pharmacology of ectoparasites - ticks and mites Flashcards

1
Q

what is pyrethrin? effect on parasites?

A
  • natural derivative of Chrysanthemum plant:
    > rapid paralysis & death of ticks, fleas, flies, lice
    > rapid degradation in sunlight
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2
Q

synthetic pyrethroids
- properties of third and fourth gen products, common products used

A

Third generation - noted for photostability + potency:
* permethrin = most commonly formulated pyrethroid
- approved for dogs (adult ticks, fleas)
- commonly used on food animals
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Fourth generation – most potent + most persistent:
* flumethrin – collar for dogs & cats in USA (adult ticks, fleas)

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3
Q

permethrin
- what is this drug, what is it approved for? use?

A

synthetic pyrethroid
= most commonly formulated pyrethroid
- approved for dogs (adult ticks, fleas)
- commonly used on food animals

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4
Q

flumethrin use

A

synthetic pyrethroid
– collar for dogs & cats in USA (adult ticks, fleas)

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5
Q

synthetic pyrethroids mechanism of action, pharmacokinetics? toxicity?

A
  • cause voltage-gated sodium channels to remain open:
    > membrane depolarization > rapid paralysis
    <><>
    Pharmacokinetics:
  • dermal absorption = very limited:
  • tendency to remain in outer layer of skin as lipophilic
  • many have minimal meat or milk withdrawal times following topical administration to food animals
  • generally rapidly detoxified in liver:
  • note: cats deficient in hepatic glucuronyl transferase
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6
Q

permethrin should not be used for what animal?

A

cats, aquatics

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7
Q

permethrin is contained in what products? what does this product do?

A
  • K9 Advantix II (permethrin + imidacloprid + pyriproxyfen)
  • kills adult fleas and all ticks on dogs
  • residual activity for 30 days
  • recently introduced to OTC market
    <><>
  • other OTC products, eg. Hartz
  • kills adult fleas and all ticks on dogs
  • residual activity for up to 30 days?
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8
Q

permethrin safety / toxicity? signs of toxicity?

A
  • dermal exposure rarely > significant systemic absorption
  • grooming by cats can > significant oral ingestion
  • clinical toxicity most common in cats:
    > dog formulation applied topically to cat
    > (physical contact with treated dog)
    <><>
    clinical signs of toxicity
  • tremors, seizures, hyperexcitability, salivation, weakness
  • onset = minute-hours
  • if supportive therapy, may resolve in 24-72 hours:
    > wash in luke-warm water + dish soap
    > methocarbamol +/- diazepam
    <><>
  • highly toxic for aquatic animals
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9
Q

flumethrin
- type of drug
- contained in what products
- action, species

A

synthetic pyrethroids
<><>
contained in:
- flumethrin + imidacloprid (Seresto) – USA only
<><>
Action:
* collar for dogs + cats
* controlled release to skin, non systemic
* kills all tick species and adult fleas
* residual activity for 8 months

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10
Q

types of isoxazonlines used in vet med

A
  • fluralaner
  • afoxolaner
  • sarolaner
  • lotilaner
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11
Q

isoxazolines (eg. fluralener) mechanism of action

A

inhibitor of GABA- and glutamate-gated chloride channels

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12
Q

fluralaner ingestibles - licenced use, products

A

Licensed for adult fleas + ticks on dogs:
<><>
(i) Original “chewable” oral product (PO):
* treatment & control of fleas + D. variabilis for 12 weeks
* aid in treatment & control of I. scapularis for 8-12 weeks
(USA: treatment & control of I. scapularis for 12 weeks)
<><>
(ii) Bravecto One (PO):
* treatment & control of fleas, D. variabilis & I. scapularis for one month

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13
Q

fluralaner pharmacokinetics
- admin, how it kills, young animals?

