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<?xml-stylesheet type="text/xsl" href="https://www.vetsurgeon.org/utility/feedstylesheets/rss.xsl" media="screen"?><rss version="2.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:slash="http://purl.org/rss/1.0/modules/slash/" xmlns:wfw="http://wellformedweb.org/CommentAPI/"><channel><title>changing analgesia</title><link>https://www.vetsurgeon.org/f/clinical-questions/11282/changing-analgesia</link><description> How long after a dog has been given buprenorphine do I have to wait before I change him to methadone? Somewhere in my head there&amp;#39;s a thing that says I don&amp;#39;t have to wait the 4-6 hours; but I can&amp;#39;t find the reference. </description><dc:language>en-US</dc:language><generator>Telligent Community 10</generator><item><title>Re: changing analgesia</title><link>https://www.vetsurgeon.org/thread/60495?ContentTypeID=1</link><pubDate>Sat, 31 Mar 2012 19:24:12 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:92dc1d77-165a-4d2a-a6ed-83fa85e71b25</guid><dc:creator>Lorna McHardy</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Gerry Henry&amp;quot;]&lt;/p&gt;
&lt;p&gt;Wind up merchant! Moi!&amp;nbsp;&lt;/p&gt;
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&lt;p&gt;[/quote]&lt;/p&gt;
&lt;p&gt;Evidemment, monsieur.&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: changing analgesia</title><link>https://www.vetsurgeon.org/thread/60493?ContentTypeID=1</link><pubDate>Sat, 31 Mar 2012 18:48:42 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:38fe1512-5ce6-4cdf-833e-34fa78524996</guid><dc:creator>Gerry Henry</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Lorna McHardy&amp;quot;]
&lt;p&gt;[quote user=&amp;quot;Gerry Henry&amp;quot;]&lt;/p&gt;
&lt;p&gt;Dear Kismet,&lt;/p&gt;
&lt;p&gt;The COMFORTAN people say you can give&amp;nbsp;methadone on top of Buprenorphine without any problems. My question is why, if you have methadone on the premises, you would give buprenorphine at all? Comfortan everything, its cheap and it works really well.&lt;/p&gt;
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&lt;p&gt;[/quote]&lt;/p&gt;
&lt;p&gt;I didn&amp;#39;t, oh wind-up merchant &lt;img src="https://www.vetsurgeon.org/emoticons/v2/Happy_smiley.png" alt="Happy" /&gt;&lt;/p&gt;
&lt;p&gt;The dog was transferred for post-op care from one of the practices whose emergencies we cover over the weekend; and the vetergesic it had had was clearly insuffient for its needs. Poor thing had several nasty injuries of unknown origin, one of which had penetrated the lateral chest.&lt;/p&gt;
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[/quote]&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;p&gt;Dear Kismet,&lt;/p&gt;
&lt;p&gt;Wind up merchant! Moi!&amp;nbsp;&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: changing analgesia</title><link>https://www.vetsurgeon.org/thread/60488?ContentTypeID=1</link><pubDate>Sat, 31 Mar 2012 17:46:08 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:e7ca62c8-ea0d-4058-b037-84359171dcde</guid><dc:creator>Lorna McHardy</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Gerry Henry&amp;quot;]&lt;/p&gt;
&lt;p&gt;Dear Kismet,&lt;/p&gt;
&lt;p&gt;The COMFORTAN people say you can give&amp;nbsp;methadone on top of Buprenorphine without any problems. My question is why, if you have methadone on the premises, you would give buprenorphine at all? Comfortan everything, its cheap and it works really well.&lt;/p&gt;
&lt;div style="clear:both;"&gt;&lt;/div&gt;
&lt;p&gt;[/quote]&lt;/p&gt;
&lt;p&gt;I didn&amp;#39;t, oh wind-up merchant &lt;img src="https://www.vetsurgeon.org/emoticons/v2/Happy_smiley.png" alt="Happy" /&gt;&lt;/p&gt;
&lt;p&gt;The dog was transferred for post-op care from one of the practices whose emergencies we cover over the weekend; and the vetergesic it had had was clearly insuffient for its needs. Poor thing had several nasty injuries of unknown origin, one of which had penetrated the lateral chest.&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: changing analgesia</title><link>https://www.vetsurgeon.org/thread/60484?ContentTypeID=1</link><pubDate>Sat, 31 Mar 2012 16:53:32 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:0f80483d-7881-4d10-b2e9-2f422de4038e</guid><dc:creator>Gerry Henry</dc:creator><description>&lt;p&gt;Dear Kismet,&lt;/p&gt;
&lt;p&gt;The COMFORTAN people say you can give&amp;nbsp;methadone on top of Buprenorphine without any problems. My question is why, if you have methadone on the premises, you would give buprenorphine at all? Comfortan everything, its cheap and it works really well.&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: changing analgesia</title><link>https://www.vetsurgeon.org/thread/60482?ContentTypeID=1</link><pubDate>Sat, 31 Mar 2012 16:40:27 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:1c679080-2fd4-4d34-baad-9ee61885a445</guid><dc:creator>Lorna McHardy</dc:creator><description>&lt;p&gt;Well I gave the methadone without waiting and it worked. He&amp;#39;s much happier and has now gone home :0))&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: changing analgesia</title><link>https://www.vetsurgeon.org/thread/60481?ContentTypeID=1</link><pubDate>Sat, 31 Mar 2012 16:36:59 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:cfdad4ec-e139-4340-9e9f-61add30746f9</guid><dc:creator>Iain McAllister</dc:creator><description>&lt;p&gt;in a similar vein I have been told that if you&amp;#39;ve given don-torb for sedation you can give after you reverse without any probs&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: changing analgesia</title><link>https://www.vetsurgeon.org/thread/60407?ContentTypeID=1</link><pubDate>Fri, 30 Mar 2012 19:26:33 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:7ab9e30d-85a9-4d11-94b4-13a02c1ce2fe</guid><dc:creator>Neil Wheadon</dc:creator><description>&lt;p&gt;I&amp;#39;ve been told recently that you can use morphine at the same time as buprenorphine as there are enough &amp;#39;receptors&amp;#39; available still for the morphine to take effect, so I don&amp;#39;t wait 4-6 hours now.&lt;/p&gt;
&lt;p&gt;Hope someone confirms this&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&amp;nbsp; Neil&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item></channel></rss>