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Pharm - sedatives
pharm
49
Veterinary Medicine
Undergraduate 3
05/24/2012

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Term
Sedatives cause...
Definition
...calmness
drowsiness
indifference to surroundings
Term
Tranquilisers cause...
Definition
....calmless with less/no drowsiness
Term
hypnotics =
Definition
induce sleep
Term
anxiolytics =
Definition
decr anxiety, calmness
Term
neuroleptoanalgesics =
Definition
sedative + analegsic (eg. fluanisone + fentanyl)
Term
dissociative anaesthetic =
Definition
ket
Term
principle uses of sedatives =
Definition
1. restraint (should be admin b4 animal gets excited or a larger dose will be needed=bad as more side effects)
2. Decr anxiety & modify aggressive behaviour (better to use anxiolytics but use sedatives as cheaper)
3. minor surgery & xrays
4. anaesthetic premed(allow 20-50% decr in GA :))
Term
disadvantages of sedation and airtravel :(
Definition
-balance affected = risk of injury
-short faced D & C risk of CV or resp problems when sedated with decr atmospheric press.
Term
Name a phenothiazine
Definition
acepromazine (ACP)
Term
Name a butyrophenone
Definition
Droperidol
Haloperidol
Fluanisone
Azaperone (in pigs)
Term
Name a alpha 2 antagonist
Definition
Xylazine, Medetomidine, Detomidine, Romifidine, Clonidine
Term
Name a Benzodiazapine
Definition
Diazepam
Nitrazepam
lorazepam
zopidone
triazolam
Term
ACP (acepromazine) commonly used as a ...
Definition
...preanesthetic and used for sedating dogs for transportation
Term
ACP causes...
Definition
...decr CNS function= deep sedation (but NOT unconsciousness)
Term
Other effects of ACP =
Definition
-antiemetic
-vasodilator
-antipsychotic
-at high doses amy see extrapyramidal effects due ti inhibition of DA2R =tremor, rigidity, catalepsy=parkinsons dz
Term
major considerations for ACP use
Definition
1. decr seizure threshold so contraindicated in epileptic patients, if had head trauma or got incr. intracranial press.
2. can cuase penis prolapse/paralysis in stallions
3. vasodilation - can lead to hypotension if got CV dz
4. contraindicate din Boxer - heart block & resp arrest
5. can prevent adr. induced arrythmias
Term
butyrophone used in pigs =
Definition
azaperone
Term
butyrephones affects =
Definition
sedative (work immediately as a sedative)
antiemtic
antipsychotic (take days/wks to work due to upreg of Rs in limbic areas)
Term
butyrephones side effects =
Definition
1. alpha 1 blocker = vasodilation = moedrate hypotension (not as bad as phenothiazines)
2. extrapyramidal effects at high doses as inhibit DA R = tremore, rigidity, catalepsy=parkinsons dz)
Term
alpha 2 agonists cause...
Definition
...inhibition od NA release = decr NA
Term
most selective alpha 2 agonist =
Definition
medetomidine = less CV side effects :)
Term
effects of alpha 2 Agonists =
Definition
1. sedation
2. analgesia
3. mm relaxant
4. decr CO
5. bradycardia
6. incr then decr BP
7. hyperglycaemia with continous use as alpha 2 R activity decr insulin secretion
8. Diuresis (as alpha 2 agonists incr ADH secretion)
Term
principle reasons for use of alpha 2 agonists in vetmed =
Definition
1. sedation
2. analgesia :)
3. mm relaxation
4. rapid reversibility with antagonist :)
5. prevent signs of CNS stim and mm rigidity seen with ket and some opioids
Term
what alpha 2 agonists would you use to sedate a horse?
Definition
xylazine, detomidine or romifidine
Term
what alpha 2 agonist would you use to sedate a D or C?
Definition
Xylazine or medetomidine
Term
effects of alpha 2 agonist of C&D =
Definition
-cat may vom - need to starve b4
-white gums due to vasoconstriction
Term
disadvantage of using xylazine in cattle and horses=
Definition
IN cattle may cause uterine contractions = abortion (due to alpha 1 R activity)

in cattle and horsesmild resp acidosis = decr PaO2, may be hypoxic
Term
selective alpha 2 antagonists for xylazine in dogs =
Definition
yohimbine
Term
slective alpha2 antagonist for xylazine used in horses and rum. =
Definition
tolazoline
Term
selective antagonist of medetomidine/detomidine =
Definition
atipamezole
Term
clinical considerations of alpha 2 agonist =
Definition
1. if got CNS depression b4 admin = risk of alpha 2 agonist overdose
2. decr HR and CO=may worsen CV dz
3. vom =aspiration if larynx impaired by alpha2 agonist
4. incr urine output = risk of rupturing urethra
5. if long lasting alpha 2 agonist = hyperglyacaemia=diabetes
6. causes uterine contraction = abortion in last trimester of preg in cows
Term
Benzodiazepines (BZs) affects =
Definition
-sedative
-hypnotic
-anxiolytic
-anticonvulsant
Term
clinical uses of BZs
Definition
1. antianxiety
2. sedative
3. hypnotic
4. anticonvulsant
5. sk. mm relaxant (greater effect on C than D)
6. relaxes bladder mm = tx incontinance (espec due to anxiety)
Term
side effects of BZs =
Definition
-drowsiness
-confusion
-amnesia
-impaired learning (intefere with animals training)
-lack of depth perception
-decr. REM sleep (if long term use)
Term
mech of BZ =
Definition
bind to GABA R and enhance affinity of GABA R and GABA = incr GABA channel opening (GABA = inhibitory neurotransmitter)
Term
Diazepam is used in vet practice to.....
Definition
...CALM d&c - ALLEVIATE BEHAVIOURAL PROBLEMS
...epilepsy (short term use in dogs only)
...decr hallicinatory side effects of ket
Term
ketamines mech =
Definition
block NMDA R (low affinity uncompetitive inhibitor)
Term
ket admin =
Definition
IM
Term
combine ket with ...
Definition
...medetomidine or detomidine (alpha 2 agonists)
Term
ket followed by isoflurane or halothane =
Definition
smooth induction of anesthesia with 'balanced anaethesia' :)
Term
tiletamine =
Definition
similar to ket
Term
rompun =
Definition
tiletamine + xylazine (alpha2agonist) - usded for sedating LA's
Term
ket and tiletamine are excellent....
Definition
...analgesic agents
Term
name the sedatives with analgesic properties.
Definition
alpha 2 agonist and tiletamine
Term
alternatives for pet sedations (herbal rmedies)
Definition
1. monoterpenes - valepotriates
2. sesquiterpenes - valerenic acid (inhibits GABA transanimase - converts GABA to glutmate)
3. lignans-hydroxypinoresinol (some work like BZs)
Term
what two sedatives can cause parkinsons dz?
Definition
butyrephone and ACP
Term
what sedative shouldnt be used in boxers?
Definition
ACP
Term
which sedative can cause penis proplaspse in stallion?
Definition
ACP
Term
what two sedatives can have adverse effects on the CVS?
Definition
ACP - vasodilation and hypotension if got CV dz

alpha 2 agonists (due to activation of alpha 1 R)
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