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Peer-reviewed veterinary case report

Effectiveness and safety of miltefosine and allopurinol for dog

By Miró, Guadalupe et al.·Published in Veterinary dermatology·2009·Departamento de Sanidad Animal, Spain·View original on PubMed

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Original publication title: Multicentric, controlled clinical study to evaluate effectiveness and safety of miltefosine and allopurinol for canine leishmaniosis.

Species:
dog

Plain-English summary

A group of dogs diagnosed with leishmaniosis, a disease caused by parasites, were treated with either a new combination of miltefosine and allopurinol or a standard treatment of meglumine antimoniate and allopurinol. Both treatments significantly reduced the symptoms and parasite levels in the dogs over a seven-month period, with no major side effects noted. The miltefosine-allopurinol combination was found to be a safe and effective alternative to the traditional therapy.

People also search for: dog leishmaniosis treatment · miltefosine for dogs · allopurinol for canine leishmaniasis

Abstract

The aim of this trial was to evaluate the effectiveness and safety of miltefosine-allopurinol combination therapy vs. the current reference combination therapy, meglumine antimoniate-allopurinol, for canine leishmaniosis. Dogs included in the study exhibited clinical signs of the disease, were positive by PCR and serologically positive by immunofluorescent antibody test for leishmaniosis, and negative for ehrlichiosis. Dogs were divided into two groups: Group 1 was treated with 2 mg/kg of miltefosine orally once daily for 28 days and 10 mg/kg of allopurinol orally twice daily for 7 months; Group 2 was treated with 50 mg/kg of meglumine antimoniate sub-cutaneously twice daily for 28 days and allopurinol (same dose as Group 1) for 7 months. Dogs were examined according to the following schedule: pre-inclusion, Day 0 (D0), D14, D28, D84, D140 and D196. At each visit, blood, urine and bone marrow samples were collected. Parameters monitored included haematology, biochemistry, protein electrophoresis, serology, urinary protein/creatinine ratio and RTQ-PCR performed on bone marrow aspirates. A significant reduction in total clinical score and parasite load was observed in both groups over the 7-month study period (P < 0.0001), with no significant difference between groups (P = 0.3). The safety of miltefosine-allopurinol combination therapy was confirmed by lack of effect on renal and hepatic parameters and adverse reactions. Miltefosine, in combination with allopurinol, offers a safe, convenient and effective alternative treatment option for canine leishmaniosis compared to the reference therapy.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/20178476/