Pharmacokinetics, absolute bioavailability and tolerability of ketamine after intranasal administration to dexmedetomidine sedated dogs

PLoS One. 2020 Jan 13;15(1):e0227762. doi: 10.1371/journal.pone.0227762. eCollection 2020.

Abstract

Intranasal ketamine has recently gained interest in human medicine, not only for its sedative, anaesthetic or analgesic properties, but also in the management of treatment resistant depression, where it has been shown to be an effective, fast acting alternative treatment. Since several similarities are reported between human psychiatric disorders and canine anxiety disorders, intranasal ketamine could serve as an alternative treatment for anxiety disordered dogs. However, to the authors knowledge, intranasal administration of ketamine and its pharmacokinetics have never been described in dogs. Therefore, this study aimed to examine the pharmacokinetics, absolute bioavailability and tolerability of intranasal ketamine administration compared with intravenous administration. Seven healthy, adult laboratory Beagle dogs were included in this randomized crossover study. The dogs received 2 mg/kg body weight ketamine intravenously (IV) or intranasally (IN), with a two-week wash-out period. Prior to ketamine administration, dogs were sedated intramuscularly with dexmedetomidine. Venous blood samples were collected at fixed times until 480 min post-administration and ketamine plasma concentrations were determined by liquid chromatography-tandem mass spectrometry. Cardiovascular parameters and sedation scores were recorded at the same time points. Non-compartmental pharmacokinetic analysis revealed a rapid (Tmax = 0.25 ± 0.14 h) and complete IN bioavailability (F = 147.65 ± 49.97%). Elimination half-life was similar between both administration routes (T1/2el IV = 1.47 ± 0.24 h, T1/2el IN = 1.50 ± 0.97 h). Heart rate and sedation scores were significantly higher at 5 and 10 min following IV administration compared to IN administration, but not at the later time-points.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Intranasal
  • Analgesics / adverse effects
  • Analgesics / blood*
  • Analgesics / pharmacology
  • Animals
  • Biological Availability
  • Dexmedetomidine / administration & dosage*
  • Dexmedetomidine / pharmacology
  • Dogs
  • Female
  • Heart Rate / drug effects
  • Ketamine / administration & dosage
  • Ketamine / adverse effects
  • Ketamine / blood*
  • Ketamine / pharmacology
  • Male

Substances

  • Analgesics
  • Dexmedetomidine
  • Ketamine

Grants and funding

Funding for this study was provided by Special Research Fund Grant from the Ghent University (https://www.ugent.be/nl/onderzoek/financiering/bof., No 01D26115, assigned to LV). The Ghent University had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.