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She is on Phenobarbital and steroids for a brain tumor...has

had radiation...She is limbing on...
She is on Phenobarbital and steroids for a brain tumor...has had radiation...She is limbing on her one back leg she had TPLO surgery. Can I give her Tramadol for pain with these drugs? She may have a slight fever
JA: I'm sorry to hear that. This sounds like it might be serious. I'll let the Veterinarian know what's going on ASAP. Is there anything else important you think the Veterinarian should know about the dog?
Customer: She has been doing well neurologically and had her last check up a few weeks ago
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Answered in 5 minutes by:
9/17/2017
Dr. B.
Dr. B., Veterinarian
Category: Dog Veterinary
Satisfied Customers: 21,774
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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Hello & welcome, I am Dr. B, a licensed veterinarian and I would like to help you today.

Now I would note that if she has a slight fever and is on steroids, we need to be very careful. That medication can dampen the immune system which can make them more prone to infection. So, if she does have a temperature, we'd want to consider having a check up as soon as her vet is open to head off any infection with antibiotics if needed. Now in regards ***** ***** question, I have to say that Tramadol isn't ideal to use with Phenobarbital since the two together can cause dramatic sedation which could slow her breathing and cause weakness and collapse. If she is very painful a small dose could be tried (2mg per kilogram of her weight every 12-24 hours) but if she were to show the above signs, she'd need to see her vet for IV fluids. Otherwise, since there are no other safe home options (our anti-inflammatories are either dog toxic or will interact with her steroids), you may want her local vet to see her so that a safer option could be used for her discomfort. Of course, besides systemic pain relief options, if she is stiff/sore with that leg, do make sure to warm compress it if she will allow. Just to note, you can make a safe warmer for use as a compress by filling a clean sock 2/3rds full with uncooked white rice. Tie it closed and microwave (approx 1-1.5 min). Before use, do make sure to shake to allow the heat to distribute before using as a compress. (If it cools, you can re-warm as required).

Kind regards,

Dr. B.

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Dr. B.
Dr. B., Veterinarian
Category: Dog Veterinary
Satisfied Customers: 21,774
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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Customer reply replied 3 months ago
Thank you. I have started her on Antibiotics and she is eating and drinking normally. She seems less uncomforatble this morning. She will be seeing our vet in the next 48 hours. Is there a pain med you would recommend given she is on Phenolbarbital and steroids?

Hello again,

I am glad to see that she is feeling better and with regards ***** ***** relief use alongside her current medications it will be a balancing act. Tramadol may be an option (though I see it perform poorly in many dogs) but otherwise a low dose of Gabapentin, Buprenorphine, or even a potential adjustment of her steroids (as it does have anti-inflammatory/pain relief functions too) may be best under the circumstances.

Best wishes,

Dr. B.

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Dr. B.
Dr. B.
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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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