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Pain Management in Rabbits

Pocket Pet · Oryctolagus cuniculus · typical adult weight 1.00–5.00 kg

12 cited drugs treat Pain Management in rabbits: Aspirin, Buprenorphine, Butorphanol, Butorphanol Injectable, Flunixin Meglumine, Gabapentin, Hydromorphone, Ibuprofen, Meloxicam, Morphine, Oxymorphone, Piroxicam.

Multimodal analgesia spanning NSAIDs, opioids, local anaesthetics, NMDA antagonists (ketamine), α2 agonists, and adjuncts. Species safety matters: NSAIDs are unsafe in some reptiles, opioid receptor distributions differ in birds, and rabbits tolerate buprenorphine particularly well.

The overview above describes Pain Management across species; the citations below are the ExoticRx dose rules scoped to rabbits — a reference list, not new species-specific clinical guidance.

Aspirin(Bufferin, Ascriptin)

Analgesic
RouteDoseFrequencyIndicationEvidenceSource
PO5–20 mg/kgq24hAntiinflammatory; low-grade analgesiaModeratePlumb's Veterinary Drug Handbook, 10th ed (2023) — Source: Carpenter's Exotic Animal Formulary, 6th Ed, p.854 — Plumb's 10th ed printed p.102, Aspirin monograph spanning p.100-102. — Carpenter's Exotic Animal Formulary 6th ed, Table 10.4 (Chemical Restraint/Sedative/Anesthetic/Analgesic Agents Used in Rabbits.a,b).Compilation only — we have not located an independent source that prints this figure.

Buprenorphine(Simbadol, Buprenex)

Analgesic
RouteDoseFrequencyDurationIndicationEvidenceSource
IM0.01–0.05 mg/kgq6-12h24-72 hours post-operativelyPost-operative analgesiaModerateChi[tt]y J. Formulary. In: Harcourt-Brown F, Chi[tt]y J, eds. BSAVA Manual of Rabbit Surgery, Dentistry and Imaging; BSAVA Press, Gloucestershire, UK; 2013:430-431. |; Morissey JM, Carpenter JW. Appendix: Formulary. In: Quesenberry KE, Orcu[tt] C, Mans C, et al. Ferrets, Rabbits and Rodents: Clinical Medicine and Surgery, 4th ed., Elsevier, St. Louis, MO; 2021:620-630.Compilation only — we have not located an independent source that prints this figure.
IV0.01–0.05 mg/kgq6-12hAs neededAnalgesia - mild to moderate pain only (partial mu agonist)ModerateChi[tt]y J. Formulary. In: Harcourt-Brown F, Chi[tt]y J, eds. BSAVA Manual of Rabbit Surgery, Dentistry and Imaging; BSAVA Press, Gloucestershire, UK; 2013:430-431. |; Morissey JM, Carpenter JW. Appendix: Formulary. In: Quesenberry KE, Orcu[tt] C, Mans C, et al. Ferrets, Rabbits and Rodents: Clinical Medicine and Surgery, 4th ed., Elsevier, St. Louis, MO; 2021:620-630. — Carpenter 6th ed, Table 10.4 (Chemical Restraint/Sedative/Anesthetic/Analgesic Agents Used in Rabbits).Compilation only — we have not located an independent source that prints this figure.
SC0.01–0.05 mg/kgq6-12hAs neededAnalgesia - mild to moderate pain onlyModerateMorissey JM, Carpenter JW. Appendix: Formulary. In: Quesenberry KE, OrcuttCJ, Mans C, et al. Ferrets, Rabbits and Rodents: Clinical Medicine and Surgery, 4th ed., Elsevier, St. Louis, MO; 2021:620-630.; Chitty J. Formulary. In: Harcourt-Brown F, Chitty J, eds. BSAVA Manual of Rabbit Surgery, Dentistry and Imaging; BSAVA Press, Gloucestershire, UK; 2013:430-431. — Carpenter 6th ed, Table 10.4 (Chemical Restraint/Sedative/Anesthetic/Analgesic Agents Used in Rabbits).Compilation only — we have not located an independent source that prints this figure.

