Dog Veterinary

Ask a dog vet and get answers to your dog health questions

Ask a Dog Veterinarian,
Get an Answer ASAP!

This answer was rated:

My 4 year old golden retriever is being treated for

My 4 year old...

My 4 year old golden retriever is being treated for epilepsy. He is currently taking Phenobarbital 64.8 mgs - 4 daily , Keppra 1000 mgs - TID , gabapentin 100 mgs - TID,Bayer chewable aspirin 81 mgs as needed for high temperature. He is now having cluster seizures (3 or more within a 24 hour period). I am looking for other/additional options for controlling the breakthroughs. He is having them every 3 to 4 weeks on these doses.

Veterinarian's Assistant: I'm sorry to hear that. Seizures always look scary. Let's get you talking to the Veterinarian. What is the dog's name?

Maxx

Veterinarian's Assistant: Is there anything else important you think the Veterinarian should know about Maxx?

He had allergic reactions to most of the flea/heartworm preventers and as of July 2017, we are no longer using preventive medications.

Show More
Show Less
Ask Your Own Dog Veterinary Question
Answered in 4 days by:
10/24/2017
Dr. Meghan Denney
Dr. Meghan Denney, Dog Veterinarian
Category: Dog Veterinary
Satisfied Customers: 1,984
Experience: Veterinarian at Kingsland Blvd Animal Clinic
Verified

Hi I am Dr. Denney. I am currently reviewing your post now. Please give me a few minutes to type my response. Thank you for trusting us with your question. This service is used for general information only and is no substitute for a veterinarian patient relationship by examination.

I apologize for the delay in someone getting to your question.

Can you tell me if Max has seen a neurologist to help try some non traditional therapies ?

Has your veterinarian discussed trying to wean down the phenobarbital and trying a medication called Zonisamide ?

There is also a diet Purina just launched that is having great results in all the studies and I have used with some of my patients called Neuro Care and it can help wean down the frequency of the seizures along with a medication regiment.

Ask Your Own Dog Veterinary Question

We can also look into acupuncture to help control the seizures. Here is link to a the page to put in your location and find a Certified Veterinary Acupuncturist because they can really help

http://www.tcvm.com/Resources/FindaTCVMPractitioner.aspx

I am sorry your dog is going through this. Cases like these can be really hard to manage.

Has Max had his phenobarbital Levels and Keppra blood levels checked ?

Ask Your Own Dog Veterinary Question
Customer reply replied 9 months ago
Thanks for responding to my questions. Maxx was on the Purina Neuro care diet for 4 months with no change. He started turning away from it and we had to add food to entice him. Likely this defeated the special diet.
We are checking his pheno titer (most recent was 35).
We have not seen a neurologist (living in a rural area, we are lucky to have access to a decent vet).

It must be tough being in a rural area. Is there a vet school in your state we can get him too or a major city in your state that has a specialty hospital. The hard thing about these types of cases is even if you were in a suburb with state the art facilities at the general practices we would still be discussing a referral. Neurologic cases are some of the most challenging because the brain is a complicated organ and as general practitioners we do not have access to MRI's or CT machines.

You can discuss with your veterinarian adding in a medication called Zonisamide and tapering down the phenobarbital or seeing how he does on a 3 drug protocol.

That is disappointing about the diet. Sigh I was hoping this could be a good option, but not every dog responds to the food.

Another aspect to consider is that if he is getting worse despite therapies there may be something more sinister going on like a brain tumor. This is not a common occurrence in a younger dog, but when I have a patient that stops responding to therapy I have to start considering if a brain tumor is possible.

The scary thing is that if this is Brain tumor ( with him being so young) it will most likely be aggressive.

Ask Your Own Dog Veterinary Question

Where are you located I can do some research and try to see where the nearest neurologist is.

Dr. Meghan Denney
Dr. Meghan Denney, Dog Veterinarian
Category: Dog Veterinary
Satisfied Customers: 1,984
Experience: Veterinarian at Kingsland Blvd Animal Clinic
Verified
Dr. Meghan Denney and 87 other Dog Veterinary Specialists are ready to help you
Ask your own question now
Customer reply replied 9 months ago
Thanks for your suggestions. I am in Buckhannon, WV 26201.
Was this answer helpful?

