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  ...4:42 AM, Anonymous said... First, thanks for the great info on this site. Our 14-year old lab/shep mix (75lbs) has severe arthritis in all four joints (dysplasia in hips, arthritis and swelling in front). He's very stoic, and doesn't whimper or cry, but in the last year, he's starting having a much more pronounced limp, and atrophy in the back, crossing of legs which indicates neurological problems, etc. At night (and often daytime too) he'd get very wrestless, panting, walking, panting, walking, looking to us for help, then panting and walking some more and he couldn't seem to calm down. (We tried Anapryl for adult cognative issues but it didn't help). His problem, of course, was that he was in pain, and the pain made him upset and anxious because he needed help. To treat that, the doctor prescribed Acepromazine as a sedative / anti-anxiety med and Tramadol for pain. For all of you out there with dogs who pant and pace and pant and pace, then lie down for three seconds and get right back up to pant and pace talk to your vet about Acepromazine. It reeeeeally helps calm them down so they can rest and let the pain meds do what they're supposed to do. Pain meds alone didn't do it for him, but the combination of Tramadol and Acepromazine has worked miracles.Acepromazine can be very sedating, so it takes some trial and error to find the right dosing. You want them comfortable but not comatose. He's sort of sleepy a lot, but he is 14, so he'd sleep a lot anyway. He gets up when we come in the door, and gets excited when the doorbell rings, he'll switch rooms and lie down near my husband or I depending on his mood, and take a nap there for a while. So he still enjoys life. He eats well, and even went to the dog park a couple of weeks ago for 15 minutes or so and had a great time smelling all the smells. This would not have been possible without the combination of these two meds.His regimin is: - 75mg Rimadyl 2xday; - 75mg Tramadol 2xday1 Lasix in morning (heart congestion which is controlled with Lasix)- 1/2 tablet Acepromazine breakfast, one whole tablet at dinner.- glucosamine/chondroitin 2xday - Fish oil 1xday (to help lubricate joints, help digestion, and build antioxidants)-Vitamin E 1xday (because fish oil can deplete Vitamin E)*****Also, for anyone who has trouble giving pills to your dog, try sticking the pills down into a small piece of hot dog. They'll eat it right up. With all the pills my guy gets, this has been a godsend!!Anyway, maybe this info will be helpful. I was at my wits end with the pacing and panting. he seemed desperate and I couldn't help him. Now it's very rare we have a night of pacing problems, annd as soon as we see it coming on, we give him a bit of extra meds and it calms him right back down and eases the pain so he can enjoy his night. For us, it's all about keeping him comfortable and happy as long as he's with us, and this has made a huge difference the last year. Good luck to others!Good luck. ...
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  ...Up to 7 Days Up to 30 Days Up to 90 Days california discount pharmacy tramadol I take Tramadol for Fibramyalgia. It's been like a God send. It's the only thing that has helped the pain . I would ask your doctor if you could try it. My doctor would NOT prescribe it until I went off my antidepressant Prozac. He put me on Cymbalta instead and I have had great results. Designer drug analgesic. The chemical name for tramadol hydrochloride is (±)cis-2-[(dimethylamino)methyl]-1-(3-methoxyphenyl) cyclohexanol hydrochloride. Its structural formula is: Everything in the known universe about chinooks Tramadol About - to you, not us. Robin said... I have learned so much from this thread (thank you VTs for having it).My 75 lb shepherd/hound mix has been on Deramaxx for hip dysplasia for 15 months. He took a turn for the worse last week and I thought he was a goner.The vet suggested we try adding Tramadol. Wow. He took 75mg, took a looonnnnggg nap, and then he could walk and he ate a BIG meal! What a transformation!But, he has had diarrhea (no blood) since then and eats grass to vomit. Quite a few hours after eating, there is a lot of food that is undigested.I added pepcid a/c, thinking it was the deramaxx that had messed up his stomach. No change. Barely eating.Then I baked a chicken which he loves! So he is eating.I took him off the Tramadol for one day, and the severe pain immediately returned. I gave him 50 mg of Tramadol last evening.. and within 15 minutes, he vomited.So, I have isolated that the Tramadol is making him vomit.Is there an alternative to Tram??? Disclaimer: I am really POOR! Trying to find piece work and/or a FT job. Have some items on ebay, praying for sales. $175 to my name till ???? So, yes, I need to go to the vet for a checkup, tests, everything. But I can't. I will call the vet today to ask if there's an alternative to Tramadol.Basically, the money I am holding, is reserve to put my dog to sleep! But what a conundrum. Spend the money on tests, etc.... to find that he has to be put to sleep but then have no money for that?!! Ugh. ...
