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Analgesic Classification

This document summarizes several common analgesic and sedative drugs used in veterinary medicine, including opioids (morphine, oxymorphone, meperidine, fentanyl, butorphanol, buprenorphine), alpha-2 agonists (xylazine, meditomidine), nonsteroidal anti-inflammatory drugs (aspirin, acetaminophen, ibuprofen, flunixin, ketoprofen, carprofen, meloxicam), and local anesthetics (lidocaine). It provides information on indications, administration routes, duration of action, side effects, and cautions for each drug.

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0% found this document useful (0 votes)
715 views

Analgesic Classification

This document summarizes several common analgesic and sedative drugs used in veterinary medicine, including opioids (morphine, oxymorphone, meperidine, fentanyl, butorphanol, buprenorphine), alpha-2 agonists (xylazine, meditomidine), nonsteroidal anti-inflammatory drugs (aspirin, acetaminophen, ibuprofen, flunixin, ketoprofen, carprofen, meloxicam), and local anesthetics (lidocaine). It provides information on indications, administration routes, duration of action, side effects, and cautions for each drug.

Uploaded by

vie_apt6299
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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c ccc




     



 Acts on pain Morphine Stimulates vomiting and vagal
receptors in both CNS centers; Can cause
spinal cord and excitement in cats, horses and
brain; May be used food animals; 4-6 hours duration;
with tranquilizers to May be given SC or IM to help
induce a state of prevent hypotension; For
potent sedation moderate to severe pain
(neuroleptanalgesia)
Oxymorphone Greater analgesic and sedative
effects than morphine; Does not
cause hypotension; May cause
excitement in cats; May be given
IV, SC, IM, or epidurally;
Approximate 4 hour duration; For
moderate to severe pain
Meperidine Rapid IV injection may cause
(Demerol) severe hypotension, excitement
and seizures; Painful if given IM;
Preferred administration is SC;
Used in dogs, cats, and rodents; A
synthetic opioid; not as potent as
above drugs; Often used with
NSAIDs or as a preanesthetic;
For mild to moderate pain
Fentanyl One of the most potent
analgesics; Rapid onset-short
duration (IV injection = 30
minutes); Usually administered
by continuous IV drip or
transdermal patch; Can cause
panting and increased sensitivity
to sound; For severe to moderate
pain
Butorphanol Synthetic opioid- has both agonist
(Torbutrol) and antagonist properties;
Effective and safe post-op
analgesic for mild to moderate
pain, especially cranial visceral;
Extensively used in dogs, cats,
and horses; May be used to help
reverse effects of other opioids
(respiratory depression and
sedation), while still maintaining
some analgesia; Do not give
epidurally±potentially toxic to the
spinal cord
Buprenorphine A partial agonist; Has a bell
shaped response curve (may be
less effective at higher doses than
at moderate doses); Delayed
onset, but gives 6-12 hours
analgesia(IM) and 18-24 hours
when given epidurally; Not
adequate for severe pain (i.e.
orthopedic pain), but is useful for
mild to moderate pain;
Commonly used for rodents and
other species in research; Has
been known to cause pica in rats
c Profound sedative Xylazine May be used alone or in
 effect; Rapid onset; combination with other agents
  Reliable, reversible; (i.e. Ketamine, opioids) IM or IV;
 !! Good muscle Will allow greatly reduced doses
relaxation; May of other agents including
cause cardiovascular inhalants; May cause vomiting
side effects; Use and bloat (in ruminants); Can be
only in healthy reversed with Yohimbine (IV)
animals; Not for
very young or very
old; Use caution
when handling-may
be absorbed through
skin abrasions;
Causes transient
hypoglycemia
Meditomidine Commonly used in combination
(Domitor) with other agents (dose of general
anesthetic should be reduced);
Less likely to cause vomiting;
May be reversed with
Atipamesole (Antesedan) which
will not reverse the effects of
other drugs given concurrently
with Meditomidine; *High doses
of Atipamesole can cause
panting, excitement, muscle
tremors, hypotension, and
tachycardia-especially if given IV
c  Analgesic, Aspirin May cause gastric irritation and
" # antipyretic, and anti- prolonged bleeding time;
  inflammatory; Prolonged half life in cats,
# Effective for geriatrics and neonates
$ % musculoskeletal
 & pain; Requires 30-60
minutes for full
analgesic properties
to take effect;
Metabolized in the
liver; Negligible
effect on
cardiovascular and
respiratory systems
Acetaminophen Toxic to cats and hepatotoxic to
dogs; Less gastric irritation than
Aspirin
Ibuprofen Renal, gastric effects; Narrow
safety margin in cats
Flunixin Significant renal toxicity is
(Banamine) possible in hypotensive patients;
Do not use with Methoxyflurane
Ketoprofen Potent analgesic, especially for
orthopedic patients; Gastric
irritation and ulceration may
occur at therapeutic doses
Carprofen Less potential for gastric
(Rimadyl) ulceration than some NSAID¶s;
Renal toxicity seen in dogs with
prolonged use (especially
Labrador Retrievers)
Meloxicam Can cause vomiting and diarrhea;
Less potential for gastric
ulceration than some NSAID¶s;
5-day limit for treatment of cats
 Can be sprayed, Lidocaine Immediate onset; Lasts about 1-2
c injected at surgical (Xylocaine) hours (with epinephrine) or 1
site, or infiltrated hour without
around a nerve
supplying the
affected area; May
be used to
desensitize an entire
area by using an
epidural injection
Bupivicaine Onset 20 min; Duration 4-6 hours
Mepivicaine Immediate onset; Duration 90-
180 minutes
Novocaine Topical (mucous membranes) and
injectable forms; Immediate
onset; Duration 1 hour
Ophthane For ophthalmic use

* Must be handled in accordance with the Control Drug Act

Updated 5/21/07

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