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Atipamezole

Antisedan

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Sourced from primary literature. Awaiting credentialed clinical reviewer — our editorial process.

Drug Class

Antidote

Routes

IM

Indications

Dexmedetomidine reversalMedetomidine reversalMedetomidine/dexmedetomidine reversalXylazine reversal

Mechanism of Action

Selective alpha-2 adrenergic antagonist. Specifically reverses sedation, bradycardia, and other effects of medetomidine/dexmedetomidine.

Side effects & warnings

IM route only (IV can cause cardiovascular excitation). Give equal volume to medetomidine or 5x volume of dexmedetomidine. Reversal within 5-10 minutes. May unmask pain.

Species with Atipamezole dosing data (8 dose rules)

Evidence levels across 8 dose rules

Strong×3Weak×2Moderate×3

Each ExoticRx dose rule is graded by the strength of its primary evidence — see the editorial process.

Backed by 3 published primary sources

  • · Carpenter 6e
  • · Carpenter's Exotic Animal Formulary, 6th Ed
  • · Plumb's Veterinary Drug Handbook, 9th Ed

Sample dosing (2 of 8 cited rules)

Free-tier preview — dog and cat dosing. Pro and Student unlock all 8 species including reptiles, birds, pocket pets, livestock, and equine.

SpeciesRouteDoseFrequencyEvidenceSource
Dog (Domestic)IM0 mg/kgEqual volume to medetomidine or 5x dexmedetomidineStrongPlumb's Veterinary Drug Handbook, 9th Ed
Cat (Domestic)IM0 mg/kgEqual volume to medetomidine or 5x dexmedetomidineStrongPlumb's Veterinary Drug Handbook, 9th Ed

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