Efficacy of orally administered gabapentin in horses with chronic thoracic limb lameness (2024)

Abstract

Objective: To evaluate the analgesic effects of orally administered gabapentin on horses with chronic thoracic limb lameness. Study design: Randomized, crossover design. Animals: A total of 14 adult horses with chronic thoracic limb lameness. Methods: Following baseline measurement of lameness, horses were administered each of four treatments orally in grain: treatment G, gabapentin (20 mg kg–1) twice daily for 13 doses; treatment F, firocoxib (171 mg once, then 57 mg once daily for six doses); treatment GF, gabapentin and firocoxib at previously stated doses and frequencies; or treatment C, grain only as a control. Treatments were administered in a randomized, crossover design, separated by 2 weeks. Subjective lameness score (SLS), inertial sensor vector sum (VS) calculations, peak vertical ground reaction force (PVGRF) measurements and vertical impulse (VI) calculations were determined immediately prior to each initial treatment dose and 2–4 hours after the final treatment dose for each treatment. Mean change in SLS, VS, PVGRF and VI for each treatment were compared among treatments. Results: The rank change in SLS of treatment GF was significantly greater than that of treatments C (p = 0.01) and G (p = 0.01) but not of treatment F (p = 0.08). No differences in VS (p = 0.4), PVGRF (p = 0.4) or VI (p = 0.1) were observed among treatments. Conclusions and clinical relevance: Gabapentin, as administered here, did not improve subjective or objective measures of lameness in horses with chronic thoracic limb musculoskeletal pain. Although subjective evaluation identified an improvement in lameness with treatment GF, it was not different from that observed with treatment F. Higher oral dosing and longer treatment regimens of gabapentin may be indicated for the treatment of chronic musculoskeletal pain in horses.

Original languageEnglish (US)
Pages (from-to)259-266
Number of pages8
JournalVeterinary anaesthesia and analgesia
Volume47
Issue number2
DOIs
StatePublished - Mar 2020
Externally publishedYes

Bibliographical note

Funding Information:
Funding for this project was provided by the Oklahoma State University, College of Veterinary Medicine, Research Advisory Committee , OK, USA. The firocoxib tablets were provided by Merial Inc., GA, USA.

Funding Information:
Funding for this project was provided by the Oklahoma State University, College of Veterinary Medicine, Research Advisory Committee, OK, USA. The firocoxib tablets were provided by Merial Inc. GA, USA.

Publisher Copyright:
© 2019 Association of Veterinary Anaesthetists and American College of Veterinary Anesthesia and Analgesia

Keywords

  • equine chronic lameness
  • firocoxib
  • gabapentin
  • pain management

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Young, J. M., Schoonover, M. J., Kembel, S. L., Taylor, J. D., Bauck, A. G., & Gilliam, L. L. (2020). Efficacy of orally administered gabapentin in horses with chronic thoracic limb lameness. Veterinary anaesthesia and analgesia, 47(2), 259-266. https://doi.org/10.1016/j.vaa.2019.11.003

Efficacy of orally administered gabapentin in horses with chronic thoracic limb lameness. / Young, Jenna M.; Schoonover, Mike J.; Kembel, S. Logan et al.
In: Veterinary anaesthesia and analgesia, Vol. 47, No. 2, 03.2020, p. 259-266.

Research output: Contribution to journalArticlepeer-review

Young, JM, Schoonover, MJ, Kembel, SL, Taylor, JD, Bauck, AG & Gilliam, LL 2020, 'Efficacy of orally administered gabapentin in horses with chronic thoracic limb lameness', Veterinary anaesthesia and analgesia, vol. 47, no. 2, pp. 259-266. https://doi.org/10.1016/j.vaa.2019.11.003

Young JM, Schoonover MJ, Kembel SL, Taylor JD, Bauck AG, Gilliam LL. Efficacy of orally administered gabapentin in horses with chronic thoracic limb lameness. Veterinary anaesthesia and analgesia. 2020 Mar;47(2):259-266. doi: 10.1016/j.vaa.2019.11.003

Young, Jenna M. ; Schoonover, Mike J. ; Kembel, S. Logan et al. / Efficacy of orally administered gabapentin in horses with chronic thoracic limb lameness. In: Veterinary anaesthesia and analgesia. 2020 ; Vol. 47, No. 2. pp. 259-266.

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title = "Efficacy of orally administered gabapentin in horses with chronic thoracic limb lameness",

abstract = "Objective: To evaluate the analgesic effects of orally administered gabapentin on horses with chronic thoracic limb lameness. Study design: Randomized, crossover design. Animals: A total of 14 adult horses with chronic thoracic limb lameness. Methods: Following baseline measurement of lameness, horses were administered each of four treatments orally in grain: treatment G, gabapentin (20 mg kg–1) twice daily for 13 doses; treatment F, firocoxib (171 mg once, then 57 mg once daily for six doses); treatment GF, gabapentin and firocoxib at previously stated doses and frequencies; or treatment C, grain only as a control. Treatments were administered in a randomized, crossover design, separated by 2 weeks. Subjective lameness score (SLS), inertial sensor vector sum (VS) calculations, peak vertical ground reaction force (PVGRF) measurements and vertical impulse (VI) calculations were determined immediately prior to each initial treatment dose and 2–4 hours after the final treatment dose for each treatment. Mean change in SLS, VS, PVGRF and VI for each treatment were compared among treatments. Results: The rank change in SLS of treatment GF was significantly greater than that of treatments C (p = 0.01) and G (p = 0.01) but not of treatment F (p = 0.08). No differences in VS (p = 0.4), PVGRF (p = 0.4) or VI (p = 0.1) were observed among treatments. Conclusions and clinical relevance: Gabapentin, as administered here, did not improve subjective or objective measures of lameness in horses with chronic thoracic limb musculoskeletal pain. Although subjective evaluation identified an improvement in lameness with treatment GF, it was not different from that observed with treatment F. Higher oral dosing and longer treatment regimens of gabapentin may be indicated for the treatment of chronic musculoskeletal pain in horses.",

