Phenoxy herbicide poisoning
Synonym(s): Phenoxy acids, Phenoxy acetic acids, Phytohormones: 2,4-D (2,4-dichlorophenoxyacetic acid), 2,4-DB, 2,4-MCPA (2-methyl-4-chlorophenoxyacetic acid), 2,4-MCPP (methylchlorophenoxy propionic acid or mecoprop), dichlorprop (2,4-DP), fenoprop (2-[2,4,5-trichlorophenoxy] propionic acid
Introduction
- Selective herbicides that mimic plant growth hormones. Available as soluble concentrates or emulsions. These are a family of chemicals that are structurally similar, that are carboxylic acids in an acid or salt form.
- Signs: common signs include dermal or ocular irritation, nauseas, vomiting and diarrhea - signs are usually self-limiting and respond well to minimal symptomatic and supportive care; high dose exposures in dogs can lead to myotonia; prolonged exposures may lead to renal or hepatic damage.
- Diagnosis: history of exposure, clinical signs, response to treatment.
- Treatment: detoxification if appropriate, intravenous fluids to maintain hydration and assist in renal excretion, anti-emetic medications for persistent vomiting, bland diet.
- Prognosis: excellent - renal/hepatic damage and fatalities are rare.
Presenting signs
- Vomiting/diarrhea.
- Myotonia Myotonic myopathy (myotonia) in dogs - sawhorse stance, difficulty in ambulation.
Acute presentation
- Mild to moderate exposures may cause self-limiting vomiting and diarrhea for up to 2-3 days.
- Some compounds are moderately irritating to skin, eyes and the respiratory system.
- Large exposures in dogs can cause myotonia, that typically resolve with basic supportive care within 72 hours.
- Prolonged exposures have been associated with renal or hepatic damage - rare, as well as decreased weight gains and anemia.
Geographic incidence
- Widely used.
Pathogenesis
Etiology
- Ingestion of herbicide.
- Ingestion of treated plants.
- Exposure to treated areas before herbicide has dried can result in percutaneous absorption.
Pathophysiology
- Ingestion causes local irritation to and possible ulceration of mucous membranes of the mouth, pharynx and gastrointestinal tract.
- Compounds are readily absorbed from the gastrointestinal tract, skin and lungs.
- Not significantly stored in fat.
- Renal excretion is rapid except in dogs.
- Limited biotransformation to less toxic substances; majority of compounds are excreted unchanged in the urine.
- Relatively low toxicity: acute oral LD50 in dogs is 100 mg/kg.
- Uncouples oxidative phosphorylation, depresses ribonuclease synthesis, and increases paranitrophenyl phosphatase.
Timecourse
- Most patients respond positively within 24-72 hours following acute exposures.
Diagnosis
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Treatment
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Prevention
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Outcomes
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Further Reading
Publications
Referred papers
- Recent references from PubMed and VetMedResource.
Other sources of information
- Walton R A (2016) Blackwell's Five-Minute Veterinary Consult, Clinical Companion, Small Animal Toxicology. 2nd edn. Wiley Blackwell, Chapter 76: Herbicides. pp 565-570.
- Chandler E A, Gaskell C J & Gaskell R M (1994) Feline Medicine and Therapeutics. 2nd edn. Oxford: Blackwell Scientific Publications. pp 660.
Organisation(s)
- ASPCA Animal Poison Control Center: www.aspca.org/pet-care/animal-poison-control, telephone (888) 426-4435.
- Pet Poison Helpline: www.petpoisonhelpline.com, telephone number (800) 213-6680.
- Veterinary Poisons Information Service (VPIS); www.vpisglobal.com, telephone + 44 (0) 2073 055 055.