Temgesic sublingual tablets - dose?

Re: Temgesic sublingual tablets - dose?

Sarah Wheadon — Wed, 21 Mar 2012 10:37:55 GMT

Yes, we've never had any adverse reactions, but we do find they give excellent analgesia . We make sure they're securely applied and labelled. If they are going home with one on, we give the owner an information sheet and talk them through it, as well as going through an unlicensed drug form. Never used where there may be interactions with small children. You have to allow for additional analgesia after they are applied until the drug reaches therapeutic levels (1-2 doses of buprenorphine or other opiate as stocked.) One client was so impressed with how comfortable her cat was after an op, that she requested one was used when the cat had to come in for something unrelated at a later date.

Re: Temgesic sublingual tablets - dose?

Utlendigur — Tue, 20 Mar 2012 23:35:48 GMT

Has anyone tried fentanyl patches in cats? I've heard completely opposing views on them.

I had a cat with pancreatitis a couple of weeks ago that went completely spaced out after 2 well-spaced doses of sublingual vetergesic. The owner said he (ie the cat) spent the night pacing round the house looking like he was hallucinating. The open vial was still on the kennel so definitely vetergesic (I had almost convinced myself I'd given ketamine instead!)

Re: Temgesic sublingual tablets - dose?

Neil Wheadon — Tue, 20 Mar 2012 23:14:47 GMT

Thought I'd give them a go, but having read the comments especially Bob's, I'll be back to the squirting a double dose of licenced product under the tongue, unless the owner comes back with a very happy cat.

Re: Temgesic sublingual tablets - dose?

Laurence Webb — Tue, 20 Mar 2012 19:13:25 GMT

Shirley you're not suggesting using human oral products orally off license when there's a licensed animal product to adminster via the wrong route! The VMD will be onto you like a ton of bricks.

Re: Temgesic sublingual tablets - dose?

bob lehner — Tue, 20 Mar 2012 18:10:26 GMT

I've not used buprenorphine sublingual tabs in cats - how do you get the cat to keep the tab under its tongue - how long do they take to dissolve ? Do they still work if swallowed ?

Re: Temgesic sublingual tablets - dose?

Mark Rowland — Tue, 20 Mar 2012 17:20:20 GMT

I always wondered about the efficacy of oral buprenorphine since it was said that the absorption was via the gingival mucosa when given orally. This is why I have used tramadol and I have found it to be a good drug for the exotics and useful for the dogs and cats. My problem has always been the small dosing hence the use of the smaller mg tablets and the soluble stuff. I find there is a fine line between effectiveness and stonedness (I had a client this am who said her cat was really spaced on the stuff). I have used it for orthopaedic procedures in cats post op. TBH I didnt know temgesic tablets existed. I never really used torb tablets for post op pain as again I was never sure of their efficacy.

Live and learn I suppose or as Masala would put it "The race is not over" (where have I seen that before Oh yes....)

Re: Temgesic sublingual tablets - dose?

Neil Wheadon — Tue, 20 Mar 2012 16:43:21 GMT

Yes Temgesic (see post above for reasons why)

Neil

Re: Temgesic sublingual tablets - dose?

James Laidlaw — Tue, 20 Mar 2012 16:19:13 GMT

Just to check - we are talking about temgesic tabs and not tramadol? Right?

Re: Temgesic sublingual tablets - dose?

Neil Wheadon — Tue, 20 Mar 2012 16:15:36 GMT

[quote user="James Laidlaw"]From formulary, just use same dose. We used to use them and they seemed to work well[/quote]

Perfect, thankyou (and from Ronnie the cat)

Re: Temgesic sublingual tablets - dose?

Neil Wheadon — Tue, 20 Mar 2012 16:13:33 GMT

Interesting discussion this one

We seem to use Tramadol like smarties but there is no official licensed data behind it's use. All there is, is a feeling of 'It will be OK', therefore use it. We're all afraid of NSAID's in caesarians as the drug companies have found an issue on clinical testing, and then dish out tramadol even though there is no follow up data readily available.

In this case this is a human preperation but using buprenorphine extensively with Vets Now, it is a drug I am comfortable with in cats and seems to be a very good form of pain relief that's safe.

Neil

Re: Temgesic sublingual tablets - dose?

James Laidlaw — Tue, 20 Mar 2012 16:10:59 GMT

Doses: See Appendix for sedation protocols in all species. Dogs: 0.02 mg/kg i.v., i.m., s.c. q6h. Cats: Doses as for dogs. Also well tolerated and effective when given sublingually. From formulary, just use same dose. We used to use them and they seemed to work well.

Re: Temgesic sublingual tablets - dose?

Mark Rowland — Tue, 20 Mar 2012 15:52:36 GMT

I would just get some small sized tramadol from Summit