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==Description==
 
==Description==
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Anticoagulant rodenticides were first discovered during ingvestigations into mouldy sweet clover poisoning in cattle<sup>1</sup>. In this condition, naturally occuring coumarin in clover is converted by fungi to a toxic agent, dicumarol, which causes a haemorrhagic syndrome when ingested. Initially, warfarin was synthesised and used in this way for rodent control, but as rodents have developed a resistance to the substance new, second-generation anticoagulant rodenticides have been developed. These include difenacoum, bromadiolone, coumafuryl and brodifacoum amongst others, which may all causes toxicity in animals in the same way as warfarin.
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Anticoagulant rodenticides were first discovered during ingvestigations into mouldy sweet clover poisoning in cattle<sup>1</sup>. In this condition, naturally occuring coumarin in clover is converted by fungi to a toxic agent, dicumarol, which causes a haemorrhagic syndrome when ingested. Initially, warfarin was synthesised and used in this way for rodent control, but as rodents have developed a resistance to the substance new, second generation anticoagulant rodenticides have been developed. These include coumarin (bromadiolone and brodifacoum) and indandione (pindone and diaphacinone) rodenticides, which along with warfarin may cause toxicity following accidental ingestion in animals.
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Anticoagulant rodenticide toxiticy is one of the most common causes of acquired coagulopathy in small animals. Warfarin itself has a short half-life and a fairly low toxicity in non-rodent species, so unless large or repeated doses are consumed clinical bleeding is rare. However, the second generation anticoagulant rodenticides are far more potent, with  tendency to accumulate in the liver and a long half life (4-6 days) owing to high levels of plasma protein binding<sup>2</sup>. This means it is possible for a domestic animal to acquire secondary poisoning by ingesting a killed rodent.
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One of the most common causes of an acquired coagulopathy
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in dogs is the accidental ingestion of an anticoagulant
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rodenticide. The first generatlion
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coumarin-derivative anticoagulant,
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warfarin. has a short half-life
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of about 12 hours and a relatively
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low toxicity in non-target species.
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Therefore, repeated or massive exposure
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would generally be required to
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produce clinical bleeding in a dog.
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The second generation coumarin
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derivatives (bromadiolone and brodifacoum)
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and indandione rodenticides
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(pindone and diaphacinone), developed
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in response to wartarin resistance
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in target species, are tar more
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potent than warfarin. They have much
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longer lasting etfects (half-lives of
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four to six days) as they are more
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completely bound to plasmla proteins
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and, compared to warfarin, have an
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enhanced tendency to accumulate in
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hepatic tissue. Secondary poisoning
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through ingestion ol killed target
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species is more likely to occur with
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these latter agents.
   
The coumarin derivatives exert interaction of
 
The coumarin derivatives exert interaction of
 
their anticoagulant eftect by inhibiting the enzyme, vitamin K epoxide reductase (see box on page 63). This enizymiie is a component of
 
their anticoagulant eftect by inhibiting the enzyme, vitamin K epoxide reductase (see box on page 63). This enizymiie is a component of
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