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  • Author or Editor: Jacqueline A. Davis x
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Abstract

Objective—To compare the effects of 2 doses of cosyntropin (5 µg/kg vs 250 µg, IV) on serum concentrations of cortisol, sex hormones of adrenal origin, and adrenocortical steroid intermediates and determine the optimal sample collection time after adrenal stimulation with cosyntropin.

Animals—10 healthy, privately owned, neutered dogs.

Procedure—Dogs were randomly assigned to initially receive cosyntropin at 5 µg/kg or as a total dose of 250 µg, IV. Dogs received the alternate dose 1 to 2 weeks later. Serum was obtained from blood samples collected before (0 minutes) and 30, 60, 90, and 120 minutes after cosyntropin administration.

Results—Maximum stimulation of cortisol, androstenedione, progesterone, and 17-hydroxyprogesterone production was achieved at 60 minutes following IV administration of cosyntropin at 5 µg/kg or as a total dose of 250 µg. Serum estradiol concentration did not increase in response to either cosyntropin dose. For all hormones, no significant difference in serum hormone concentrations was found among sample collection times of 0, 30, 60, and 90 minutes when comparing the 2 doses of cosyntropin.

Conclusions and Clinical Relevance—Cosyntropin, when administered at 5 µg/kg, IV, effectively stimulated maximum production of cortisol, sex hormones of adrenal origin, and adrenocortical steroid intermediates at 1 hour after administration. (Am J Vet Res 2004;65:1631–1633)

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in American Journal of Veterinary Research

Abstract

Objective—To evaluate effects of trimethoprim-sulfamethoxazole (T/SMX) on thyroid function in dogs.

Animals—6 healthy euthyroid dogs.

Procedure—Dogs were administered T/SMX (14.1 to 16 mg/kg, PO, q 12 h) for 3 weeks. Blood was collected weekly for 6 weeks for determination of total thyroxine (TT4), free thyroxine (fT4), and canine thyroid- stimulating hormone (cTSH) concentrations. Schirmer tear tests were performed weekly. Blood was collected for CBC prior to antimicrobial treatment and at 3 and 6 weeks.

Results—5 dogs had serum TT4 concentrations equal to or less than the lower reference limit, and 4 dogs had serum fT4 less than the lower reference limit after 3 weeks of T/SMX administration; cTSH concentrations were greater than the upper reference limit in 4 dogs. All dogs had TT4 and fT4 concentrations greater than the lower reference limit after T/SMX administration was discontinued for 1 week, and cTSH concentrations were less than reference range after T/SMX administration was discontinued for 2 weeks. Two dogs developed decreased tear production, which returned to normal after discontinuing administration.

Conclusions and Clinical Relevance—Results suggest that administration of T/SMX at a dosage of 14.1 to 16 mg/kg, PO, every 12 hours for 3 weeks caused decreased TT4 and fT4 concentrations and increased cTSH concentration, conditions that would be compatible with a diagnosis of hypothyroidism. Therefore, dogs should not have thyroid function evaluated while receiving this dosage of T/SMX for > 2 weeks. These results are in contrast to those of a previous study of trimethoprim- sulfadiazine. (Am J Vet Res 2005;66:256–259)

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in American Journal of Veterinary Research