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Dr. B.
Dr. B., Board Certified Veterinarian
Category: Veterinary
Satisfied Customers: 20550
Experience:  General practice veterinary surgeon with extensive experience in a wide range of species.
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My wife dropped a 200 mg Advil on the floor. And my dog ate

Customer Question

My wife dropped a 200 mg Advil on the floor. And my dog ate it. She is about 5 kilograms
JA: I'm sorry to hear that. The Veterinarian will know if your dog will be able to digest that. What is the dog's name?
Customer: Piper
JA: Is there anything else the Veterinarian should be aware of about Piper?
Customer: No, she is in good health
Submitted: 6 months ago.
Category: Veterinary
Expert:  Dr. B. replied 6 months ago.

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

How long ago did Piper get this?

Customer: replied 6 months ago.
About 30 minutes ago
Expert:  Dr. B. replied 6 months ago.

Thank you,

Now we need to be proactive here. This is a 40mg/kg dose that Piper has had and therefore carries the risk of causing GI irritation, vomiting, diarrhea, appetite loss but most importantly can cause stomach ulceration and damage.

With this in mind, we do have some options at this stage. Since she just had this so recently, we can induce vomiting now. To induce vomiting at home, you can administer 3% hydrogen peroxide orally at a dose of 1ml per pound. (2 teaspoons per 10 pounds of body weight). You can give it via dropper, syringe, turkey baster – we just want to get it in. After giving this orally, move the abdomen around or get your wee one walking about to get things mixing. This should usually lead to vomiting. If it is unsuccessful after 10 minutes then it can be repeated twice more. And if we still have no vomiting, then you'd need to consider seeing your local vet (or ER vet) so that apomorphine (a very strong injectable emetic) can be administered just get this out of the stomach and avoid any adverse issues.

As well or alternatively, you can also consider administering activated charcoal at this stage. This is available over the counter from the pharmacy (ask for the high strength version, not the one for gas) and works by binding any remaining material in the stomach. For activated charcoal, we tend to give 1-4 grams per pound every 8 hrs. This can be mixed with food to be fed or with water to syringe feed (do note that it stains, so keep it away from white carpets/clothes). This will just limit how much is absorbed and reduce the intoxication risk here.

Finally, after the above, we do want to try to address any potential GI upset here for the next 24-48 hours. To do so, you 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. And to reduce stomach irritation and ulcer risks, we can also use an antacid every 12 hours. There are a number of antacids that are available over the counter and pet friendly. Ones we can use here include 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). Whichever you use, we'd give this 20 minutes before food to allow absorption and of course double check with your vet before use if your wee one has any known health issues or is on any medications you haven't mentioned.

Overall, this is a significant dose that Piper has had, so we'd want to use the above now to get this up or at least limit risk for her. Any struggles or if you cannot carry out the above, we'd want her seen urgently for these and fluids. In this situation, just in case you do wish to see an ER vet, you can check @ http://www.vetlocator.com/ or https://www.veccs.org/facility-directory/

Kind regards,

Dr. B.

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