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Sandi Lavoie said... My 7 year old rottie named Nikki was diagnosed yesterday after bloodwork and X-rays with pancreatitis. She weighs 105 pounds. Yesterday my vet gave subcutaneous fluids, antibiotics and pepcid as a treatment plan but did not prescribe anything for the pain. After a sleepless night for both myself and Nikki, I called the vet this morning to let her know that Nikki was in pain and needed something to help with that. The vet prescribed tramadol 50mg TID. I am curious if this sounds to be an appropriate dosage for a dog Nikki's size? Also, could you give me ideas of possible side effects, if any, to look for. Nikki is no stranger to pain. By the time she was one years old, she had both back knees operated on. So when she started crying yesterday and her demeanor completely changed, I knew something was severly wrong with her. She received her first dose of tramadol two hours ago and is sleeping now. However, she seems to wake up and whine a bit. The whining is different than the crying she was doing yesterday and earlier this morning. I do not want to be a paranoid "mom" but the vet we saw yesterday was covering for Nikki's regular vet and she does not know Nikki well, nor do we know her. I want to do what is best for Nikki and always try to keep her first in my thoughts. If you could give me any suggestions, I would appreciate it very much.Thank you in advance for any comments you can pass on to me.
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We are developing a once-daily formulation of the analgesic tramadol. Tramadol is a non-scheduled, centrally acting analgesic for the treatment of moderate to severe pain. Tramadol is currently marketed in more than 70 countries worldwide, primarily in formulations that require multiple doses per day.
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Clinical Studies: Ultram (tramadol hydrochloride) has been given in single oral doses of 50, 75, 100, 150 and 200 mg to patients with pain following surgical procedures (orthopedic, gynecological, cesarean section) and pain following oral surgery (extraction of impacted molars).
... Comment #91: tramadolonline ...For chronic pain: For oral dosage form (long-acting tablets): Adults—100 mg once a day. Your doctor may increase your dose as needed. You should not take more than 300 mg per day.Children up to 18 years of age—Use and dose must be determined by your doctor.For pain: For oral dosage form (tablets): Adults—One-half to two 50-milligram (mg) tablets every four to six hours as needed, no more than 8 tablets in a day Your healthcare professional may want you to break the tablets in half for the first dose and increase your dose by half-tablets, up to a maximum of 2 full tablets per dose. By starting at a lower dose and slowly increasing the amount of medicine you take, this will help you get used to the medicine gradually. Your healthcare professional may want you to take 2 tablets for the first dose if you are having severe pain. This helps the medicine start working a little faster.Children up to 16 years of age—Use and dose must be determined by your doctor.Missed Dose
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Tramadol is used to relieve moderate to moderately severe pain. It also may be used to treat pain caused by surgery and chronic conditions such as cancer or joint pain. This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.
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Ultram should not be administered to patients who have previously demonstrated hypersensitivity to tramadol or in cases of acute intoxication with alcohol, hypnotics, centrally acting analgesics, opioids or psychotropic drugs.
... Comment #257: buy tramadol and lorcet online no prescript ...8:38 PM, Susan in Montana said... I have a question about Tramodoland Deramaxx, too, I guess. My vet had prescribed Deramaxx for our 10-year-old Golden Retriever's arthritis and I had been giving him the maximum dose since last summer. A few weeks ago I took him in to the vet. They did some blood tests and discovered elevated creatinin, indicating decreased kidney function. We did two more blood tests after that, finding that his creatinin was indeed elevated. The vet took him off the Deramaxx and put him on Tramadol. I am concerned because some websites say that Tramadol is not good if a dog has compromised kidney function. I am noticing also that he is now drinking more wateris this a good sign or a bad sign? Is the decreased kidney function from the use of Deramaxx permanent? Thanks so much for your help.
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Skipper said... Hi, I hae an 11 year old, male, 80 pound airedale terrier that has recurring problems with his lower spine. FOr three weeks he has been on 1250mg of Novo Lexin twice a day, 50 mg of Tramadol twice a day. He has been onMetacam for at least a year. Since starting the Tramadol he has episodes of heavy panting, pacing, and he won't lie down to rest. He is very restless and is up several times in the night. He is whining constantly. Are these indications of a dosage that may be too high? Is is also safe to completely stop the Tramadol or do I have to slowly reduce the dosage?Jennifer
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2:13 PM, Anonymous said... My dog was biten by a copperhead a few hours ago. I could not aford the pain medication the Dr. offered(what college student could) but I did get the antbiotics. I have been prescribed Tramadol can I give him one or will it react with the venom. The vet said something about having to give an opiate based pain med so it would not react with the venom. Isn't tramadol a synthetic opiate?
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OVERDOSE: If Tramadol overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include cold and clammy skin, low body temperature, slowed breathing, slowed heartbeat, drowsiness, dizziness, lightheadedness, deep sleep, loss of consciousness, or seizures.
Tramadol is metabolized to M1 by the CYP2D6 P-450 isoenzyme. Quinidine is a selective inhibitor of that isoenzyme; so that concomitant administration of quinidine and Ultram results in increased concentrations of tramadol and reduced concentrations of M1. The clinical consequences of this effect have not been fully investigated, and the effect on quinidine concentrations is unknown.
