Neglected ecological and health risks associated with the use of diclofenac in veterinary medicine: A mini-review

Main Article Content

Lilia Gutiérrez
Yazmín Alcalá Canto
Aldo B. Alberti-Navarro
Lizbeth Carrillo González
Héctor Sumano López

Abstract

There is sufficient scientific evidence to support that residues of diclofenac, a non-steroidal anti-inflammatory drug (NSAID) administered to livestock raised in the open, can cause fatal renal crystallization in vultures' species, and perhaps other birds such as eagles, if treated animals enter the trophic chain. This phenomenon caused the population of vultures to decline sharply, on the brink of extinction, in India, Pakistan, Tibet, and many countries in the Middle East. For this reason, except for Spain, this medication has been prohibited for veterinary use in the rest of Europe, the United States of America, Canada, Japan, Australia, New Zealand, and many other countries. In contrast, in Latin America, diclofenac is available for veterinary use in various preparations alone or combined with antibacterial drugs. The precise impact this is generating on the native species of vultures and other birds that feed on animals that die in open pastures and are not incinerated is unknown. Given the nature of our livestock production via small producers and extensive farming, most animals medicated with this NSAID can enter the natural food chain and become part of the vulture diet. Most researchers who have studied this ecological problem have recommended that countries adhere to the precautionary principle of prohibiting its sale until there is concrete evidence of the magnitude of the damage that the permissive use of diclofenac in veterinary medicine may cause in Latin America. In Mexico, the official standard NOM-064-ZOO-2000, Lineamientos para la clasificación y prescripción de los productos farmacéuticos veterinarios por el nivel de riesgo de sus ingredientes activos, recommends incinerating animals treated with diclofenac, a command that does not fit our daily reality. The question is: shall Latin American countries remain inactive despite a hitherto invisible ecological disaster? Research in Latin America needs to be carried out that supports or rejects the possible impact of diclofenac on wild species, including vultures. However, many countries on the continent, including Mexico, have adhered to the 11th Declaration of Rio for Sustainable Development in the 21st century. Based on this, we propose that action should be taken without delay to avoid or limit an ecological disaster by banning diclofenac in veterinary medicine.

Keywords:
vultures, ecosiding, ledislation, toxicity, diclofenac

Article Details

References

Gilbert M, Watson R, Virani M, Oaks J, Ahmed S, Chaudhry M, et al. Rapid population declines and mortality clusters in three Oriental white-backed vulture Gyps bengalensis colonies in Pakistan due to diclofenac poisoning. Oryx. 2006;40(4):388-399. doi:10.1017/S0030605306001347. DOI: https://doi.org/10.1017/S0030605306001347

Das D, Cuthbert R, Jakati R, Prakash V. Diclofenac is toxic to the Himalayan vulture Gyps himalayensis. Bird Conservation International. 2011;21(1):72-75. doi: 10.1017/S0959270910000171. DOI: https://doi.org/10.1017/S0959270910000171

Shultz S, Baral HS, Charman S, Cunningham AA, Das D, Ghalsasi GR, et al. Diclofenac poisoning is widespread in declining vulture populations across the Indian subcontinent. Proceedings of the Royal Society B. 2004;271(Suppl 6):S458-S460. doi:10.1098/rsbl.2004.0223. DOI: https://doi.org/10.1098/rsbl.2004.0223

Cuthbert R, Taggart M, SainI M, Sharma A, Das A, Kulkarni M, et al. Continuing mortality of vultures in India associated with illegal veterinary use of diclofenac and apotential threat from nimesulide. Oryx. 2016;50(1):104-112. doi:10.1017/S003060531500037X. DOI: https://doi.org/10.1017/S003060531500037X

Galligan T, Taggart M, Cuthbert R, Svobodova D, Chipangura J, Alderson D, et al. Naidoo V. Metabolism of aceclofenac in cattle to vulture-killing diclofenac. Conservation Biology. 2016;30(5):1122-1127. doi:10.1111/cobi.12711. DOI: https://doi.org/10.1111/cobi.12711

