ok then…

Posted: August 11, 2008 at 10:23 pm

first tho..i am not a vet nor a vet tech…and i only know what i have actually used here with our vets guidance (with some human medicine knowledge thrown into the mix). so i will give some basics to think about and talk to your vets about should the need ever arise.

good pain control is the biggest gift you can give to your pet. as soon as you say “i don’t think he is in pain….” (because he hasn’t stood up and said what? “HEY I HURT!”)….you have just shut the door on any possible comfort. animals display discomfort in the same and in different ways then we do and just because you don’t see or recognize it does not mean it is not there…..think about it..if you have arthritis, or dislocating hips (dysplagia) or luxating patellas or a bad back, if you just sprained an ankle, or twisted your neck…you have pain from these things, and so do they. if you have cancer,  you will want something to make the pain go away, if you have a chronic bladder infection or are passing a kidney stone, excuse me, but that is uncomfortable too. pancreatitis freaking hurts, and so do heart attacks. i would like to see any human have a hysterectomy or a castration or a bunch of teeth pulled out in surgery and not be looking for some really good post op pain meds.

ok…done

simple easy pain control for MINOR pain…dosing by body weight and on the advice of a vet

plain asprin, glucosamine/msm, metacam or melixacam, the first nations “Lakota” product actually works really well and cartrophen injections are great for reducing the need for higher doses of drugs. rimadyl is too risky for the liver in my opinion, the other NSAIDS work safer and better.
all of these are anti-inflammatories and need regular and responsible dosing, not just when you think of it but as the vet orders and directs….and keep in mind that natural occuring anti-inflamatories like glucosamine or shark cartiledge or devils claw can cause gastric bleeding if given incorrectly…. just like ASA can.
AND you can safely use things like glucosamine for chronic mouth inflammation, irritable bowel disease, chronic cystitis or bladder infections, or bladder cancers…it is a natural anti inflammatory so it reduces inflamation which causes pain. cartrophen works great in conjunction with the NSAIDS for bone, joint, tendon or connective tissue pain and with it you can reduce the use of metacam and decrease the risk of developing ulcers. AND cartrophen can help chronic inflamatory bladder cystitis plus it actually saved the life of a human infected with mad cow disease because mad cow disease patients die from a massive inflamatory response in the brain. all of our arthritis animals get a starting set of cartrophen injections, it makes it easier to deal with their painful issues with lower doses of drugs..

for moderate to severe pain…keep up with the use of the NSAID of choice (unless you put them on prednisone or depo injections then take them off until they are finished with those drugs)
muscle relaxants to ease muscle tightness which naturally occurs with ALL pain, muscles contract and tighten to protect the painful area. codeine, liquid or tablet, tramadol, fentanyl patches, morphine can all be used in conjunction with some anti-inflamatories, muscle relaxants and anti-neuropathic pain agents to help control out of control pain.
if it is neuropathic pain (pain from the nerves…intermittent, DEEP, burning, sharp, sudden, startling) use something like elavil (which will also settle out natural anxiety caused from unexpected/unprepared for pain that seems to come out and zap them from nowhere (this really freaks out animals and makes them feel really unsafe)), gabapentin works well also to block the nerve pain but getting the dose right is harder and it is more expensive and more sedating.

anti-nauseas like gravol can be used to block nausea caused from the actual disease or the side effects of the narcotic meds and it can actually potentiate (make stronger) the effect of a pain med. so maybe a tramadol and half a gravol will work better for pain then just the straight tramadol.
rantidine, empties the stomach faster, cimetidine and sulcrate coats the stomach, and losec changes the PH and helps to prevent ulcers from continued, long term anti-inflamatory use.

lactulose is great for the constipation side effects of some of the narcotics and will get the bowels moving again. and what alot of vets don’t know is that we also use it in treating humans with liver disease. the free floating toxins from the damaged liver that float around and make patients feel really nauseated and sometimes even makes them mentally unwell is bound up by the lactulose and removed from the body thru the large bowel. the results can be quite amazing.
and then there are the lasix, atropines, drugs to help move fluid out of the body..they can help improve breathing, stamina, appetite as the overload and pressure of fluid is removed. and another thing that vets might not know is you don’t have to give the atropine by injection to get the results,  so families of an end stage cardiac or lung cancer animal can help them find relief at the end by the instillation of a simple atropine eye drop…it is fast, it is easy, it is non invasive and it works just as good as injecting it under the skin.

