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Dr. Andy
Dr. Andy, Medical Director
Category: Dog
Satisfied Customers: 29992
Experience:  UC Davis Graduate, Interests: Dermatology, Internal Medicine, Pain Management
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Maltese 10yo. 5#. Gum disease, crying :( Something ? What abx?

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Maltese 10yo. 5#. Gum disease, crying :(
Something for pain? What abx?
Submitted: 1 year ago.
Category: Dog
Expert:  Dr. Andy replied 1 year ago.
Hello, I am sorry to hear about this concern. Typically, I don't see pets, even at this age, that are having bad pain as a result of periodontal issues. So, if he has not been evaluated by a vet yet, there may be a more serious concern that needs to be immediately addressed. Keeping that in mind, there is nothing over the counter that is that good for pain relief. I will mention aspirin below, but it is not very strong and must be used with caution. The only over-the-counter non-steroidal anti-inflammatory I recommend in dogs (NOT CATS) is aspirin. Due to potential toxicity issues if not dosed correctly, many veterinarians do not consider Tylenol, Ibuprofen (Advil), and Aleve safe. You can give 10mg per pound of body weight up to every 12 hours. Just remember, there are different pill sizes for aspirin, so look to see if it is regular strength or maximum strength. Aspirin can be upsetting to the stomach, so discontinue if any digestive upset and definitely consult a vet if not helpful. If available, buffered aspirin, with the enteric coating, can help as well. Sometimes giving some Pepcid A.C. antacid 1 hour beforehand can be helpful.Pepcid A.C. (famotidine) comes in 10mg, 20mg, or 40mg tablets. You can give it every 12 hours. You can give 0.5mg per pound of body weight. So, a 20 pound dog would get 10mg. ***Do not give aspirin or any other non-steroidal anti-inflammatory medication if your pet is already on prednisone or any other anti-inflammatory medication***Severe stomach and intestinal ulcers can result from giving a pet aspirin, tylenol or ibuprofen when they are also on medications like Rimadyl, Deramaxx, Prednisone, Metecam, Zubrin, and Previcox***So, at 10mg per pound, that's 50mg for him. So, I would underdose him and only give 1/2 of a baby aspirin. What antibiotic?That completely depends on the vet and what they visualize. Some will reach for a broad spectrum medication like Clavamox. Others may choose a good antibiotic for oral infections like Clindamycin. It will be up to your vet. Hope that info helps!Good Luck!Dr. Andy