Chandramohan S, Mathesh K, Mallord J, Naidoo V, Mahendran K, Kesavan M, et al. Metabolism of aceclofenac to diclofenac in the domestic water buffalo Bubalus bubalis confirms it as a threat tocritically endangered Gyps vultures in South Asia. Environmental Toxicology and Pharmacology 2022;96:103984. doi:10.1016/j.etap.2022.103984. DOI: https://doi.org/10.1016/j.etap.2022.103984

Herrero-Villar M, Velarde R, Camarero P, Taggart M, Bandeira V, Fonseca C, et al. NSAIDs detected in Iberian avian scavengers and carrion after diclofenac registration for veterinary use in Spain. Environmental Pollution. 2020;266(Part 2):115157. doi:10.1016/j.envpol.2020115157. DOI: https://doi.org/10.1016/j.envpol.2020.115157

Sharma A, Saini M, Singh S, Prakash V, DAS A, Dasan R, et al. Diclofenac is toxic to the steppe eagle Aquila nipalensis: widening the diversity of raptors threatened by NSAID misuse in South Asia. Bird Conservation International. 2014;24(3):282-286. doi:10.1017/S0959270913000609. DOI: https://doi.org/10.1017/S0959270913000609

Castro-Pastrana L, Baños-Medina M, López-Luna M, Torres-García B. Ecofarmacovigilancia en México: perspectivas para su implementación. Revista Mexicana de Ciencias Farmacéuticas. 2015;46(3):16-40.

Hassan IZ, Duncan N, Adawaren EO, Naidoo V. Could the environmental toxicity of diclofenac in vultures been predictable if preclinical testing methodology were applied? Environmental Toxicology and Pharmacology. 2018;64:181-186. doi:10.1016/j.etap.2018.10.006. DOI: https://doi.org/10.1016/j.etap.2018.10.006

Muralidharan S, Dhananjayan V. Diclofenac residues in blood plasma and tissues of vultures collected from Ahmedabad, India. Bulletin of Environmental Contamination and Toxicology. 2010;85:377-380. doi:10.1007/s00128-010-0109-7. DOI: https://doi.org/10.1007/s00128-010-0109-7

Green RE, Newton I, Shultz S, Cunningham AA, Gilbert G, Pain DJ, et al. Diclofenac poisoning as a cause of vulture population declines across the Indian subcontinent. Journal of Applied Ecology. 2004;41(5):793-800. doi:10.1111/j.0021-8901.2004.00954.x. DOI: https://doi.org/10.1111/j.0021-8901.2004.00954.x

Oaks JL, Gilbert M, Virani MZ, Watson RT, Meteyer CU, Rideout BA, et al. Diclofenac residues as the cause of vulture population decline in Pakistan. Nature. 2004;427(6975):630-633. doi:10.1038/nature02317. DOI: https://doi.org/10.1038/nature02317

Prakash V, Galligan T, Chakraborty S, Dave R, Kulkarni MD, et al. Recent changes in populations of Critically Endangered Gyps vultures in India. Bird Conservation International. 2019;29(1):55-70. doi:10.1017/S0959270917000545. DOI: https://doi.org/10.1017/S0959270917000545

Galligan T, Amano T, Prakash V, Kulkarni M, Shringarpure R, Prakash N, et al. Have population declines in Egyptian Vulture and Red-headed Vulture in India slowed since the 2006 ban on veterinary diclofenac? Bird Conservation International. 2014;24(3):272-281. doi:10.1017/S0959270913000580. DOI: https://doi.org/10.1017/S0959270913000580

Richards NL, Hall SW, Harrison NM, Gautam L, Scott KS, et al. (2014) Merging wildlife and environmental monitoring approaches with forensic principles: Application of unconventional and non-invasive sampling in eco-pharmacovigilance. Journal of Forensic Research. 2014;5(3):1000228. doi:10.4172/2157-7145.1000228. DOI: https://doi.org/10.4172/2157-7145.1000228

AEMPS. Actualización de la información sobre prescrición y administración de medicamentos veterinarios con diclofenaco y flunixino. Agencia Española de Medicamentos y Productos Sanitarios, España. 2022. https://www.aemps.gob.es/informa/actualizacion-de-la-informacion-sobre-prescripcion-y-administracion-de-medicamentos-veterinarios-con-diclofenaco-y-flunixino/

