Cutaneous anaphylactoid reaction to polyoxyethylene hydrogenated castor oil in dogs.
Vet Dermatol
; 35(3): 263-272, 2024 Jun.
Article
in En
| MEDLINE
| ID: mdl-38111025
ABSTRACT
BACKGROUND:
Polyoxyethylene hydrogenated castor oil (HCO ethoxylates) is a nonionic surfactant used as an excipient for ointments and injections in human and veterinary drugs. Several polyethylene glycol (PEG) derivatives can be obtained depending on the number of moles of ethylene oxide (EO). HCO ethoxylates have the potential to cause anaphylactoid reactions. There is little published information about these types of reactions in dogs.OBJECTIVE:
To determine the potential for HCO-ethoxylate-containing drugs to cause anaphylactoid reactions in dogs, employing intradermal testing (IDT) with various concentrations of HCO ethoxylates (HCO-25, -40, -60 and -80). ANIMALS Four healthy male laboratory dogs. MATERIALS ANDMETHODS:
We performed IDT with drugs containing HCO ethoxylates and HCO ethoxylates alone to determine threshold concentrations. The IDT scores and threshold concentrations were compared. Analysis of skin biopsies from IDT sites was used to measure the percentage of degranulated mast cells. The effect of histamine at IDT sites was investigated by pre-treatment with an antihistamine.RESULTS:
All HCO-ethoxylate-containing drugs caused a wheal-and-flare reaction. The threshold concentrations (0.001% and 0.00001%) of each HCO-ethoxylate depended on the number of moles of EO (p < 0.05). Mast cell degranulation was enhanced by all HCO ethoxylates. The HCO-60-induced reaction was suppressed by an oral antihistamine. CONCLUSIONS AND CLINICAL RELEVANCE The threshold concentration can serve as a consideration for developing safe new drug formulations and for clinical decision-making around using drugs containing PEG derivatives. IDT is useful to predict the risk of adverse effects. Antihistamines could demonstrate a prophylactic effect.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Castor Oil
/
Dog Diseases
/
Anaphylaxis
Limits:
Animals
Language:
En
Journal:
Vet Dermatol
Journal subject:
DERMATOLOGIA
/
MEDICINA VETERINARIA
Year:
2024
Type:
Article
Affiliation country:
Japan