Butorphanol(Torbugesic, Torbutrol)

Analgesic
RouteDoseFrequencyDurationIndicationEvidenceSource
IM0.1–0.5 mg/kgq4hAs neededAnalgesia (pain management)ModerateChitty J [Chitty J]. Formulary. In: Harcourt-Brown F, Chitty J, eds. BSAVA Manual of Rabbit Surgery, Dentistry and Imaging; BSAVA Press, Gloucestershire, UK; 2013:430-431. / 194. Plumb's Veterinary Drug Handbook, 10th ed (2023) — Plumb's 10th ed printed p.163, Butorphanol monograph spanning p.157-163. — Carpenter's Exotic Animal Formulary 6th ed, Table 10.4 (Chemical Restraint/Sedative/Anesthetic/Analgesic Agents Used in Rabbits.a,b).Compilation only — we have not located an independent source that prints this figure.
SC0.1–0.5 mg/kgq2-4hAs neededPain managementModerateChitty J [Chitty J]. Formulary. In: Harcourt-Brown F, Chitty J, eds. BSAVA Manual of Rabbit Surgery, Dentistry and Imaging; BSAVA Press, Gloucestershire, UK; 2013:430-431.; Plumb's Veterinary Drug Handbook, 10th ed (2023) — Plumb's 10th ed printed p.163, Butorphanol monograph spanning p.157-163. — Carpenter's Exotic Animal Formulary 6th ed, Table 10.4 (Chemical Restraint/Sedative/Anesthetic/Analgesic Agents Used in Rabbits.a,b).Compilation only — we have not located an independent source that prints this figure.

Butorphanol Injectable(Torbugesic, Torbutrol Injectable)

Neurological
RouteDoseFrequencyDurationIndicationEvidenceSource
SC0.1–1 mg/kgq4-6hAs neededAnalgesiaStrongMorissey JM, Carpenter JW. Appendix: Formulary. In: Quesenberry KE, OrcuttC, Mans C, et al. Ferrets, Rabbits and Rodents: Clinical Medicine and Surgery, 4th ed., Elsevier, St. Louis, MO; 2021:620-630. — Carpenter's Exotic Animal Formulary 6th ed, Table 10.18 (Treatments Used in the Management of Rabbit Gastrointestinal Syndrome (RGIS).a).Compilation only — we have not located an independent source that prints this figure.

Flunixin Meglumine(Banamine)

Analgesic
RouteDoseFrequencyIndicationEvidenceSource
SC, IM, IV1.1 mg/kgq12-24hAnalgesia; nonsteroidal antiinflammatoryModeratePlumb's Veterinary Drug Handbook, 10th ed (2023) — Source: Carpenter's Exotic Animal Formulary, 6th Ed, p.859 — Carpenter's Exotic Animal Formulary 6th ed, Table 10.4 (Chemical Restraint/Sedative/Anesthetic/Analgesic Agents Used in Rabbits.a,b). — Plumb's 10th ed printed p.541, Flunixin monograph spanning p.541-543.Compilation only — we have not located an independent source that prints this figure.

Gabapentin(Neurontin)

Analgesic
RouteDoseFrequencyDurationIndicationEvidenceSource
PO3–5 mg/kgq12-24h2-3 hours before visitNeuropathic pain analgesicAnecdotalCarpenter's Exotic Animal Formulary, 6th Ed, p.859, Gabapentin row, ref 166 = Morrissey JM, Carpenter JW, Appendix: Formulary. Corroborated in-species by frr 4th Ed Appendix Table A.4, Rabbits column: 'Gabapentin 3-5 mg/kg PO q12-24h'; and BSAVA Part B printed p.146: 'Rabbits: 2-5 mg/kg p.o. q8h'. — Carpenter's Exotic Animal Formulary 6th ed, Table 10.4 (Chemical Restraint/Sedative/Anesthetic/Analgesic Agents Used in Rabbits.a,b).Compilation only — we have not located an independent source that prints this figure.

Hydromorphone(Dilaudid)

Analgesic
RouteDoseFrequencyIndicationEvidenceSource
SC, IM, IV0.1–0.2 mg/kgq6-8hOpioid analgesiaModerateJohnston MS. Clinical approaches to analgesia in ferrets and rabbits. J Exot Pet Med. 2005;14:229-235. — Source: Carpenter's Exotic Animal Formulary, 6th Ed, p.859 doi:10.1053/j.saep.2005.09.003 — Carpenter's Exotic Animal Formulary 6th ed, Table 10.4 (Chemical Restraint/Sedative/Anesthetic/Analgesic Agents Used in Rabbits.a,b).

Ibuprofen

Analgesic
RouteDoseFrequencyIndicationEvidenceSource
PO2–7.5 mg/kgq4hAnalgesia; nonsteroidal anti-inflammatoryWeakMorissey JM, Carpenter JW. Appendix: Formulary. In: Quesenberry KE, OrcuttCJ, Mans C, et al. Ferrets, Rabbits and Rodents: Clinical Medicine and Surgery, 4th ed., Elsevier, St. Louis, MO; 2021:620-630. — Source: Carpenter's Exotic Animal Formulary, 6th Ed, p.859Compilation only — we have not located an independent source that prints this figure.

