Interaction between maropitant and carprofen on sparing of the minimum alveolar concentration for blunting adrenergic response (MAC-BAR) of sevoflurane in dogs

J Vet Med Sci. 2017 Mar 18;79(3):502-508. doi: 10.1292/jvms.15-0666. Epub 2017 Jan 21.

Abstract

Maropitant, a neurokinin-1 receptor antagonist, may provide analgesic effects by blocking pharmacological action of substance P. Carprofen is a non-steroidal anti-inflammatory drug commonly used for pain control in dogs. The purpose of this study was to evaluate the effect of a combination of maropitant and carprofen on the minimum alveolar concentration for blunting adrenergic response (MAC-BAR) of sevoflurane in dogs. Six healthy adult beagle dogs were anesthetized with sevoflurane four times with a minimum of 7-day washout period. On each occasion, maropitant (1 mg/kg) alone, carprofen (4 mg/kg) alone, a combination of maropitant (1 mg/kg) and carprofen (4 mg/kg), or saline (0.1 ml/kg) was subcutaneously administered at 1 hr prior to the first electrical stimulation for the sevoflurane MAC-BAR determination. The sevoflurane MAC-BAR was significantly reduced by maropitant alone (2.88 ± 0.73%, P=0.010), carprofen alone (2.96 ± 0.38%, P=0.016) and the combination (2.81 ± 0.51%, P=0.0003), compared with saline (3.37 ± 0.56%). There was no significant difference in the percentage of MAC-BAR reductions between maropitant alone, carprofen alone and the combination. The administration of maropitant alone and carprofen alone produced clinically significant sparing effects on the sevoflurane MAC-BAR in dogs. However, the combination of maropitant and carprofen did not produce any additive effect on the sevoflurane MAC-BAR reduction. Anesthetic premedication with a combination of maropitant and carprofen may not provide any further sparing effect on anesthetic requirement in dogs.

MeSH terms

  • Anesthesia / veterinary
  • Anesthetics / administration & dosage
  • Anesthetics / pharmacology*
  • Anesthetics, Inhalation / pharmacology
  • Animals
  • Anti-Inflammatory Agents, Non-Steroidal / administration & dosage
  • Anti-Inflammatory Agents, Non-Steroidal / pharmacology
  • Carbazoles / administration & dosage
  • Carbazoles / pharmacology*
  • Dogs*
  • Dose-Response Relationship, Drug
  • Drug Interactions
  • Drug Therapy, Combination
  • Female
  • Male
  • Methyl Ethers / pharmacology*
  • Neurokinin-1 Receptor Antagonists / administration & dosage
  • Neurokinin-1 Receptor Antagonists / pharmacology
  • Premedication
  • Pulmonary Alveoli / drug effects*
  • Quinuclidines / administration & dosage
  • Quinuclidines / pharmacology*
  • Sevoflurane

Substances

  • Anesthetics
  • Anesthetics, Inhalation
  • Anti-Inflammatory Agents, Non-Steroidal
  • Carbazoles
  • Methyl Ethers
  • Neurokinin-1 Receptor Antagonists
  • Quinuclidines
  • Sevoflurane
  • maropitant
  • carprofen