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Topic:Opioids

Opioids in horses refer to a class of drugs that interact with opioid receptors in the central nervous system to produce analgesic effects. These substances are used in veterinary medicine for pain management, sedation, and anesthesia in equine patients. Opioids such as morphine, butorphanol, and buprenorphine are commonly administered to horses to alleviate pain associated with surgical procedures, injury, or chronic conditions. The pharmacokinetics and pharmacodynamics of opioids in horses can vary, influencing their efficacy and safety profiles. This topic includes a collection of peer-reviewed research studies and scholarly articles that explore the use, effects, and considerations of opioid administration in equine veterinary practice.
Pharmacokinetics of fentanyl delivered transdermally in healthy adult horses–variability among horses and its clinical implications.
Journal of veterinary pharmacology and therapeutics    November 7, 2006   Volume 29, Issue 6 539-546 doi: 10.1111/j.1365-2885.2006.00796.x
Orsini JA, Moate PJ, Kuersten K, Soma LR, Boston RC.The safety and pharmacokinetics of fentanyl, delivered transdermally at a dosage of 60-67 microg/kg, were investigated in six healthy adult horses. Three transdermal fentanyl patches (Duragesic), each containing 10 mg of fentanyl citrate, were applied to the mid-dorsal thorax of each horse and left in place for 72 h. Plasma fentanyl concentrations were periodically measured throughout this period and for 12 h after patch removal. After an initial delay of approximately 2 h, the plasma fentanyl concentration rose rapidly in a fairly linear fashion, reaching a peak at around 12 h; thereafter, it...
Evaluation of the effects of the opioid agonist morphine on gastrointestinal tract function in horses.
American journal of veterinary research    June 3, 2006   Volume 67, Issue 6 992-997 doi: 10.2460/ajvr.67.6.992
Boscan P, Van Hoogmoed LM, Farver TB, Snyder JR.To evaluate the effects of morphine administration for 6 days on gastrointestinal tract function in healthy adult horses. Methods: 5 horses. Methods: Horses were randomly allocated into 2 groups in a crossover study. Horses in the treatment group received morphine sulfate at a dosage of 0.5 mg/kg, IV, every 12 hours for 6 days. Horses in the control group received saline (0.9% NaCl) solution at a dosage of 10 mL, IV, every 12 hours for 6 days. Variables assessed included defecation frequency, weight of feces produced, intestinal transit time (evaluated by use of barium-filled spheres and radio...
Analgesic effects of subarachnoidally administered hyperbaric opioids in horses.
American journal of veterinary research    June 3, 2006   Volume 67, Issue 6 941-946 doi: 10.2460/ajvr.67.6.941
Natalini CC, Polydoro Ada S, Linardi RL.To evaluate the effects of subarachnoidally administered hyperbaric morphine, buprenorphine, and methadone on avoidance threshold to noxious electrical stimulation of the perineal, sacral, lumbar, and thoracic regions in horses. Methods: 6 healthy adult horses. Methods: Horses were assigned to receive subarachnoid administration of hyperbaric morphine (0.01 mg/kg), buprenorphine (0.001 mg/kg), methadone (0.01 mg/kg), or 10% dextrose solution in equal volumes (5 mL). Electrical stimulation was applied every 10 minutes for 60 minutes and every 30 minutes for 120 minutes after subarachnoid inject...
Pharmacokinetics of the opioid antagonist N-methylnaltrexone and evaluation of its effects on gastrointestinal tract function in horses treated or not treated with morphine.
American journal of veterinary research    June 3, 2006   Volume 67, Issue 6 998-1004 doi: 10.2460/ajvr.67.6.998
Boscan P, Van Hoogmoed LM, Pypendop BH, Farver TB, Snyder JR.To determine the pharmacokinetics and effects of the morphine antagonist N-methylnaltrexone (MNTX) on gastrointestinal tract function in horses when administered alone and in combination with morphine. Methods: 5 healthy adult horses. Methods: Horses were treated with MNTX (1 mg/kg, IV), and serial blood samples were collected for determination of drug pharmacokinetics. For evaluation of effects on the gastrointestinal tract when administered alone, MNTX was administered at a dosage of 0.75 mg/kg, IV, twice daily for 4 days. For evaluation of effects when administered concurrently with morphin...
