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Research Paper| Volume 33, ISSUE 3, P143-148, May 2006

Clinical evaluation of intranasal benzodiazepines, α2-agonists and their antagonists in canaries

      Abstract

      Objective

      To evaluate the effects of intranasal benzodiazepines (midazolam and diazepam), α2-agonists (xylazine and detomidine) and their antagonists (flumazenil and yohimbine) in canaries.

      Study design

      Prospective randomized study.

      Animals 

      Twenty-six healthy adult domesticated canaries of both sexes, weighing 18.3 ± 1.0 g.

      Methods

      In Study 1 an attempt was made to determine the dose of each drug that allowed treated canaries to be laid in dorsal recumbency for at least 5 minutes, i.e. its effective dose. This involved the evaluation of various doses, during which equal volumes of the tested drug were administered slowly into each nostril. In study 2 the onset of action, duration and quality of sedation induced by each drug at its effective dose were evaluated. The efficacy of flumazenil and yohimbine in antagonizing the effects of the sedative drugs was also studied.

      Results

      In study 1 administration of 25 μL per nostril diazepam (5 mg mL−1 solution) or midazolam (5 mg mL−1 solution) to each bird caused adequate sedation within 1–2 minutes; birds did not move when placed in dorsal recumbency. After administration of 12 μL per nostril of either xylazine (20 mg mL−1) or detomidine (10 mg mL−1), birds seemed heavily sedated and assumed sternal recumbency but could not be placed in dorsal recumbency. Higher doses of xylazine (0.5 mg per nostril) or detomidine (0.25 mg per nostril) prolonged sedation but did not produce dorsal recumbency. In study 2 in all treatment groups, onset of action was rapid. Duration of dorsal recumbency was significantly longer (p < 0.05) with diazepam (38.4 ± 10.5 minutes) than midazolam (17.1 ± 2.2 minutes). Intranasal flumazenil (2.5 μg per nostril) significantly reduced recumbency time. Duration of sedation was longer with α2-agonists compared with benzodiazepines. Detomidine had the longest duration of effect (257.5 ± 1.5 minutes) and midazolam the shortest (36.9 ± 2.4 minutes). Nasally administered flumazenil significantly reduced the duration of sedation with diazepam and midazolam while yohimbine (120 μg per nostril) effectively antagonized the effects of xylazine and detomidine.

      Conclusion

      Intranasal benzodiazepines produce rapid and effective sedation in canaries. Intranasal α2 agonists produce sedation but not sustained recumbency. Specific antagonists are also effective when used by this route.

      Clinical relevance 

      Intranasal sedative drug administration is an acceptable alternative method of drug delivery in canaries.