Herrero-Villar M, Delepoulle E, Suárez-Regalado L, Solano-Manrique C, JuanSallés C, Iglesias-Lebrija J, et al. First diclofenac intoxication in a wild avian scavenger in Europe. Science of the Total Environment. 2021;782:146890. doi:10.1016/j.scitotenv.2021.146890. DOI: https://doi.org/10.1016/j.scitotenv.2021.146890

Green R, Donázar J, Sánchez-Zapata J, Margalida A. Potential threat to Eurasian griffon vultures in Spain from veterinary use of the drug diclofenac. Journal of Applied Ecology. 2016;53(4):993-1003. doi:10.1111/1365-2664.12663. DOI: https://doi.org/10.1111/1365-2664.12663

Becker R. Cattle drug threatens thousands of vultures. Nature. 2016. doi:10.1038/nature.2016.19839. DOI: https://doi.org/10.1038/nature.2016.19839

Cuthbert R, Parry-Jones J, Green RE, Pain DJ. NSAIDs and scavenging birds: Potential impacts beyond Asia’s critically endangered vultures. Biology Letters. 2007;3(1):91-94. doi:10.1098/rsbl.2006.0554. DOI: https://doi.org/10.1098/rsbl.2006.0554

Swan GE, Cuthbert R, Quevedo M, Green RE, Pain DJ, Bartels P, et al. Toxicity of diclofenac to Gyps vultures. Biology Letters. 2006;2(2):279-282. doi:10.1098/rsbl.2005.0425. DOI: https://doi.org/10.1098/rsbl.2005.0425

Naidoo V, Swan G. Diclofenac toxicity in Gyps vulture is associated with decreased uric acid excretion and not renal portal vasoconstriction. Comparative Biochemistry and Physiology Part C: Toxicology & Pharmacology. 2009;149(3):269-274. doi:10.1016/j.cbpc.2008.07.014. DOI: https://doi.org/10.1016/j.cbpc.2008.07.014

Margalida A, Bogliani G, Bowden CG, Donázar JA, Genero F, Gilbert M, et al. Science and regulation. One Health approach to use of veterinary pharmaceuticals. Science. 2014;346(6215):1296-1298. doi:10.1126/science.1260260. DOI: https://doi.org/10.1126/science.1260260

Lambertucci SA, Margalida A, Speziale KL, Amar A, Ballejo F, Bildstein K, et al. Presumed killers? Vultures, stakeholders, misperceptions, and fake news. Conservation Science and Practice. 2021;3(6):e415. doi:10.1111/csp2.415. DOI: https://doi.org/10.1111/csp2.415

Arguello-Pérez M, Mendoza-Pérez J, Tintos-Gómez A, Ramírez-Ayala E, GodínezDomínguez E, Silva-Bátiz F. Ecotoxicological analysis of emerging contaminants from wastewater discharges in the coastal zone of Cihuatlán (Jalisco, Mexico). Water. 2019;11(7):1386. doi:10.3390/w11071386. DOI: https://doi.org/10.3390/w11071386

Aguilera-Márquez D, Bastidas-Bastidas P, Leyva-García G, GarcíaHernández J. Pharmaceutical diclofenac found in wading bird eggs. Sonoran Joint Venture, Tucson, Arizona. 2022. https://sonoranjv.org/pharmaceutical-diclofenac-found-in-wading-bird-eggs/

Sawaguchi A, Sasaki K, Miyanaga K, Nakayama M, Nagasue M, Shimoda M. Rapid absorption of diclofenac and acetaminophen after their oral administration to cattle. Journal of Veterinary Medical Science. 2016;78(9):1481–1485. doi:10.1292/jvms.16-0202. DOI: https://doi.org/10.1292/jvms.16-0202

Yang HF, Li YJ, Li YY, Huang C, Huang LX, Bu SJ. Pharmacokinetics of diclofenac sodium injection in swine Polish Journal of Veterinary Sciences. 2019. 22(2):423-426. doi:10.24425/pjvs.2019.129217. DOI: https://doi.org/10.24425/pjvs.2019.129217

