Field efficacy of moxidectin in dogs and rabbits naturally infested with Sarcoptes spp., Demodex spp. and Psoroptes spp. mites
Introduction
The avermectin-class antiparasitic agent — moxidectin, is a macrocyclic lactone, which includes two distinct chemical families: avermectins (ivermectin, abamectin, doramectin, eprinomectin, salinomectin) and milbemycins (moxidectin, milbemycin oxime). Moxidectin is produced by a combination of fermentation and chemical synthesis. Streptomyces cyaneogriseus produces nemadectin, which is chemically modified. Moxidectin is a semi-synthetic methoxime derivative of nemadectin (Plumb, 1999). It does not have ivermectin’s disaccaride side chain at C13, but does have the methoxime at C23 and dimethyl-butenyl side chain at C25 (Hayes, 1994). Each member of the macrocyclic lactones may exert a similar mode of antiparasitic action but there is a variation in the efficacy which is presumed to relate to variations in the chemical structure (Shoop et al., 1995).
The primary mode of action is to affect chloride ion channel activity in the nervous system of nematodes and arthropods. Moxidectin binds to receptors that increase membrane permeability to chloride ions. Thus the electrical activity of nerve cells in nematodes and muscle cells in arthropods is inhibited and the parasites become paralysed and die. In addition the release of gamma amino butyric acid (GABA) is enhanced at pre-synaptic neurons. GABA acts as an inhibitory neurotransmitter and blocks the post-synaptic stimulation of the adjacent neuron in nematodes or the muscle fibre in arthropods (Plumb, 1999).
Moxidectin has a broad spectrum of activity against both internal and external parasites (Shoop et al., 1995). In cattle it is licensed for the treatment of gastrointestinal parasites, lungworms, cattle grubs, mites, lice and hornflies, and in horses and sheep it is licensed for the treatment of gastrointestinal parasites. In dogs moxidectin is a monthly oral formulation for the prevention of heartworms. There are several studies using ivermectin (Paradis and Ristic, 1993; Ristic et al., 1995; Fondati, 1996; Medleau et al., 1996; Paradis, 1999; Mueller et al., 1999; Mueller and Bettenay, 1993) or milbemycin oxime (Garfield and Reedy, 1992; Mueller and Bettenay, 1995; Paradis, 1999) in dogs for the treatment of infestation with Demodex spp. mites, ivermectin against Cheyletiella spp. in cats (Paradis and Scott, 1990), milbemycin oxime as treatment of canine scabies — Sarcoptes spp. (Miller et al., 1996; Shipstone et al., 1997). Several studies show the efficacy of ivermectin (Sudham et al., 1990; Srivastava et al., 1991; Bowman et al., 1992; Ferrero et al., 1994; Harikrishnan et al., 1996) against rabbit ear mites — Psoroptes cuniculi. The aim of this study was to evaluate the efficacy of moxidectin in the treatment of scabies and demodicosis in dogs and Psoroptes spp. mite infestation in rabbits.
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Diagnosis
Twenty-two dogs were presented at the Dermatology Service of the 1. Medical Clinic of the Veterinary University in Vienna with generalised demodectic mange (more than five spots, one part of the body or two feet) with alopecia, comedones (blackheads), follicular casts, scales and crusts. Three deep skin scrapings were performed in each dog, mixed with mineral oil and microscopically examined under low power magnification (10×). Numerous living adults’ Demodex spp. mites, nymphs, larvae and eggs
Demodicosis
Twenty-two dogs of various breeds (Table 1) were diagnosed with generalised demodicosis. Fourteen had generalised juvenile demodicosis and eight had generalised adult onset demodicosis. The age of onset was between 3 months and 13 years old (mean: 3.97 years). Duration of therapy was from 42 to 120 days (mean: 2.4 months). All dogs that finished treatment (100%; 16/16) were cured (two negative skin scrapings, no relapse in the first 12 months after therapy). However, 14% (3/22) was lost to
Discussion
In dogs, moxidectin is only licensed as a once monthly oral heartworm preventation (0.003 mg/kg). Adverse reactions mentioned on the product label are lethargy, vomiting, ataxia, anorexia, diarrhoea, nervousness, weakness, increased thirst and itching (Plumb, 1999). But dosages of up to 1.12 mg/kg demonstrated little or no effects (Plumb, 1999).
In Austria, there is no registered product for the treatment of generalised demodicosis. Thus alternative treatments are sought for this servere disease.
Conclusion
In summary, our results indicate that moxidectin at a dosage of 0.4 mg/kg orally once daily is effective and a good alternative for the treatment of demodicosis in dogs, 0.2–0.25 mg/kg once weekly at least three times is effective against scabies in dogs and 0.2 mg/kg twice 10 days apart is curative for psoroptic mange in rabbits. Side effects seem to occur more frequently if moxidectin is administered subcutaneously, therefore the oral route should be preferred.
Acknowledgements
The authors would like to thank Tina Hofbauer, Christa Horvath and Nina Stallmeister for their help in treating the animals. Ralf Muellers help in correcting the manuscript is also gratefully acknowledged.
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