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Plasma glucocorticoid and circulating blood leukocyte responses in cattle after sequential intramuscular injections of ACTH.

Nine Holstein-Friesian cows in the same stage of lactation were randomly given IM injections of saline solution, 100 IU of ACTH, or 200 IU of ACTH for a period of 3 days at 0800 and 1600 hours on one day and at 0100 hours the next day. A dose of 100 IU of ACTH represented the amount of ACTH released during physiologic stress and 200 IU of ACTH represented a therapeutic dose. Blood samples were obtained from indwelling jugular catheters for total circulating leukocyte and total plasma corticosteroid determinations at -1, 0, 0.25, 0.50, 1, 1.50, 2, 4, 6, and 8 hours after the 0800-hour ACTH injections. Concentrations of blood leukocytes and total plasma corticosteroids were affected significantly (P < 0.05) by treatment, cow within treatment, day of injection, treatment by day interaction, time, treatment by time interaction, and day by time interaction. Total plasma corticosteroids were 5.6 ng/ml (saline), 38.9 ng/ml (100 IU of ACTH), and 59.8 ng/ml (200 IU of ACTH). Mean corticosteroid concentrations from 0.5 to 8 hours were 29.2 ng/ml on day 1, 42.5 ng/ml on day 2, and 32.7 ng/ml on day 3. Blood leukocytes were 8,545 cells/mm3 (saline, 11,241 cells/mm3 (100 IU of ACTH) and 9,777 cells/mm3 (200 IU of ACTH). When compared with basal circulating leukocyte concentrations (within cow), this represented increases of 20.7% for 100 IU of ACTH and 24.5% for 200 IU. Mean circulating leukocyte concentrations from 0.5 to 8 hours were 8,900 cells/mm3 on day 1, 10,500 cells/mm3 on day 2, and 10,000 cells/mm3 on day 3. These data indicate that the adrenal gland responded less on day 3 and that continuous stimulation of bovine adrenal glands by ACTH at physiologic and therapeutic concentration could lead to reduced synthesis or release of adrenal corticosteroids (or both) with concomitant reduction in the concentration of total circulating leukocytes.

Adrenocorticotropic Hormone↗

[Intramuscular injections in rheumatology: risks and opportunities].

The parenteral use of non-steroidal antiinflammatory drugs has been shown, in pharmacokinetic studies, to have two advantages: more rapid action relative to oral or rectal routes due to a more prompt achievement of maximum serum concentrations; greater efficacy due to the achievement, with the same dosage, of higher serum concentrations than after rectal or oral administration. Among the side-effects, general disorders do not seem more prevalent than after oral or rectal doses. Local side-effects should be prevented by a careful technique and the use of non-irritating compounds.

Anti-Inflammatory Agents↗

[Sulfentanil citrate. Administration of intramuscular injections in conscious man (author's transl)].

In the case of a conscious man suffering from a painful injury in the facial and trigeminal nerves, the administration of intra-muscular injections of increasing doses of morphine and sulfentanil provokes constant analgesia in direct proportion to the administered dose. The admitted dosages for each product are as follows. M = 0,100, 0,150, 0,200 mg/kg S = 0,00015, 0,0003, 0,0006 mg/kg. Sulfentanil is a highly active analgesic whose activity is about 333 times greater than that of morphine and 13 times greater than that of fentanyl. In the case of each of the 3 products, the point at which analgesia becomes clinically discernable is the same. Optimum intensity of action of the analgesia is arrived at in all 3 cases within a period of 60 to 90 minutes. The higher the dose administered, the longer sulfentanil can be expected to work. Although effective for a shorter period of time than morphine and fentanyl sulfentanil effectiveness is too great for it to be considered a short-acting analgesic.

Adult↗

[Sulfentanil and morphine by intramuscular injection. Side effects compared in conscious man (author's transl)].

For the purposes of this study, sulfentanil is administered to conscious men in increasing doses (0,00015, 0,0003, 0,0006 mg/kg) by intra-muscular injection, and the results are compared with those obtained in the same condition by administration of morphine (0,100, 0,150, 0,200 mg/kg). The administration of both drugs provokes the same side-effects. The failure of the breathing rate is as fast as observed following the administration of morphine in equi-analgesic doses. As in the case of analgesia, the time taken for the falling off of the breathing rate to occur, and its duration are shorter with sulfentanil, than with morphine. In any case their persistence is too great for one, to be able to consider sulfentanil as a drug of very short-term effect. The effects of sulfentanil on the cardiac rhythm (bradycardia) and on arterial pressure (low blood pressure) are slightly less intense, but above all, much shorter than that of a equi-analgesic dose of morphine. The other side-effects which are clinically discernable, particularly those felt by the patient, vomiting and changes in behaviour patterns are minimal; certainly lesser after administration of S than after tha of M. The sedative value are the same and often identical after administration of both drugs. Finally, the euphoric effect of sulfentanil appears to be slighter than that of morphine.

Adult↗