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Caring for a Three Legged Dog or Cat

Tripawds is your home to learn how to care for a three legged dog or cat, with answers about dog leg amputation, and cat amputation recovery from many years of member experiences.

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Question about Pain meds
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Member Since:
24 May 2020
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3 June 2020 - 7:01 am
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Hi all,

Tabitha the Greyt tripod is 12 days post-op.  Her staples were removed yesterday (hooray!) and she's doing pretty good.  The question I have is:  how long before you started tapering off the pain meds?  Our vet wants her to stay on the Gabapentin for the next few weeks until her next check up (she's getting that 3x per day - the vet said we could taper it to 2 for sure).  He was less worried about the Tramadol (that was already tapered from 225 mg every 12 hours to 175 mg every 12 hours), but I don't want to take her off it too quickly!

I know every dog is different, but I just wanted a general idea.  The meds make her sleepy and, if you know anything about Greyhounds, they don't need help in that department ;-).

Thanks!

JoAnn, Bill and Tabitha the Greyt Tripod

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Member Since:
24 September 2009
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3 June 2020 - 12:38 pm
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Congratulations on Tabitha's smooth recovery! That's awesome!!!

I really like that your vet is being cautious about pulling the Gabapentin too soon. Too many vets take the opposite approach, cut pain meds too early and members end up with dogs whose pain gets out of control again. Also, Gabapentin should not be withdrawn suddenly, but gradually over time since otherwise it can cause rebound pain that's worse than the original. What is the dosage she is on? Did you let your vet know about the sleepiness? 

Unlike Tramadol, which has been shown to have minimal effect on acute pain, Gabapentin is a far more helpful nerve calming drug, which means that it's helping Tabitha's severed nerves to be in a calmer, happier state. This lowers the risk of phantom pain happening (which can occur even months after amputation, especially if a Tripawd didn't get good pain control to begin with). Gaba is also not hard on the body the way that other drugs can be, and other than sleepiness most dogs do really well on it.

Oh and I also want to add that some of Tabitha's sleepiness is also probably because she is still in healing mode. The body needs a while to recover from the trauma of amputation surgery, and sleep is good medicine.

So I personally agree with your vet's approach, based on what I've seen here and learned from talking to pain experts like Dr. Robin Downing, who shares this info about Gabapentin:

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