Comparative evaluation of the sedative and physiological effects of medetomidine alone and in combination with pethidine, morphine, tramadol, and methadone in goats

Vet Med Sci. 2022 Jul;8(4):1664-1670. doi: 10.1002/vms3.806. Epub 2022 Mar 30.

Abstract

Background: The use of combinations of α2 -adrenergic agonists and opioids has been published as providing superior sedation than either drug alone.

Introduction: The present study aims to compare the sedative and physiological effects of intravenous (IV) administration of medetomidine alone and in combination with methadone, morphine, tramadol, and pethidine in goats.

Methods: Ten healthy goats aged 12 ± 3 months and weight of 22 ± 4 kg were used in an experimental, crossover (Latin square), randomized, and blinded study. The animals were assigned to five IV treatments with a minimum washout period of 8 days between treatments: medetomidine (20 μg kg-1 ), medetomidine/methadone (0.5 mg kg-1 ), medetomidine/morphine (0.5 mg kg-1 ), medetomidine/tramadol (5 mg kg-1 ), and medetomidine/pethidine (1 mg kg-1 ).

Results: Clinical adverse effects such as tremors (facial and generalized), bruxism, nystagmus, mydriasis, and vocalization were presented in all the medetomidine/opioid treatments. Clinical adverse effects were observed at 10-90 minutes in medetomidine/opioid treatments. Animals in all treatments were sedated at 5-90 minutes. Sedation was significantly higher in medetomidine/opioid treatments than in medetomidine at 15-30 minutes after administration (P < 0.05). In all treatments, heart rate and respiratory rate significantly decreased from baseline at 5-105 and 30-60 minutes, respectively. There was no significant difference in heart and respiratory rates between different treatments at any time point. Ruminal motility was decreased in medetomidine and medetomidine/opioid treatments at 10-75 and 10-105 minutes, respectively. Compared with medetomidine, ruminal motility was significantly lower in medetomidine/opioid treatments at 75-105 minutes.

Conclusion: The use of combinations of medetomidine/opioids would be considered for superior sedation at 15-30 minutes after administration in goats. No significant differences were detected among opioids in combination with medetomidine in goats.

Keywords: clinical adverse effects; narcotics; ruminal motility; α2-Adrenergic agonists.

MeSH terms

  • Analgesics, Opioid / pharmacology
  • Animals
  • Goats
  • Hypnotics and Sedatives / pharmacology
  • Medetomidine* / pharmacology
  • Meperidine
  • Methadone / pharmacology
  • Morphine / pharmacology
  • Tramadol* / pharmacology

Substances

  • Analgesics, Opioid
  • Hypnotics and Sedatives
  • Tramadol
  • Morphine
  • Meperidine
  • Medetomidine
  • Methadone