Grapiprant or carprofen following ovariohysterectomy in the cat: analgesic efficacy, hematological, biochemical and urinalysis evaluation

J Feline Med Surg. 2022 Aug;24(8):e153-e162. doi: 10.1177/1098612X221097935. Epub 2022 May 9.

Abstract

Objectives: This study aimed to compare the analgesic effect between carprofen and grapiprant every 12 or 24 h on postoperative pain in cats undergoing ovariohysterectomy, in addition to the effects on the hematological, biochemical and urinalysis variables.

Methods: A total of 32 female cats were randomly divided into three groups, according to the treatment administered with the first dose given orally 90 mins before surgery, as follows: CAR (cats received 4 mg/kg carprofen, n = 11); GRA1 (cats received 2 mg/kg grapiprant, n = 10); and GRA2 (cats received 2 mg/kg grapiprant q12h, n = 11). Pain was assessed by UNESP-Botucatu Multidimensional Composite Pain Scale (UNESP) and Glasgow Feline Composite Measure Pain Scale (GLASGOW) for cats preoperatively (baseline) and at 1, 3, 6, 8, 12 and 24 h after extubation. Venous blood was collected at baseline, and 12 and 24 h after the administration of carprofen or grapiprant to perform a complete blood count (CBC), the percentage of Heinz bodies and serum biochemistry (alanine aminotransferase, aspartate aminotransferase, alkaline phosphatase, gamma-glutamyltransferase, creatinine and urea). Urinalysis was performed at baseline and 24 h after extubation. Glucose levels were evaluated at baseline and 1 h postoperatively.

Results: Pain scores were not significantly different among groups in both scales, although pain was higher at 3 h in comparison with 24 h in all groups. In the GRA1 and GRA2 groups, 67% (14/21) of cats needed rescue analgesia compared with 18% (2/11) in the CAR group. Glucose increased from baseline to 1 h in the GRA1 and GRA2 groups. None of the CBC, serum biochemistry and urinalysis variables differed among groups.

Conclusions and relevance: Grapiprant did not promote adequate analgesia during the first 3 h postoperatively in cats undergoing ovariohysterectomy compared with carprofen, and no benefits were observed by administering grapiprant every 12 h.

Keywords: Carprofen; grapiprant; non-steroidal anti-inflammatory drugs; pain; surgery.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Analgesics / therapeutic use
  • Animals
  • Carbazoles
  • Cat Diseases* / drug therapy
  • Cats
  • Female
  • Glucose
  • Hysterectomy / methods
  • Hysterectomy / veterinary
  • Imidazoles
  • Ovariectomy / methods
  • Ovariectomy / veterinary
  • Pain, Postoperative / drug therapy
  • Pain, Postoperative / prevention & control
  • Pain, Postoperative / veterinary
  • Pyridines
  • Sulfonylurea Compounds
  • Urinalysis* / veterinary

Substances

  • Analgesics
  • Carbazoles
  • Imidazoles
  • Pyridines
  • Sulfonylurea Compounds
  • carprofen
  • Glucose
  • grapiprant