 |
Tranquilization reduces anxiety and induces a sense of tranquility without drowsiness. Drug-induced sedation has a more profound effect and produces drowsiness and hypnosis. Analgesia is the reduction of pain, which according to a drug's effect, may be more pronounced in either the viscera or the musculoskeletal system (see Pain Assessment and Management). Many drugs cannot be categorized by only one pharmacologic effect, ie, as tranquilizers, sedatives, or analgesics. For example, many psychotropic drugs can either tranquilize or sedate according to the dose administered, and many sedatives are also analgesics. Also, drugs classified as tranquilizers, sedatives, and/or analgesics may have additional effects (eg, behavioral modification, antiemesis).
For drugs commonly used in various species for tranquilization, sedation, or analgesia, see Systemic Pharmacotherapeutics of the Nervous System: Tranquilizers and Sedatives without Analgesic Effects and see Systemic Pharmacotherapeutics of the Nervous System: Analgesics. Drugs that have some of these effects but are used mainly for other properties (eg, as anti-spasmodics, antiemetics, or preanesthetics) are not listed. Single-use doses are emphasized because many situations require only a brief duration of effect, but frequency of administration is also provided for drugs likely to be used for multiple-dose therapy. The dosages listed serve only as a general guideline and apply to the use of each drug alone, not to a combination for anesthesia or neuroleptanalgesia. No reference is made to schedule restrictions, extra-label use, or precautions in the use of these drugs; the product label and referenced texts should be consulted for information on the pharmacology and alternative applications of each drug.
|
Table 3
|
PrintOpen table in new window  |
| | |
|
Tranquilizers and Sedatives without Analgesic Effects |
|
|
Dosage
|
|
|
____________________________________________________________________________________________________________________________________________
|
|
Drug
|
Dogs
|
Cats
|
Ferrets
|
Rabbits
|
Horses
|
Cattle
|
Pigs
|
|
|
|
|
|
Benzodiazepines
|
|
Diazepam
|
1 mg/kg, IV or PO
|
1 mg/kg, IV
|
2 mg/kg, IM
|
1–5 mg/kg, IV, IM; 2–10 mg/kg, IM or IP
|
0.05–0.4 mg/kg, IV
|
0.5–1.5 mg/kg, IV
|
0.5–10 mg/kg, IM; 0.5–1.5 mg/kg, IV
|
|
Midazolam
|
0.2–0.4 mg/kg IV, IM
|
0.2–0.4 mg/kg IV, IM
|
|
2 mg/kg, IM or IV
|
|
|
|
|
|
|
|
|
Butyrophenone
|
|
Azaperone
|
|
|
|
|
0.4–0.8 mg/kg, IM
|
|
2.2 mg/kg, IM
|
|
|
|
|
|
Phenothiazines
|
|
Acepromazine maleate
|