How JustAnswer works

step-image
Describe your issueThe assistant will guide you
step-image
Chat 1:1 with a dog veterinarianLicensed Experts are available 24/7
step-image
100% satisfaction guaranteeGet all the answers you need
Ask Dr. Meghan Denney Your Own Question
Dr. Meghan Denney
Dr. Meghan Denney
Dr. Meghan Denney, Dog Veterinarian
Category: Dog Veterinary
Satisfied Customers: 1,984
1,984 Satisfied Customers
Experience: Veterinarian at Kingsland Blvd Animal Clinic

Dr. Meghan Denney is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found "JustAnswer" on my Google search -- you are now in my "Favorites" list! And, yes we do love our kitty - she makes our life complete!

Bev & GeorgeBoca Raton, FL

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Debbie

Dr. Debbie

Dog Veterinarian

904 satisfied customers

Companion animal veterinarian practicing for over 10 years.

Dr. Andy

Dr. Andy

Medical Director

16,499 satisfied customers

UC Davis graduate, emphasis in dermatology, internal medicine, pain management

Dr Scott Nimmo

Dr Scott Nimmo

Dog Veterinarian

10,818 satisfied customers

BVMS, MRCVS. { Glasgow UK }

Dr. Gary

Dr. Gary

Dog Veterinarian

10,089 satisfied customers

DVM, Emergency Veterinarian, BS (Physiology)

Dr. Bruce

Dr. Bruce

Veterinarian

9,808 satisfied customers

15 years of experience as a small animal veterinarian

Dr. Scott

Dr. Scott

Veterinarian

9,615 satisfied customers

15 years of small animal, equine and pocket pet medicine and surgery.

Rebecca

Rebecca

Dog Veterinarian

8,947 satisfied customers

More than 30 years of companion animal practice.

