Effect of acepromazine, butorphanol, or N-butylscopolammonium bromide on visceral and somatic nociception and duodenal motility in conscious horses

L. Chris Sanchez Island Whirl Equine Colic Research Laboratory, Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL 32610.

Search for other papers by L. Chris Sanchez in
Current site
Google Scholar
PubMed
Close
 DVM, PhD
,
Johanna R. Elfenbein Island Whirl Equine Colic Research Laboratory, Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL 32610.

Search for other papers by Johanna R. Elfenbein in
Current site
Google Scholar
PubMed
Close
 DVM
, and
Sheilah A. Robertson Island Whirl Equine Colic Research Laboratory, Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL 32610.

Search for other papers by Sheilah A. Robertson in
Current site
Google Scholar
PubMed
Close
 BVMS, PhD

Abstract

Objective—To evaluate effects of butorphanol, acepromazine, and N-butylscopolammonium bromide (NBB) on visceral and somatic nociception and duodenal motility in conscious, healthy horses.

Animals—6 adult horses.

Procedures—Visceral nociception was evaluated by use of colorectal distention (CRD) and duodenal distention (DD) threshold. Somatic nociception was evaluated via thermal threshold (TT). Nose-to-ground height, heart rate, and respiratory rate were also measured. Each horse received each treatment in randomized order; investigators were not aware of treatments. Butorphanol was administered IV as a bolus (18 μg/kg) followed by constant rate infusion at 13 μg/kg/h for 2 hours, whereas acepromazine (0.04 mg/kg), NBB (0.3 mg/kg), and saline (0.9% NaCl) solution (2 mL) were administered IV as a bolus followed by constant rate infusion with saline solution (10 mL/h) for 2 hours. Variables were measured before and for 3 hours after treatment. Data were analyzed by use of a 3-factor ANOVA followed by a Bonferroni t test for multiple comparisons.

Results—Nose-to-ground height decreased after acepromazine. Respiratory rate decreased after acepromazine and increased after butorphanol. Heart rate increased briefly after NBB. Some horses had an increase in TT after butorphanol and acepromazine, but there was not a significant treatment effect over time. Drug effect on DD or motility was not evident. The CRD threshold increased significantly at 5, 65, 155, and 185 minutes after acepromazine and from 5 to 65 minutes after NBB.

Conclusions and Clinical Relevance—Each drug caused predictable changes in sedation and vital signs, but consistent anti-nociceptive effects were not evident.

Abstract

Objective—To evaluate effects of butorphanol, acepromazine, and N-butylscopolammonium bromide (NBB) on visceral and somatic nociception and duodenal motility in conscious, healthy horses.

Animals—6 adult horses.

Procedures—Visceral nociception was evaluated by use of colorectal distention (CRD) and duodenal distention (DD) threshold. Somatic nociception was evaluated via thermal threshold (TT). Nose-to-ground height, heart rate, and respiratory rate were also measured. Each horse received each treatment in randomized order; investigators were not aware of treatments. Butorphanol was administered IV as a bolus (18 μg/kg) followed by constant rate infusion at 13 μg/kg/h for 2 hours, whereas acepromazine (0.04 mg/kg), NBB (0.3 mg/kg), and saline (0.9% NaCl) solution (2 mL) were administered IV as a bolus followed by constant rate infusion with saline solution (10 mL/h) for 2 hours. Variables were measured before and for 3 hours after treatment. Data were analyzed by use of a 3-factor ANOVA followed by a Bonferroni t test for multiple comparisons.

Results—Nose-to-ground height decreased after acepromazine. Respiratory rate decreased after acepromazine and increased after butorphanol. Heart rate increased briefly after NBB. Some horses had an increase in TT after butorphanol and acepromazine, but there was not a significant treatment effect over time. Drug effect on DD or motility was not evident. The CRD threshold increased significantly at 5, 65, 155, and 185 minutes after acepromazine and from 5 to 65 minutes after NBB.

Conclusions and Clinical Relevance—Each drug caused predictable changes in sedation and vital signs, but consistent anti-nociceptive effects were not evident.

Contributor Notes

Dr. Elfenbein's present address is Large Animal Teaching Hospital, College of Veterinary Medicine, University of Georgia, Athens, GA 30602.

Supported by a grant from the State of Florida Pari-Mutuel Wagering Trust.

Presented in part at the World Congress of Veterinary Anesthesia, Santos, Brazil, September 2006, and at the American College of Veterinary Internal Medicine Forum, Seattle, June 2007.

The authors thank Hilken Kuck for technical assistance and Dr. Joe Hauptman for assistance with the statistical analysis.

Address correspondence to Dr. Sanchez.
  • 1.

