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Caring for a Three Legged Dog or Cat

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Weaning from Meds
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Member Since:
18 January 2016
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3 February 2016 - 8:11 am
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Our tripawd Mona (front right amputee) is 8 days post surgery.  It seems the medications are a real drag and wondering about reducing or even discontinuing going forward.

Yesterday, she was up for an incision check and re-bandaging (compression bandage).  We didn't give her any meds, as she was being dropped of at 7:30am.  We took them with us and left them with the vet.

When we picked her up about 12:30pm, she was vibrant and active.  I asked about the meds, and they said she seemed fine without them...so they hadn't administered.  We brought her home, gave her a half-dose of her Carprofen and regular dose of her Trazodone.

I kind of knocked her loopy.

So this morning, I gave her only one-half of the Carprofen and no Trazodone.  Better, but still droopy.

She's obviously a light-weight!

Looking for insight into how long some veteran members of this forum might have kept with the pain regimen before weaning/discontinuing.

She's due to get her stitches out in 5 days.  She's not overactive.  Any advice would be welcome.

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On The Road


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3 February 2016 - 9:22 am
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Trazadone's pretty strong stuff. This is definitely one of those situations that shows all dogs are different in how they handle meds. Talk to your vet about weaning her off them. I'm not sure about Traz but I "think" it's one of those drugs that should be gradually withdrawn.

Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet

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4 February 2016 - 1:54 am
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I'm not a vet, but I do know that Carprofen is an NSAID (also marketed as Rimadyl). Trazodone is not marketed specifically for pain, but it's prescribed for humans for anxiety and depression. It definitely would have the sedative effect that you describe. I think you're seeing the effects of the Trazodone when you say Mona is being "knocked loopy." A study was done in 2014 with the findings of Trazodone promoting calmness in dogs while they were being confined after surgery. 

As Rene said, it may be one of those drugs that you need to withdraw gradually, but I don't know for sure. You might want to tell your vet that Mona is feeling better and ask if it would be okay to wean her from the Trazodone (and be sure to ask if you need to do it gradually). (I think the Trazodone is probably good for keeping post-surgical dogs from being too active.) If the vet's office said she seemed fine without the Trazodone and didn't give her the usual dose while she was in their care, then they might be okay with your taking her off it, especially since she is soon due to get her stitches out, anyway.

As for my own dog, she is now 3 1/2 weeks post-surgery, and she's still taking Meloxidyl (a form of Metacam, which is an NSAID, like Carprofen). The surgeon had wanted her off it four days after surgery because of the risk of side effects from longterm use, but my local vet thought differently and gave us another refill. (I've found that Susie's oncologists, surgeons, surgery residents, veterinary student, and local vet sometimes all have completely different opinions about her recovery care!) The surgeon also prescribed codeine for one week after surgery, then wanted to discontinue it, but the local vet gave us a one-week refill on that prescription, too, so she was on it for almost two weeks.

When she went in for her two week post-op incision checkup and stitches removal, the surgeon (at my request) prescribed Gabapentin to be taken every 8 hours for Phantom Limb Pain. I got the impression she only prescribed it because she felt it would do no harm and I wanted it. The first day I tried giving her just two doses, and she seemed to become very sedated, so from then on, I've only given her one capsule at night. It has helped tremendously, because it was mostly at night that she screamed in pain. 

It's great that Mona is doing so well! I don't think she's a lightweight--I'll bet that Trazodone would make any dog droopy! (That's kind of what it's designed to do!) winker

Mona sure looks cute in your avatar picture! You guys look as if you make a great team!

((((hugs))))xxx from Nancy & Susie

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Virginia



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4 February 2016 - 9:29 am
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Great input Nancy!

How is Mona today? It does seem that Mona was never actually given something specifically for the surgery PAIN. The Carprofan is an anti-inflammatory and will help with the pain a little and the Traz, as already menw, is more of a strong sedative.

Most dogs here are given Tramadol and Gabapentin to target the pain. And most dogs here take thst for anywhere from ten days to two weeks, or longer. Every dog is different.

Anyway, if Mona is showing any signs of pain, ask the Vet about getting her pain managed. I'm no vet, but must offering what we generally see here. It is major surgery and it does burt!

Sending hugs to thst sweet girl!

Sally and Alumni Happy Hannah and Merry Myrtle and Frankie too!