< Previous | Next >

Related Dog Veterinary Questions
Dog is 10 pound peekapoo, HX of seizures on 15 mg phenobarb
dog is 10 pound peekapoo, HX of seizures on 15 mg phenobarb q 12 hours, just had a breakthrough seizure lasted 2 mins can I give another dose, last dose was at 5 PM … read more
Dr. Bruce
Dr. Bruce
Veterinarian
Doctor of Veterinary Medicine
9,808 satisfied customers
Our rottweiler started having seizures 7 months ago, she is
Our rottweiler started having seizures 7 months ago, she is 10.5 yrs. old. We feel she was swatted by a bear. Our golden developed seizures so we had some phenobarbital 64.8 mg. left over and have bee… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
My 6 & 1/2 year old male golden retriever has epileptic
My 6 & 1/2 year old male golden retriever has epileptic seizures. had 1 a week in a 4 week period when he was 3. nothing before or since until Aug 4. had 2 that day - 1 in early AM and 1 late PM. he w… read more
Dr. Stacy
Dr. Stacy
Veterinarian
Doctoral Degree
651 satisfied customers
My 3 year old lab mix developed seizures a year and a half
my 3 year old lab mix developed seizures a year and a half ago which escalated from 1 a month to cluster seizures last year when he multiple in 2 days. at that time he was put on Pheno (1 grain X 2 da… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
, About 5 weeks ago my 4 year old female poodle mix began
Hello, About 5 weeks ago my 4 year old female poodle mix began to have seizures. she had 3 total on 2-21-15 (30 seconds each/ 8 hrs apart). we took her to the emergency vet and they prescribed keppra.… read more
Dr. Gary
Dr. Gary
Dog Veterinarian
Doctoral Degree
10,089 satisfied customers
Can you see the discussion re 5 y golden and leg cramps?
I'm a pediatrician. 5 yo golden. Otherwise healthy. Several episodes now of what seem like fairly sudden onset of back leg spasm - can't walk, very stiff back extremities, trembling but is awake and a… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
I need a vet with significant experience with epilepsy, and
I need a vet with significant experience with epilepsy, and AEDs beyond phenobarbital and KBr to give me specific instructions on how to go about changing my dog's phenobarbital to something with fewe… read more
Dr. Ann M.
Dr. Ann M.
Veterinarian
Doctoral Degree
1,594 satisfied customers
My 10.5 yr. old Golden Retriever has a 5 year history of idiopathic
My 10.5 yr. old Golden Retriever has a 5 year history of idiopathic epilepsy with onset at age 5. She was initially treated with phenobarbital but seizures were uncontrolled and KBr (2.5-3 ml BID) was… read more
Dr. Drew
Dr. Drew
Emergency/Critical Care Veterinarian
Doctoral Degree
9,712 satisfied customers
golden retriever: My 4 year..week she had 4 siezures in a 2 day period
My 4 year old Golden Retreiver has been diagnosed with epilepsy. We give her 90 mg of phenabarbitol every morning and every evening. This week she had 4 siezures in a 2 day period. He seizures have st… read more
Dr. Drew
Dr. Drew
Emergency/Critical Care Veterinarian
Doctoral Degree
9,712 satisfied customers
i have a 21 month old g. shepherd dog that just had 3 cluster
i have a 21 month old g. shepherd dog that just had 3 cluster seizures. He had 4 last month and I am fearful that I will lose him is this happens when I am not home. He is on 128 mg of phenobarbital. … read more
Dr. Gary
Dr. Gary
Dog Veterinarian
Doctoral Degree
10,089 satisfied customers
My dog has epilepsy. On Tuesday he had 4 what they call breakthrough
My dog has epilepsy. On Tuesday he had 4 what they call breakthrough cluster seizures. His vet increased his daily dose of phenobarbathal from 3 to 4 pills twice a day. The seizures stopped and he has… read more
Dr. Lazarcheff
Dr. Lazarcheff
Emergency and Critical Care Veterinarian
Doctoral Degree
524 satisfied customers
golden retriever: 10 and this year she started having cluster Seizures
I have a golden retriever that 10 and this year she started having cluster Seizures. she has had them 3 times about every 2 months. This time was different. She had 2 on Sunday then 4 on wednesday and… read more
Dr. Louis Gotthelf
Dr. Louis Gotthelf
Chief Staff Veterinarian
Doctor of Veterinary Medicine
772 satisfied customers
My 4 year old chihuahua/jack russell mix, has seizures. Her
My 4 year old chihuahua/XXXXX XXXXX mix, has seizures. Her last big seizure six months ago resulted in a visit to an emergency vet clinic, and a prescription of 125 mg levetiracetam 3 times a day. My … read more
Dr. Gary
Dr. Gary
Dog Veterinarian
Doctoral Degree
10,089 satisfied customers
My 3 year old chocolate lab just began having seizures a few
My 3 year old chocolate lab just began having seizures a few days ago. He had almost 10 seizures with very little time in between. We took him to the vet within 45 minutes (that was rushing). Anyways … read more
Dr. Gary
Dr. Gary
Dog Veterinarian
Doctoral Degree
10,089 satisfied customers
lab: My 16..16 month old..had a seizure on sunday morning
My 16 month old lab had a seizure on Sunday morning. This is the 3rd episode that has occurred in the last 3 weeks. In reading online it seems that there may be a link to vitamin deficiencies. The sta… read more
Dr. Gary
Dr. Gary
Dog Veterinarian
Doctoral Degree
10,089 satisfied customers
Hi. I have a 4yr old French Mastiff that suffers from epilepsy.
Hi. I have a 4yr old French Mastiff that suffers from epilepsy. 2 weeks ago he had a series of 8 cluster seizures and his epiphen dose was doubled to bring the seizures under control, which it did. To… read more
CriticalCareVet
CriticalCareVet
Veterinary Specialist
Doctoral Degree
57,087 satisfied customers
golden retriever: was very restless..attack and was aggressive
my golden retriever gets epileptic attacks once in 20 days.. they last for a min.. he's had 3 attacks till now.. recently my dog was very restless after the attack and was aggressive. Is it okay. He's… read more
Dr. Andy
Dr. Andy
Medical Director
Doctoral Degree
16,499 satisfied customers
My Golden Ret.(7yr.) had a seizure a month ago but when checked
My Golden Ret.(7yr.) had a seizure a month ago but when checked out thoroughly, including blood work and completely healthy. Since then absolutely nothing. Totally healthy till today where he has had … read more
Dr. Gary
Dr. Gary
Dog Veterinarian
Doctoral Degree
10,089 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x