lots of drugs have many different uses, no drug just effects the body in one way. if you have a good vet, they will work with you to find the right combination to achieve comfort and maintain quality of life for as long as you can.

ok, i am tired, done for tonight.

rusty is still with us, raymond still has diarrhea, spritely’s swelling is down but the front of her leg is now open and breaking down into the deep tissues. we have hosed it a few times and cleaned it with iodine and i will be calling the vets the first thing in the morning cuz i think this is a really bad sign.

it was a busy evening, dawn came to see nola again, mj came to help me with more tax receipts, L&L helped put the barn guys to bed and i am ready to follow.

11 Comments on "ok then…"

  • Lindsay says

    Thank you! Thank you! πŸ™‚

  • Deb says

    Wow! Ask and ye shall receive! Thanks so much for the information, Carol. What a treasure trove!

  • mo says

    I wanted to make a separtae post of my own… oops I forget how … Anyhow , Ripley is home & will be O.K., it was a greeting fest when he came in the door everyone was thrilled to have him back in the house & as soon as he had checked out his favorite spots he settled into one of them & his purr was like the sound of a motor running & I could hear it from the other room. Gosh you just don’t realize the hold these guys have on your heart.

  • Carol says

    the other thing i didn’t talk about is the use of antibiotics with end of life animals…they can hide infections, esp. bladder and lung. if a palliative animal suddenly starts a downward spiral, what the hell…put them on a broad spectrum abx dose for a couple of weeks. it won’t hurt them and it might very well help.

    also vetamino should be given to all sick animals…it is loaded with the B vitamins that really help them in so many ways just to be as healthy as they can be.

    and finally, be careful of over medicating the ill…constantly shoving a med down the throat of a sick cat can freak them out and send them into hiding as soon as you start looking for them. choose your symptoms wisely, choose your meds for maximum effect and minimal dosing (i pretty much always use baytril on the sick guys cuz it is only once a day) and teach them early before they get sick to love future med time somehow.

    at med time we walk around with a can of dog food…everyone gets a spoonful even the not ill. every single dog here (except jesse who refuses to be a dog) thinks spoons and cans of food are wonderful even if loaded with pills.
    get your cats used to stuff in their food once in awhile…add a small crushed program dose (pill not liquid), add some vetamino, add a bit of rescue remedy, echinaechea, glucosamine, whatever… so it is just not a big deal. and if your cat will not take the med in their food…find an equal med in liquid, a quick shot with a syringe in the mouth followed by some tuna or roast chicken or cat nip is so fast and then pleasant they forget really soon.

  • Carol says

    yay ripley, yay mo!

  • Donna says

    Plain aspirin (ASA) can cause seizures in some dogs. All the vet advice I’ve ever received has been for buffered aspirin/low dosage.

  • sheila says

    Maureen: I am so glad everything is fine with Ripley!!!

  • Carol says

    i will ask our vets about that donna, i have never heard that before tylenol is toxic but i didn’t know ASA was…they order the ASA 81 mg to prevent strokes and the plain 325 mg (half or whole depending on wt.) for occasional pain control. the only thing they ever told was never to use coated ASA as they are more likely to bleed in the small intestine as there is less surface area for absorption.

    anyway again…these are just suggestions to talk with your vets about…. no one should give any medicine to their animal without direction from a qualified vet.

  • Emma says

    I use Pill Pockets with Nudge for her pills but some cats won’t eat them (like Jenny!) as they just seem to know that there is a pill hidden inside them.

  • Meghann says

    I was told that you can’t give an NSAID like Metacam along with Lakota because they’ll interact in some negative way (I can’t remember the reason). Do you know if this is true, Carol?

  • Carol says

    if you are using any anti-inflamatory like metacam/ or even steroids like prednisone…you cannot use another anti-inflamatory, even natural ones like glucosamine, sharks cartiledge, CT support or lakota…you are double dosing the anti-inflamatory properties and increasing the risk of GI bleeds. plus all anti-inflamatories are also blood thinners to some degree so bleeding times increase making GI bleeds worse.
    the rule of thumb is ONE anti-inflamatory only of ANY kind, and then you can mix with some of the other types of pain medications like tramadol or muscle relaxants or neuropathic pain agents (that are not NSAIDS) depending on what is needed…and this is why you have got to consult with a vet.

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