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INTRODUCTION TO WILDLIFE PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre

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Page 1: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

INTRODUCTION TO

WILDLIFE PHARMACOLOGY

Lisa Fosco Wildlife Rehabilitation Manager

Toronto Wildlife Centre

Page 2: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

General Pharmacology

Page 3: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Factors That Affect Drug Absorption

The dosage form

Blood supply to the area affected

Hydration status (clinically assessed)

Status of the GI tract

Mechanism of absorption of the drug

The pH and ionization status of the drug

The overall state of health of the animal

Page 4: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Understanding routes of medication

Understanding absorption and clearance rates….

Page 5: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Understanding routes of medication

Page 6: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Common Routes of Administration

• (PO) Oral

• (IM) Intramuscular

• (SQ) Subcutaneous

• (IV) Intravenous

Page 7: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption
Page 8: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption
Page 9: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption
Page 10: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Adminster drugs as directed

A comparison of topical, subcutaneous and oral administrations of ivermectin to reindeer.

A Oksanen, M Nieminen, T Soveri - The Veterinary Record- europepmc.org

Page 11: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

How often?

sid, bid, tid, qid, qh?

Page 12: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Determining frequency of medication

Understanding therapeutic levels…

Page 13: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption
Page 14: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption
Page 15: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Attention To

Detail Is

Critical!

Page 16: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Expiration dates??

Page 17: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Drug Dosages

Clinical trials and FDA approval

vs

anecdotal information

Page 18: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Commonly Used Medications

Page 19: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Antimicrobials

Drugs that kill or inhibit the growth of

microbes…

Bacteria

Protozoa

Viruses

Fungi

Page 20: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Antibiotics

Antibacterial agents

Best prescribed

based on bacterial

isolation and culture

Administer correctly

or not at all!

KNOW your stock

antibiotics

Page 21: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Enrofloxacin aka Baytril™

Page 22: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Baytril

• Current research indicates that dosage is SID in most species

• Comes in many different strengths and forms (some of which are refrigerated)

Page 23: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Penicillin(s) Very good broad spectrum antibiotic

Empirical first choice for many infections

Usually administered BID x 7-10 days*

Comes in suspension as well as tablet and injectable forms

Can be given PO, SQ or IM

Comes in forms combined with other drugs

Contraindicated for rodents and rabbits!

KNOW your antibiotics!

Page 24: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Sulfonamides Trimethoprim + Sulfa is common

Aka Bactrim™ & TMS

Commonly used in songbirds

Bacteriostatic

Only administered orally (PO)

Penetrates the blood brain barrier

Drug of choice in rodents and rabbits

KNOW your antibiotics/drugs!

Page 25: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Know the contraindications of the species you are

working with…

Page 26: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption
Page 27: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Understanding treatment courses

How long to continue meds…

Page 28: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption
Page 29: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Steroids

Page 30: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Steroids

The use of steroids is still

controversial in many cases.

Page 31: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Steroids

May be given as a shock dose or as a

tapered course.

Page 32: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Steroids

Anti-inflammatories

Drug of choice for shock, spinal trauma, and

some acute neurological symptoms

Stabilizes cell membranes

Page 33: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Steroids Suppress immune function

Slows healing

Consider administering with supplemental fluids

Contraindicated in emaciated animals

Not to be confused with dextrose (Dxt)

Page 34: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Eye Medications

• S

Steroidal vs. Antibiotic/Triple antibiotic solutions

Ointment vs. Aqueous Solution

Page 35: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Eye Medications

Page 36: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Antiparasitic Medications

Page 37: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Endoparasites

Treatment is usually based

solely on fecal analysis

Page 38: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Fleas and Ticks

Page 39: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Ectoparasites

Page 40: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Ectoparasites can be treated topically with Flea and

tick powders/sprays

Carbamate vs. Pyrethrin

Page 41: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Not for use in rabbits!

Also useful for treating sarcoptic

mange!

Should be used sparingly and under the supervision of a

veterinarian.

Page 42: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Fly Eggs

Page 43: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Capstar Is Very Effective Against

Larva (aka Maggots)

• May be dissolved in liquid like water or apple juice

• Should be repeated as needed for newly hatching larva

• Not effective against non-larval stages

• Can be used with other anti-parasitic treatments

• Has been safely administered twice daily for several days

• Should be used in animals infected with live maggots.

• Recommended for treatment of any suspected internal larva, especially when noted in the rectum or ears. Also helpful for those with lots of fly eggs in the mouth.

• Effective against fleas

Page 44: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption
Page 45: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Pain Management • Buprenex™ (Bupernorphine)

• Tramadol

• Torbugisic™ (Butorphenol)

• Rimadyl™ (Carprofen)

• Metacam™ (Meloxicam)

Page 46: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

And remember…

Do no harm!

Page 47: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Questions

?

Page 48: INTRODUCTION TO WILDLIFE PHARMACOLOGY · PHARMACOLOGY Lisa Fosco Wildlife Rehabilitation Manager Toronto Wildlife Centre . General Pharmacology . Factors That Affect Drug Absorption

Thank you!