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Dr. B.
Dr. B., Veterinarian
Category: Dog Veterinary
Satisfied Customers: 21195
Experience:  Hello, I am a small animal veterinarian and am happy to discuss any concerns & questions you have on any species.
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I think my dog received a double dose of enalapril...he's a

Customer Question

I think my dog received a double dose of enalapril...he's a ten pound pom and the reg. Dose is 2.5 mil once a day...will this hurt him? First dose taken three hrs before the second...
Submitted: 1 year ago.
Category: Dog Veterinary
Expert:  Dr. B. replied 1 year ago.

Hello & welcome, I am Dr. B, a licensed veterinarian and I would like to help you with your wee one today.

How long ago did Bear have the second dose?

How is he just now?

Customer: replied 1 year ago.
Gave second dose about 10 min ago and hes acting normal...
Expert:  Dr. B. replied 1 year ago.

Thank you,

Now even though he had a double dose, this is only just over the dog dose for a dog his size. So, while we could see mild adverse signs like GI upset (vomiting, diarrhea, appetite loss), we aren't likely to see the more worrisome signs associated with low blood pressure (ie weakness, fainting and collapse).

Therefore, we have a few options here for Bear. Since he just had this 10 minutes ago, we can choose to induce vomiting. As well, since the first dose was long enough ago, we could also treat with activated charcoal. That all said, since the signs are likely to be mild if we see them at all we can choose to just monitor him for the next 8-12 hours and treat any GI upset we may see. For that, we can consider offering a light diet option for a few days. Examples of an easily digestible diet include cooked white rice with boiled chicken, boiled white fish, scrambled egg, or meat baby food (as long as its free from garlic or onion powder). Ideally, we want to offer this as small frequent meals to keep the stomach settled.

Further to this, if we see any hints of nausea, then we can also treat with an OTC antacid like Pepcid (More Info/Dose @ http://www.petplace.com/article/drug-library/library/over-the-counter/famotidine-pepcid) or Zantac (More Info/Dose @ http://www.petplace.com/article/drug-library/library/over-the-counter/ranitidine-hcl-zantac). These are usually given 20 minutes before offering food to allow absorption and of course you want to double check with your vet before use if your wee one has any know health issues or is on any medications you haven't mentioned.

Overall, this isn't a terribly high dose and the risk here is quite low. Therefore, while I am happy to discuss those proactive treatment options, I don't feel they are necessary here for Bear. Therefore, we can just monitor for the next 8-12 hours and use the above to settle his stomach if need be,

Please take care,

Dr. B.

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Expert:  Dr. B. replied 1 year ago.
Hi,
I'm just following up on our conversation about Bear. How is everything going?
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