Ectoparasitic Drugs Flashcards

1
Q

Ideal ectoparasiticide

A

Effective repellent and adulticide
Persistent in blood/ skin for 1-3m
Stable in sunlight and water/ shampoo

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2
Q

How are ectoparasiticides delievered

A

Transdermal
Lipophilic with large molecular wt.
Slow dermal absorption, low bioavailibility, large distribution, long t 1/2

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3
Q

Advantages of ectoparasiticide

A

Ease of application
Avoid challenges of first pass metabolism and GI degradation

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4
Q

Disadvantages of ectoparasiticide

A

Overdosing by clients (toxicosis)
Licking → oral absorption and systemic exposure
Pour-on food in animals require longer withdrawal pd and long t1/2

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5
Q

Macrocyclic lactones

A

Endoectocides (combo of ectocide and endocide): Avermectin(iver, aprino and selamectin) and Mibemycin (Moxidctin)
Spinosad

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6
Q

Macrocyclic lactones MOA

A

Toxic against insects, acarines and nematodes
Agonist of ligand-gated Cl channels (glutamade-Cl channel) → flaccid paralysis and inhibits larval development

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7
Q

T/F: Macrocyclic lactones have efficacy against cestodes and trematodes

A

FALSE

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8
Q

Macrocyclic lactones in simple stomach animals

A

95% absorbed after oral admin
Selamectin greater bioavail. for cats than dogs

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9
Q

Macrocyclic lactones in ruminal absorbtion

A

Absorbs 1/4-1/3 dose due to activation in the rumen
Oral bioavail. poor in ruminants

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10
Q

Macrocyclic lactones in ruminants

A

Strong absorption to Gi particulate digesta
Fat reservoir
Extensive/ reversible plasma tissue exchange
Low metabolism rate

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11
Q

The long half-life in ruminants are due to …..

A

The slow disposition kinetics present

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12
Q

Selamectin uses

A

Topical monthly for dogs and cats with ear mites and adult fleas
Prevents flea eggs from hatching

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13
Q

__________ is the only spot on product approved for control of K9 ____________

A

Selamectin
Sarcoptic mange

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14
Q

Toxicity of Macrocyclic lactones

A

10x safety in most animals
Acute toxicity: depression, ataxia, tremors, salivation, mydriasis, coma and death

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15
Q

Macrocyclic lactones and collies

A

P-gp mutation in collies (4 base deletion MDR1/ABCB1 gene)
↑ conc in the brain, safe @ norm doses

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16
Q

Spinosad MOA

A

Mix of 2 macrocylic lactones
Ectoparasite only
Nicotinic AChR allosteric acitvator

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17
Q

What does spinosad do to parasites?

A

Involuntary muscle contraction and tremors → death

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18
Q

Spinosad uses

A

Fleas: kills adults (4hr), prevent egg production
Sheep: blowflies and lice
Control beetles, flies and northern fowl mite

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19
Q

Spinosad toxicity

A

Don’t mixed with ivermectin (causes ↑ risk of ivermectin toxicities)

20
Q

Fipronil PK

A

Deposits in sebum, sebaceous glands (reservior) and hair follicles
Forms a layer on S. corneum

21
Q

Fipronil MOA

A

Acts on CNS target parasites
Active metabolites: fipronil sulfate (potent inhibitor)

22
Q

Fipronil uses

A

Adult fleas
All stages of brown dog, American dog, long star and deer tick (on animal)
Kills larvae and eggs

23
Q

Reported activity of fipronil

A

Sarcoptes, otodectes, trombicula, cheyletiella, trichodectes

24
Q

Fipronil safety/ toxicity

A

Slight skin/ eye irritation
Risk ↑ with oral ingestion
GABA receptor antagonist (hyperactvity, excitability and convulsions)

25
Imidacloprid and Nitenpyram MOA
Mimics effect of ACh by competitive inhibition @ post-syn. nicotinic AChR (CNS of insects)
26
Imidacloprid PK
Surface translocation aided by body movement Efficacy depends on contact with ectoparasites Topical
27
Imidacloprid uses
Taken up by flea body contact with drug (dogs and cats) Kills adult and larva fleas (1h) No repellant activity
28
Side effects/ toxicity of imidacloprid
Nicotinic effects and hepatic effects Careful with products because they'll combine (cats)
29
When shouldn't imidacloprid be given?
Puppies <7w old or kittens <4m
30
Nitenpyram (Capstar)
Safe and water soluble Readily absorbed (100%) in GI
31
Nitenpyram (capstar) uses
Oral adulticide for fleas in cats and dogs Rapid onset, kills adult fleas resistant to fipronil
32
3rd generation pyrethroids
Permethrin Photo stability and potency Spots on high conc, dogs only, no cats
33
MOA of pyrethroids
Gating kinetics of insect Na ions channels in nerves Channel left open, repetitive discharges or membrane depol
34
Pyrethroid uses
Repellent and knock-down effect Ectoparasites of domestic animals Formulated with insect growth regulators, synergists or repellents to ↑ efficacy
35
Pyrethroid toxicity in cats
Deficient hepatic glucoronidation Grooming after application Muscle tremors, hyperthermia, seizures
36
Pyrethroid toxicity tx in cats
Wash the coat at home then at clinic Methocarbamol +/- benzodiazepines IVF if severe acidosis
37
Amitraz (Formamidine) MOA
Inhibits monoamine oxidase in CNS
38
Amitraz uses
Dogs: gen. demodicosis (mitaban), tick collars Cattle: ticks, mites, biting louse, suckling lice Swine: mange mite and louse
39
____________ can cause death in horses and dogs if used @ high doses
Taktic (amitraz)
40
Safety/ toxicity of amitraz
Horse: fatal from colon impaction Cats sensitive Don't use in chihuahuas, preg, nursing bitches, puppies <3m
41
Signs of amitraz toxicity
Activates alpha-2- adrenergic receptors CNS depression, bradycardia, PU, hyperglycemia, sedation (24hr)
42
Tx of amitraz toxicity
Atipamezol (alpha-2 antagonist)
43
Juvenile hormone analogs (insect growth regulators)
Signal insect to remain in immature stage and not develop to adult Methoprene, pyriproxifen, fenoxycarb, cyromazine
44
Insect development inhibitors (insect growth regulators)
Interferes with development of insect exoskeleton by inhibiting chitin synthesis or deposition pathway Diflubenzuron or lufenuron
45
Isoxazoline drugs
Fluralaner**, afoxolaner, sarolaner
46
Isoxazoline MOA
Block GABA and glutamate-gated chloride channels
47
Isoxazoline uses
Kills fleas and ticks Fluralaner 12 w efficacy Afoxolaner 5 w efficacy