Influence of topical dexamethasone applications on insulin, glucose, thyroid hormone and cortisol levels in dogs

The influence of two topical dexamethasone applications (dermal and ototopical) on plasma insulin, glucose, thyroid hormone and cortisol levels was investigated in beagle dogs. Both treatments significantly decreased basal cortisol values, associated with exaggerated rise in insulin (∼50%), together...

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Veröffentlicht in:Research in veterinary science 2011-06, Vol.90 (3), p.491-497
Hauptverfasser: Gottschalk, J., Einspanier, A., Ungemach, F.R., Abraham, G.
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container_title Research in veterinary science
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creator Gottschalk, J.
Einspanier, A.
Ungemach, F.R.
Abraham, G.
description The influence of two topical dexamethasone applications (dermal and ototopical) on plasma insulin, glucose, thyroid hormone and cortisol levels was investigated in beagle dogs. Both treatments significantly decreased basal cortisol values, associated with exaggerated rise in insulin (∼50%), together with unchanged serum glucose levels. Dermal dexamethasone quickly decreased plasma thyroxin (T 4) levels; whereas dexamethasone in ear drops gradually inhibited time-dependently T 4 release (18–50%). Both formulations blunted plasma triiodothyronine (T 3) levels but the response induced by dermal dexamethasone was stronger than by dexamethasone ear drops. Upon drug withdrawal, insulin secretion returned to baseline a week after treatment cessation, while cortisol, T 4 and T 3 levels did not reach baseline values. These results suggest that topical glucocorticoids unexpectedly trigger secondary hypothyroidism with concomitant suppression of hypothalamic–pituitary–adrenal axis but sensitize the endocrine pancreas, thus, their application needs careful evaluation for surprisingly different effects on endocrine stress axis activity.
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subjects Administration, Topical
Animals
Beagle
blood glucose
Blood Glucose - analysis
Blood Glucose - drug effects
Cortisol
dexamethasone
Dexamethasone - administration & dosage
Dexamethasone - pharmacology
Dogs
Dogs - blood
ears
Glucocorticoids - administration & dosage
Glucocorticoids - pharmacology
Glucose
Hormones
Hydrocortisone - blood
Hypothalamic–pituitary–adrenal (HPA) axis
Hypothalamic–pituitary–thyroid (HPT) axis
hypothyroidism
Insulin
Insulin - blood
insulin secretion
Male
normal values
pancreas
Rodents
Thyroid gland
Thyroid hormones
Thyroid Hormones - blood
topical application
Topical glucocorticoids
triiodothyronine
Veterinary medicine
title Influence of topical dexamethasone applications on insulin, glucose, thyroid hormone and cortisol levels in dogs
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