PaulaM
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Member since 2007: surgery, conservative . Montana, USA
Posts: 19,884
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Post by PaulaM on Mar 16, 2013 9:46:09 GMT -7
Your dog is still in pain? When pain meds are right, pain would be in control in an hour and thereafter dose to dose. Phone your vet and let them know what you observe for pain (shivering, trembling, yelping, tight tense tummy, doesn't want to move much, holds nose to the ground or head held high) Pain control is not a one-size-fits all deal. It takes communication/feedback to the vet so they know what further adjustments to make to get pain control just right for your dog. Background reading to best advocate for your dog's needs: www.dodgerslist.com/literature/healingpain.htm Pepcid AC (famotidine) should be on board whenever any anti-inflammatory is on board Steroids: Dexamethasone, prednisone, prednisolone, Methylprednisolone, etc. NSAIDs: Aspirin, Etogesic (etodolac), Rimadyl (carprofen), Metacam (meloxicam), Deramaxx (deracoxib), Previcox (firocoxib), Zubrin (tepoxalin), Novox (carprofen), Ketoprofen, Trocoxcil® (mavacoxib), Galliprant, etc.
note: Vets who practice safe medicine will look for a 4-7 day washout before a switch from steroid <--> NSAID
Both of the above classes of anti-inflammatories (steroids and NSAIDS) are associated with increased stomach acids which can cause: not eating, vomiting, and loose stools, bleeding ulcers to life threatening stomach perforation. Phrase the question to your vet this particular way:" Is there a medical/health reason for my dog not take Pepcid?" If there is no reason, we follow vets who are proactive in stomach protection by giving doxies 5mg Pepcid (famotidine) 30 minutes before the anti-inflammatory.
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