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1 June 2016 EFFECT OF ϵ-AMINOCAPROIC ACID ON FIBRINOLYSIS IN PLASMA OF ASIAN ELEPHANTS (ELEPHAS MAXIMUS)
Sarrah Kaye, Noha Abou-Madi, Daniel J. Fletcher
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Abstract

ϵ-Aminocaproic acid (EACA) is a lysine analogue antifibrinolytic drug used to treat bleeding disorders in humans and domestic animals. Use in zoological medicine is rare and dose recommendations are anecdotal, but EACA may be a valuable therapeutic option for bleeding disorders in exotic species, including Asian elephants (Elephas maximus). This study used an in vitro model of hyperfibrinolysis and a thromboelastograph-based assay to estimate the therapeutic plasma concentration of EACA in Asian elephants (61.5 μg/ml, 95% CI = 34.6–88.5 μg/ml). Substantial but incomplete inhibition of lysis was seen at relatively low concentrations of EACA (40 μg/ml). Asian elephants appear sensitive to EACA-mediated inhibition of hyperfibrinolysis. Doses published for domestic animals, targeting higher plasma concentrations, may be inappropriate in this species.

Copyright 2016 by American Association of Zoo Veterinarians
Sarrah Kaye, Noha Abou-Madi, and Daniel J. Fletcher "EFFECT OF ϵ-AMINOCAPROIC ACID ON FIBRINOLYSIS IN PLASMA OF ASIAN ELEPHANTS (ELEPHAS MAXIMUS)," Journal of Zoo and Wildlife Medicine 47(2), 397-404, (1 June 2016). https://doi.org/10.1638/2015-0255.1
Received: 15 June 2016; Published: 1 June 2016
KEYWORDS
ϵ-aminocaproic acid
Asian elephant
Elephas maximus
fibrinolysis
thromboelastography
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