Mestorino N, Mariño Hernández E, Marchetti L, Errecalde JO. Pharmacokinetics and tissue residues of an oxytetracycline/diclofenac combination in cattle. Revue Scientifique et Technique. 2007;26(3):679-690. DOI: https://doi.org/10.20506/rst.26.3.1772

EMEA. Committee for Veterinary Medicinal Products: Diclofenac. Summary report. EMEA/MRL/885/03-FINAL. European Medicines Agency. 2003. https://www.ema.europa.eu/en/documents/mrl-report/diclofenac-summaryreport-committee-veterinary-medicinal-products_en.pdf

Boerma JS, Vermeulen NPE, Commandeur JNM. One-electron oxidation of diclofenac by human cytochrome P450s as a potential bioactivation mechanism for formation of 2′-(glutathion-S-yl)-deschloro-diclofenac. Chemico-Biological Interactions. 2014;207:32-40. doi:10.1016/j.cbi.2013.11.001. DOI: https://doi.org/10.1016/j.cbi.2013.11.001

Davies NM, Anderson KE. Clinical pharmacokinetics of diclofenac. Clinical Pharmacokinetics. 1997;33:184-213. doi:10.2165/00003088-199733030-00003. DOI: https://doi.org/10.2165/00003088-199733030-00003

Yang YJ, Liu XW, Kong XJ, Qin Z, LI SH, Jiao ZH, LI JY. An LC–MS/MS method for the quantification of diclofenac sodium in dairy cow plasma and its application in pharmacokinetics studies. Biomedical Chromatography. 2019; 33(7):e4520. doi:10.1002/bmc.4520. DOI: https://doi.org/10.1002/bmc.4520

Sumano LH, Ocampo CL. Bases farmacológicas de la vigilancia de residuos de fármacos en productos de origen animal. Veterinaria México. 1995;26(3):175-182.

Taggart MA, Cuthbert R, Das D, Sashikumar C, Pain DJ, Green RE, Feltrer Y, Shultz S, Cunningham AA, Meharg AA. Diclofenac disposition in Indian cow and goat with reference to Gyps vulture population declines. Environmental Pollution. 2007;147(1):60-65. doi:10.1016/j.envpol.2006.08.017. DOI: https://doi.org/10.1016/j.envpol.2006.08.017

Nambirajan K, Muralidharan S, Roy AA, Manonmani S. Residues of diclofenac in tissues of vultures in India: A post-ban scenario. Archives of Environmental Contamination and Toxicology. 2018;74:292-297. doi:10.1007/s00244-017-0480-z. DOI: https://doi.org/10.1007/s00244-017-0480-z

Paital B, Das S, Dutta SK. Biochemical and environmental insights of declining vulture population in some Asian countries. Current Trends in Biotechnology and Pharmacy. 2015;9(4):389-410.

Swan G, Naidoo V, Cuthbert R, Green RE, Pain DJ, Swarup D, et al. Removing the threat of diclofenac to critically endangered Asian vultures. PLoS Biology. 2006;4(3):e66. doi:10.1371/journal.pbio.0040066. DOI: https://doi.org/10.1371/journal.pbio.0040066

Locke SN, Naidoo V, Hassan I, Duncan N. Effect of cytochrome P450 inhibition on toxicity of diclofenac in chickens: Unravelling toxicity in Gyps vultures. Onderstepoort Journal of Veterinary Research. 2022;89(1):e1-e8. doi:10.4102/ojvr.v89i1.1978. DOI: https://doi.org/10.4102/ojvr.v89i1.1978

Green RE, Taggart MA, Das D, Pain DJ, Kumar D, Cunningham AA, et al. Collapse of Asian vulture populations: risk of mortality from residues of the veterinary drug diclofenac in carcasses of treated cattle. Journal of Applied Ecology. 2006;43(5):949-956. doi:10.1111/j.1365-2664.2006.01225.x. DOI: https://doi.org/10.1111/j.1365-2664.2006.01225.x

Havenga L, Naidoo V, Wolter K, Duncan N, Groenewald HB. Does the renal portal valve exist in a raptor species? A study aimed at further evaluating the mechanism of toxicity of diclofenac in vultures. Anatomia Histologia Embryologia. 2020;49(6):836-841. doi:10.1111/ahe.12590. DOI: https://doi.org/10.1111/ahe.12590

