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Hi, I can help you with your question today. I just signed on, I'm sorry no one has been able to help you yet.
I definitely have some ideas about pain control for your boy, but first I have a couple things to clarify with you.
You mentioned that he was diagnosed with Cushing's disease (hyperadrenocorticism), and that he has stopped drinking so much. Is he being treated for the Cushings? With trilostane (Vetoryl) or mitotane (Lysodren)?
OK, the Vetoryl is to treat the Cushings. Unfortunately, there is no source for this that is really inexpensive. You can look for better prices online and ask your vet to give you a prescription, but these are not available through human pharmacies.
With regard to pain medication, we can get something cheaper than the Rimadyl. In fact, I worry about using an NSAID like Rimadyl in a dog that has Cushings. NSAIDs and steroids together increase the risk for serious GI side effects in dogs, and Cushings diseases causes him to make more of his natural steroid (cortisol).
I like to use either tramadol or gabapentin (or a combination of both) in painful dogs that should not have NSAIDs.
Your vet may have tramadol and gabapentin in stock, or they can write you a prescription to fill at a human pharmacy.
Do not use OTC pain medications for him. Naproxen is toxic, and aspirin is an NSAID. Aspirin is actually one of the riskier medications to use for pain in dogs in terms of those GI side effects. We can see problems ranging from inappetance and vomiting to ulcers or even perforation.
I would stick to the gabapentin and tramadol.
For a 46.4kg patient, I would start with 100mg tramadol every 12 hours, or 500mg gabapentin every 12 hours.
I would just start with one and if not controlling his pain I would do both. These should be safe together.
No, the pain medications will do nothing to treat his Cushings. Unfortunately, we don't have a good alternative to the Vetoryl for this purpose. I can alert customer service when we are done to make sure you have a copy sent to you. Did you enter your email at the beginning so we have the proper contact information?
You're very welcome. I'll flag your question for customer support now.