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Dr. Altman
Dr. Altman, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 12796
Experience:  Practicing small animal veterinarian for 18 years.
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Would like a alternative treatment to carprodyl 75mg per day

Customer Question

Would like a alternative treatment to carprodyl 75mg per day for 14 Labrador
JA: I'll do all I can to help. What seems to be the problem with the dog?
Customer: Old age stiff on back end/spine
He's 14 years 19 months
JA: What is the dog's name?
Customer: Joe
JA: Is there anything else the Veterinarian should be aware of about Joe?
Customer: He's been sick today and Friday about 4 hours from food He has 50mg am 25mg pm with food
He's on raw food diet
Submitted: 1 year ago.
Category: Dog Veterinary
Expert:  Dr. Altman replied 1 year ago.

Welcome to Justanswer! I am Dr. Altman and happy to assist you both today!

I am sorry to hear your senior friend is having these challenges

There are so many options available to us now to help our beloved four-legged friends outside of the normal nonsteroidals (rimadyl, previcox, metacam, deramaxx). I will list them individually but all can be used in combination to assist your dog in getting comfortable

1.) Gabapentin- this is called neurontin in people. It works by dulling the nerve firing associated with pain and is my top choice for senior pets because it is not metabolized as readily by the liver and is easier on a senior pet. The pros are that it is not pricey, has no high end dose so if the pain escalates as your pet gets older we simply adjust the dose, and is easier on older pets. The cons is that it has to be given consistently because withdrawing it suddenly causes what is called rebound of pain which is higher then original level, can cause mild sedation initially

2.) Tramadol- this is in the opioid class so it is given as needed for pain when there are bad days. It can be given longterm to senior pets two to three times daily if needed

3.) Alternative medicine: laser or light therapy, acupuncture, physical therapy, massage therapy. All are fantastic ways to help minimize pain, increase strength, and allow rest more comfortably. If there is a physical therapy facility in your area they would have all of these. Typically I will start with acupuncture and/ or laser therapy and then add in the physical therapy once we are more comfortable to build strength. I often see remarkable results with one to two sessions

4.) Adequan injections. These are pricey but given twice weekly subcutaneously (I have owners give the medication at home after a demonstration to minimize the visits) for four weeks then taper frequency as improvement is seen and if there are bad periods then increase frequency once again

5.) Supplements: Glucosamine sulfate 1500 mg daily, fish oil with 1500 mg EPA & DHA daily, Vitamin E, Ester C are all great to slow progression of disease and assist in comfort

6.) Depending on your pet's size, a help em up harness that is used to support standing and moving to minimize injury to your back but also prevent further injury to you pet. http://helpemup.com

If you have more questions or if I can help in any other way, please do not hesitate to ask! If you would like to accept my answer, please press RATE OUR CONVERSATION. Bonuses are always welcome (I am not compensated in any other way). Thanks!

Customer: replied 1 year ago.
Would you recommend to stop carpropdyl
Customer: replied 1 year ago.
Posted by JustAnswer at customer's request) Hello. I would like to request the following Expert Service(s) from you: Live Phone Call. Let me know if you need more information, or send me the service offer(s) so we can proceed.
Expert:  Dr. Altman replied 1 year ago.

I am sorry I cannot help with a phone call. The states/province I am licensed in do not allow me to communicate via phone calls, unless I have previously physically examined a pet. I could lose my license for doing so. If you would like I can opt out and see if there is another veterinarian that can make calls.

If he has gi upset from the medication then yes I would advise discontinuing but also discussing alternative pain management in its place

Expert:  Dr. Altman replied 1 year ago.

Please let me know if I can be of any further assistance to you both today!

If you are satisfied with our chat please rate or accept with the stars on the top of your screen so I may be compensated for my time. If you are having any difficulties you can also state your rating (excellent, good, fair) in our chat as an alternative. Thank you!

Customer: replied 1 year ago.
What would you advise treatment?
Expert:  Dr. Altman replied 1 year ago.

Were you able to view my responses? Are you referring to the gi upset or the pain management in which I listed options in detail including tramadol, gabapentin, etc? Thank you

Expert:  Dr. Altman replied 1 year ago.
Hi,

I'm just following up on our conversation about your pet. How is everything going?

Dr. Altman