The effects of i.v. fentanyl administration on the minimum alveolar concentration of isoflurane in horses.
British journal of anaesthesia    May 23, 2006   Volume 97, Issue 2 232-237 doi: 10.1093/bja/ael116
Thomasy SM, Steffey EP, Mama KR, Solano A, Stanley SD.Fentanyl decreases the minimum alveolar concentration (MAC) of inhaled anaesthetics and has been used clinically to reduce the requirements of other anaesthetic drugs in humans and small animals. We hypothesized that i.v. fentanyl would decrease the MAC of isoflurane in horses in a dose-dependent manner. Methods: Following determination of baseline MAC of isoflurane, fentanyl was administered i.v. to target plasma concentrations of 1, 8 and 16 ng ml(-1). Each horse was randomly assigned two of three target concentrations administered in ascending order. Loading and infusion doses for each hors...
Morphine-associated pruritus after single extradural administration in a horse.
Veterinary anaesthesia and analgesia    April 26, 2006   Volume 33, Issue 3 193-198 doi: 10.1111/j.1467-2995.2005.00246.x
Burford JH, Corley KT.Pruritus following a single administration of 100 microg kg(-1) of preservative-free morphine sulphate given via an extradural catheter was seen in a 580 kg horse. The catheter was placed in the first intercoccygeal space. Focal irritation, represented by both local alopecia over the left gluteal muscles and serum exudation, occurred 4-8 hours after injection. This was attributed to the extradural morphine administration.
Morphine administration in horses anaesthetized for upper respiratory tract surgery.
Veterinary anaesthesia and analgesia    April 26, 2006   Volume 33, Issue 3 179-188 doi: 10.1111/j.1467-2995.2005.00247.x
Love EJ, Lane JG, Murison PJ.To determine the effect of morphine administration on commonly monitored cardio-respiratory variables and recovery quality in horses undergoing anaesthesia and surgery. Methods: Prospective, randomized clinical study. Methods: Thirty-eight thoroughbred horses, 32 geldings and six mares, 3-13 years old, weighing 411-600 kg. Methods: A standard anaesthetic technique was used. Twenty minutes after induction of anaesthesia horses received 0.1 mg kg(-1) (0.1 m) or 0.2 mg kg(-1) (0.2 m) morphine by intravenous injection. A control group did not receive morphine. Heart rate, respiratory rate (fr), me...
Analgesic effects of epidural administration of hydromorphone in horses.
American journal of veterinary research    January 24, 2006   Volume 67, Issue 1 11-15 doi: 10.2460/ajvr.67.1.11
Natalini CC, Linardi RL.To evaluate the effects of epidural administration of hydromorphone on avoidance threshold to noxious electrical stimulation of the perineal, sacral, lumbar, and thoracic regions in horses. Methods: 6 healthy adult horses. Methods: Horses were assigned to receive hydromorphone (0.04 mg/kg) or a control solution (20 mL of sterile water) administered epidurally into in the first intercoccygeal space. Treatments were administered at time intervals of > or = 7 days. Electrical stimulation was applied for 6 hours after epidural injection over the dermatomes of the perineal, sacral, lumbar, and t...
Effects of beta-endorphin and naloxone on motility of cooled equine spermatozoa.
Animal reproduction science    November 3, 2005   Volume 89, Issue 1-4 223-225 
Mari G, Rizzato G, Iacono E, Merlo B, Minoia R, Belluzzi S.No abstract available
In vitro evaluation of the effect of the opioid antagonist N-methylnaltrexone on motility of the equine jejunum and pelvic flexure.
Equine veterinary journal    July 21, 2005   Volume 37, Issue 4 325-328 doi: 10.2746/0425164054529346
van Hoogmoed LM, Boscan PL.Although potent analgesics, opioids decrease intestinal activity, leading to ileus in many species. N-methylnaltrexone (MNTX), an opioid antagonist which does not cross the blood-brain barrier and antagonises the morphine effect on the intestine, directly stimulates motility and restores function without affecting analgesic properties. While its use has been reported in human subjects, there is no information with regard to its usage in the horse. Objective: To determine whether MNTX has an effect on contractile activity of the equine jejunum and pelvic flexure. Methods: Using circular smooth ...
