FOR VETERINARY PROFESSIONAL USE ONLY — this is an injectable prescription medicine to be calculated, drawn up, and administered by a licensed veterinarian or under their direct supervision. It is not a pet owner product and must never be given at home. Dose is calculated from the alpha-2 agonist dose previously administered, not from body weight alone, and the route of administration matters: follow the manufacturer's data sheet and your own clinical protocol. Reversal restores alertness rapidly, so the patient must be in a safe, padded, supervised recovery area, and analgesia must be reconsidered, because reversing an alpha-2 agonist also reverses its analgesic effect and an animal that was comfortable under sedation may wake in pain. Monitor for transient hypotension, tachycardia, excitement, vocalisation, or re-sedation as the reversal agent is cleared, since the reversal agent may be eliminated before the sedative it is reversing. Keep out of reach of children. Store as directed on the product label, away from direct sunlight.
Drools ReWoke Sedation Reversal Injection for Dogs & Cats
Drools ReWoke Injection is a fast-acting veterinary reversal agent used to reverse medetomidine and dexmedetomidine sedation in animals. Alpha-2 agonist sedatives are the backbone of routine veterinary sedation because they are reliable and, crucially, reversible, and ReWoke is the other half of that equation. Rather than waiting out the sedative's natural duration, the clinician can end sedation on demand once the procedure is finished, which shortens the recovery period, frees up kennel and staff time, and reduces the window in which cardiovascular side effects can develop. For elderly, compromised, or high-risk patients, that control matters.
Mechanism of Action
- Medetomidine and dexmedetomidine sedate by stimulating alpha-2 adrenergic receptors, suppressing noradrenaline release and producing sedation, muscle relaxation, and analgesia, along with their characteristic cardiovascular effects of bradycardia, vasoconstriction, and reduced cardiac output.
- ReWoke acts as a competitive alpha-2 adrenergic antagonist. It binds the same receptors with high affinity and displaces the agonist, releasing the receptor blockade and allowing normal noradrenergic transmission to resume.
- As receptor occupancy by the sedative falls, sedation, muscle relaxation, and the associated cardiovascular depression lift together, and the animal returns to consciousness, sternal posture, and mobility within minutes.
- Because the action is competitive, the dose required depends on how much agonist was given and how long ago — confirm the active ingredient, concentration, and dose calculation from the product label.
Therapeutic Class
- Veterinary injectable alpha-2 adrenergic receptor antagonist — sedation reversal agent for dogs, cats, and other veterinary patients
Key Benefits
- Fast-acting reversal of medetomidine and dexmedetomidine sedation
- Allows sedation to be ended on demand once the procedure is complete
- Shortens recovery time and reduces monitoring burden
- Reduces the duration of sedation-related cardiovascular effects including bradycardia and hypotension
- Supports safer recovery in geriatric, paediatric, and high-risk patients
- Valuable safety margin in the event of accidental overdose or an unexpectedly deep plane of sedation
- Suitable for dogs, cats, and other veterinary patients
Indications
- Routine reversal of medetomidine or dexmedetomidine sedation following surgical, diagnostic, imaging, dental, or grooming procedures
- Shortening recovery in day-patient and high-turnover clinical settings
- Management of excessive sedation depth or accidental alpha-2 agonist overdose
- Reversal in patients where prolonged sedation carries added cardiovascular or thermoregulatory risk
Administration
- To be administered by a veterinary professional only
- Dose calculated from the alpha-2 agonist dose and time elapsed, per the product label and clinical protocol
- Follow the route of administration specified on the label
- Recover the patient in a quiet, padded, warm area with continuous observation
- Reassess analgesia, as reversal removes the analgesic contribution of the alpha-2 agonist
- Continue monitoring for re-sedation until the patient is fully and stably recovered