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Dr. Karing
Dr. Karing, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 426
Experience:  General veterinarian with a special interest in internal medicine and emphasis on individualized care.
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I'm just doing some research about pacing and seizures. My

Customer Question

I'm just doing some research about pacing and seizures. My dog has epilepsy and we've increased his Keppra and he takes Phenobarbital and now we are having issues with pacing every morning at 5am for about an hour.
JA: I'm sorry to hear that. Seizures always look scary. Let's get you talking to the Veterinarian. What is the dog's name and age?
Customer: He's 3 and his name is ***** ***** weighs 120 pounds. We've been taking him to Auburn University vet school for treatment. I was just looking to see if there is anything else we can do to help him.
JA: Is there anything else the Veterinarian should be aware of about Oscar?
Customer: no
Submitted: 2 months ago.
Category: Dog Veterinary
Customer: replied 2 months ago.
Medication info - 200 mg of Phenobarbital once in the morning once at night
1500 mg of Keppra 3 times a day.
Expert:  Dr. Karing replied 2 months ago.

Hi there,

I'mCustomerand I would be happy to help with your question about Oscar. Pacing at 5 am may be a drug related side effect. This is much more likely than it being a pre-ictal sign suggesting that an increase in anticonvulsants is needed.

Phenobarbital does cause increased thirst, appetite and increased urination. Perhaps he is pacing because he is hungry or needs to go outside to urinate. I would first suggest reviewing Oscar's daytime and evening enrichment so you know he has adequate play/exercise, timing his feeding to insure that his needs are effectively being met (late night snack before you head to bed) and letting him out just before bed to go potty (i.e. assuming there is no doggy door).

If all those things are being addressed but he is still pacing, then you may discuss the possibility of adding melatonin or trazodone with his neurologist at Auburn in an effort to help Oscar sleep through the night. Approaching the issue as described here is preferred to chaning his anticonvulsant therapy if his seizures are well controlled.

I hope that the information I provided has been helpful. Please remember to select REPLY TO EXPERT if you have more questions or would like additional information. It is my goal to provide you with the most complete information possible prior to you leaving a feedback rating. If you received all the information you needed, then kindly submit a rating.

Sincerely,

Customer/p>


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Expert:  Dr. Karing replied 2 months ago.

Hi there,

I wanted to check and make sure you received my response to your question about Oscar. Please let me know if you have other questions regarding his pacing issue. If you received all the information you needed, then the kindness of an accept and positive feedback rating would be much appreciated.

Thank you,

Customer/p>

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