow drenches.

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Levamisole

A type of nicotinic agonist used to treat roundworm infections.

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Nematode Muscle-Specific Anthelmintics

Drugs that selectively target nematode muscles, causing paralysis and death. Examples include levamisole (imidazothiazole) and pyrantel (tetrahydropyrimidine).

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Macrocyclic Lactones

A class of anthelmintics derived from Streptomyces fungi. Subcategories include avermectins (e.g., ivermectin, selamectin) and milbemycins (e.g., moxidectin, milbemycin).

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Mechanism of Action: Macrocyclic Lactones

Macrocyclic lactones act by opening glutamate-chloride channels in nematode neurons, causing hyperpolarization, flaccid paralysis, and death. They do not affect cestodes because these parasites lack these specific channels.

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Prophylactic Use of Macrocyclic Lactones

Due to their persistent activity, macrocyclic lactones can be used to prevent worm infections. They are effective in prophylactic (preventative) treatment strategies.

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Praziquantel: Cestode-Specific Anthelmintic

A narrow spectrum anthelmintic that specifically targets cestodes (tapeworms). It causes severe damage to the parasite's tegument (outer layer), resulting in tetanic muscular contraction and paralysis.

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Mechanism of Action: Praziquantel

The mechanism of praziquantel is not fully understood but is thought to involve altering divalent cation fluxes, particularly calcium ions, which are crucial for muscle contraction in tapeworms.

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Antiprotozoal Agents

Drugs used to treat protozoal infections, including coccidiosis, toxoplasmosis, and neosporosis. Examples include trimethoprim/sulphonamide (TMPS) and toltrazuril.

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Mechanism of Action: Antiprotozoal Agents

Trimethoprim/sulphonamide (TMPS) inhibits folate synthesis, a crucial step in purine synthesis required for DNA production in protozoa. Toltrazuril acts by affecting the fine structure of the developmental stages of coccidia.

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Study Notes

Gastrointestinal Therapeutics 2

  • The presentation is about gastrointestinal therapeutics in veterinary pharmacology and therapeutics.
  • Learning outcomes include identifying drugs to modify GI function, understanding pharmacological principles of GI disease treatments, and examples of drug use for common diseases in domesticated animals. Treatments for appetite problems and intestinal microbiota as well as endoparasitism are also covered.
  • Appetite stimulants include mirtazapine, a noradrenaline and serotonergic antagonist with appetite-stimulant, anti-emetic, and anti-nausea effects, typically seen within 30 minutes. Cyproheptadine, a non-selective serotonergic antagonist, can take up to 24 hours to be effective. Diazepam, historically used as an appetite stimulant, should be avoided due to potential acute hepatic necrosis risk. Capromorelin, a ghrelin agonist, was recently approved.
  • Drugs used to treat digestive issues include appetite modifiers for reduced or excessive appetite, intestinal microbiota imbalances, and endoparasites like nematodes, cestodes, and Giardia.
  • Anorexia is usually secondary to other conditions such as various body system-related issues, inflammatory responses, infections, and chemotherapy.
  • Intestinal microbiota consists of bacterial communities that outnumber host cells by tenfold, typically playing beneficial roles in the gut. Imbalances can cause conditions such as chronic enteropathy, exocrine pancreatic insufficiency, antibiotic responsive diarrhea, motility disturbances, or specific infectious agents.
  • Antibiotic restrictions are crucial for digestive disease treatment, including those in hemorrhagic diarrhea, ARD, or SIBO. Metronidazole, a common drug, is bactericidal against many Gram-positive and Gram-negative anaerobic bacteria, and it also has antiprotozoal and anti-inflammatory properties.
  • Acute hemorrhagic diarrhea syndrome (HGE), a condition where the cause is uncertain but likely associated with a toxin produced by Clostridium perfringens, typically involves bloody diarrhea and vomiting, causing dehydration, tachycardia, and possible shock. Treatment primarily involves aggressive supportive care like IV fluids, antiemetics, and antibiotics (but use is controversial).
  • Broad spectrum anthelmintics are classified and categorized in various groups. The classification system features different color codes for each group ( 1 - BZ, 2 - LV, 3 - ML, 4 - AD, 5 - SI) which are then color-coded accordingly.

Anthelmintics in Ruminants – Sheep

  • The table details the efficacy of broad and narrow-spectrum anthelmintics against different worm types in sheep.

Anthelmintics in Ruminants – Cattle

  • The table provides a summary of the efficacy of broad and narrow-spectrum anthelmintics against different worm types in cattle.

Anthelmintics in Horses

  • Shows which anthelmintics are effective against various parasites in horses including adult and larval stages.

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