      Keywords

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      References

        • Allen JL
        • Oosterhuis JE
        Effects of tolazoline on xylazine-ketamine-induced anesthesia in turky vultures.
        J Am Vet Med Assoc. 1986; 189: 1011-1012
        • Bleske BE
        • Warren EW
        • Rice TL
        • et al.
        Comparison of intravenous and intranasal administration of epinephrine during CPR in canine model.
        Ann Emerg Med. 1992; 219: 1125-1130
        • Boever WJ
        • Wright W
        Use of ketamine for restraint & anesthesia of birds.
        Vet Med/Small Anim Clin. 1975; 70: 86-88
        • Burstein AH
        • Modica R
        • Hatton M
        • et al.
        Pharmacokinetics and pharmacodynamics of midazolam after intranasal administration.
        J Clin Pharmacol. 1997; 37: 711-718
        • Coles BH
        Avian Medicine and Surgery. 2nd edn. Blackwell Science, Oxford, UK1997: 125-147
        • Day TK
        • Roge CK
        Evaluation of sedation in quail induced by use of midazolam and reversed by use of flumazenil.
        J Am Vet Med Assoc. 1996; 209: 969-971
        • Degernes LA
        • Kreeger TJ
        • Mandsager R
        • et al.
        Ketamine-xylazine anesthesia in red-tailed hawks with antagonism by yohimbine.
        J Wildl Dis. 1988; 24: 322-326
        • Fedde MR
        Drugs used for avian anesthesia: a review.
        Poultry Sci. 1978; 57: 1376-1399
        • Harrison GJ
        Anesthesiology.
        in: Harrison GJ Harrison LR Clinical Avian Medicine and Surgery. WB Saunders, Philadelphia, PA1986: 549-559
        • Heaton J
        • Brauth SE
        Effects of yohimbine as a reversing agent for ketamine-xylazine anesthesia in budgerigars.
        Lab Anim Sci. 1992; 42: 54-56
        • Jaimovich DG
        • Osborne JS
        • Shabino CL
        Comparison of intravenous and endotracheal administration of midazolam and the effects on pulmonary function and histology in the lamb.
        Ann Emerg Med. 1992; 21: 480-485
        • Karl HW
        • Keifer AT
        • Rosenberger JL
        • et al.
        Comparison of the safety and efficacy of intranasal midazolam or sufentanil for preinduction of anesthesia in pediatric patients.
        Anesthesiology. 1992; 76: 209-215
        • Kendall JM
        • Reeves BC
        • Latter VS
        Multicenter randomised controlled trial of nasal diamorphine for analgesia in children and teenagers with clinical fractures.
        Br Med J. 2001; 322: 261-265
        • Lawton MPC
        Anaesthesia.
        in: Forbes NA Lawton MPC Manual of Psittacine Birds. British Small Animal Veterinary Association, Gloucestershire1996: 49-59
        • Ludders JW
        • Matthews N
        Anesthesia and immobilization of birds.
        in: Thumon JC Tranquilli WJ Benson GJ Lumb and Jones’ Veterinary Anesthesia. 3rd edn. William & Wilkins, Baltimore, MD1996: 645-669
        • Lugo RA
        • Fishbein M
        • Nahata MC
        • et al.
        Complications of intranasal midazolam.
        Pediatrics. 1993; 92 (letter).: 638
        • Rey E
        • Delaunay L
        • Pons G
        • et al.
        Pharmacokinetics of midazolam in children: comparative study of intranasal and intravenous administration.
        Clin Pharmacol. 1991; 41: 355-357
        • Robertson SA
        • Eberhart S
        Efficacy of intranasal route for administration of anesthetic agents to addult rabbits.
        Lab Anim Sci. 1994; 44: 159-165
        • Rosario M
        • Alves I
        • Luis AS
        Intranasal midazolam for sedation in upper gastrointestinal endoscopy.
        Gastroenterology. 1990; 98 (abstract).: A10
        • Rusli M
        • Spivey WH
        • Bonner H
        • et al.
        Endotracheal diazepam: absorption and pulmonary pathologic effects.
        Ann Emerg Med. 1987; 16: 314-318
        • Samour JH
        • Jones DM
        • Knight JA
        • et al.
        Comparative studies of the use of some injectable anaesthetic agents in birds.
        Vet Rec. 1984; 115: 6-11
        • Smith J
        • Muir WW
        Cardiopulmonary effects of midazolam and flumazenil in racing pigeons.
        Vet Surg. 1992; 21 (abstract).: 499
        • Valverde A
        • Honeyman VL
        • Smith DA
        • et al.
        Determination of a sedative dose and influence of midazolam on cardiopulmonary function in Canada geese.
        Am J Vet Res. 1990; 51: 1071-1074
        • Walbergh EJ
        • Wills RJ
        • Eckhert J
        Plasma concentrations of midazolam in children following intranasal administration.
        Anesthesiology. 1991; 74: 233-235
        • Wilton NCT
        • Leigh J
        • Rosen DR
        • et al.
        Preanesthetic sedation of preschool children using intranasal midazolam.
        Anesthesiology. 1988; 69: 972-975