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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 24410
Experience:  University of California at Davis graduate veterinarian with 44 years of experience
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My dog has seizures and is currently taking Levetiracetam

Customer Question

My dog has seizures and is currently taking Levetiracetam 250 mg daily along with Zonisamide 25 mg daily. The Levetiracetam has almost quadrupled in price since February and I am wondering if there are different medications that she can be taking. It is assumed that she has epilepsy after the vet ruled out any testable possibility.
Pet meds has Gabapentin, K-BroVet Potassium Bromide and Primidone available at reasonable prices.
Thank you,
Joanne
Submitted: 5 months ago.
Category: Dog Veterinary
Expert:  Dr. Michael Salkin replied 5 months ago.

Joanne, phenobarbital is the very least expensive anticonvulsive and remains the most commonly prescribed. Your vet can give you a script or call it in to a Costco pharmacy for considerable savings. Gabapentin may be helpful as supplemental therapy but rarely suffices as a sole drug therapy for dogs such as yours. The bromides take too long to take effect but remain an option. Primidone is simply a phenobarbital precursor rarely used for treating seizures in dogs; most recommend using phenobarbital instead because most of the anticonvulsant activity comes from the phenobarbital metabolite of primidone. Please respond with further questions or concerns if you wish.

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