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Thread: Tramadol

  1. #1
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    Default Tramadol

    After taking Chaos to the vet because her SM was not being controlled enough with the Gabapentin she decided to put her on Preds as well and Tramadol. She gave me a supply of the Preds and she is now having 1 x 5mg per day. She ordered a supply of Tramadol but when I went to collect these they were 50mg capsules and she wanted her to have 1mg-5mg per kilo of weight, twice a day. The vet on duty would not give them to me as said they were too strong as Chaos weighed 8.7kg. I managed to speak to the orginal vet again and she said they could not supply the tablets but I could collect a prescription and get them myself.
    I have now collected the prescription but which is for 50mg tablets and says to give 1/2 a tablet BID (not sure what this means) I have checked with the online chemist I use and the local chemist. They do not think they can be cut in half because they are sustained release.
    I was wondering if any other SM dogs were on Tramadol and if so what type of tablets/capsules and what dosage and where you get them from? The vet I am seeing does not seem to be very clued up about this medication, she was researching it online I think and also it a 35mile round trip to see her.
    I should say that the improvement in Chaos since being on the Preds is amazing, she walks so much better and I am pushing her stroller round with us but she really does not need it much and she is much happier all round. I think the idea of the Tramadol was to give that as well and try to slowly wean her off the Preds.
    Judy

    Chaos B/T Cavalier girl (1.1.2004) Armani Chinese Crested girl (16.12.2002) Onyx Chinese Crested Boy (1.8.2009)

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    I've never heard of Preds but, if it is working well, does she need this Tramadol tablet (I've never heard of this either) which is impossible to split so small? The less pills the better is what I say but you best ask your neurologist.
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    Sorry Pauline, Preds was short for prednisolone or steroids. I guess she wants to cut these out eventually or at least cut them down because of long term damage caused by them. The Tramadol tablets can't be split because they say they are sustained release, I think this means that the drug is released slowly in the stomach over 12 hours.
    Judy

    Chaos B/T Cavalier girl (1.1.2004) Armani Chinese Crested girl (16.12.2002) Onyx Chinese Crested Boy (1.8.2009)

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    Yes, my neuro and i don't like steroids especially giving them to such a young dog as mine is but Chaos is nearly 6, even I would consider steroids at that age.
    ....
    Dylan, Poppy & Kipling's
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    Quote Originally Posted by jacies View Post
    Sorry Pauline, Preds was short for prednisolone or steroids. I guess she wants to cut these out eventually or at least cut them down because of long term damage caused by them. The Tramadol tablets can't be split because they say they are sustained release, I think this means that the drug is released slowly in the stomach over 12 hours.

    Might be an idea to get your Vet to e-mail C Rusbridge or whoever your testing Neuro was? I know Clare is very helpful about Meds. and has done much research into their administration.
    Just an idea?
    Elspeth Glen

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    First of all, BID means twice a day. It is just medical shorthand. Riley was on Tramadol only after her SM decompression surgery. I was given 50 mg tablets and she was to have 1/4 tablet as needed. They even divided them into 1/4s for me. The ones you received must be different. The prescription on her bottle reads Tramadol Hcl 50 mg. Does yours actually say "timed-release"? Riley weighs about 12 pounds or 5.4 kg. She is also on the same daily dose of prednisone as Chaos and it is a wonder drug for her. She has been on it for about 6 months now and is a different dog on it than off it. Her balance is much better and she seems more like a normal dog - happier like Chaos. Because she is on it long-term she also takes Denamarin - a supplement to protect her liver. So far the only side effect I have noticed is that her chest hair is starting to thin out. Other than that, she pees longer when she goes out, but doesn't need to pee more and has not gained weight. Hope you get it figured out.
    Bev
    Oliver (blenheim, born 3/2001), Riley (black & tan, born 8/2002,), Madison (ruby, born 9/2003), and Oz (tri-color, born 7/2007)

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    Thanks for reply Bev. I havn't got the tablets yet because the online pharmacy told me on the phone that they could not be cut in half because of being sustained release. My local chemist told me the same thing. I think I will have to do a bit more research on the internet about Tramadol, maybe a different supplier might have normal ones. I will also look into Denamarin supplement, my vet did not mention this.
    Judy

    Chaos B/T Cavalier girl (1.1.2004) Armani Chinese Crested girl (16.12.2002) Onyx Chinese Crested Boy (1.8.2009)

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    If your is basically vet guessing about putting her on preds, I would really talk to a neurologist or have the vet talk to a neurologist. Often you would simply raise the dosage level of gabapentin or introduce something like tramadol or metacam. Often you'd use a CSF inhibitor before something like metacam -- that is typically the starting point for medications, and often it is enough on its own or working with gabapentin. Preds generally would be the last resort drug to give long term, if nothing else is working (NB it is the very last option to go with on Clare Rusbridge's treatment diagram). Generally with SM it doesn't seem to work to put the dog on prednisalone then wean them off -- the results don't last as they do with some other illnesses. Is your vet working from/familiar with the treatment diagram? That might increase options. There are several other NSAIDS that can be used besides tramadol, for example. The diagram also shows tests that should be done once dogs are taking these drugs.
    Karlin
    Cavaliers: Jaspar Leo Lily Tansy Libby (foster) Mindy (foster)
    In memory: Lucy
    Cavalier SM Infosite:www.smcavaliers.com

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    Hi,

    I presume that Tramadol for dogs is the same as Tramadol for people? If that is the case then they are actually powder inside a capsule which is why you cant split them.
    Tramadol is a very strong pain killer, one step down on the WHO pain ladder in people from Morphine based meds.

    The adult dose in a human is 300mg a day so 50mg BD seem quite a bit to me for a little dog.

    Good luck and keep us posted.

    Mel

  10. #10
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    Karlin, when Chaos was first diagnosed at the RVC she was just started on Gabapentin. Whenever she had a really bad episode the vet I used then put on her a short course of metacam or rimadyl but these always upset her stomach. After doing my own research I decided to give her the omeprazole and this really helped with her stomach problems if nothing else. Since her insurance would no longer pay for SM I now have to go to the PDSA. They also gave her Carprofen which also upset her and did not make much difference to the SM.
    When I went there a couple of weeks ago I once again took the treatment chart from Clare Rusbridge with me but she did not want to look at it. She said to me "I read a new article yesterday about SM treatment but it is at home, I will read it tonight and ring you tomorrow with what I will prescribe". I asked about the tests of their liver etc. that they should have but she said that although a regular vet would do these the PDSA did not do them.
    She then phoned me and said she wanted to start Chaos on prednisalone and tramadol, I went back and collected the preds and she said she would order the tramadol as they did not have it in stock.
    I do not have a copy of Chaos's scan but I do know that it looked quite bad and the notes from RVC say "neurological lesion present; spinal cord lesion present C1C5 lesion; ataxic in all four limbs; cervical hyperaesthesia in caudal and mid cervical spine.
    I am not sure if I would be able to talk to a neurologist but could try to phone the RVC and see what they suggest. I know she is 100 percent better on the prednisalone and did not really understand why she needed the tramadol as well.
    Judy

    Chaos B/T Cavalier girl (1.1.2004) Armani Chinese Crested girl (16.12.2002) Onyx Chinese Crested Boy (1.8.2009)

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