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Post by peguita1 on Jun 5, 2014 11:22:54 GMT -7
My Doxie mix is in severe cervical pain. He is currently prescribed
Tramadol 50mg. every 4 hrs.
Prednisone 5mg tablet 2 times daily
Methocarbamol 1/4 tablet of 500mg. 4times a day
Gabapentin 100mg.capsule 4 times daily
He is 18lbs.
He has been confined (except for potty breaks) for over a week.
He is very Wobbly. His back is hunched up and cannot be moved at all without extreme yelping.
Any suggestions? Are these meds at top dosages for 18lbs?
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PaulaM
Moderator. 
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,571
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Post by PaulaM on Jun 5, 2014 13:11:39 GMT -7
Welcome to Dodgerslist. My name is Paula what is yours? What's your doxie's name? My heart goes out to you...my dog had a cervical that was very painful too. It appears that your vet is being aggressive in use of pain meds. Neck discs ARE just painful. One of the considerations is if an aggressive use of pain meds will not control the pain, then surgery may be necessary. Would surgery be a consideration for your family? I do know that Tramadol can be given above the published dose. Does your vet know the pain is not undercontrol? Discuss trhe use of a Fentanyl patch. "The onset of effect in dogs and cats is 18 to 24-hours and 6 to 12-hours, respectively. 18 If the patch can not be placed in a time period to achieve adequate immediate postoperative blood levels, the analgesic protocol must include agents to adequately fill that void before onset of effect." www.vasg.org/pdfs/foundations_pathophysiology_and_management_of_surgical_and_chronic_oral_pain_beckman.pdfYou will find more information of the kind you will want to read here: www.dodgerslist.com/literature/healingsurgery.htmAre you doing all the extras for a neck disc? www.dodgerslist.com/literature/cervical.htm |
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Marjorie
Moderator~ 
Member since 2011. Surgery & Conservative
Posts: 5,724 
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Post by Marjorie on Jun 5, 2014 16:58:14 GMT -7
Just wanted to chime in here, in addition to the excellent advice and information Paula has given you, to share with you that I found acupuncture treatments, if they're available to you and within your budget, to be very helpful in getting pain under control, if future changes in medication aren't effective enough and/or if surgery is not affordable.
Also, Pepcid AC should be given to protect your dog from the excess acid produced by the anti-inflammatory. Please get your vet's permission to give 5 mg of Pepcid AC (generic is famotidine) 30 minutes before the dose of the anti-inflammatory and thereafter every 12 hours). Phrase the question to your vet in this particular way: "Is there any medical reason my dog may not take Pepcid AC?" If your vet says your dog has no health issues such as liver, heart, etc to keep her from taking Pepcid AC, then do get it on board.
Healing prayers for your little dog.
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