American Journal of Animal and Veterinary Sciences 1 (1): 8-12, 2006
ISSN 1557-4555
© 2006 Science Publications
Corresponding Author: María F. Landoni, Cátedra de Farmacología. Facultad de Ciencias Veterinarias. Universidad
Nacional de La Plata. Calle 60 y 118 cc 296 (B1900AVW) La Plata. Argentina
8
Inefficacy of Topical Diclofenac in Arthritic Horses
Nicolás F. Villarino , Tomas J. Vispo, Marcos, Ferrante and María F. Landoni
Pharmacology Department. Faculty of Veterinary Science. University of La Plata
Calle 60 y 118 cc 296 (B1900AVW) La Plata. Argentina
Abstract: The objective of the present study was test the anti-inflammatory efficacy of diclofenac
dietilamine, applied epicutaneously at a dose rate of 0.44 mg kg
1
, in a model of acute arthritis in
horses. Four clinical end-points, as well as two biochemical markers, were used as surrogate markers
of the required clinical response (analgesia, anti-inflammatory). Low diclofenac concentrations were
measured in blood (C
max
0.04±0.03 ug mL
1
) and synovial fluid (C
max
0.08 ±0.08 ug mL
1
) from the
first to the last sampling time. The statistical comparison of the clinical end-points and biochemical
markers between placebo and dicilofenac treated group indicated a lack of pharmacological effect of
this compound after epicutaneous administration.
Key words: NSAIDs, horse, arthritis, diclofenac, transdermal
INTRODUCTION
Arthritis is the commonest joint disease in sport
horses. Its therapy is directed towards the provision of
analgesia, limitation of inflammation and limitation of
the damage to joint tissues.
Non-steroidal anti-inflammatory drugs (NSAIDs)
are routinely used in horses for the treatment of pain
and inflammation
[1]
. These drugs are usually
administered orally or by injection. Although, systemic
administration has many disadvantages such as, toxic
effects (gastrointestinal and renal toxicity) mainly
attributed to COX-1 inhibition.
The treatment of a joint condition through topical
drug administration led to better drug targeting, mainly,
the synovial fluid
[2,3]
. Topical administration of
NSAIDs provides the advantage of achieving a
therapeutic effect without the risk of potential severe
systemic side effects that may be associated with
systemic administration.
Diclofenac, a phenylacetic acid class NSAID, is an
effective analgesic
[4]
, with potent COX inhibitory
activity that is administered extensively for the
treatment of various arthritic conditions in man
[5]
.
However, there are not many reports about the anti-
inflammatory effects of diclofenac in horses. In
addition, the anti-inflammatory effects of diclofenac
applied topically have not been studied in horses
suffering acute arthritis.
The effectiveness of a topical formulation depends
on the ability of the formulation to dispense effective
concentrations of drug at the biophase. The two major
pathways of drug transport into and across skin are: (a)
the transepidermal route across the stratum corneum
and (b) the transfollicular route via the pilosebaceous
units and shunts.
Drug penetration could be affected by many factors
including, skin thickness, chemical structure of the
active principle, anatomical region and qualitative
characteristic of the formulation
[6-8]
. These factors could
modify the penetration of drugs through the skin
determining the achievement of effective
concentrations at the site of action, this situation being
reflected in the clinical efficacy.
In the present study, in order to evaluate the anti
inflammatory effects of diclofenac administered
epicutaneuosly, an experimental model of acute arthritis
was used
[1,9,10,11]
.
MATERIALS AND METHODS
Experimental animals: Animals were six standard
breed mares weighting 400 ± 20 kg. Inclusion criteria
were over 2 year old, non-gestating mares, no previous
joint inflammatory process and non-current or previous
systemic immune disease. The animals were housed
indoors in individual box stalls and fed a
maintenance ration of hay twice daily. Water was
freely available.
The total surface of each carpal joint was
established considering it as a cylinder (∅ x h). The
calculated total surface of treatment was 450 cm
2
.
(Circumference [∅]:30 cm and height [h]: 15 cm). All
animal procedures were approved by the Secretaría de
Ciencia y Técnica, Universidad Nacional de La Plata,
Argentina.
Experimental design and sampling procedures:
Diclofenac diethylamine (Átomo Desinflamante®.
IMVI. S.A Argentina) 1.16% (equivalent to 1g sodium
diclofenac) was purchased to a local dealer. A two–
period cross over Latin square design was used, such