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  ...cirrhosis of the Medications | About Wikipedia Healthy Kids | Analgesics ( I am so grateful for your experiences on here. I was searching the web looking in the early hours of the morning convinced I was losing my mind. I was prescribed Tramadol by a GP for pain related to my spina bifida. At first I was very drousy and sleepy, but since then I have been unable to sleep at all - other than the odd hour here and there. This has now gone on for 6 weeks. I decided to come off the drug as my GP told me it was highly addictive and he wouldn't recommend longer than 2 months use. I reduced the dose for a few days and then stopped. Since then I've had terrible night panic attacks, anxiety attacks, I am either boiling hot sweaty or freezing cold, I feel sick 24/7 and had terrible headaches. I feel 'uneasy' in my skin (I can't even put that feeling into words). Reading all your experiences helped me to see that it's the drug and not me, which was a relief. I pray these withdrawal symptoms go soon. I wish I'd never started with Tramadol. Amanda Leicester UK ...
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  ...Recently Approved Directories | 6.3 Children involved in the illegal drug trade buy tramadol prescription Many people are concerned about the side effects of narcotic medications, such as the opiates Vicodin, Oxycontin, Morphine and Demerol. These medications have all been in the news because of their serious negative effects. Also, unlike NSAIDs, Tramadol drug does not cause stomach upset or irritation. It is not surprising, then, that Tramadol is the pain reliever that many physicians prefer to prescribe. It can be used to treat many types of pain and pain syndromes. It is often prescribed after surgery or for people with chronic pain conditions like arthritis and fibromyalgia. ...
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  ...Best of the Web [3], drug addiction differs from Drug InteractionsChecker Pregnancy [3] This number, however, includes indirect costs and includes some costs of drug policy enforcement, and so is not directly comparable. Cancer Information / Kathy said... Last week my dog could not get up so I called my vet. She said to give the dog Tramadol HCI 50 mg which I did. But I also gave the dog a previcox tablet for arthritis. Well, by that evening she begged to go out and I let her without supervision and she got into the neighbor's garabage! The next day she had diarrhea so I cut off the medicine. Our vet was also trying to determine if Lucy had Cushing Disease. The next day my dog died and I don't know if I mixed the wrong medicines, the dog got into the wrong garbage or the Cushing Disease did her in. She's had symptoms of the disease for over a year. I think she died of a heart attach because her chest heaved several times. What do you think she died of? ...
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  ...Acute Abdominal Conditions Note: Discount is valid only for one ware Take tramadol exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor. Follow the directions on your prescription label. Do not take more than 300 milligrams of tramadol in one day. 11:58 AM, Anonymous said... I took my Pom to a different vet today and he showed me how his back legs were not responding properly. He says this indicates a likelihood of a herniated or ruptured disc in the spine. So we are going to continue the tramadol and add a muscle relaxer and prednisone to cut down the inflammation.My dog has a mild heart murmur, so we have to be careful with the prednisone and watch for fluid buildup. If we get that then I will have to try an NSAID. Will update later in the hopes that this may be of use to someone else later on...-TS ...
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  ...insomnia, rigors, Register now Tramadol is a centrally acting analgesic. Structurally it is not an opiate, but it exhibits some opioid characteristics. Like opioids it binds to µ receptors, although very weakly (binding affinity is 10 times less than codeine and 6000 times less than morphine). Home Ultram (tramadol hydrochloride) is a centrally acting analgesic. The chemical name for tramadol hydrochloride is (±)cis-2-[(dimethylamino)methyl]-1-(3-methoxyphenyl cyclohexanol hydrochloride. Carbamazepine because it may decrease Tramadol 's effectiveness and increase the risk of seizures Certain medicines for mental or mood disorders (eg, olanzapine, haloperidol), cyclobenzaprine, isoniazid, other opioid pain medicine (eg, codeine, hydrocodone), phenothiazines (eg, promethazine), sleeping medicines (eg, zolpidem), sodium oxybate (GHB), tricyclic antidepressants (amitriptyline), or weight loss medicines (eg, phentermine) because side effects, including excessive drowsiness, trouble breathing, liver problems, or seizures, may be increased Furazolidone, monoamine oxidase (MAO) inhibitors (eg, phenelzine), nefazodone, selegiline, or selective serotonin reuptake inhibitors (SSRIs) (eg, fluoxetine) because they may cause serious and sometimes fatal reactions, including restlessness, fever, excessive sweating, confusion, twitching, and seizures Oral anticoagulants (eg, warfarin) because its side effects, including bleeding, may be increased by Tramadol Digoxin because the risk of side effects, including nausea, vomiting, or slow heartbeat, may be increased by Tramadol This may not be a complete list of all interactions that may occur. Ask your health care provider if Tramadol may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine. ...
