Evidence map›Paper›PMID 34387120›Full record

ArticleJournal of feline medicine and surgery2022

Evaluation of the effect of phenobarbital administration on the biochemistry profile, with a focus on serum liver values, in epileptic cats.

Michelle Hermans, Marios Charalambous, Akos Pakozdy, Ursula Eisl-Glantschnigg, Jasmin Neßler, Sofie Ae Van Meervenne, Gonçalo Serrano, Ine Cornelis, Luc Van Ham, Dominique Paepe and 2 more

Open access · greenAbstract read
In one paragraph

Article in Journal of feline medicine and surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 4 countries.

Michelle HermansSmall Animal Department, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.ORCID 0000-0003-1640-2031
Marios CharalambousSmall Animal Department, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.
Akos PakozdyClinical Unit of Internal Medicine Small Animals, University of Veterinary Medicine, Vienna, Austria.ORCID 0000-0001-9816-6970
Ursula Eisl-GlantschniggClinical Unit of Internal Medicine Small Animals, University of Veterinary Medicine, Vienna, Austria.
Jasmin NeßlerDepartment of Small Animal Medicine and Surgery, University of Veterinary Medicine Hannover, Hannover, Germany.
Sofie Ae Van MeervenneAniCura Kalmar Animal Clinic, Kalmar, Sweden.
Gonçalo SerranoSmall Animal Department, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.
Ine CornelisSmall Animal Department, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.
Luc Van HamSmall Animal Department, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.
Dominique PaepeSmall Animal Department, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.
Bart Jg BroeckxLaboratory of Animal Genetics, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.
Sofie Fm BhattiSmall Animal Department, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.
Ghent University · BEUniversity of Veterinary Medicine Vienna · ATLandstinget i Kalmar län · SEUniversity of Veterinary Medicine Hannover, Foundation · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPhenobarbital (PB) is the most common antiseizure drug (ASD) used for the management of feline epilepsy. In dogs, PB is known to cause serum liver enzyme induction and hepatotoxicity, especially after administration long term or in high concentrations. In cats, insufficient evidence is available to draw similar conclusions. The aim of this study was to evaluate the effect of PB administration on the serum biochemistry profile of epileptic cats. As an additional objective, other adverse effects arising, related to PB treatment, were recorded.

methodsMedical records of four veterinary centres were retrospectively reviewed for epileptic cats receiving PB treatment. Cats were included if they had a diagnosis of idiopathic epilepsy or structural epilepsy; a normal baseline serum biochemistry profile; at least one follow-up serum biochemistry profile; no concurrent disease or had not received medication that could possibly influence liver function or lead to serum liver enzyme induction. Alkaline phosphatase, alanine aminotransferase (ALT), aspartate transaminase and gamma-glutamyl transferase activities, and total bilirubin, bile acids, glucose, albumin, total protein, urea and creatinine concentrations before and during PB administration were recorded. PB serum concentration was also recorded, when available.

resultsThirty-three cats (24 males, nine females) with a median age of 3 years (range 2 months to 12 years) met the inclusion criteria. Idiopathic or structural epilepsy was diagnosed in 25 (76%) and eight (24%) cats, respectively. The follow-up period ranged from 9 to 62 months. This study found an increase in ALT in three cats, possibly related to a PB serum concentration >30 µg/ml. No statistically significant increase in serum liver enzymes or other evaluated biochemistry parameters was found by comparing pre- and post-treatment parameters. CONCLUSIONS AND RELEVANCE: PB administration did not result in hepatic enzyme induction or other biochemical abnormalities in cats. This strengthens the safety profile of PB as an ASD in cats.

Indexed as

Cat DiseasesDog DiseasesEpilepsyAlanine TransaminaseAnimalsAnticonvulsantsCatsDogsFemaleLiverMalePhenobarbitalRetrospective StudiesAlanine TransaminaseAnticonvulsantsPhenobarbitalantiseizure drugEpilepsyhepatotoxicityphenobarbital

Identifiers

PMID34387120
PMCPMC11104244
OpenAlexW3192550442

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.