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She ate 1 200 advil maybe 2. Mini. She is 12 to 13 pounds…

She ate 1 200...

She ate 1 200 advil maybe 2

Veterinarian's Assistant: I'll do all I can to help. The Expert will know if the dog will be able to digest that. What is the dog's name?

Mini

Veterinarian's Assistant: Is there anything else the Veterinarian should be aware of about Mini?

She is 12 to 13 pounds

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Answered in 5 minutes by:
3/25/2018
Dr. Kara
Dr. Kara, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 18,851
Experience: Over 20 years of experience as a veterinarian.
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Hello, I'm Dr. Kara. I have over 20 years of experience as a veterinarian and I'd like to help. Please give me a moment to review your concerns.

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I am sorry that Mini ingested two 200mg Advil (ibuprofen).

How long ago did this happen?

Do you have fresh (unexpired) 3% hydrogen peroxide?

Is she taking any other medications?

From the ASPCA database:

◾25-125mg per kg of body weight – symptoms include vomiting, diarrhea, abdominal pain, loss of appetite, stomach ulcers;

◾more than 175mg per kg of body weight – the above symptoms plus blood in the stools, acute kidney failure;

◾more than 400mg per kg of body weight – the above symptoms plus seizures, coma, disorientation;

◾more than 600mg per kg of body weight – death.

At 12 pounds she is 5.45kgs (2.2 pounds per kilogram) so a toxic dose of ibuprofen would be 136mgs. One tablet would be enough to cause toxicity in a pup her size.

Given the amount she ate I think you need to induce vomiting if it has been less than 2 hours.

Give her 1 & 1/2 tablespoons of 3% hydrogen peroxide soaked up with some bread chunks or mixed with some ice cream.
Then take her outside and run her around.
If no vomiting in 15 minutes repeat the peroxide dose.
If she vomits the medication fully she may be fine.
If you don't have peroxide then an emergency clinic visit to induce vomiting is best.

If you can induce vomiting and get most of the medication out, you shouldn't need to worry about true toxicity. You might see mild gastrointestinal upset if she is especially sensitive, but that should be it.

This holds true IF she is NOT taking any drugs that contain a steroid (prednisone, dexamethasone, Temeril-P) or nonsteroidal anti-inflammatory (Meloxicam, Carprofen or Deramaxx). If she is taking any of those drugs let me know as that would change my recommendations.

If she vomits then at home to try and decrease acid production in her stomach and lessen any possible symptoms you can give either:

1) Pepcid ac (famotidine) at a dose of one 10mg tablet per 10 to 40 pounds of body weight every 12 hours ( 10mg tab for her)

OR

2) Prilosec (omeprazole) at a dose of one half of a 20mg tablet per 10 to 40 pounds of body weight every 24 hours ( half of a 20mg tab for her)

These are acid reducers that are found over the counter at the drug store. They can be given as needed.

If her stomach seems at all upset to decrease the symptoms you can feed her a bland diet for the next several days. A homemade bland diet is a mix of 1/3 boiled minced white skinless chicken or lean boiled hamburger and 2/3 boiled white rice mixed with some low salt chicken broth to make it easy to lap up and swallow and get in plenty of fluids. Feed small meals frequently.

Things to watch for that mean trouble include vomiting, especially blood tinged, dark, black or tarry stools, or frank blood in the stools, lack of an appetite, increased water consumption and urination.

It has been my pleasure to help you today, and I hope that I have earned my 5 star rating. Please remember to rate my service by selecting the 5 stars at the top of the screen (rating me now does not close your question). You are welcome to ask follow up questions about my response here until you are satisfied, simply use the reply box and let me know. Thank you!

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Customer reply replied 3 months ago
Thank you we will try to get her to vomit and it looks like she got just one 200 mg Advil and not sure how much liquid she got as we found the shell on floor so some might of leaked out but for precautions we will get her to vomit.

I'm sorry I missed your follow-up reply.

Hopefully by now she has vomited up the medication, as even the contents of one capsule would be enough to be toxic for a pup of her small size.

Please let me know if you have any further questions or concerns, Dr. Kara.

Dr. Kara
Dr. Kara, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 18,851
Experience: Over 20 years of experience as a veterinarian.
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