Page 183 - The Welfare of Cattle
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160                                                       the WeLfare of CattLe


            Gabapentin

               Gabapentin is a γ-aminobutyric acid (GABA) analog historically used as an anti-seizure medi-
            cation, but it has been recognized for its improvement in chronic, neuropathic pain. Gabapentin
            works by decreasing excitatory neurotransmitter release as a result of modulation of voltage-gated
            calcium channels.  Additionally, analgesic activity is synergistically enhanced when used in con-
                          17
            junction with an NSAID. 18,19


                                             CaStratION

               Castration is a common husbandry practice in the United States and Canada to minimize the
            danger associated with intact males, unwanted pregnancies in feedlot situations, and improve car-
            cass quality. The benefits of castration are widely known and deemed important to the cattle indus-
            try. It is known that castration causes pain, distress, and other neuroendocrine changes to the animal
            regardless of the technique used and age of animal. 20
               The use of sexed semen is a practice to reduce the number of males born, especially in the dairy
            industry. The use of sexed semen does come at a higher cost per unit of semen and lower conception
            rates, but these cost may be offset by higher milk production in the lactation following carrying a
            female calf. 21
               The use of an immunocastration vaccine against gonadotropin releasing hormone (GnRH) has
            been demonstrated to be an effective alternative for the physical castration of cattle.  Although
                                                                                 22
            attractive in principle, this technique has not gained widespread adaptation due to the need for
            repeated injections, lack of approved products for cattle in the United States, and human health
            implications of self-injection of the vaccine antigens. Therefore, physical castration methods are
            primarily used for castration of cattle.
               Pain and distress caused by castration is widely known, resulting in research looking into ways
            to mitigate pain using pharmacologic agents. Commonly used drug classes include local anesthetics
            such as lidocaine and NSAIDs such as flunixin meglumine, ketoprofen, and meloxicam.
               Local anesthetics are beneficial in reduction of the acute pain associated with castration by
            blocking the transmission of pain impulses to the central nervous system. A review of 15 castration
            studies evaluating maximal cortisol concentrations indicated a 25.8% reduction of cortisol in cattle
            receiving a local anesthetic compared to controls.  Local anesthetics alone have minimal effects on
                                                   23
            the overall feed consumption, average daily gain, and inflammatory mediators. 24–27
               Investigations into the analgesic effects of flunixin indicate pain-relief during the initial period
            post-castration. Flunixin administration is associated with pain-relief, although, in general, these
            reported changes are not reported to persist beyond 8 hours. Cortisol concentrations were lower in
            calves treated with flunixin following burdizzo clamp castrations and surgical castration compared
            to castrated controls. 28,29  Furthermore, stride length increases when treated with flunixin and a
              lidocaine or xylazine epidural. 30,31
               In both surgically and non-surgically castrated cattle, preoperatively administered ketopro-
            fen demonstrated reduced cortisol concentrations compared with castrated controls. 25–27,32  This
            effect was potentiated when combined with a local anesthetic.  Additionally, average daily gain is
                                                              23
            improved by the administration of ketoprofen combined with a lidocaine local anesthetic for surgi-
                                         26
              25
            cal  but not non-surgical castration.  Taken together with the cortisol data, when using ketoprofen,
            multimodal therapy is needed for maximizing pain-relief during castration.
               Calves administered carprofen following non-surgical clamp castration had lower cortical con-
            centrations compared to untreated controls.  Calves undergoing surgical castration had reductions
                                               28
                                                               33
            in cortisol concentrations, but these effects were not significant.  Meloxicam has also been evalu-
            ated in surgically and non-surgically castrated cattle. Administration of meloxicam to cattle before
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