Fish · Cyprinus carpio · typical adult weight 0.25–20.00 kg
Alfaxalone is dosed at 10 mg/L water (immersion bath) Immersion (bath) single immersion for induction in kois, per Minter LJ, Bailey KM, Harms CA, Lewbart GA, Posner LP. The efficacy of alfaxalone for immersion anesthesia in koi carp (Cyprinus carpio). Vet Anaesth Analg. 2014;41(4):398-405. doi:10.1111/vaa.12113 https://pubmed.ncbi.nlm.nih.gov/24754530/ — SOURCE EDITION: Invertebrate Medicine — ISBN 9781119569435, https://openlibrary.org/isbn/9781119569435. Alfaxalone is used in kois for General anaesthesia, induction of anaesthesia, maintenance of anaesthesia. Routes documented in kois: Immersion (bath), by immersion. A typical adult koi weighs 0.25–20.00 kg. ExoticRx lists 3 cited dose rules for Alfaxalone in kois, drawn from published veterinary references. Verify against current literature before clinical use.
US trade names: Alfaxan
| Route | Dose | Frequency | Duration | Indication | Evidence | Source |
|---|---|---|---|---|---|---|
| Immersion (bath) | 10 mg/L water (immersion bath) | single immersion for induction | Contact time = immerse to effect; median induction 5.4 min at 10 mg/L. Maintenance as published is a SEPARATE lower concentration of 1.0 or 2.5 mg/L delivered in a recirculating system. Median recovery 11.8 min after 1.0 mg/L maintenance and 26.4 min after 2.5 mg/L maintenance. |
| General anaesthesia |
| Moderate |
| Minter LJ, Bailey KM, Harms CA, Lewbart GA, Posner LP. The efficacy of alfaxalone for immersion anesthesia in koi carp (Cyprinus carpio). Vet Anaesth Analg. 2014;41(4):398-405. doi:10.1111/vaa.12113 https://pubmed.ncbi.nlm.nih.gov/24754530/ — SOURCE EDITION: Invertebrate Medicine — ISBN 9781119569435, https://openlibrary.org/isbn/9781119569435 |
| by immersion | 5–10 mg/l | not stated in the cited source | — | induction of anaesthesia | Moderate | Ramsey I, ed. BSAVA Small Animal Formulary, 10th ed. Part B: Exotic Pets. Gloucester: British Small Animal Veterinary Association; 2023. p.23. — LOCATOR CONVENTION 2026-08-07: the bare 'p.23' in this citation is the PDF index of the held scan, not the printed page. The PRINTED page is p.9; verified by finding the drug named there. If you are holding the book, turn to p.9. — SOURCE EDITION: BSAVA Small Animal Formulary, Part B — Exotic Pets — ISBN 9781910443712, https://openlibrary.org/isbn/9781910443712 |
| by immersion | 1–2.5 mg/l | not stated in the cited source | — | maintenance of anaesthesia | Moderate | Ramsey I, ed. BSAVA Small Animal Formulary, 10th ed. Part B: Exotic Pets. Gloucester: British Small Animal Veterinary Association; 2023. p.23. — LOCATOR CONVENTION 2026-08-07: the bare 'p.23' in this citation is the PDF index of the held scan, not the printed page. The PRINTED page is p.9; verified by finding the drug named there. If you are holding the book, turn to p.9. — SOURCE EDITION: BSAVA Small Animal Formulary, Part B — Exotic Pets — ISBN 9781910443712, https://openlibrary.org/isbn/9781910443712 |
Every held source for this drug and species, as printed. Where they differ, both are shown — the choice is yours, not ours.
The sources disagree for this combination. The ranges below do not overlap on a comparable route. This is not an error in one of them — published veterinary references differ, and reconciling them for a particular patient is a clinical judgement.
| Dose (mg/l) | Route | Source | As printed |
|---|---|---|---|
| 5–10 | IMMERSION | BSAVA Small Animal Formulary, 10th ed — Part B (Exotic Pets)p.23 | 5-10 mg/l by immersion for induction of anaesthesia; 1-2.5 mg/l by immersion for maintenance of ana |
| 1–2.5 | IMMERSION | BSAVA Small Animal Formulary, 10th ed — Part B (Exotic Pets)p.23 | 5-10 mg/l by immersion for induction of anaesthesia; 1-2.5 mg/l by immersion for maintenance of anaesthesia g. |
| 5 | IMMERSION | Carpenter's Exotic Animal Formulary, 6th edTable 2.3 | 5 mg/L bath induction |
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Neuroactive steroid that modulates GABA-A receptors, producing dose-dependent sedation to general anesthesia.
Apnea with rapid IV injection — titrate slowly. No analgesic properties. Short shelf life once broached (use within 6 hours unless preserved formulation). Good safety profile in exotic species.
Species-specific contraindications and adverse-reaction reports for kois may differ from canine / feline reference data — consult the primary citations listed with each rule.
Alfaxalone dose ranges in kois, with cited source references: Immersion (bath) 10 mg/L water (immersion bath) single immersion for induction; by immersion 5–10 mg/l not stated in the cited source; by immersion 1–2.5 mg/l not stated in the cited source. Reference ranges from cited sources — verify against current literature before clinical use.
Documented routes for Alfaxalone in kois: Immersion (bath), by immersion.
Cited course lengths for Alfaxalone in kois include: Contact time = immerse to effect; median induction 5.4 min at 10 mg/L. Maintenance as published is a SEPARATE lower concentration of 1.0 or 2.5 mg/L delivered in a recirculating system. Median recovery 11.8 min after 1.0 mg/L maintenance and 26.4 min after 2.5 mg/L maintenance.. Duration depends on the indication — match it to the specific dose rule in the table above.
Alfaxalone is indicated in kois for: General anaesthesia, induction of anaesthesia, maintenance of anaesthesia.
These are general warnings for Alfaxalone across species; consult the koi dosing table above for species-specific guidance. Apnea with rapid IV injection — titrate slowly. No analgesic properties. Short shelf life once broached (use within 6 hours unless preserved formulation). Good safety profile in exotic species.
Why a species-specific page? Alfaxalone pharmacokinetics differ across species: dose ranges, intervals, and route preferences are not interchangeable. Cross-extrapolation from canine doses is unsafe in kois — the rules above are the citations specific to this species, not generic recommendations.
Sourced from published veterinary references; awaiting credentialed clinical reviewer. See our editorial process. Reference only — not veterinary advice.
| 10 |
| IMMERSION |
| Carpenter's Exotic Animal Formulary, 6th edTable 2.3 |
| 10 mg/L bath induction; 1.0-2.5 mg/L maintenance |
| 1–2.5 | IMMERSION | Carpenter's Exotic Animal Formulary, 6th edTable 2.3 | 10 mg/L bath induction; 1.0-2.5 mg/L maintenance |
Figures are transcribed from the cited page or table of each held edition and are shown for reference only. They are not dose recommendations, they do not feed the calculator, and none has been reviewed by a veterinarian.