The opioid haemorphin-7 in horses during low-speed and high-speed treadmill exercise to fatigue.
Journal of veterinary medicine. A, Physiology, pathology, clinical medicine    May 11, 2005   Volume 52, Issue 4 162-165 doi: 10.1111/j.1439-0442.2005.00712.x
Collinder E, Nyberg F, Sanderson-Nydahl K, Gottlieb-Vedi M, Lindholm A.The opioid neuropeptide haemorphin-7 was measured, by immunoreactivity, in Standardbred horses during low-speed (7 m/s) and high-speed (10 m/s) endurance exercises, lasting 49-58 and 12-16 min respectively. In parallel, heart rate, muscle temperature and plasma lactate concentrations were measured. The profile of the low-speed exercise showed significantly increased heart rate after 10 min [154 beats per minute (bpm)]. After the exercise, muscle temperature (42.1 degrees C) and plasma lactate (4.8 mmol/l) were significantly increased. The profile of the high-speed exercise was comparatively ch...
Expression and subcellular localization of the mu-opioid receptor in equine spermatozoa: evidence for its functional role.
Reproduction (Cambridge, England)    December 24, 2004   Volume 129, Issue 1 39-49 doi: 10.1530/rep.1.00284
Albrizio M, Guaricci AC, Maritato F, Sciorsci RL, Mari G, Calamita G, Lacalandra GM, Aiudi GG, Minoia R, Dell'Aquila ME, Minoia P.The development of fertilizing ability in sperm cells is associated with changes in the plasma membrane. However, to date the exact nature of sequentially activated primary receptors and channels and the signal transduction pathways derived from these remains elusive. We analyzed the expression and localization of the mu-opioid receptor in equine spermatozoa. A transcript corresponding to the third extracellular loop that selectively binds mu agonists was amplified, sequenced and compared with the known sequences in humans, rats and cattle. The amplification product showed a high degree of nuc...
Retrospective study of the risk factors and prevalence of colic in horses after orthopaedic surgery.
The Veterinary record    October 9, 2004   Volume 155, Issue 11 321-325 doi: 10.1136/vr.155.11.321
Senior JM, Pinchbeck GL, Dugdale AH, Clegg PD.The records of 496 orthopaedic operations on 428 horses were reviewed to estimate the prevalence of, and identify the risk factors for, the development of colic in horses after surgery. Colic was defined as any recognised sign of abdominal pain that could not be attributed to a concurrent disease. Fourteen of the horses developed colic; eight of them were undiagnosed, three were classified as impactions, one as tympanic colic of the colon, one as incarceration of the small intestine in the epiploic foramen, and one as left dorsal displacement of the colon in the nephrosplenic space. Morphine w...
Transdermal fentanyl combined with nonsteroidal anti-inflammatory drugs for analgesia in horses.
Journal of veterinary internal medicine    August 24, 2004   Volume 18, Issue 4 550-554 doi: 10.1892/0891-6640(2004)182.0.co;2
Thomasy SM, Slovis N, Maxwell LK, Kollias-Baker C.This study investigated the pharmcokinetics, efficacy, and safety of the fentanyl transdermal therapeutic system (TTS) in horses in which there was an inadequate analgesic response to nonsteroidal anti-inflammatory drugs (NSAIDs) alone. Nine horses with pain that was refractory to therapeutic doses of phenylbutazone (n = 3) or flunixin meglumine (n = 6) subsequently also received between 39 and 110 microg/kg of transdermal fentanyl. Blood samples were collected at 0, 1, 2, 3, 4, 5, 6, 12, 24, 36, 48, 60, and 72 hours after patch application, and a radioimmunoassay was used to determine serum f...
Standing sedation and pain management for ophthalmic patients.
The Veterinary clinics of North America. Equine practice    July 24, 2004   Volume 20, Issue 2 485-497 doi: 10.1016/j.cveq.2004.04.005
Robertson SA.Several ocular procedures, including examination, removal of corneal foreign bodies, nictitans surgery, eyelid repair, and tumor excision,can be successfully performed in the appropriately restrained and sedated standing horse. Sedation is best achieved with xylazine,with or without the addition of acepromazine. Additional analgesia can be provided with appropriate local anesthetic blocks. Surgical conditions are greatly improved by using an auriculopalpebral and supraorbital block and topical anesthetics. More elaborate standing sedation involving continuous rate infusions of lidocaine or det...