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note = "Funding Information: Funding for this project was provided by the Oklahoma State University, College of Veterinary Medicine, Research Advisory Committee , OK, USA. The firocoxib tablets were provided by Merial Inc., GA, USA. Funding Information: Funding for this project was provided by the Oklahoma State University, College of Veterinary Medicine, Research Advisory Committee, OK, USA. The firocoxib tablets were provided by Merial Inc. GA, USA. Publisher Copyright: {\textcopyright} 2019 Association of Veterinary Anaesthetists and American College of Veterinary Anesthesia and Analgesia",

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AU - Schoonover, Mike J.

AU - Kembel, S. Logan

AU - Taylor, Jared D.

AU - Bauck, Anje G.

AU - Gilliam, Lyndi L.

N1 - Funding Information:Funding for this project was provided by the Oklahoma State University, College of Veterinary Medicine, Research Advisory Committee , OK, USA. The firocoxib tablets were provided by Merial Inc., GA, USA. Funding Information:Funding for this project was provided by the Oklahoma State University, College of Veterinary Medicine, Research Advisory Committee, OK, USA. The firocoxib tablets were provided by Merial Inc. GA, USA.Publisher Copyright:© 2019 Association of Veterinary Anaesthetists and American College of Veterinary Anesthesia and Analgesia

PY - 2020/3

Y1 - 2020/3

N2 - Objective: To evaluate the analgesic effects of orally administered gabapentin on horses with chronic thoracic limb lameness. Study design: Randomized, crossover design. Animals: A total of 14 adult horses with chronic thoracic limb lameness. Methods: Following baseline measurement of lameness, horses were administered each of four treatments orally in grain: treatment G, gabapentin (20 mg kg–1) twice daily for 13 doses; treatment F, firocoxib (171 mg once, then 57 mg once daily for six doses); treatment GF, gabapentin and firocoxib at previously stated doses and frequencies; or treatment C, grain only as a control. Treatments were administered in a randomized, crossover design, separated by 2 weeks. Subjective lameness score (SLS), inertial sensor vector sum (VS) calculations, peak vertical ground reaction force (PVGRF) measurements and vertical impulse (VI) calculations were determined immediately prior to each initial treatment dose and 2–4 hours after the final treatment dose for each treatment. Mean change in SLS, VS, PVGRF and VI for each treatment were compared among treatments. Results: The rank change in SLS of treatment GF was significantly greater than that of treatments C (p = 0.01) and G (p = 0.01) but not of treatment F (p = 0.08). No differences in VS (p = 0.4), PVGRF (p = 0.4) or VI (p = 0.1) were observed among treatments. Conclusions and clinical relevance: Gabapentin, as administered here, did not improve subjective or objective measures of lameness in horses with chronic thoracic limb musculoskeletal pain. Although subjective evaluation identified an improvement in lameness with treatment GF, it was not different from that observed with treatment F. Higher oral dosing and longer treatment regimens of gabapentin may be indicated for the treatment of chronic musculoskeletal pain in horses.

AB - Objective: To evaluate the analgesic effects of orally administered gabapentin on horses with chronic thoracic limb lameness. Study design: Randomized, crossover design. Animals: A total of 14 adult horses with chronic thoracic limb lameness. Methods: Following baseline measurement of lameness, horses were administered each of four treatments orally in grain: treatment G, gabapentin (20 mg kg–1) twice daily for 13 doses; treatment F, firocoxib (171 mg once, then 57 mg once daily for six doses); treatment GF, gabapentin and firocoxib at previously stated doses and frequencies; or treatment C, grain only as a control. Treatments were administered in a randomized, crossover design, separated by 2 weeks. Subjective lameness score (SLS), inertial sensor vector sum (VS) calculations, peak vertical ground reaction force (PVGRF) measurements and vertical impulse (VI) calculations were determined immediately prior to each initial treatment dose and 2–4 hours after the final treatment dose for each treatment. Mean change in SLS, VS, PVGRF and VI for each treatment were compared among treatments. Results: The rank change in SLS of treatment GF was significantly greater than that of treatments C (p = 0.01) and G (p = 0.01) but not of treatment F (p = 0.08). No differences in VS (p = 0.4), PVGRF (p = 0.4) or VI (p = 0.1) were observed among treatments. Conclusions and clinical relevance: Gabapentin, as administered here, did not improve subjective or objective measures of lameness in horses with chronic thoracic limb musculoskeletal pain. Although subjective evaluation identified an improvement in lameness with treatment GF, it was not different from that observed with treatment F. Higher oral dosing and longer treatment regimens of gabapentin may be indicated for the treatment of chronic musculoskeletal pain in horses.

KW - equine chronic lameness

KW - firocoxib

KW - gabapentin

KW - pain management

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Efficacy of orally administered gabapentin in horses with chronic thoracic limb lameness (2024)
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