    Traub-Dargatz JL, Kopral CA, Seitzinger AH, et al. Estimate of the national incidence of and operation-level risk factors for colic among horses in the United States, spring 1998 to spring 1999. J Am Vet Med Assoc 2001;219:6771.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 2.

    Kaneene JB, Ross WA, Miller R. The Michigan equine monitoring system. II. Frequencies and impact of selected health problems. Prev Vet Med 1997;29:277292.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 3.

    Cole FL, Hodgson DR, Reid SW, et al. Owner-reported equine health disorders: results of an Australia-wide postal survey. Aust Vet J 2005;83:490495.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 4.

    Cohen ND, Carter GK, Mealey RH, et al. Medical management of right dorsal colitis in 5 horses: a retrospective study (1987–1993). J Vet Intern Med 1995;9:272276.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 5.

    Karcher LF, Dill SG, Anderson WI, et al. Right dorsal colitis. J Vet Intern Med 1990;4:247253.

  • 6.

    MacAllister CG, Morgan SJ, Borne AT, et al. Comparison of adverse effects of phenylbutazone, flunixin meglumine, and ketoprofen in horses. J Am Vet Med Assoc 1993;202:7177.

    • Search Google Scholar
    • Export Citation
  • 7.

    Glerum LE, Egger CM, Allen SW, et al. Analgesic effect of the transdermal fentanyl patch during and after feline ovariohysterectomy. Vet Surg 2001;30:351358.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 8.

    Robinson TM, Kruse-Elliott KT. Markel MD, et al. A comparison of transdermal fentanyl versus epidural morphine for analgesia in dogs undergoing major orthopedic surgery. J Am Anim Hosp Assoc 1999;35:95100.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 9.

    Sloan PA, Moulin DE, Hays H. A clinical evaluation of transdermal therapeutic system fentanyl for the treatment of cancer pain. J Pain Symptom Manage 1998;16:102111.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 10.

    Kamerling SG, Dequick DJ, Weckman TJ, et al. Dose-related effects of fentanyl on autonomic and behavioral responses in performance horses. Gen Pharmacol 1985;16:253258.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 11.

    Roger T, Bardon T, Ruckebusch Y. Comparative effects of mu and kappa opiate agonists on the cecocolic motility in the pony. Can J Vet Res 1994;58:163166.

    • Search Google Scholar
    • Export Citation
  • 12.

    Bennett RC, Steffey EP. Use of opioids for pain and anesthetic management in horses. Vet Clin North Am Equine Pract 2002;18:4760.

  • 13.

    Johnston GM. The risks of the game: the confidential enquiry into perioperative equine fatalities. Br Vet J 1995;151:347350.

  • 14.

    Johnston GM, Eastment JK, Taylor PM, et al. Is isoflurane safer than halothane in equine anaesthesia? Results from a prospective multicentre randomised controlled trial. Equine Vet J 2004;36:6471.

    • Search Google Scholar
    • Export Citation
  • 15.

    Johnston GM, Taylor PM, Holmes MA, et al. Confidential enquiry of perioperative equine fatalities (CEPEF-1): preliminary results. Equine Vet J 1995;27:193200.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 16.

    Al Chaer ED, Kawasaki M, Pasricha PJ. A new model of chronic visceral hypersensitivity in adult rats induced by colon irritation during postnatal development. Gastroenterology 2000;119:12761285.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 17.

    Steffey EP, Kelly AB, Farver TB, et al. Cardiovascular and respiratory effects of acetylpromazine and xylazine on halothane-anesthetized horses. J Vet Pharmacol Ther 1985;8:290302.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 18.

    Marntell S, Nyman G, Funkquist P, et al. Effects of acepromazine on pulmonary gas exchange and circulation during sedation and dissociative anaesthesia in horses. Vet Anaesth Analg 2005;32:8393.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 19.

    Muir WW. Standing chemical restraint in horses: tranquilizers, sedatives and analgesics. In: Muir WW, Hubbell JA, eds. Equine anesthesia: monitoring and emergency therapy. St Louis: Mosby Year Book, 1991;247260.

    • Search Google Scholar
    • Export Citation
  • 20.

    Doherty TJ, Andrews FM, Provenza MK, et al. The effect of sedation on gastric emptying of a liquid marker in ponies. Vet Surg 1999;28:375379.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 21.

    Wooldridge AA, Eades SC, Hosgood GL, et al. Effects of treatment with oxytocin, xylazine butorphanol, guaifenesin, acepromazine, and detomidine on esophageal manometric pressure in conscious horses. Am J Vet Res 2002;63:17381744.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 22.