Happy Hannah had a glorious additional bonus time of over one yr & two months after amp for osteo! She made me laugh everyday! Joined April's Angels after send off meal of steak, ice cream, M&Ms & deer poop!

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Livermore, CA


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4 February 2016 - 10:00 am
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My personal opinion- I would taper her off the Trazodone as it does nothing for pain other than sedate her. If she is not ridiculously active then she dosen't need it.  I would keep her on the carprofen for now as it sounds like she doesn't have any other pain med. If she is OK only on the carprofen then great! Eight days post-op for an amp is early in general to be off pain meds but some lucky pups seem fine. If she seems in pain then talk to your vet about perscribing something for pain.

I've used carprofen for several dogs for a variety of ailments and I've never seen them get sedated or loopy. It doesn't mean it can't happen as dogs react differently to meds, but I think the Traz is making her loopy.

Sounds like Mona is doing well overall- that's a great thing!

Karen and the Spirit Pug Girls

Tri-pug Maggie survived a 4.5 year mast cell cancer battle only to be lost to oral melanoma.

1999 to 2010

 

              Maggie's Story                  Amputation and Chemo

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4 February 2016 - 7:04 pm
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Trazadone they gave Snickers after her gastropexy & spay to keep her calm and that is the only reason they gave it because it didn't do anything for pain.  She needed it as she was more hyper but we didn't use it when we got home because she was calm and laid still at least til night time when she decided she needed in the bed with me (no matter what I did).

I agree to taper off that.

Michelle & Angel Sassy

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Sassy is a proud member of the Winter Warriors. Live long, & strong Winter Warriors.
sassysugarbear.tripawds.com
07/26/2006 - Sassy earned her wings 08/20/2013

05/04/2006 -  Bosch, Sassy's pal, earned his wings 03/29/19  fought cancer for 4 months.

"You aren't doing it TO her, you are doing it FOR her. Give her a chance at life."

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11 January 2016
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4 February 2016 - 9:37 pm
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I agree with everyone else. The Carprofen would help with the pain (although the vet may take her off it, anyway, in a few days when he/she takes her stitches out). It's an NSAID, like Ibuprofen for dogs. It's possible it could be making her a little bit sedated (even Tylenol makes me sedated!), but the Trazadone is specifically for sedation, so that's what's really making her loopy. I don't think it's necessary right now for her to continue taking it--but, just to be on the safe side, you might want to run it by your vet.

I've learned from reading these Forum posts that there is certainly no consensus among veterinarians around the world (or even veterinarians in the same city) as to what drugs to put dogs on after major surgery. My own dog did not get the "standard pain meds" that a lot of dog owners on this site have reported that their dogs received, but there are lots of different drugs that do the same kind of work and each individual case is different. If Mona seems to be doing okay without a boatload of drugs (or any drugs, at this point), she could be fine without them.

Personally, if my dog had bounced back as quickly as Mona seems to be doing, I might call my vet and ask if I could stop giving her the Trazadone. You could also ask about the Carprofen (if she doesn't seem to need it), or you could just wait until the two-week appointment in a few days and then ask (as Mona might be taken off it then, anyway).

My dog actually developed Phantom Limb Pain after surgery, so I asked for (and got) Gabapentin at her two-week checkup. It was too sedating for her to take it every 8 hours as prescribed, so I just give it to her every 24 hours (at night), and she is doing much better on it than before she started taking it.

Also, some of what you're seeing as far as Mona being "droopy" is just a dog's instinct to rest in order to heal. Even when my dog was not in pain, she still slept a lot more after surgery. I believe that the whole experience (spending time in the hospital, etc.) is not only physically painful but also emotionally traumatic (especially to a very sensitive dog with separation anxiety issues), and dogs need lots of downtime in order to recover. Even now, at 3 1/2 weeks post-surgery, my dog (also a right front amputee) will very willingly hop over to her bed and lie down for an hour or so after she feels she's "had enough." And I can tell a big difference in her demeanor if she "overdoes it!"

Good luck to you and Mona in finding the best path to continued healing! We can't really give you more specific advice on these forums, as we're not vets, but it does sound as if Mona might benefit from a change in meds (or possibly no meds at all). Hope you and your vet can work it out!

((((hugs))))xxxx from Nancy & Susie

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