Elsevier

Veterinary Parasitology

Volume 93, Issue 2, 10 November 2000, Pages 149-158
Veterinary Parasitology

Field efficacy of moxidectin in dogs and rabbits naturally infested with Sarcoptes spp., Demodex spp. and Psoroptes spp. mites

https://doi.org/10.1016/S0304-4017(00)00357-5Get rights and content

Abstract

The efficacy of moxidectin 1% injectable for cattle was evaluated in dogs and rabbits with naturally acquired sarcoptic, demodectic or psoroptic mites. Twenty-two dogs with generalised demodicosis were orally treated with 0.4 mg/kg moxidectin daily. Forty-one dogs suffering from sarcoptic mange were treated with 0.2–0.25 mg/kg moxidectin either orally or subcutaneously every week for three to six times. Seven rabbits were treated orally with 0.2 mg/kg moxidectin twice 10 days apart. Of the 22 dogs with demodicosis, 14% were stopped treatment because of side effects, 14% were lost and of the remaining 72% all were cured (mean therapy duration 2.4 months). Thirty-seven of the sarcoptic mange-infected dogs finished treatment and were cured. In 17% of dogs, side effects were noted. All seven rabbits treated for psoroptic mange were cured and did not show any side effect. Our results indicate that moxidectin is effective and a good alternative for the treatment of demodicosis and scabies in dogs and psoroptic mange in rabbits. Side effects seem to occur more frequently if applied subcutaneously, therefore the oral route should be preferred.

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.

Section snippets

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.

References (26)

  • M. Paradis

    New approaches to the treatment of canine demodicosis

    Vet. Clin. N. Am. Small

    (1999)
  • W. Shoop et al.

    Structure and activity of avermectins and milbemycins in animal health

    Vet. Parasitol.

    (1995)
  • Bensignor, E., Carlotti, D.N., 1998. Moxidectin in the treatment of generalized demodicosis in dogs: a pilot study: 8...
  • S. Bornstein et al.

    Evaluation of an enzyme-linked immunosorbent assay (ELISA) for the serological diagnosis of canine sarcoptic mange

    Vet. Dermatol.

    (1996)
  • D.D. Bowman et al.

    Effect of ivermectin on the control of ear mites (Psoroptes cuniculi) in naturally infested rabbits

    Am. J. Vet. Res.

    (1992)
  • O. Ferrero et al.

    Efficacy of ivermectin in the treatment of rabbit ear cancer

    Vet. Argent.

    (1994)
  • A. Fondati

    Efficacy of daily oral ivermectin in the treatment of 10 cases of generalized demodicosis in adult dogs

    Vet. Dermatol.

    (1996)
  • M. Garfield et al.

    The use of oral milbemycin oxime (interceptor R) in the treatment of chronic generalized canine demodicosis

    Vet. Dermatol.

    (1992)
  • M.K. Hadrick et al.

    Ivermectin toxicosis in two Australian shepherds

    J. Am. Vet. Med. Assoc.

    (1995)
  • T.J. Harikrishnan et al.

    Efficacy of ivermectin against rabbit mange

    J. Vet. Med. Sci.

    (1996)
  • Hayes, P., 1994. Moxidectin: understanding the unique persistent anthelminitic activity of this second generation...
  • O.C. Kennel et al.

    Four cases of amitraz poisoning in humans

    Vet. Human Toxicol.

    (1996)
  • L. Medleau et al.

    Daily ivermectin for treatment of generalized demodicosis in dogs

    Vet. Dermatol.

    (1996)
  • Cited by (113)

    • Vaccination with a cocktail vaccine elicits significant protection against Sarcoptes scabiei in rabbits, whereas the multi-epitope vaccine offers limited protection

      2023, Experimental Parasitology
      Citation Excerpt :

      Importantly, the continued use of acaricides will eventually lead to the development of drug resistance in S. scabiei and environmental pollution (Pasay et al., 2006; Currie et al., 2004; Terada et al., 2010). In addition, some acaricides have side effects (Wagner and Wendlberger, 2000). Thus, the development of vaccines against scabies is significant for the prevention and control of scabies mites.

    • Therapeutics

      2022, Textbook of Rabbit Medicine, Third Edition
    • Rabbits

      2022, Carpenter's Exotic Animal Formulary, Sixth Edition
    • Dermatologic Diseases of Rabbits

      2020, Ferrets, Rabbits, and Rodents: Clinical Medicine and Surgery
    View all citing articles on Scopus
    View full text