S. Hart et I. Nolte, LONG-TERM TREATMENT OF DISEASED, FIV-SEROPOSITIVE FIELD CATS WITH AZIDOTHYMIDINE (AZT), Journal of veterinary medicine. Series A, 42(6), 1995, pp. 397-409
The long-term effectiveness of Azidothymidine (AZT, Zidovudine) was ev
aluated in FIV-seropositive cats with clinical symptoms (n = 9; Group
1) compared with conventional symptomatical therapy (n = 5; Group 2).
The oral administration of Azidothymidine at a dosage of 5 mg/kg BW yi
elded a mean peak plasma concentration of 4.59 mu M one hour after app
lication (median: 3.74 mu M). Elimination half time was 1.5 h. The per
manent oral application of Azidothymidine at a dosage of 5 mg/kg BW TI
D led to a total recovery from clinical symptoms in six of nine FIV-se
ropositive cats (Group 1) 4-6 weeks after the onset of therapy. One ca
t clinically improved with only sporadical recurrence of disease; ther
apy with Azidothymidine was not effective in two cats. All the FIV-ser
opositive cats treated symptomatically responded well to antibiotics a
nd immunomodulators within 10-14 days (n = 5; Group 2). Recurrence of
clinical symptoms was noticed in three of five patients within 2 years
after therapy and one cat died. During the treatment with Azidothymid
ine hyperproteinemia and abnormal albumin-to-globulin ratio became nor
mal within 6 months in four FIV positive cats (Group 1), whereas hyper
proteinemia did not change in Group 2. The following adverse effects w
ere noticed in Group 1: a transient decrease of red blood cell count (
RBC), packed cell volume (PCV) and haemoglobin until the 4th week of a
pplication of Azidothymidine (5/8), but the haemogram was within the n
ormal range after 3 months. In one cat with hyperglycemia the anaemia
remained until the administration of Azidothymidine was terminated. He
inz (Schmauch) bodies in the erythrocytes appeared in two FIV-positive
cats 2 weeks after the onset of the therapy.