Clinicopathologic, hemodynamic, and echocardiographic effects of short-term oral administration of anti-inflammatory doses of prednisolone to systemically normal cats

Am J Vet Res. 2019 Aug;80(8):743-755. doi: 10.2460/ajvr.80.8.743.

Abstract

Objective: To evaluate the clinicopathologic, hemodynamic, and echocardiographic effects of short-term administration of anti-inflammatory dosages of prednisolone to systemically normal cats.

Animals: 10 cats with allergic dermatitis and 10 healthy control cats.

Procedures: Cats with allergic dermatitis were randomly allocated to 2 groups and received 2 dosages of prednisolone (1 and 2 mg/kg/d, PO, for 7 days) in a crossover design followed by 9-day tapering and 14-day washout periods. Each prednisolone-treated cat was matched to a healthy control cat on the basis of sex, neuter status, age (± 1 year), and body weight (± 10%). Control cats received no treatment during the 35-day observation period. Clinicopathologic, echocardiographic, and hemodynamic variables were measured at baseline (day 0) and predetermined times during and after prednisolone administration and compared within and between the 2 treatment groups.

Results: Prednisolone-treated cats had expected clinicopathologic alterations (mild increases in neutrophil and monocyte counts and serum concentrations of albumin, cholesterol, and triglycerides) but systolic arterial blood pressure; blood glucose, serum potassium, and cardiac biomarker concentrations; urinary sodium excretion; and echocardiographic variables did not differ significantly from baseline at any time. Statistically significant, albeit clinically irrelevant, increases in blood glucose and N-terminal pro-B-type natriuretic peptide concentrations were observed between baseline and the prednisolone pharmacokinetic steady state (7 days after initiation) only when the 2-mg/kg dosage was administered.

Conclusions and clinical relevance: Results indicated short-term oral administration of anti-inflammatory dosages of prednisolone did not cause relevant hemodynamic, echocardiographic, or diabetogenic effects in systemically normal cats with allergic dermatitis.

Publication types

  • Clinical Trial, Veterinary

MeSH terms

  • Administration, Oral
  • Animals
  • Anti-Inflammatory Agents / administration & dosage
  • Anti-Inflammatory Agents / adverse effects
  • Anti-Inflammatory Agents / pharmacology*
  • Blood Glucose / drug effects
  • Blood Pressure / drug effects
  • Cat Diseases / drug therapy
  • Cats*
  • Dermatitis / drug therapy
  • Dermatitis / veterinary
  • Echocardiography / drug effects
  • Echocardiography / veterinary
  • Female
  • Glucocorticoids / administration & dosage
  • Glucocorticoids / adverse effects
  • Glucocorticoids / pharmacology*
  • Hemodynamics / drug effects
  • Male
  • Prednisolone / administration & dosage
  • Prednisolone / adverse effects
  • Prednisolone / pharmacology*
  • Prospective Studies
  • Random Allocation

Substances

  • Anti-Inflammatory Agents
  • Blood Glucose
  • Glucocorticoids
  • Prednisolone