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551.e2  Insect Growth Regulator Toxicosis




            Insect Growth Regulator Toxicosis
  VetBooks.ir   BASIC INFORMATION




           Definition                          Insect Growth Regulators      Available Forms
                                               Type of IGR
                                                                Generic Name
           Insect growth regulators (IGRs) are found   Chitin synthesis inhibitor  Cyromazine  Powder feed-through for fly control for poultry and horses;
           by themselves or in combination with other                        liquid and granules for environmental use; liquid for pond
           insecticides  for  environmental,  home,  and                     use; water-soluble powder for use on vegetables
           on-pet use for pest control. Most ingestions by
           mammals can cause mild gastrointestinal (GI)         Diflubenzuron  Powder feed-through fly control for cattle, horses, and
                                                                             swine; liquid, bait and granules for environmental use; liquid
           signs, and dermal exposures can cause dermal                      for pond use; pour on for cattle and horses
           irritation. The table shows most common agents
           and their mechanism of action.                       Lufenuron    Oral tablets for dogs and cats for flea control
                                               Juvenile hormone analog  Fenoxycarb  Bait, spray, fogger for environmental and household flea and
           Synonyms                                                          tick control; spray for dogs and cats flea and tick control
           IGR, juvenoids                                       Hydroprene   Liquid, spray, and fogger for household use
           Epidemiology                                         Methoprene   Powder feed-through fly control for cattle; spot-on, collar,
           SPECIES, AGE, SEX                                                 shampoo, mousse for dogs and cats for flea control;
                                                                             granules and bait for environmental use; spray, fogger for
           Dogs and cats, no age or sex differences                          household; granules for pond use; granules for agriculture
           RISK FACTORS                                         Pyriproxyfen  Spray, powder, fogger for household use; spot-on, spray,
                                                                             shampoo, collar for dogs and cats for flea control
           Use of insecticides on the pet or in the
           environment                        IGR, Insect growth regulator.
           GEOGRAPHY AND SEASONALITY
           Flea  and  tick  season  (year-round  in  some
           places), summer (insect control in environment)
                                              •  Any  cause  of  acute  gastroenteritis  (e.g.,    PROGNOSIS & OUTCOME
           Clinical Presentation                dietary indiscretion, bacterial or viral gastritis)
           HISTORY, CHIEF COMPLAINT                                              Excellent prognosis
           History of dermal or oral exposure with acute-  Initial Database
           onset hypersalivation, vomiting and diarrhea,   Typically, diagnostic testing is not required   PEARLS & CONSIDERATIONS
           or dermal irritation
                                               TREATMENT                         Comments
           PHYSICAL EXAM FINDINGS                                                •  Many IGRs are found in combination with
           •  Hypersalivation, vomiting, diarrhea  Treatment Overview              other insecticides that may be problematic.
           •  Dermal irritation (erythema to excoriation),   •  Signs are expected to be mild, and supportive   •  Methoprene is approved for use in drinking
            pruritus at site of contact/application  care is all that is needed in most cases.  water for mosquito control because it poses
                                              •  Ensure that the pet has not been exposed   minimal or no risk to humans, animals, or
           Etiology and Pathophysiology         to other insecticides.             the environment.
           •  Juvenile  hormone  analogs  mimic  insect
            compounds needed to allow molting. If   Acute General Treatment      Prevention
            juvenile hormone levels remain elevated, the   •  Hypersalivation: dilution with milk or water   Except for products used to treat pets, keep
            insect remains in the same stage. Because   (2-6 mL/kg PO) or tasty treat  pets out of areas where IGR products have
            mammals do not have these hormones, only   •  Vomiting: hold off food temporarily; rarely   been used (follow label directions).
            minimal toxicity occurs (i.e., self-limited GI   need antiemetic (maropitant 0.5-1 mg/kg
            signs or dermal irritation).        PO or SQ) or IV fluid support    Technician Tips
           •  Chitin synthesis inhibitors stop insect eggs   •  Dermal irritation  Always identify product to see whether any
            from hatching into adults by blocking   ○   Bathe entire animal with liquid hand   other insecticides are included.
            polymerization and deposition of chitin.   dishwashing detergent
            Because mammals do not have chitin, only   ○   Antihistamine: diphenhydramine 1 mg/  Client Education
            self-limited GI signs occur.          kg PO q 8-12h if needed        IGRs stop the hatching of new insects. They
                                                ○   Short-acting  steroid:  dexamethasone   do not have any effect on adult insects.
            DIAGNOSIS                             sodium phosphate 0.05-0.2 mg/kg IV
                                                  once if needed                 SUGGESTED READING
           Diagnostic Overview                  ○   Rarely; if secondary dermal infection   Wismer T, et al: Toxicology of newer insecticides in
           Due to the lack of serious signs, testing is not   occurs due to self-mutilation, antimicrobi-  small animals. Vet Clin North Am Small Anim
           needed for IGR intoxication.           als may be indicated.            Pract 42:335-347, 2012.
           Differential Diagnosis             Drug Interactions                  AUTHOR & EDITOR: Tina Wismer, DVM, MS, DABVT,
           •  Any  substance  that  can  cause  mild  GI   None expected         DABT
            upset: cleaning agents (e.g., soaps, anionic
            and nonionic detergents), nontoxic plants,   Recommended Monitoring
            fertilizers                       Hydration status if GI signs are present

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