Nothing going right for this dog!

Re: Nothing going right for this dog!

Hannah Wynne Richards — Tue, 01 Feb 2011 16:33:46 GMT

Difficulty is knowing who can be trusted-the statistics on the number of people who have tried illegal drugs is frightening

Wynne

Re: Nothing going right for this dog!

Martin Atkinson — Tue, 01 Feb 2011 15:55:55 GMT

[quote user="Mark Holmes"]

Wrote a prescription for local chemists, 10mg 20mg and 60mg tablets available. Obviously you need to be careful about the kind of person you dispense tem to and I only wrote prescription for a few days but they really made a huge difference. Thats in addition to metacam and paracetamol.

[/quote]

I hadn't considered morphine tablets as a home medication. Why don't we prescribe these more often instead of sending people home with syringes filled with buprenorphine? Tablets must be more convenient. Is it solely because of the dangerous drugs register or because they're not readily available from the wholesalers, or do we not trust our clients not to abuse them?

Re: Nothing going right for this dog!

Rob Loxley — Tue, 01 Feb 2011 13:39:14 GMT

[quote user="Audra-Lynne Turner"]I know that in human medicine they sometimes use misoprostol with NSAIDs to prevent gastric irritation and ulceration, so that may be an option - has anyone ever tried this?[/quote]

Yes we have used Cytotec in the past. Not sure whether omeprazole or ranitidine would be better or worse.

Re: Nothing going right for this dog!

Mark Holmes — Tue, 01 Feb 2011 10:21:34 GMT

[quote user="Martin Atkinson"]

[quote user="Mark Holmes"]

I have recently dispensed oral morphine tabelts for a dog with Osteosarcoma for the very short term whilst I could organise a referral. The worked fabulously. Not something for long term management but if you need a few days to sort other issues then they are worth considering.

[/quote]

Where did you get the morphine tablets from?

[/quote]

Re: Nothing going right for this dog!

Martin Atkinson — Tue, 01 Feb 2011 10:13:17 GMT

[quote user="Mark Holmes"]

[/quote]

Where did you get the morphine tablets from?

Re: Nothing going right for this dog!

Mark Holmes — Tue, 01 Feb 2011 09:38:01 GMT

Re: Nothing going right for this dog!

Hannah Wynne Richards — Tue, 01 Feb 2011 09:23:33 GMT

Try cartrophen for the skeletal probs-combined with nutraceutical,and codeine or tramadolfor pain relief

Wynne

Re: Nothing going right for this dog!

Laurence Webb — Mon, 31 Jan 2011 20:54:10 GMT

If she won't tolerate NSAIDs I'd give tramadol (most likely) or paracetemol - Pardale or generic. And yes, nothing wrong with PLT although ideally I'd await the LN FNAs before giving pred

If you want to use NSAIDs then omeprazole or misoprostal would be fine. I tend to think that if a medicine's giving side effecs I'd rather try something different rather than 1 drug then a second to combat the side effects of the 1st.

Re: Nothing going right for this dog!

Michael Woodhouse — Mon, 31 Jan 2011 19:53:34 GMT

Got any poorly leg tablets [PLT]? Sometimes they work where the modern drugs fail.