Meloxicam(Metacam)

Analgesic
RouteDoseFrequencyDurationIndicationEvidenceSource
PO0.3–1 mg/kgq24hAs neededDental pain and GI stasis secondary to painModerateCarpenter's Exotic Animal Formulary, 6th ed, Table 10.4 (Chemical Restraint/Sedative/Anesthetic/Analgesic Agents Used in Rabbits) and Table 10.18 (Treatments Used in the Management of Rabbit Gastrointestinal Syndrome) - 1 mg/kg PO q24h, supporting the 1.0 endpoint. BSAVA Small Animal Formulary 10th ed, Part B - Exotic Pets, printed p.195: 'Rabbits: 0.3-0.6 mg/kg s.c., p.o. q12-24h', supporting the 0.3 endpoint. Corroborated: Carpenter et al. J Zoo Wildl Med 2009,40:601-606 doi:10.1638/2007-0115.1 (abstract), Delk et al. Am J Vet Res 2014,75:195-199 doi:10.2460/ajvr.75.2.195 (abstract).
PO0.3–0.6 mg/kgq24h3-7 daysPain, post-operative analgesia, dental painWeakBSAVA Small Animal Formulary, 10th edition, Part B: Exotic Pets; Meloxicam monograph, DOSES, printed p.195.Compilation only — we have not located an independent source that prints this figure.
SC0.3–0.6 mg/kgq24h1-3 days then switch to oralPost-operative analgesiaWeakBSAVA Small Animal Formulary, 10th Ed, Part B: Exotic Pets (ed. Joanna Hedley), Meloxicam, DOSES, printed p.195: 'Rabbits: 0.3-0.6 mg/kg s.c., p.o. q12-24h'.Compilation only — we have not located an independent source that prints this figure.

Morphine

Analgesic
RouteDoseFrequencyIndicationEvidenceSource
SC, IM0.5–2 mg/kgq2-4hAnalgesiaWeakCarpenter JW, Hawkins MG. Personal communication; 2020. | Morissey JM, Carpenter JW. Appendix: Formulary. In: Quesenberry KE, OrcuttCJ, Mans C, et al. Ferrets, Rabbits and Rodents: Clinical Medicine and Surgery, 4th ed., Elsevier, St. Louis, MO; 2021:620-630. — Source: Carpenter's Exotic Animal Formulary, 6th Ed, p.863Compilation only — we have not located an independent source that prints this figure.

Oxymorphone

Analgesic
RouteDoseFrequencyIndicationEvidenceSource
SC, IM0.05–0.2 mg/kgq6-12hAnalgesiaModerateHeard DJ. Anesthesia, analgesia, and sedation of small mammals. In: Quesenberry KE, Carpenter JW, eds. Ferrets, Rabbits, and Rodents: Clinical Medicine and Surgery, 2nd ed., WB Saunders, St. Louis, MO; 2004:356-369. | Morissey JM, Carpenter JW. Appendix: Formulary. In: Quesenberry KE, OrcuttCJ, Mans C, et al. Ferrets, Rabbits and Rodents: Clinical Medicine and Surgery, 4th ed., Elsevier, St. Louis, MO; 2021:620-630. — Source: Carpenter's Exotic Animal Formulary, 6th Ed, p.863 doi:10.1016/b0-72-169377-6/50035-6 — Carpenter's Exotic Animal Formulary 6th ed, Table 10.4 (Chemical Restraint/Sedative/Anesthetic/Analgesic Agents Used in Rabbits.a,b).

Piroxicam(Feldene)

Analgesic
RouteDoseFrequencyIndicationEvidenceSource
PO0.1–0.2 mg/kgq8h x 21 daysAnalgesia; nonsteroidal anti-inflammatoryWeakPlumb's Veterinary Drug Handbook, 10th ed (2023) — Source: Carpenter's Exotic Animal Formulary, 6th Ed, p.863 — Plumb's 10th ed printed p.1033, Piroxicam monograph spanning p.1033-1034. — Carpenter's Exotic Animal Formulary 6th ed, Table 10.4 (Chemical Restraint/Sedative/Anesthetic/Analgesic Agents Used in Rabbits.a,b).Compilation only — we have not located an independent source that prints this figure.

Sourced from published veterinary references; awaiting credentialed clinical reviewer. See our editorial process. Reference only — not veterinary advice. Verify against current literature before clinical use.

Pain Management in Rabbits: 12 Cited Drug Options | ExoticRx