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1:54 PM, Anonymous said... I am writing to ask for help on my almost 15 year old siberian husky, who has been pretty healthy until the last few months. She was attacked by another dog at the kennel, had her ear bitten up and has had multiple infections and fluid in it since, losing hearing and eye sight on the right side of face. She has had renal insufficiency since 2003, but done well with use of glucosamine and chondrotin for arthritis. She has had to be on NSAIDS (Rimadyl, then Deramaxx and Tramadol periodically) for pain and swelling related to this attack. About one month ago, after becoming dehydrated for refusing to eat because the kennel (first time staying at the owner's home since the attack), forgot to give her her Deramaxx making it painful to eat, her weight dropped, Hematocrit dropped from 40 to 35, and her kidney enzymes skyrocketed, with a BUN of 123, Creatinine of 5.23 and Phosphorus of over 7. Also, learned her thyroid had shot up to T-4=6.5; she had been diagnosed Hypothyroid in September after she developed a pacing/panting episode pattern during the night. She had improved on this with discontinuing Tramadol, moving from Rimadyl to Deramaxx and starting .8 of L-thyroxine, and I had been giving her two capsules each day of Calcium Lactate (a phosphurus binder). After her numbers were so high, she was prescribed Epakitin ( a prescription phosphorus binder) and her numbers all significantly dropped, bringing her BUN down to 69. Unfortunately, she fell on Thanksgiving weekend and hurt her tailbone, ending up the local emergency vets on fluids and drugged up with hydromorphine, causing her to fall over and over again hitting her tailbone. I got her out of there and drove to a veterinary medical school a few hours away. She was found to have a UTI and about 25% kidney function and no broken bones. She's on doxycycline for the UTI and also started on Enalapril for hi BP she developed after her fall. No One can check with an MRI for slipped disc because she can't tolerate general anesthesia because of the kidney failure. Her numbers were all high again. My vet and the med school are coordinating care for her since then. Her numbers came down last week after being back on Epakitin, being off all NSAIDS and off her L-thyroxine (she's back to Hypothyroid again). She's started pacing again and the vet recommmended Tramadol, and I finally convinced her to restart .4 L-thyroxine, but just read the comment by Anonymous 4:42 am, aboout Acepromazine (does this affect the kidneys?). My dog's kidney numbers went back up last week, which may be related to use of Tramadol again 50 mg b.i.d., eating human tuna fish without the Epakitin added, as my dog stopped eating her prescription food with all the meds added. Just found something she'll eat with the Epakitin in it, called Spot's Stew, low protein, natural canned food from the pet store, with some regular chicken pieces added to entice her. The pacing and panting continue and after reading this site, I'm going to try and give her the Tramadol in four 25 mg doses. Also, I'll call the vet on Monday to see what she thinks about the Acepromazine. The description of this dog that benefited sounds just like my Nikita, who will almost get laid down, and then pop back up to pace over and over again, during the night. We've had over a week of sleepless nights, so I'm desperate to here back thoughts of folks on this website. I can tell by reading you're all dog-lover's and educate yourself as much as you can on your pets. What I've learned is that it is not the protein in food causing problems with kidney function, but the phosphorus that clogs them up, so a good phosphorus binder is important to use to help your dog's kidneys. I started with the Calcium Lactate OTC Capsules, and now the Epakitin seems to help, but unsure how these other variables are affecting the enzyme tests. I will keep you and your pets in my prayers and ask you do the same for Nikita and me. I look forward to any ideas, feedback. Thanks. Sleepless in Bellevue!
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Nancy Campbell RVT said... Suz, the best relief for your friend is likely to be amuputation. The dose you mentioned for Tramadol is 1/10 of a pill so I'm am assuming you meant 50mg and with the Rimadyl which helps with any inflammation *some* relief may be afforded, but not what amputation is more apt to give. My heart goes out to you and your family. May you find peace and love in the days to come.
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12:03 PM, Anonymous said... My 5 year old lab/German Shepard mix died last night. I probably will never know why, but she was on Tramadol. She had a slipped disk at the base of her neck and Tramadol and Rimadryl were prescribed. That didn't work, so x-rays were taken and they then prescribed prednisone only. She was fine for a few days and then started walking funny. I called the vet and was told to put her back on the Tramadol. Within an hour, she started losing the use of her legs. She laid on her side (we kept rotating her) for two days and then she just passed. I guess I'll never know, but I somehow believe that the Tramadol didn't help her situation.
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8:08 AM, Anonymous said... Is tramadol a good fit for bursitis? I have an almos 11 year-old greyhound, approx. 80#. He has chronic bursitis in his shoulder. It seems to give him quite a bit of pain, either limping profoundly and/or refusing to put weight on the leg while standing. He also pants a lot, especially in the evening. He is currently taking deramaxx but he still pants and my sense is that the deramaxx is relieving the pain some, but not completely. The bursitis seems to get better for a while, and about the time he seems pretty normal in his movements, starts the heavy limping and panting again. I'm wondering if adding tramadol to the deramaxx would be a good protocol for this condition. Are there any other treatments for this condition that I could pursue. What do you think about homeopathic remedies, ointments, etc.?
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Nancy Campbell RVT said... You'll need to ask your vet. There are so many alternatives for pain control that I think it is best left up to your vet to decide what would be best for your pet. Sorry, I couldn't be of more help.
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