ํ๋๋ก์์ง
ํ๋๋ก์์ง์ ์์ํ์์ ๋๋ฆฌ ์ฌ์ฉ๋๋ 1์ธ๋ ํผํ๋ผ์ง๊ณ ํญํ์คํ๋ฏผ์ ์ ๋๋ค. ์ฃผ๋ก ํญ์์ ๋ฐ ํญํ์คํ๋ฏผ ํน์ฑ์ผ๋ก ์ฒ๋ฐฉ๋๋ฉฐ, ๊ฐ์ ๊ณ ์์ด์ ์ํ ํผ ํผ๋ถ์ผ, ๋ฒผ๋ฃฉ ์๋ ๋ฅด๊ธฐ ํผ๋ถ์ผ ๋ฐ ๊ธฐํ ์๋ ๋ฅด๊ธฐ ์งํ ๊ด๋ฆฌ์ ํ์์ ์ธ ์ฝ๋ฌผ์ ๋๋ค. ํ์ก๋์ฅ๋ฒฝ(BBB)์ ํต๊ณผํ๊ธฐ ๋๋ฌธ์ ์ง์ ๋ฐ ์์ ํจ๊ณผ๋ ์ ๊ณตํ์ฌ ๋ถ์ํ๊ฑฐ๋ ๊ฐ๋ ค์์ฆ์ด ์ฌํด ์ํด๋ฅผ ํ๋ ๋๋ฌผ์๊ฒ ๋งค์ฐ ์ ์ตํ ์ ์์ต๋๋ค. ๊ณ ์์ด์ ๊ฒฝ์ฐ ์ง๊ฒฝ ๋ฐ ๊ฒฝ๋ฏธํ ํญ๋ถ์ ํน์ฑ์ผ๋ก ์ธํด ๋น๋ฒํ๊ฒ ์ฌ๋ฐํ๋ ํน๋ฐ์ฑ ํ๋ถ ์๋ก ์งํ(FLUTD)์ ๊ด๋ฆฌํ๋ ๋ฐ ๋๋๋ก ์ฌ์ฉ๋ฉ๋๋ค.
์์ฉ ๊ธฐ์ : Hydroxyzine acts as a competitive antagonist at **H1-receptors** on effector cells. * **Histamine Blockade**: Competes with histamine for H1-receptor sites โ prevents histamine-induced bronchoconstriction, vasodilation, and capillary permeability. *Note: It does not inhibit the release of histamine from mast cells, but antagonizes its effects.* * **CNS Effects**: Readily crosses the blood-brain barrier โ binds to central H1 receptors โ causes sedation and tranquilization. * **Additional Properties**: Exhibits anticholinergic, antispasmodic, local anesthetic, mild bronchodilative, and antiemetic activities. * **Metabolism Pearl**: In vivo, hydroxyzine is metabolized in the liver to its active metabolite, **cetirizine**, which contributes significantly to its prolonged antihistaminic effects.
๋๋ฌผ ์ข ๋ณ ์ฉ๋
- For pruritus ยท 1-2 mg/kg or 5-10 mg/cat PO q8-12h ยท PO ยท q8-12h
- For pruritus ยท 5-10 mg (total dose) or 2.2 mg/kg PO q8-12h ยท PO ยท q8-12h
- For frequently recurrent idiopathic lower urinary tract disease ยท 5-10 mg (total dose) per cat PO q12h ยท PO ยท q12h
- General ยท 2 mg/kg PO 3 times daily ยท PO ยท q8h
- General ยท 0.5-1 mg/kg IM or PO twice daily ยท IM/PO ยท q12h ยท ARCI UCGFS Class 2 Drug
- General ยท 0.67 mg/kg PO twice daily ยท PO ยท q12h ยท Using the pamoate salt
- For pruritus associated with allergies, feather picking, or self-mutilation ยท 2 mg/kg q8h PO or 1.5-2 mg per 4 oz of drinking water daily ยท PO ยท q8h or daily ยท Adjust dose to minimize drowsiness and maximize effect
- For pruritus associated with allergies, feather picking, or self-mutilation ยท 2 mg/kg PO q12h ยท PO ยท q12h
- As an antipruritic/antihistamine ยท 2.2 mg/kg PO three times daily (q8h) ยท PO ยท q8h
ํฌ์ฌ ๊ฒฝ๋ก
๊ธ๊ธฐ
- Hypersensitivity to hydroxyzine or its metabolites (e.g., cetirizine)
- Known hypersensitivity to hydroxyzine or cetirizine
- Early pregnancy (teratogenic in some animal models)
์ด์๋ฐ์
- Sedation (most common, usually mild and transient in dogs)
- Hyperexcitability (occasional paradoxical reaction)
- Fine rapid tremors (dogs)
- Whole body tremors (dogs)
- Seizures (rare in dogs)
- Polydipsia (cats)
- Depression (cats)
- Behavioral changes (cats)
- Sedation / Lethargy
- Dry mouth
- Urinary retention
- Gastrointestinal upset
- Paradoxical excitation (rare)
์ฝ๋ฌผ ์ํธ์์ฉ
- Anticholinergic agents ยท Additive anticholinergic effects may occur when used concomitantly. ยท moderate
- CNS Depressant Drugs (e.g., barbiturates, tranquilizers) ยท Additive CNS depression may be seen.
- Epinephrine ยท Hydroxyzine may inhibit or reverse the vasopressor effects of epinephrine; use norepinephrine or metaraminol instead.
- CNS Depressants (e.g., opioids, barbiturates, gabapentin) ยท Additive CNS depression and sedation ยท major
๋ชจ๋ํฐ๋ง
- Efficacy (reduction in pruritus or clinical signs)
- Adverse effects (degree of sedation, excitability, or behavioral changes)
- Resolution of pruritus or allergic signs
- Degree of sedation
- Adverse anticholinergic effects (e.g., monitoring urination)
๊ณผ์ฉ๋
Overdoses would be expected to cause **increased sedation** and perhaps **hypotension**. At high doses, fine rapid tremors and rarely seizures have been reported. Common clinical signs of toxicity in dogs include: * Hyperthermia * Lethargy * Tachycardia * Trembling / Tremors * Ataxia * Somnolence **Treatment**: There are no specific antidotes available. Gut emptying protocols should be considered with large or unknown quantity overdoses. Supportive and symptomatic treatment is recommended if necessary.
VetSheet ์ฝ๋ฌผ ๋ ํผ๋ฐ์ค๋ ๋ฉดํ ์์ ์ ๋ฌธ๊ฐ๋ฅผ ์ํ ์์ ์์ฌ๊ฒฐ์ ๋ณด์กฐ ๋๊ตฌ์ด๋ฉฐ, ์ ๋ฌธ์ ํ๋จ์ด๋ ์ ์กฐ์ฌ์ ์ต์ ๋ผ๋ฒจ์ ๋์ ํ์ง ์์ต๋๋ค.