Effects of epidural opioid analgesics on heart rate, arterial blood pressure, respiratory rate, body temperature, and behavior in horses.
Veterinary therapeutics : research in applied veterinary medicine    May 12, 2004   Volume 4, Issue 4 364-375 
Natalini CC, Robinson EP.Heart rate, arterial blood pressures, respiratory rate, body temperature, and central nervous system excitement were compared before and after epidural administration of morphine (0.1 mg/kg), butorphanol (0.08 mg/kg), alfentanil (0.02 mg/kg), tramadol (1.0 mg/kg), the k-opioid agonist U50488H (0.08 mg/kg), or sterile water using an incomplete Latin square crossover design in five conscious adult horses. Treatments were administered into the first intercoccygeal epidural space. Significant (P <.05) reductions in respiratory rate were detected after epidural administration of morphine, alfent...
Comparison of opioid and alpha-2 adrenergic receptor binding in horse and dog brain using radioligand autoradiography.
Veterinary anaesthesia and analgesia    September 23, 2003   Volume 30, Issue 3 172-182 doi: 10.1046/j.1467-2995.2003.00143.x
Hellyer PW, Bai L, Supon J, Quail C, Wagner AE, Mama KR, Magnusson KR.To test the hypothesis that the distribution, density, and subtype of opioid and alpha (alpha)-2 adrenergic receptors within the central nervous system (CNS) are significantly different between horse and dog. Methods: Prospective experimental study. Methods: Three dogs (3 years of age) and three horses (2-5 years of age). Animals were opioid- and alpha-2 agonist-free at the time of euthanasia. Methods: Brain tissue was obtained at 126 days post-surgery from dogs and 72 days post-surgery from horses. The brains were removed, sectioned coronally into 1-cm slabs, frozen in methylbutane, which was...
Problems associated with perioperative morphine in horses: a retrospective case analysis.
Veterinary anaesthesia and analgesia    September 23, 2003   Volume 30, Issue 3 147-155 doi: 10.1046/j.1467-2995.2003.00092.x
Mircica E, Clutton RE, Kyles KW, Blissitt KJ.To identify the incidence of adverse effects caused by morphine 100-170 micro g kg-1 administration during surgery in horses. Methods: Retrospective case record analysis (1996-2000). Methods: Eighty-four healthy (ASA 1 or 2) horses, mean age 5.5 +/- 3.1 (SD) years (2 months to 16 years), mean weight 524 +/- 14 kg (100-950). Methods: Physiological data and evidence of complications were collected from the anaesthetic records of all animals anaesthetized with romifidine, ketamine, diazepam and halothane and undergoing laryngeal surgery or orchiectomy at the Royal (Dick) School of Veterinary Stud...
Effects of dopamine antagonists on alfentanil-induced locomotor activity in horses.
Veterinary anaesthesia and analgesia    September 23, 2003   Volume 30, Issue 3 165-171 doi: 10.1046/j.1467-2995.2003.00134.x
Pascoe PJ, Taylor PM.To determine whether specific dopamine receptor antagonists block alfentanil-induced locomotor stimulation in horses. Methods: Randomized, prospective, crossover experiment. Methods: Eight adult horses (462-604 kg). Methods: Doses of dopamine-1 (D1) (NNC 01-0756) and dopamine-2 (D2) antagonists (eticlopride) were selected in a pilot study prior to a three part, blinded, cross-over study. In part 1, horses received 7.5 micro g kg-1 eticlopride, 5 micro g kg-1 NNC 01-0756 or an equal volume of saline. In part 2, they received both antagonists and in part 3, acepromazine at 0.05 mg kg-1. Locomoto...
Presence of opioid growth factor and its receptor in the normal dog, cat and horse cornea.
