Potassium clearance ratio variation with the use of furosemide (Lasix) at 5 mg/kg in normal sheep (# = significantly different (p < 0.05) from t = 0 h within each group; + = significantly different (p < 0.05) from the control sheep at comparable times). Time (hours) % Potassium clearance  

Potassium clearance ratio variation with the use of furosemide (Lasix) at 5 mg/kg in normal sheep (# = significantly different (p < 0.05) from t = 0 h within each group; + = significantly different (p < 0.05) from the control sheep at comparable times). Time (hours) % Potassium clearance  

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Diuretics, in particular furosemide, are generally recommended as a supportive treatment in the advanced stages of heartwater in ruminants. However, after what appeared to be possible adverse effects accompanying its use in field cases of heartwater, the effects of this drug on certain blood and urine parameters were investigated in normal sheep at...

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... Furosemide can be used in sheep for indications like other animals. In addition, furosemide has been reported to treat edema in heartwater (cowdriosis) (Shakespeare et al., 1998) and to reverse tissue hypoxia in septic acute kidney injury (Iguchi et al., 2019) and to prevent postoperative pulmonary edema in cardiovascular surgeries in sheep (DiVincenti et al., 2014). The pharmacokinetics of furosemide was determined in horses (Dyke et al., 1996;Johansson et al., 2004), dog (Hirai et al., 1992), camel (Ali et al., 1998), piglets (Miceli et al., 1990), and cats (Sleeper et al., 2019). ...
Article
The pharmacokinetics and bioavailability of furosemide were determined following intravenous (IV), intramuscular (IM), and subcutaneous (SC) administrations at 2.5 mg/kg dose in sheep. The study was conducted on six healthy sheep in a three‐way, three‐period, crossover pharmacokinetic design with a 15‐day washout period. In first period, furosemide was randomly administered via IV to 2 sheep, IM to 2 sheep and SC to 2 sheep. In second and third periods, each sheep received furosemide via different routes of administration with the 15‐day washout period. Plasma concentrations were determined using a high‐performance liquid chromatography assay and analyzed by noncompartmental method. The mean total clearance and volume of distribution at steady state following IV administration were 0.24 L h‐1 kg‐1 and 0.17 L/kg, respectively. The elimination half‐life was similar for all administration routes. The mean peak plasma concentrations of IM and SC administration were 10.33 and 3.18 μg/ml at 0.33 and 0.42 hr, respectively. The mean bioavailability of IM and SC administration was 97.91% and 37.98%, respectively. The IM injection of furosemide may be the alternative routes in addition to IV. However, further research is required to determine the effect of dose and route of administration on the clinical efficacy of furosemide in sheep.
... In the advanced stages of the disease, additional supportive therapy must be considered (Bath, Van Wyk & Pettey 2005), although this is not always successful. Supportive treatments include stabilisation of membranes and blocking the effect of vasoactive compounds released with cellular death (Van Amstel & Oberem 1987) and drugs active in reducing oedema (Shakespeare et al. 1998). Partial exsanguination may help alleviate the symptoms, presumably by reducing oedema by drawing extra-vascular fluid back into the circulatory system (Bath, Van Wyk & Pettey 2005). ...
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... [156] However, the drastic reduction in blood volume which occurs as a consequence of heartwater is exacerbated by the use of diuretics, and the administration of furosemide as a supportive treatment is no longer recommended. [211] Prophylactic Slow release treatment with doxycycline has also been advocated, in the form of a tablet implanted behind the ear. In practice this is most often used as part of an immunization-andtreatment regimen. ...
... DMSO has been reported by Appell et al (1992) On the grounds of macropathology , seen at necropsy of animals that had succumbed to heartwater, diuretics were considered necessary in an attempt to reduce the oedema 16 . Furosemide, a loop diuretic 50 , has been used in clinical cases of heartwater, although its effect has not been evaluated 16 . Shakespeare et al (1998) showed that although furosemide is an effective diuretic in sheep it causes major disruption to the electrolyte status of healthy sheep and they concluded that its use in sheep suffering from clinical heartwater may be contraindicated as it would exacerbate the electrolyte imbalances in these animals 69 . ...
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