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Peer-reviewed veterinary case report

Use of a narcotic antagonist (nalmefene) to suppress self-mutilative behavior in a stallion.

Journal:
Journal of the American Veterinary Medical Association
Year:
1988
Authors:
Dodman, N H et al.
Affiliation:
Department of Surgery · United States
Species:
horse

Plain-English summary

A 500-kilogram stallion was treated with nalmefene, a medication that blocks the effects of opioids, to help reduce its habit of self-mutilation, which means the horse was hurting itself. The researchers observed how often the stallion engaged in this behavior before and after giving it different doses of nalmefene: 100 mg, 200 mg, 400 mg, and 800 mg. They found that as the dose increased, the stallion's self-mutilation behavior decreased, and it nearly stopped completely at the highest dose of 800 mg. Overall, the treatment was effective in significantly reducing the self-harming behavior.

Abstract

Nalmefene, an opioid antagonist, caused a decrease in self-mutilative behavior in a 500-kg stallion. Self-mutilative attempts were counted during a control period and on 4 subsequent occasions after the IM administration of 100 mg, 200 mg, 400 mg, or 800 mg of nalmefene. The frequency of self-mutilation decreased with increasing doses of nalmefene and was virtually abolished with the 800-mg dose.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/3410777/