Veterinary ophthalmology    May 20, 2003   Volume 6, Issue 2 131-134 doi: 10.1046/j.1463-5224.2003.00279.x
Robertson SA, Andrew SE.To determine if opioid growth factor (OGF, [Met5]enkephalin) and its specific receptor (OGFr) are present in normal cat, dog and horse cornea. Methods: Normal dog, cat and horse. Methods: Corneas were obtained from animals euthanized for reasons unrelated to this project. One cornea from each of three normal cats, dogs and horses was evaluated. The right or left cornea from each animal was chosen randomly. Corneas were harvested and placed in corneal storage media for transport to The M.S. Hershey Medical Center of The Pennsylvania State University where immunocytochemistry techniques were use...
Somatostatin treatment affects testicular function in stallions.
Theriogenology    March 7, 2003   Volume 60, Issue 1 163-174 doi: 10.1016/s0093-691x(02)01361-4
Aurich JE, Kranski S, Parvizi N, Aurich C.This study investigated the regulation of growth hormone (GH) release in stallions and tested the hypothesis that the somatotrophic axis influences testicular function. Basal plasma GH concentrations, effects of an experimental decrease of GH release on testicular function and an opioidergic regulation of GH release were investigated in Shetland stallions (n=6). No seasonal variations in plasma GH concentrations were found over a 12-month period. Treatment with the somatostatin analogue octreotid (100mg twice daily over 10 days) caused a decrease in semen motility from 38.7+/-8.4% progressivel...
Dopaminergic and opioidergic regulation of gonadotropin and prolactin release in stallions.
Reproduction in domestic animals = Zuchthygiene    December 5, 2002   Volume 37, Issue 6 335-340 doi: 10.1046/j.1439-0531.2002.00370.x
Aurich C, Gerlach T, Aurich JE, Hoppen HO, Lange J, Parvizi N.In the non-breeding season, LH release is reduced via dopaminergic systems in the ram. On the other hand, our previous studies demonstrated an opioidergic inhibition of LH release in stallions outside the breeding season. Thus, in the present study we investigated the dopaminergic regulation of LH and prolactin secretion in stallions, considering interactions between dopamine and opioids. To achieve this, stallions (n=8) were treated with the dopamine antagonist sulpiride (0.6 mg/kg), the opioid antagonist naloxone (0.5 mg/kg), sulpiride plus naloxone or saline in December, March and June. Two...
Epidural anesthesia and analgesia in horses.
The Veterinary clinics of North America. Equine practice    June 18, 2002   Volume 18, Issue 1 61-vi doi: 10.1016/s0749-0739(02)00010-x
Robinson EP, Natalini CC.Intercoccygeal, or caudal, epidural injection of local anesthetics is a convenient method of producing analgesia and local anesthesia of the tail and perineal structures in conscious standing horses. This technique has been further developed to provide long duration analgesia and anesthesia by placement of catheters into the epidural space of horses. More recently, opioid, alpha-2 adrenergic agonists, ketamine and other analgesic agents have been administered by caudal epidural injection, providing pain relief in both conscious, standing and anesthetized, recumbent horses. This chapter describ...
Use of opioids for pain and anesthetic management in horses.
The Veterinary clinics of North America. Equine practice    June 18, 2002   Volume 18, Issue 1 47-60 doi: 10.1016/s0749-0739(02)00011-1
Bennett RC, Steffey EP.REGIONAL ADMINISTRATION: There is limited, but convincing, evidence that epidural administration of morphine and some other mu-agonist opioids consistently relieves regional pain in horses. In addition, this effect is not accompanied by notable undesirable effects. On the other hand, a clinically important analgesic action has not been demonstrated for similarly administered kappa-agonist opioids. There has been little objective data presented to support the analgesic effectiveness of intra-articularly administered opioids in horses. However, the evidence of local opioid receptors legitimately...
Epidural morphine and detomidine decreases postoperative hindlimb lameness in horses after bilateral stifle arthroscopy.
