Iranian Journal of Veterinary Surgery

Iranian Journal of Veterinary Surgery

Comparative Evaluation of Postoperative Analgesia and Cardiorespiratory Effects of Meloxicam and Methadone in Canine Ovariohysterectomy

Document Type : Original Article

Authors
1 Department of Clinical Sciences, Faculty of Veterinary Medicine, Shahid Chamran University of Ahvaz, Ahvaz, Iran.
2 Department of Basic Sciences, Faculty of Veterinary Medicine, Shahid Chamran University of Ahvaz, Ahvaz, Iran.
Abstract
This randomized controlled study evaluated the comparative efficacy of meloxicam and methadone on postoperative analgesia and cardiorespiratory parameters in 24 female dogs undergoing ovariohysterectomy (OHE). After premedication with acepromazine (0.05 mg/kg) and morphine (0.05 mg/kg) intramuscularly, anesthesia was induced intravenously with propofol at 6 mg/kg, titrated to effect. The dogs were maintained on isoflurane and 100% oxygen at a rate of 100 ml/kg/min. The dogs, then, underwent OHE with continuous monitoring of physiologic variables. Immediately after the final skin suture, the dogs were randomly assigned to one of three treatments: saline (SAL, n = 8), meloxicam (MEL, 0.2 mg/kg, n = 8), or methadone (MET, 0.2 mg/kg, n = 8), all administered IV. Postoperatively, cardiorespiratory parameters were recorded. Pain was assessed using three pain scoring scales. Inflammatory/stress markers (cortisol, glucose, lactate, TNFα, IL-1β) were also measured. The results showed that methadone-treated dogs exhibited lower heart rates and required less rescue analgesia compared to the SAL. The Glasgow Composite Pain Scale-Short Form was lower at 30 minutes in the MET compared to the MEL. Dogs in the MEL and MET showed some benefits in modulating inflammatory markers, which were more pronounced in the MEL. In conclusion, methadone provided more effective postoperative pain control and contributed to better cardiorespiratory stability in canine ovariohysterectomy compared to placebo and meloxicam.
Keywords
Subjects

