My 13 year old Lab Dexter is currently on Tramadol, Previcox, green lipped mussel, chondroitin, glucosamine. We have also tried golden paste which sadly didn’t agree with him.
As time goes on the meds seem to be less effective and I’m concerned he has pain which could be better managed.
We have a vet review tomorrow, can anyone suggest any meds we should discuss? I’ve seen that a number of people seem to use Gabapentin alongside Tramadol, but just today have read an article today that Tramadol isn’t metabolised in all dogs so may not be effective.
Dex is a really special boy to me and at this stage in his life I really want to be sure any pain is controlled properly.
It does, thanks very much for replying Gwen. I will discuss with my vet tomorrow.
You are right about tramadol, more recently we have discovered through clinical studies that many dogs aren’t actually very good at metabolising tramadol into pain-relieving compounds in the body. But this information has not filtered out to every vet yet since there is no pharmaceutical company ‘pushing’ the information and most of us were not taught about this sort of use of human medicines when we trained as vets. The most sensible thing to do is ask to discuss a slow withdrawal of tramadol to see if he gets worse. Your vet might suggest a switch to an alternative NSAID to the one he has been on for some time or may suggest adding another drug.
I’m afraid I’m not going to mention specific drugs as I know nothing about your dog’s condition and also haven’t examined him so your vet must be in control here. Also, a vet takes a great deal of responsibility when prescribing medicines and will want to be fully informed about anything he/she prescribes so I generally feel it is not wise to go with a wish-list from a remote vet (me) giving advice on the internet. However, your vet can also easily get free advice about non-standard prescribing of medications from a pain clinic in one of the many referral centres, or by emailing email@example.com who will pass on the email.
I hope this helps.