Veterinary surgery : VS    May 8, 2002   Volume 31, Issue 3 232-239 doi: 10.1053/jvet.2002.32436
Goodrich LR, Nixon AJ, Fubini SL, Ducharme NG, Fortier LA, Warnick LD, Ludders JW.To determine whether preoperative epidural administration of morphine and detomidine would decrease postoperative lameness after bilateral stifle arthroscopy in horses. Methods: Prospective clinical controlled study. Methods: Eight adult horses that had bilateral arthroscopic procedures, including drilling of cartilage and subchondral bone within the femoropatellar joints. Methods: Horses were randomly separated into 2 groups. Preoperatively, 4 horses were administered a combination of epidural morphine (0.2 mg/kg) and detomidine (30 microg/kg), and 4 horses were administered an equivalent vol...
Evaluation of opioid receptors in synovial membranes of horses.
American journal of veterinary research    September 19, 2001   Volume 62, Issue 9 1408-1412 doi: 10.2460/ajvr.2001.62.1408
Sheehy JG, Hellyer PW, Sammonds GE, Mama KR, Powers BE, Hendrickson DA, Magnusson KR.To evaluate mu-opioid receptors in synovial membranes of horses and determine whether these receptors are up-regulated in nerve endings during inflammation. Methods: Synovial tissue obtained from 39 client-owned horses during arthroscopy and 14 research horses during necropsy; brain and synovial tissues were obtained during necropsy from 1 horse, and control tissues were obtained from a mouse. Methods: Horses were classified into 7 groups on the basis of histologically determined degree of inflammation. Binding of primary rabbit antibody developed against mu-opioid receptors in equine synovial...
Clinical observation: bilateral upward fixation of the patella following epidural administration of morphine.
Journal of the American Veterinary Medical Association    August 11, 2001   Volume 219, Issue 3 298-299 
Mattson S, Bouré L, Pearce S, Kerr C, Mattson S.No abstract available
Opioidergic inhibition of luteinising hormone and prolactin release changes during pregnancy in pony mares.
The Journal of endocrinology    May 26, 2001   Volume 169, Issue 3 511-518 doi: 10.1677/joe.0.1690511
Aurich C, Aurich JE, Parvizi N.In equine species, luteinising hormone (LH) and prolactin (PRL) release are reduced throughout pregnancy but increase at foaling. The present experiments were designed to study a possible opioidergic regulation of LH and PRL release in pregnant Shetland mares (n=6). At various stages of pregnancy (days 26.4+/-0.6, 75.4+/-5.4, 171.8+/-2.4, 226.2+/-4.8, 282.7+/-3.4 and 319.8+/-2.1), mares were injected with the opioid antagonist naloxone (0.5 mg/kg body weight) and saline. The two treatments were always separated by 2 days, and mares served as their own controls. Two hours after being given nalo...
Cardiorespiratory and endocrine effects of endogenous opioid antagonism by naloxone in ponies anaesthetised with halothane.
Research in veterinary science    May 18, 2001   Volume 70, Issue 2 95-100 doi: 10.1053/rvsc.2000.0444
Luna SP, Taylor PM.Halothane depresses cardiorespiratory function and activates the pituitary-adrenal axis, increasing beta endorphin. In horses, beta endorphin may enhance the anaesthetic-associated cardiorespiratory depression and mortality risk. The authors studied endogenous opioid effects on cardiorespiratory function and pituitary-adrenal activity in halothane-anaesthetised ponies by investigating opioid antagonism by naloxone. Six ponies were anaesthetised three times (crossover design). Anaesthesia was induced with thiopentone and maintained with 1.2 per cent halothane for 2 hours. Immediately after indu...
Evaluation of the analgesic effects of epidurally administered morphine, alfentanil, butorphanol, tramadol, and U50488H in horses.
American journal of veterinary research    December 29, 2000   Volume 61, Issue 12 1579-1586 doi: 10.2460/ajvr.2000.61.1579
Natalini CC, Robinson EP.To evaluate and compare effects of epidurally administered morphine, alfentanil, butorphanol, tramadol, and U50488H on avoidance threshold to noxious electrical stimulation over the dermatomes of the perineal, sacral, lumbar, and thoracic regions in horses. Methods: 5 healthy adult horses. Methods: Using a Latin square complete repeated-measures design, horses were randomly assigned to receive 1 of 6 treatments (morphine, alfentanil, butorphanol, tramadol, U50488H, or sterile water) at intervals of at least 7 days. Agents were injected epidurally at the first intercoccygeal epidural space, and...