I have four dogs on cm/sm medication, there doesn't seem to be the same answer for all of them. All of them were on different doses of Gabapentin, Cimetidine and some were also on Trocoxil. I decided to switch them all over to Lyrica thinking it would make life easier medicating twice daily. Dougall who has cm, did not do very well at all, I even had his mri repeated to see if he had developed sm or to see if there was any damage to his spine. We increased the dose of Lyrica but it didn't make any difference. One night he started to scream! I put him on Tramodol, decided to put him back onto Gabapentin. Dougall is now on Gabapentin, Trocoxil, Cimetidine and a low dose of Tramodol which is new! Well he is now a changed dog, he sleeps through the night which he has never done before. There is slight sensitivity around his shoulders but the rest of the pain seems to be very much under control.
Each dog reacts differently, I am sure once you have found the right mix things will settle down.
Tania and The Three Cavaliers!
Dotty!- A Sweet Little Tri
Molly - Pretty Tri Dougall - Gorgeous Blenheim