  1. Zaychenko G, Lyapunov O, Bezugla O. The place of meloxicam in the series of modern non-steroidal anti-inflammatory drugs. Pharmacy Bulletin. 2016; 69-76.
  2. Kreutzwiser D, Tawfic QA. Methadone for pain management: a pharmacotherapeutic review. CNS Drugs. 2020; 34: 827-839. doi: 10.1007/s40263-020-00743-3
  3. Pacheco M, Knowles TG, Hunt J, Slingsby LS, Taylor PM, Murrell JC. Comparing paracetamol/codeine and meloxicam for postoperative analgesia in dogs: a non‐inferiority trial. Veterinary Record. 2020; 187: e61-e61. doi: 10.1136/vr.105487
  4. Lambertini C, Kluge K, Lanza-Perea M, Bruhl-Day R, Guerrero KSK. Comparison of intraperitoneal ropivacaine and bupivacaine for postoperative analgesia in dogs undergoing ovariohysterectomy. Veterinary Anaesthesia and Analgesia. 2018; 45: 865-870. doi: 10.1016/j.vaa.2018.06.012
  5. Suarez MA, Dzikiti BT, Stegmann FG, Hartman, M. Comparison of alfaxalone and propofol administered as total intravenous anaesthesia for ovariohysterectomy in dogs. Veterinary Anaesthesia and Analgesia. 2012; 39: 236-244. doi: 10.1111/j.1467-2995.2011.00700.x
  6. Tayari H, Otero P, Rossetti A, Breghi G, Briganti A. Proximal RUMM block in dogs: preliminary results of cadaveric and clinical studies. Veterinary Anaesthesia and Analgesia. 2019; 46: 384-394. doi: 10.1016/j.vaa.2018.11.009
  7. Mannarino R, Luna SP, Monteiro ER, Beier SL, Castro VB. Minimum infusion rate and hemodynamic effects of propofol, propofol-lidocaine and propofol-lidocaine-ketamine in dogs. Veterinary Anaesthesia and Analgesia. 2012; 39: 160-173. doi: 10.1111/j.1467-2995.2011.00679.x
  8. Lawson A, Walton B. Monitoring side effects of long-term NSAID use in dogs with chronic osteoarthritis. In Practice, 2019, 41: 148-154. doi: 10.1136/inp.l1506
  9. Hernandez-Avalos I, Mota-Rojas D, Mora-Medina P, Martínez-Burnes J, Casas Alvarado A, Verduzco-Mendoza A, Lezama-García K, Olmos-Hernandez A. Review of different methods used for clinical recognition and assessment of pain in dogs and cats. International Journal of Veterinary Science and Medicine. 2019; 7: 43-54. doi: 10.1080/23144599.2019.1680044
  10. Gutiérrez-Bautista ÁJ, Morgaz J, del Mar Granados M, Gómez-Villamandos RJ, Dominguez, JM, Fernandez-Sarmiento JA, Aguilar-García D, Navarrete-Calvo R. Evaluation and comparison of postoperative analgesic effects of dexketoprofen and methadone in dogs. Veterinary Anaesthesia and Analgesia. 2018; 45: 820-830. doi: 10.1016/j.vaa.2018.06.016
  11. Mosing M, Reich H, Moens Y. Clinical evaluation of the anaesthetic sparing effect of brachial plexus block in cats. Veterinary Anaesthesia and Analgesia. 2010; 37: 154-161. doi: 10.1111/j.1467-2995.2009.00509.x
  12. Hernández-Avalos I, Valverde A, Ibancovichi-Camarillo JA, Sánchez-Aparicio P, Recillas-Morales S, Osorio-Avalos J, Rodríguez-Velázquez D, Miranda-Cortés AE. Clinical evaluation of postoperative analgesia, cardiorespiratory parameters and changes in liver and renal function tests of paracetamol compared to meloxicam and carprofen in dogs undergoing ovariohysterectomy. Plos One. 2020; 15: e0223697. doi: 10.1371/journal.pone.0223697
  13. Saberi Afshar F, Shekarian M, Baniadam A, Avizeh R, Najafzadeh H, Pourmehdi M. Comparison of different tools for pain assessment following ovariohysterectomy in bitches. Iranian Journal of Veterinary Medicine. 2017; 11: 255-265.
  14. Freeman L, Becvarova I, Cave N, MacKay C, Nguyen P, Rama B, Takashima G, Tiffin R, van Beukelen P, Yathiraj S. WSAVA nutritional assessment guidelines. Journal of Feline Medicine and Surgery. 2011; 13: 516-525. doi: 10.1016/j.jfms.2011.05.009
  15. Fossum TW. Surgery of the reproductive and genital systems In: TW F, ed. Small Animal Surgery. 5th ed. Elsevier, China, 2019; 720-787.
  16. Tallant A, Ambros B, Freire C, Sakals S. Comparison of intraoperative and postoperative pain during canine ovariohysterectomy and ovariectomy. Canadian Veterinary Journal. 2016; 57: 741-746.
  17. Zanuzzo FS, Teixeira-Neto FJ, Teixeira LR, Diniz MS, Souza VL, Thomazini CM, Steagall PV. Analgesic and antihyperalgesic effects of dipyrone, meloxicam or a dipyrone–meloxicam combination in bitches undergoing ovariohysterectomy. Veterinary Journal. 2015; 205: 33-37. doi: 10.1016/j.tvjl.2015.05.004
  18. Fox S, Mellor D, Firth E, Hodge H, Lawoko CRO. Changes in plasma cortisol concentrations before, during and after analgesia, anaesthesia and anaesthesia plus ovariohysterectomy in bitches. Research in Veterinary Science. 1994; 57: 110-118. doi: 10.1016/0034-5288(94)90091-4