    Wooldridge AA, Eades SC, Hosgood GL, et al. In vitro effects of oxytocin, acepromazine, detomidine, xylazine, butorphanol, terbutaline, isoproterenol, and dantrolene on smooth and skeletal muscles of the equine esophagus. Am J Vet Res 2002;63:17321737.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 23.

    Davies JV, Gerring EL. Effect of spasmolytic analgesic drugs on the motility patterns of the equine small intestine. Res Vet Sci 1983;34:334339.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 24.

    Briggs SL, Sneed K, Sawyer DC. Antinociceptive effects of oxymorphone-butorphanol-acepromazine combination in cats. Vet Surg 1998;27:466472.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 25.

    Kalpravidh M, Lumb WV, Wright M, et al. Effects of butorphanol, flunixin, levorphanol, morphine, and xylazine in ponies. Am J Vet Res 1984;45:217223.

    • Search Google Scholar
    • Export Citation
  • 26.

    Kalpravidh M, Lumb WV, Wright M, et al. Analgesic effects of butorphanol in horses: dose-response studies. Am J Vet Res 1984;45:211216.

    • Search Google Scholar
    • Export Citation
  • 27.

    Merritt AM, Burrow JA, Hartless CS. Effect of xylazine, detomidine, and a combination of xylazine and butorphanol on equine duodenal motility. Am J Vet Res 1998;59:619623.

    • Search Google Scholar
    • Export Citation
  • 28.

    Sellon DC, Monroe VL, Roberts MC, et al. Pharmacokinetics and adverse effects of butorphanol administered by single intravenous injection or continuous intravenous infusion in horses. Am J Vet Res 2001;62:183189.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 29.

    Sellon DC, Roberts MC, Blikslager AT, et al. Effects of continuous rate intravenous infusion of butorphanol on physiologic and outcome variables in horses after celiotomy. J Vet Intern Med 2004;18:555563.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 30.

    Boatwright CE, Fubini SL, Grohn YT, et al. A comparison of N-butylscopolammonium bromide and butorphanol tartrate for analgesia using a balloon model of abdominal pain in ponies. Can J Vet Res 1996;60:6568.

    • Search Google Scholar
    • Export Citation
  • 31.

    Roelvink ME, Goossens L, Kalsbeek HC, et al. Analgesic and spasmolytic effects of dipyrone, hyoscine-N-butylbromide and a combination of the two in ponies. Vet Rec 1991;129:378380.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 32.

    Campbell-Thompson ML, Merritt AM. Basal and pentagastrin-stimulated gastric secretion in young horses. Am J Physiol 1990;259:R1259R1266.

    • Search Google Scholar
    • Export Citation
  • 33.

    Robertson SA, Sanchez LC, Merritt AM, et al. Effect of systemic lidocaine on visceral and somatic nociception in conscious horses. Equine Vet J 2005;37:122127.

    • Search Google Scholar
    • Export Citation
  • 34.

    Dixon MJ, Robertson SA, Taylor PM. A thermal threshold testing device for evaluation of analgesics in cats. Res Vet Sci 2002;72:205210.

  • 35.

    Lascelles BD, Robertson SA. Use of thermal threshold response to evaluate the antinociceptive effects of butorphanol in cats. Am J Vet Res 2004;65:10851089.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 36.

    Johnson JA, Robertson SA, Pypendop BH. Antinociceptive effects of butorphanol, buprenorphine, or both, administered intramuscularly in cats. Am J Vet Res 2007;68:699703.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 37.

    Skarda RT, Muir WW III. Comparison of electroacupuncture and butorphanol on respiratory and cardiovascular effects and rectal pain threshold after controlled rectal distention in mares. Am J Vet Res 2003;64:137144.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 38.

    Muir WW, Robertson JT. Visceral analgesia: effects of xylazine, butorphanol, meperidine, and pentazocine in horses. Am J Vet Res 1985;46:20812084.

    • Search Google Scholar
    • Export Citation
  • 39.

    Brunson DB, Majors LJ. Comparative analgesia of xylazine, xylazine/morphine, xylazine/butorphanol, and xylazine/nalbuphine in the horse, using dental dolorimetry. Am J Vet Res 1987;48:10871091.

    • Search Google Scholar
    • Export Citation
  • 40.

    Doherty TJ, Geiser DR, Rohrbach BW. Effect of acepromazine and butorphanol on halothane minimum alveolar concentration in ponies. Equine Vet J 1997;29:374376.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 41.

    Mayer EA, Gebhart GF. Basic and clinical aspects of visceral hyperalgesia. Gastroenterology 1994;107:271293.

  • 42.

    Verne GN, Robinson ME, Price DD. Hypersensitivity to visceral and cutaneous pain in the irritable bowel syndrome. Pain 2001;93:714.

Advertisement