Rebel is on a small cocktail of meds for both SM/CM and also a low grade heart murmour.
He is sensitive to changes in air pressure, with vocal expressions of pain if I miss a sudden change, which happened yesterday.
He is prescribed Gabapentin: 100 mg up to 300 mgs daily if needed by the vet, but I must confess that in the recent bad weather this has become 500, which I know is the maximum recommended dose.
He has 20 mgs Frusemide for his heart 2 times daily
He is given Metacam once daily at half the dose for his weight of 11 kgs because the vet is worried about the potential for liver damage when combined with the other drugs he takes.
The prescribed dose of Tramadol is 3 x 25 mgs daily.
With a few glitches on my part Rebel is kept comfortable and happy. His quality of life is generally good, except of course when the neuro pain occasionally breaks through. His appetite is insatiable.
What I am wondering about is whether it is necessary to give him the Tramadol when air pressure is low and his pain apparently absent? Is it likely to be more effective if used out of necessity or does it work better with regular and continuous use?
I'm afraid I have lost all confidence in his usual vet and that I must take the initiative in the use of the prescribed medications, which is why I am asking for advice here.