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I am sorry to hear you are worried about Suzi. My name is Rebecca. I am a veterinarian and will do my best to help.
How much does she weigh? 1/4 of a tramadol would help if she is 10 to 15 pounds. If she is bigger, she could take a larger dose. That might help her sleep through the night without having one of these episodes. At her age, she may very well have arthritis, which wakes her at night (my arthritis does this to me).
Tramadol is good for pain, but does not reduce the inflammation of arthritis. Is she taking any other supplements, or medications, apart from the tramadol?
I hope you were able to see what I sent. Can I help with or answer anything else?