Fentanyl patch and buprenorphine?

Re: Fentanyl patch and buprenorphine?

sophia guymer — Sun, 04 Apr 2010 10:35:42 GMT

[quote user="Fiona Dale"]

[quote user="nikki"]

thanks for the replies. dog seems comfy today but is causing many headaches with regards to the cage rest. she settles when she's out and lying on her bed but as soon as they shut her away she starts panting heavily and whining constantly. i dont think the next 6wks will be much fun for them. pretty sure she's not painful now. the leg is quite swollen down to the hock but it's just oedema and massages away easily and she's happy to let them do this. she has always suffered from severe separation anxiety. they are leaving the other dog in the same room as her to keep her company but it doesn't seem to help. She is getting so distressed that I'm sure it cant be doing her any good. I was wondering about giving her some diazepam to see if it just takes the edge off her? She's a Boxer with a heart murmur so ACP is not an option. I've not really dealt with a post-op patient like this. At uni we sent them home the following day so I never got to experience the recovery period.

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Maybe try Zylkene? Works really well in some dogs.

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Or DAP, collar or plug in? we have good results with them too.

Re: Fentanyl patch and buprenorphine?

Fiona French — Sat, 03 Apr 2010 18:34:46 GMT

[quote user="nikki"]

[/quote]

Maybe try Zylkene? Works really well in some dogs.

Re: Fentanyl patch and buprenorphine?

nikki — Sat, 03 Apr 2010 13:53:47 GMT

Re: Fentanyl patch and buprenorphine?

Hanna Bennett — Fri, 02 Apr 2010 19:51:43 GMT

Bit late now, but my experience of fentanyl patches is that they take at least 12 hours to become effective so sounds like this may have been the issue. And yes, you can top up with buprenorphine, just start low dose. Fentanyl patches are more about background analgesia really - and most effective when applied and working before the pain stimulus is applied. Agree with Malcolm, we keep these dogs in overnight and they seem very comfy the next day.

Re: Fentanyl patch and buprenorphine?

Malcolm Ness — Fri, 02 Apr 2010 08:18:27 GMT

Suggest consulting the surgeon if the signs of pain have persisted past the start of the previcox.

We routinely hospitalise TPLO patients though we have debated whehter this is needed as few receive any special nursing or additional meds. We use pre op methadone and then start NSAIDs at anaesthetic recovery. Fewer than 10% will get additional opiates and many are lightly weight bearing within 12 hours of surgery.