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Welcome to Justanswer! I am Dr. Altman and happy to assist you both today!With her size and age it would be best to induce vomiting if your dog ingested this within the last hour. You can induce vomiting with 3% hydrogen peroxide 1 tsp per ten pounds then walk around to mix it in the stomach and agitate the lining. If no vomiting within 10-15 minutes it can be repeated once only in hopes of inducing vomiting.If you are able to give me her weight then I can calculate the level of concern but first priority is to induce vomiting...
Perfect, please give me a moment to calculate the dose
So 9.2 pounds (4.2 kg) and ingested possibly 600 mg of gabapentin that dose/ concentration is 143 mg/kgWith this dose if the pills/ capsules are not regurgitated with the peroxide a veterinary er is warranted to give stronger medications to induce vomiting and activated charcoal to coat the intestinal tract and reduce absorption. The typical dose for dogs is 4-10 mg/kg...At this dose you may see vomiting, lethargy to the point of non responsiveness, ataxia (walking drunk), low blood pressureHopefully she will bring any medications up with the peroxide and we don't have to worry about this being the case but it is best to know what to monitor for and the next step if she doesn't vomit
According to the veterinary formula:
In humans, doses of up to 49 grams have been reported without fatality. Most likely effects include ataxia, lethargy/somnolence, diarrhea, etc.
There were 568 single agent exposures to gabapentin reported to the ASPCA Animal Poison Control Center (APCC) during 2009-2013. Of the 462 dogs, 90 were symptomatic with 24% ataxic, 22% lethargic, and 16% vomiting. Of the 103 exposed cats, 47 were symptomatic. The most common signs were lethargy/sedation (55%) and ataxia (49%).
Treatment is basically supportive with general decontamination procedures including emesis, activated charcoal, and cathartics.
Luckily this medication has a wide margin of safety but there are concerns of side effects with the dose ingested. I hope this information makes sense but please let me know how else I can assist you both today
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I am checking in to see if you were able to induce vomiting? I would love an update when you are able
Please let me know if I can be of any further assistance to you both today!
Well the sedative effects will not be immediate and may take 4-6 hours for full effect. The hope was to block the medication if necessary with the activated charcoal at the er but if you are unable to consider this please monitor for the symptoms I listed above and if she becomes overly ataxic (wobbly on her feed) or less responsive please consider the veterinary er at that time and immediatelyPlease let me know how else I can assist you both today, so sorry you are in this predicament but hopefully she didn't ingest the capsule and this is all for naught?
Good evening, how is your Penny doing? I would love an update...
Oh that's great news! It sounds like perhaps she didn't ingest any?
I am online another 30 minutes tonight if there is anything else I can do for you both. I am so happy and relieved for you both that she didn't have any clinical signs of ingesting the gabapentin!If you found my information helpful I would be grateful if you would rate our conversation so I maybe compensated for my time. Thank you and best of luck to you both!
Thank you so much for the update, very happy for you both that she recovered well :)If my information was helpful to you I would very much appreciate your rating our chat on the top of the screen so I can be compensated for my time. Thanks again!!!
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