Meteyer CU, Rideout BA, Gilbert M, Shivaprasad HL, Oaks JL. Pathology and proposed pathophysiology of diclofenac poisoning in free-living and experimentally exposed oriental white-backed vultures (Gyps bengalensis). Journal of Wildlife Diseases. 2005;41(4):707-716. doi:10.7589/0090-3558-41.4.707. DOI: https://doi.org/10.7589/0090-3558-41.4.707

Nethathe B, Chipangura J, Hassan IZ, Duncan N, Adawaren EO, Havenga L, et al. Diclofenac toxicity in susceptible bird species results from a combination of reduced glomerular filtration and plasma flow with subsequent renal tubular necrosis. PeerJ. 2021;9:e12002. doi:10.7717/peerj.12002. DOI: https://doi.org/10.7717/peerj.12002

Arya RS, Shrivastav AB, Katiyar AK, Jain NK, Pillai VS, Verma Y, et al. Histopathological and histochemical investigation of diclofenac induced visceral gout in domestic fowl. Indian Journal of Animal Health. 2021;60(2):260-267. doi:10.36062/ijah.2021.09321. DOI: https://doi.org/10.36062/ijah.2021.09321

Rattner BA, Whitehead MA, Gasper G, Meteyer CU, Link WA, Taggart MA, et al. Apparent tolerance of turkey vultures (Cathartes aura) to the non-steroidal anti-inflammatory drug diclofenac. Environmental Toxicoogy and Chemistry. 2008;27(11):2341-2345. doi:10.1897/08-123.1. DOI: https://doi.org/10.1897/08-123.1

Bojanowska-Czajka A, Kciuk G, Gumiela M, Borowiecka S, Nałęcz-Jawecki G, Koc A, et al. Analytical, toxicological and kinetic investigation of decomposition of the drug diclofenac in waters and wastes using gamma radiation. Environmental Science and Pollution Research. 2015;22(24):20255-20270. doi:10.1007/s11356-015-5236-6. DOI: https://doi.org/10.1007/s11356-015-5236-6

Santangeli A, Buechley ER, Mammola S, Lambertucci SA. Priorities for research and action to prevent a New World vulture crisis. Biological Conservation. 2022;270:109563. doi:10.1016/j.biocon.2022.109563. DOI: https://doi.org/10.1016/j.biocon.2022.109563

Plaza PI, Wiemeyer GM, Lambertucci SA. Veterinary pharmaceuticals as a threat to endangered taxa: Mitigation action for vulture conservation. Science of the Total Environment. 2022;817:152884. doi:10.1016/j.scitotenv.2021.152884. DOI: https://doi.org/10.1016/j.scitotenv.2021.152884

Chaudhry M, Ogada D, Malik R, Virani M, Giovanni M. First evidence that populations of the critically endangered Long-billed Vulture Gypsy indicus in Pakistan have increased following the ban of the toxic veterinary drug diclofenac in south Asia. Bird Conservation International. 2012;22(4):1-9. doi:10.1017/ DOI: https://doi.org/10.1017/S0959270912000445

S0959270912000445.

Government of Canada. Notice: Prescription drug list (PDL): Diclofenac. 2014. https://www.canada.ca/en/health-canada/services/drugs-health-products/drug-products/prescription-drug-list/diclofenac.html

Peters A, Crane M, Merrington G, Ryan J. Environmental quality standards for diclofenac derived under the European water framework directive: 2. Avian secondary poisoning. Environmental Sciences Europe. 2022;34(28). doi:10.1186/s12302-022-00601-7. DOI: https://doi.org/10.1186/s12302-022-00601-7

UNDESA. Stakeholder Forum for a Sustainable Future. Sustainable Development in the 21st century (SD21): Review of implementation of Rio Principles. United Nations Department of Economic and Social Affairs, 2011. https://sustainabledevelopment.un.org/content/documents/1127rioprinciples.pdf

Convention on Biological Diversity. Rio Declaration on Environment and Development. 2006. https://www.cbd.int/doc/ref/rio-declaration.shtml