In recent years the usefulness of the alpha(2) adrenoceptor agonist dr
ugs has been recognized in equine practice. Several agents have become
available and are now licensed for use in a number of countries. The
principle actions of all alpha(2) adrenoceptor agonists are similar, i
n that they produce a reduction in heart rate and alteration of heart
rhythm, an initial hypertension followed by a prolonged hypotension, a
decrease in the cardiac output and respiratory depression. For clinic
al purposes, these agents produce sedation and analgesia, they are use
ful for premedication and markedly potentiate the effects of other sed
ative/analgesic agents. Differences in receptor specificity between th
e alpha(2) adrenoceptor agonists results in the distinguishing charact
eristics of the individual agents, particularly with respect to their
duration of action, sedative effect and analgesic properties; their ca
rdiopulmonary effects are however similar, when equipotent sedative do
ses are administered. When used in combination with other agents, the
alpha(2) adrenoceptor agonists all appear to act in a similar manner,
with the greatest difference being related to their duration of action
.