A
  • oral, systemic
  • administer with food
  • fleas and ticks must feed to be exposed
  • 3 month product not approved for puppies <6 months
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14
Q

fluralaner safety / toxicity

A
  • mild, transient, gastrointestinal effects (e.g. vomiting, anorexia, diarrhea), neurological?
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15
Q

Topical fluralaner for dogs
- licensed for?

A
  • adult fleas and ticks:
    > treatment and control of fleas for 12 weeks
    > aid in treatment and control of I. scapularis and D. variabilis for 12 weeks
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16
Q

Topical fluralaner for cats
- licensed for who?

A

adult fleas + ticks:
– treatment & control of fleas for 12 weeks
– treatment & control of I. scapularis & D. variabilis for 8 weeks

17
Q

afoxolaner (NexGard) actions, uses, admin, age, adverse effects

A

Action:
* oral, systemic, for dogs
* kills adult ticks and fleas
* treatment and control of fleas, D. viriabilis, I. scapularis, and A. americanum for 1 month
* administer once per month
* approved for puppies >= 8 weeks
<><>
Adverse reactions:
* vomiting, dry/flaky skin, diarrhea, neurological?

18
Q

sarolaner action, admin, use, age, adverse effects

A

Action:
* oral, systemic, for dogs
* kills adult ticks and fleas
* treatment & control of fleas, I. scapularis, D. variabilis, and A. americanum for 1 month
* administer once a month
* minimum age = 6 months
<><><><>
Adverse reactions
* neurological?

19
Q

lotilaner (credelio) action, admin, uses, age, adverse reactions?

A

Action:
* oral, systemic, for dogs
* kills adult ticks and fleas
* treatment & control of fleas, I. scapularis, D. variabilis, and A. americanum for 1 month
* administer once a month
* minimum age = 8 weeks
<><>
Adverse reactions:
* neurological?

20
Q

lotilaner (Credelio CAT) action, admin, uses, age, adverse reactions?

A

Action:
* oral, systemic, for dogs
* kills adult ticks and fleas
* treatment & control of fleas & I. scapularis for 1 month
* administer once a month
* minimum age = 8 weeks for fleas, 6 months for ticks
<><>
Adverse reactions:
neurological?

21
Q

drugs for mites and mange

A

macrocyclic lactones
- selamectin (revolution)
- moxidectin (Advantage multi)
- ivermectin
<><>
isoxazolines
- afoxolaner
- sarolaner
- fluralaner

22
Q

what type of drugs are selamectin and moxidectin? how do they work? what are they licensed for?

A

macrocyclic lactones
* spot-ons: slowly absorbed into bloodstream then redistributed to skin
* licensed for:
> Otodectes (dogs + cats)
> Sarcoptes (dogs)

23
Q

what type of drug is ivermectin? admin and license, and uses for dogs and cats

A

Macrocyclic lactone
<><>
Dogs:
- per os (PO), only licensed use = heartworm (6 mcg/kg)
- highly effective for Demodex at 300-600 mcg/kg/day
<><>
Cats:
– PO, only licensed use = heartworm + Ancylostoma (24 mcg/kg)
- highly effective (at higher dosage) for Demodex cati but not D. gatoi

24
Q

new treatments for Demodex in dogs?

A
  • afoxolaner(Canada)
    > monthly for 3 doses
  • sarolaner(Canada)
    > monthly for 2-3 doses
  • fluralaner (United Kingdom)
25
Q

recommended treatment for Demodex gatoi on cats

A
  • fluralaner (off label)
  • sarolaner (off label)
26
Q

new treatments for Sarcoptes in dogs

A
  • sarolaner (Canada)
    > monthly for 2 doses
  • afoxolaner (Europe)
  • fluralaner (United Kingdom)
27
Q

new treatments for otodectes in dogs?

A
  • sarolaner (canada)
    > monthly for 2 doses
  • fluralaner (New Zealand)
28
Q

new treatments for otodectes in cats?

A
  • fluralaner (UK)