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Hello, and thanks for writing in.
About how much does your dog weigh?
Thanks for your reply. Sorry it took so long to get back to you. Yes, it's safe to give Tramadol in addition to the Cerenia, Famotidine and Prednisone. It can help if there is any pain, and you may also notice that it might make him a little tired (it does in some dogs). If he is painful, the Tramadol may help alleviate that pain, and may help to improve his appetite.
I hope this helps. Let me know if I can assist you further.
Glad to be here to help out!
The dosing range for Tramadol is usually 2-5mg/kg every 8 hours, so if your dog is about 60 pounds (about 30 kg), you can start near the lower end (1&1/2 pills, which is 75mg) by mouth every 8 hours, but you can go as high as 3 pills by mouth every 8 hours if you need to.
Let me know if I can help further.