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  ...Christie Keith said... Obviously we can't know for sure what is going on with your dog. In general, I'd say that it IS hard to know if this is an opioid response (Tramadol is sort of an opioid and sort of not)or if it's from pain. Usually, this kind of opioid response is accompanied by whining and a lack of recognition of the owner. In fact, whining is the single symptom the first vet who prescribed Tramadol to a dog of mine warned me about, as being from too high a dose for that dog. I have never seen it from Tramadol, but I have seen it from Fentanyl and from morphine. This does not sound like what your dog is experiencing, however.Sometimes we do see dogs whose owners say they are "sedated" when what they are is finally getting some deep sleep because their pain is under control. This does not at all sound like what you are describing, either.So, the answer is ... you need to talk to a vet who IS familiar with Tramadol and with pain management. This will be easy. Your vet can simply call and do a consult with any vet school's anesthesia consultants. They will be able to tell him how to evaluate the effect of this drug on your dog.Your vet also could go onto VIN (if he or she is not already a member, they can obtain a free 30 day trial membership; www.vin) and consult with the analgesia/anesthesia consultants there. It sounds to me like your dog is in a lot of pain and really needs some expert pain management here. Fortunately, that IS available, even if your own vet isn't an expert in that area. Please let us know how he does!Christie and Nancy ...
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  ...Generic Name: tramadol (TRAM a dol) Brand Names: Ultram, Ultram ER Nancy Campbell RVT said... Dear Anonymous,You didn't mention if there were any other tests done other than bloodwork. Where xrays done? Hips, spine, etc.? That could tell you quite a bit. I would think a few more basic diagnostics need to be done. There are neurological tests that even the most general practitioner should know how to do that would help to rule out things like degenerative myelopathy. Maybe there is some arthritis going on in the spine or the hips. Spondylosis is another possibility. Did the vet gently press along the sides of her spine to see if she reacted? The list is endless really and a lot of them could be ruled out with some basic tests.There isn't a drug out there that is a miracle cure, so the Rimadyl could have alleviated some of the pain but not all, thus the shivering continued. As humans that have taken on the responsibility of caretaking dogs as pets, pets that cannot vocalize their problems (ie. Point to a spot and tell you, "It hurts right here.") It is up to us as pet owners to be aware of the symptoms of pain and evaluating their level of pain and doing what we can to allevaite it. That's why we're given a dose range so that if we give them the low end and it doesn't help we can give a little more. Vets are more likely to prescribe a *veterinary* drug first before a human drug. They're also more likely to prescribe an anti-inflammatory drug. Medical doctors follow the same protocol. Keep in mind that you have a geriatric large breed dog. Someone presenting their pet with the only symptom of ocassional shivering isn't unusual. Sometimes it is difficult to ascertain exactly what is causing the pain but it takes more than a look over and bloodwork. Good luck and I hope your Dobie gets the relief she needs. Keep us posted. ...
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  ...Pharm Rep FAQ Health Highlights: Dec. 9, 2007 9:35 AM, Anonymous said... My 11 year old (70#)greyhound came up with a limp after having a lean back chair hit her right front paw. She started to limp immediately and has not stopped. I took her to the vet,who seems to think it had nothing to do with the accident. He took x-rays and thinks she has osteosarcoma (bone cancer) I took her her to a cancer specialist who isn't sure of the cause either. She prescribed 50 mg of Tramadol every 12 hours and 1.5 mg of Medacam once a day. The limp is still not any better at all. I increased the Tramadol to 75 mg 2 x/day but she still limps the same. Can I increase either of these medications or are there other medications I can try. Thanks for all your wonderful advice on this blog. The principal reason for the relatively low price of generic medicines is that these companies incur fewer costs in creating the generic drug, and are therefore able to maintain profitability while offering the drug at a lower cost to consumers. The costs of these generic drugs are so low that many developing countries can easily afford. For example Thailand is going to import millions of generic version pills of Plavix, a blood-thinning treatment to prevent heart attacks, costs just 3 US cents per pill from India, the leading manufacturer of generic drugs. ...
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