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Hi there, I am Dr. Kane, and I will do my best to assist you with your pet today. Please give me a moment to type up a response to your concerns. In the meantime- please take a moment to relay any other pertinent information. Sound good?
First off, are any of the dogs taking other medications?
The most potential for toxicity would be with your smallest dog. If she ate all 4 tablets on her own, this would be about a 20 mg/kg ingestion. This is right at the cut-off for potentially severe gastrointestinal upset (vomiting, stomach lining ulceration). However, if there is no underlying kidney abnormality already- their kidneys should not be affected by this dose.
There are a few options here:
1. The safest thing would be to bring them into a 24 hr clinic to induce vomiting, and they will likely go home with gastroprotectant medication- this would help to decrease absorption of the medication and potential toxicity
2. Give them all a dose of antacid like pepcid to help protect stomach lining, along with a meal; monitor for signs of GI upset (vomiting, poor appetite)
If you opt to take them in to induce vomiting, time is of the essence. If it has been longer than an hour, the medication is likely to already be absorbed. I would call the ER and let them know you are on your way in.
OK, so too late to induce vomiting. I would give each dog a pepcid AC (famotidine) 20 mg, tonight, then every 12 hours for the next 3 days. Watch them for any abnormalities, in particular vomiting, poor appetite, lethargy, dark tarry stools.
If any of those symptoms occur, they will need to see their vet. I hope this has helped, please let me know if there is anything else I can assist with. Most likely, they will be fine. If all is well after a couple days- yes they should be out of the woods. I'm going to attach a link for a good article on this overdose. If you have any questions, please let me know. I am getting offline for the night but will be back tomorrow.
If you have more questions or if I can help in any other way, please do not hesitate to ask! If you would like to accept my answer, please press RATE OUR CONVERSATION at the top of your screen. Thank you!
Just wanted to check in and see how your dogs are doing?