0.05–0.1 mg/kg, IV, IM, or SC; 0.55–2.2 mg/kg, PO, tid-qid
|
0.11–0.22 mg/kg, IV, IM, or SC; 1.1–2.2 mg/kg, PO, bid-tid
|
0.1–0.25 mg/kg, IM or SC
|
1–5 mg/kg, IM
|
0.04–0.1 mg/kg, IV, IM, SC, or PO, sid
|
0.05–0.1 mg/kg, IV, IM, or SC
|
0.1–0.2 mg/kg, IV, IM, or SC
|
|
Chlorpromazine hydrochloride
|
0.55–4.4 mg/kg, IV; 1.1–6.6 mg/kg, IM; 3.2 mg/kg, PO, tid-qid as needed
|
1–2 mg/kg, IV or IM, bid
|
|
3 mg/kg, IV or IM (may produce myositis)
|
|
|
0.5–4.0 mg/kg, IM
|
|
Promazine hydrochloride
|
2–6 mg/kg, IV, IM, or PO, tid-qid
|
2–4.4 mg/kg, IV, IM, or PO, tid-qid
|
|
|
0.4–1 mg/kg, IV or IM; 1–2 mg/kg, PO
|
0.4–1 mg/kg, IV or IM; 1.6–2.8 mg/kg, PO
|
0.4–1 mg/kg, IV or IM
|
|
Triflupromazine hydrochloride
|
1.1–2.2 mg/kg, IV; 2.2–4.4 mg/kg, IM
|
4.4–8.8 mg/kg, IM
|
|
|
0.22–0.33 mg/kg, IV or IM (maximum 100 mg/horse/day)
|
|
|
|
|
Table 4
|
| PrintOpen table in new window |
| | |
|
Analgesics |
|
|
Dosage
|
|
|
____________________________________________________________________________________________________________________________________________
|
|
Drug
|
Dogs
|
Cats
|
Ferrets
|
Rabbits
|
Horses
|
Cattle
|
Pigs
|
|
|
|
|
|
Opioid Analgesics
a
|
|
Buprenorphine
|
0.01–0.02 mg/kg, SC, bid
|
0.005–0.01 mg/kg, SC or IM, bid
|
0.01–0.03 mg/kg, IV, IM, or SC, bid-tid
|
0.02–0.05 mg/kg, SC, IM, or IV, bid
|
|
|
0.005–0.02 mg/kg, IM or IV, bid-qid
|
|
Butorphanol tartrate
|
0.2–0.4 mg/kg, IM or SC; 0.55 mg/kg, PO, every 6–12 hr
|
0.1–0.2 mg/kg, IV; 0.2–0.4 mg/kg, IM or SC, every 4 hr
|
0.05–0.4 mg/kg, IM, every 4–6 hr
|
0.1–0.5 mg/kg, IV, every 4 hr
|
0.05–0.1 mg/kg, IV, IM, or SC
|
Adult: 20–30 mg, IV, jugular
|
0.1–0.3 mg/kg, IM
|
|
Medetomidine
|
0.002–0.03 mg/kg, IM, IV, or SC
|
0.002–0.03 mg/kg, IM, IV, or SC
|
|
|
|
Meperidine hydrochloride
|
2–10 mg/kg, IM or SC, every 2 hr
|
2–5 mg/kg, IM or SC, every 2 hr
|
2–5 mg/kg, IM or SC, every 2–4 hr
|
5–10 mg/kg, IM or SC, every 2–3 hr
|
0.2–0.4 mg/kg, IV; 1–3 mg/kg, IM or SC
|
500 mg/cow, IV slowly, IM or SC
|
1–2 mg/kg, IM or IV
|
|
Morphine sulfate
|
0.22–0.88 mg/kg, IM, IV slowly, or SC, every 4–6 hr as needed
|
0.1 mg/kg, IM or SC, as needed
|
0.5–5 mg/kg, IM or SC, qid
|
2–5 mg/kg, SC or IM, every 2–4 hr
|
0.2 mg/kg, IV; 0.2–0.4 mg/kg, IM
|
|
0.2–1 mg/kg, IM, every 4 hr
|
|
Nalbuphine
|
0.5–2.0 mg/kg, SC, every 4–8 hr
|
1.5–3.0 mg/kg, IV, every 3 hr
|
|
1–2 mg/kg, IV, every 4 hr
|
|
|
|
|
Oxymorphone hydrochloride
|
0.05–0.1 mg/kg, IV, IM, or SC, every 1–3 hr
|
0.025–0.05 mg/kg, IV, IM, or SC
|
0.05–0.2 mg/kg, IV or IM, bid-qid
|
0.1–0.2 mg/kg, IM, every 2–4 hr
|
0.02–0.03 mg/kg, IV or IM
