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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 25258
Experience:  University of California at Davis graduate veterinarian with 44 years of experience
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MY 12 YEAR OLD MINI POODLE HAS ARTHRITIS. WHAT CAN I DO FOR

Customer Question

MY 12 YEAR OLD MINI POODLE HAS ARTHRITIS. WHAT CAN I DO FOR HER PAIN?
Submitted: 3 months ago.
Category: Dog Veterinary
Expert:  Dr. Michael Salkin replied 3 months ago.

You're speaking to Dr. Michael Salkin. Welcome to JustAnswer. I'm currently typing up my reply.

Expert:  Dr. Michael Salkin replied 3 months ago.

We use a multimodal approach to osteoarthritis in our dogs - dietary management, nonsteroidal antiinflammatory pain relief, neutraceuticals, life-style changes and stem cell therapy. When used concomitantly these approaches should synergize and provide the best control of symptoms. For example, Bella might show considerable improvement if you add fish oil to her diet. The omega-3 fatty acids in fish oil are anti-inflammatory. I use the cost-effective generic human fish oils and dose them at 20 mg/lb daily of the EPA in the fish oil. You'll find the amount of EPA on the label of your fish oil product. If not, you should be able to find that information on the manufacturer’s website.

Avoid flax oil because it is poorly bioavailable to dogs. They can't metabolize it properly.

If you prefer, there are diets that are extremely high in omega-3 fatty acids. Hill's Prescription Diet j/d is one such diet.

Many vets feel that injections of Adequan (polysulfated glycosaminoglycan) work better than oral neutraceuticals such as glucosamine/chondroiton sulfate or the over the counter Cosequin or prescription Dasequin (please see here: http://www.amazon.com/Nutramax-Cosequin-PLUS-Chewable-Tablets/dp/B003ULL1NQ/ref=sr_1_1?s=pet-supplies&ie=UTF8&qid=1432474254&sr=1-1&keywords=cosequin). Adequan is injected into Bella weekly for a number of weeks at her vet's discretion. You can read more about Adequan here: http://www.adequancanine.us/

Regenerative stem cell therapy has come into its own and is now available for addressing osteoarthritis in dogs . Please see Vet-Stem's website here for more information:***@******.*** The regenerative stem cells are created from Bella'sfat cells and are capable of differentiating into a variety of tissue types including tendon, ligament, bone, cartilage, and muscle and have been proven to reduce pain and inflammation. I understand, however, that such an invasive procedure may not be appropriate at herage.

We have to suspect that just as in people, geriatric osteoarthritis in dogs is painful. If a prescription nonsteroidal antiinflammatory drug (NSAID) such as carprofen or meloxicam isn't sufficient for controlling pain, please consider adding a well-tolerated narcotic such as tramadol to these therapies mentioned above. All of these drugs are available from Bella's vet. Aspirin dosed at 10 mg/lb with food every 12 hours can be helpful in a pinch. Acetaminophen is OK at 7 mg/lb thrice daily but isn’t antiinflammatory as is aspirin.

Weight reduction is essential. The less weight Bella's joints need to carry, the better.

Please respond with further questions or concerns if you wish.

Customer: replied 3 months ago.
HOW MUCH TRAMADOL CAN I GIVE BELLA AND HOW OFTEN?
Expert:  Dr. Michael Salkin replied 3 months ago.

The new guidlelines for tramadol are 2-5 mg/lb up to every 8 hours. Always start at the lowest dose and increase if necessary. Please continue our conversation if you wish.

Expert:  Dr. Michael Salkin replied 3 months ago.
Hi,

I'm just following up on our conversation about Bella. How is everything going?

Dr. Michael Salkin