  19. Ingvast-Larsson C, Holgersson A, Bondesson U, Lagerstedt AS, Olsson K. Clinical pharmacology of methadone in dogs. Veterinary Anaesthesia and Analgesia. 2010; 37: 48-56. doi: 10.1111/j.1467-2995.2009.00476.x
  20. Shah M, Yates D, Hunt J, Murrell JC. A comparison between methadone and buprenorphine for perioperative analgesia in dogs undergoing ovariohysterectomy. Journal of Small Animal Practice. 2018; 59: 539-546. doi: 10.1111/jsap.12859
  21. Cubeddu F, Masala G, Sotgiu G, Mollica A, Versace S, Careddu GM. Cardiorespiratory effects and desflurane requirement in dogs undergoing ovariectomy after administration maropitant or methadone. Animals. 2023; 13: 2388. doi: 10.3390/ani13142388
  22. Autio NLS. Postoperative analgesia after ovariohysterectomy and castration in dogs and cats. 2023.
  23. Kongara K, Chambers J, Johnson C. Effects of tramadol, morphine or their combination in dogs undergoing ovariohysterectomy on peri-operative electroencephalographic responses and postoperative pain. New Zealand Veterinary Journal. 2012; 60: 129-135. doi: 10.1080/00480169.2011.641156
  24. Goldsbrough G, Reynolds H. Does meloxicam provide adequate pain management as a postoperative analgesic in canine ovariohysterectomy patients? Veterinary Nurse. 2020; 11: 192-197. doi: 10.12968/vetn.2020.11.4.192
  25. Leece EA, Brearley JC, Harding EF. Comparison of carprofen and meloxicam for 72 hours following ovariohysterectomy in dogs. Veterinary Anaesthesia and Analgesia. 2005; 32: 184-192. doi: 10.1111/j.1467-2995.2005.00207.x
  26. Sunghan J, Manmoo S, Suriyasathaporn W, Suriyasathaporn W, Warrit K, Kusolphat P. Comparison of the efficacy and perioperative pain between vessel sealing and suture ligation for median celiotomy in canine ovariohysterectomy. Veterinary World. 2023; 16: 386-394. doi: 10.14202/vetworld.2023.386-394
  27. Testa B, Reid J, Scott ME, Murison PJ, Bell AM. The short form of the Glasgow composite measure pain scale in postoperative analgesia studies in dogs: a scoping review. Frontiers in Veterinary Science. 2021; 8: 751949. doi: 10.3389/fvets.2021.751949
  28. Kamyabnia M, Imani Rastabi H, Ghadiri A, Jalali MR, Givi ME. Comparison of four postoperative pain evaluation scales in dogs undergoing ovariohysterectomy. Iranian Veterinary Journal. 2024; 20: 60-67. doi: 10.22055/IVJ.2024.400925.2586
  29. Conterno G, Comassetto F, Consolim MG, Tocheto R, Oleskovicz N. Comparison of cardiorespiratory effects and perioperative analgesia efficacy of dexmedetomidine or fentanyl continuous infusion during ovariohysterectomy in propofol-anesthetized dogs. Research, Society and Development. 2023; 12: e17121343594-e17121343594. doi: 10.33448/rsd-v12i13.43594
  30. Rodigheri SM, Paiva FNd, Firmo BF, Fuchs T, Mani CB, Nardi ABD. Parameters of metabolic response to surgical trauma induced via unilateral total mastectomy associated or not to ovariohysterectomy in dogs. Animals. 2023; 13: 926. doi: 10.3390/ani13050926
  31. Moldal ER, Kjelgaard-Hansen MJ, Peeters ME, Nødtvedt A, Kirpensteijn J. C-reactive protein, glucose and iron concentrations are significantly altered in dogs undergoing open ovariohysterectomy or ovariectomy. Acta Veterinaria Scandinavica. 2018; 60: 32. doi: 10.1186/s13028-018-0384-6
  32. Ziaei Darounkolaei N, Mousavi Kiasary SMS, Behzadi A, Nabavi Mosavi N, Mahmoodi Ferdowsi S. Instrument shank-assisted ovariohysterectomy: a randomized clinical trial of surgical and pain alleviation efficiency of a single-person modified technique. Frontiers in Veterinary Science. 2023; 10: 1210089. doi: 10.3389/fvets.2023.1210089
  33. Teixeira L, Martins L, Schimites P, de Oliveira RB, Bonella J, Campos RV, Mangini LT, Gasparotto JC, Soares AV. Peripheral perfusion index does not accurately reflect hypoperfusion in healthy dogs undergoing elective ovariohysterectomy. Veterinary Journal. 2018; 240: 27-30. doi: 10.1016/j.tvjl.2018.09.003
  34. Machado VS, Crivellenti LZ, Bottari NB, Tonin AA, Pelinson LP, Borin-Crivellenti S, Santana AE, Torbitz VD, Moresco RN, Duarte T, Duarte MM. Oxidative stress and inflammatory response biomarkers in dogs with mammary carcinoma. Pathology-Research and Practice. 2015; 211: 677-681. doi: 10.1016/j.prp.2015.06.011

Articles in Press, Corrected Proof
Available Online from 27 December 2025

  • Receive Date 06 October 2025
  • Revise Date 01 December 2025
  • Accept Date 27 December 2025
  • First Publish Date 27 December 2025