|
|
0.075 mg/kg, IM
|
|
Pentazocine lactate
|
2–3 mg/kg, IM, every 4 hr; 15 mg/kg, PO, tid
|
|
5–10 mg/kg, SC or IM every 4 hr
|
10–20 mg/kg, SC or IM, every 4 hr; 5 mg/kg, IV, every 2–4 hr
|
0.33 mg/kg, IV
|
|
2–5 mg/kg, IM, every 4 hr
|
|
|
|
|
|
Nonopioid Sedative Analgesics
|
|
Xylazine hydrochloride
|
0.5–1 mg/kg, IV; 1–2 mg/kg, IM or SC
|
0.5–1 mg/kg, IV; 1–2 mg/kg, IM or SC
|
1 mg/kg, IM or SC
|
|
0.1–1 mg/kg, IV; 0.5–1.0 mg/kg, IM or SC
|
0.05–0.1 mg/kg, IV; 0.1–0.2 mg/kg, IM
|
2 mg/kg, IM
|
|
Detomidine
|
|
|
|
|
0.02–0.04 mg/kg, IV or IM
|
|
|
|
|
|
|
|
Nonpsychotropic Analgesics
|
|
Acetaminophen
|
15 mg/kg, PO, qid as needed
|
Contraindicated
|
|
|
Aspirin
|
10–25 mg/kg, PO, bid
|
10 mg/kg, PO, every 48 hr
|
0.5–20 mg/kg, PO, sid-tid
|
5–20 mg/kg, PO, sid
|
30–47.5 mg/kg, PO, bid-qid
|
26 mg/kg, IV; 100–124 mg/kg, PO, bid
|
10–20 mg/kg, PO, every 4 hr as needed
|
|
Carprofen
|
4 mg/kg, IV or SC, sid
|
4 mg/kg, IV or SC, sid
|
|
1.5 mg/kg, PO, bid
|
0.7 mg/kg, IV, IM, or SC, sid
|
0.7 mg/kg, IV, IM, or SC, sid
|
|
|
Dipyrone
|
28 mg/kg, IV, IM, SC, or PO, tid
|
28 mg/kg IV, IM, SC, or PO, tid
|
|
|
5–10 g/horse, IV or IM, tid as needed
|
50 mg/kg, IV, IM, or SC
|
50 mg/kg, IV, IM, or SC
|
|
Flunixin meglumine
|
1–2 mg/kg, PO, IV, or IM, sid up to 3 days
|
1 mg/kg, PO; 0.3–1 mg/kg, IM or SC, sid up to 5 days
|
0.5–2 mg/kg, SC, sid-bid
|
1.1 mg/kg, SC or IM, bid
|
1–2.2 mg/kg, IV; 2.2 mg/kg, IM or PO, sid
|
1.1–2.2 mg/kg, IM or PO, sid-tid
|
1–2 mg/kg, IV or IM, sid
|
|
Ibuprofen
|
5–10 mg/kg, PO, sid-bid
|
5 mg/kg, PO, sid
|
|
10–20 mg/kg, IV, every 4 hr
|
|
|
|
|
Indomethacin
|
10 mg/kg, PO, sid
|
|
|
10 mg/kg, IV or PO, every 4 hr
|
|
1.5 mg/kg, sid
|
|
|
Ketoprofen
|
2 mg/kg, SC, IM, or IV, sid up to 3 days; 1 mg/kg, PO, sid up to 5 days
|
1 mg/kg, sid, SC up to 3 days, or PO up to 5 days
|
|
3 mg/kg, IM
|
2.2 mg/kg, IV, sid
|
2.2 mg/kg, IV; 3 mg/kg, IM, sid
|
|
|
Meclofenamic acid
|
2.2 mg/kg, PO, sid
|
2.2 mg/kg, PO, sid
|
|
|
2.2 mg/kg, PO, sid
|
|
|
|
Naproxen
|
5 mg/kg, PO, initial dose; 1.2–2.8 mg/kg, PO, sid for maintenance
|
|
|
|
5 mg/kg, IV; 10 mg/kg, PO, bid
|
|
|
|
Phenylbutazone
|
22 mg/kg, PO; 15 mg/kg, IV, tid (maximum 0.8 g/dog/day)
|
15 mg/kg, IV, tid; 10–14 mg/kg, PO, bid
|
|
|
4.4 mg/kg, PO, bid on day 1; 2.2 mg/kg, PO, bid for 4 days; 2.2 mg/kg, PO, sid or every other day
|
2–5 mg/kg, IV; 4–8 mg/kg, PO
|
2–5 mg/kg, IV; 4–8 mg/kg, PO
|
|
a Recommended dosages of opiates may produce excitement in cats and horses.
|
|
Last full review/revision March 2012 by Linda Shell, DVM, DACVIM-Neurology
| |
|
