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If you're worried about your pet's health, please speak to a vet or qualified professional.

What are DDog’s options for pain relief?

27 replies

Iheartmysmart · 27/07/2023 17:11

DDog is a 12 year old cocker spaniel. He’s had arthritis in both hips for almost two years. Was on Metacam but it stopped working effectively a few months ago and was irritating his stomach.

On the vets recommendation we switched to librela injections but they’re not helping. He’s gone from enjoying his walks and being relatively happy to being unable to manage the stairs, lots of paw licking and scratching which in him are signs of stress. He’s not overly bothered about food and is generally unhappy and unsettled.

I’m back at the vets with him tomorrow morning and wondered if anyone had any idea what other pain relief options we might be offered? He refused point blank to take dog paracetamol!

DS is distraught and thinks that our only option will be PTS. Obviously that’s the last thing I want but I’m not going to let poor DDog be in pain.

OP posts:
MrsKwazi · 27/07/2023 17:22

Went my dog was almost end stage cancer I gave him liberal doses of tramadol as prescribed by the vet. The vet was happy to supply as much as I wanted (not UK) and as I knew things were only going one way my priority was comfort. Steroids helped a bit too.

Is it too early to have the PTS chat? He doesn’t sound happy. I knew when the day arrived for our boy. He could have gone on for a but longer but what would be the point? Misery for him. I framed it to my sons as a gift and privilege that we were able to have ddog pts, as we a) had that choice and b) prevented so much pain. He was pts in his bed by the vet, at home. Was one of the worse days of my life but the alternative was just unthinkable.

Sweetladyjane · 27/07/2023 17:29

Gabapentin has been amazing for my 16 year old poodle. He can’t manage stairs anymore and can only go for short walks but he’s happy.

Iheartmysmart · 27/07/2023 18:09

@MrsKwazi I’m going to chat to the vet tomorrow about the PTS option as well as pain relief. He’s really changed over the last six weeks or so and it’s like he’s aged enormously in a very short space of time. The last thing I want is for him to suffer but if we can get him pain free on medication then he deserves the chance.

@Sweetladyjane I think that was one of options the vet spoke about but we decided librela was the way to go. Unfortunately I live in a first floor flat and DDog is too heavy for me to pick up so the stairs need to be taken into consideration as well.

OP posts:
LBF2020 · 28/07/2023 05:04

Metacam? If he struggles with stairs there could also be a spinal issue? Librella will only help the joint pain and therefore wouldn't help with spinal pain.
I actually found my DDog went downhill on librella but is doing much better on just pardale and metacam now.

Bookish88 · 28/07/2023 06:16

LBF2020 · 28/07/2023 05:04

Metacam? If he struggles with stairs there could also be a spinal issue? Librella will only help the joint pain and therefore wouldn't help with spinal pain.
I actually found my DDog went downhill on librella but is doing much better on just pardale and metacam now.

Did you read the OP?

Lamelie · 28/07/2023 06:27

How come he wouldn’t take paracetamol?
I crush up half a tablet daily and feed it to getting stiffer ddog along with his daily arthritis relief from amazon
https://www.amazon.co.uk/Supplements-Wise-Joint-Care-Dogs/dp/B01HF4PSZA/ref=mp_s_a_1_7?crid=3VL0JSYUNCB4X&keywords=dog+arthritis+pain+relief&qid=1690521908&sprefix=dog+arth%2Caps%2C99&sr=8-7

Fish oil is good for disguising meds and is good for old joints. I share a tin of sardines with him every few days.

Calmestofallthechickens · 28/07/2023 06:45

There are other ‘non steroidal’ drugs apart from meloxicam and some dogs will tolerate those better (eg carprofen, firocoxib) so might be worth a try, and your vet might also prescribe gastroprotectants to prevent GI upset

if you can’t get DDog to take paracetamol tablets then Calpol (under vet direction as dose is not the same as for us)

Tramadol
Acupuncture
Gabapetin / Amantidine (human drugs)
Ketamine

I have learnt a lot from the ‘zero pain philosophy’ website, so that might be useful for you/your vet.

hoping for a good outcome for you and DDog x

MontyDonsBlueScarf · 28/07/2023 06:57

I put my 12 year old on Joints from Vince the Vet when Onsior stopped working for her. The difference was amazing within a couple of days. She went from struggling to get up, to running round like a puppy.

I was reluctant to try supplements because I had no faith in them but when the prescription drugs weren't helping I thought I had nothing to lose. Tbh I'm still not sure I believe in supplements as a guaranteed solution but my experience is that they're worth a try.

Iheartmysmart · 28/07/2023 07:26

@Lamelie He could smell them! Didn’t matter what I tried - cheese, pate, peanut butter, tinned fish - he knew the tablets were in there. Then he just started refusing to eat completely so the vet suggested librela.

@Calmestofallthechickens Thank you, that’s really helpful. At his last blood test the vet was concerned about his red blood cell count being very low which was why she wanted him off Metacam so it’s good to know there are other options. I’ll have a look at the website before his appointment.

It doesn’t help that he’s prone to pancreatitis so I have to be incredibly careful with what he can have.

@MontyDonsBlueScarf He’s on Yumove already which helped for a while but not so much any more. A friend recommended a CBD oil but that just upset his stomach.

We’re off to the vets at 8.30 so wish me luck!

OP posts:
Lamelie · 28/07/2023 07:46

Try half a paracetamol crushed in sardine- he’s a super hound if he can detect that!
Flowers

BiteyShark · 28/07/2023 09:06

Mine is on gabapentin due to previous back injuries.

tabulahrasa · 28/07/2023 09:11

You’ll be a bit limited on options if you can’t get him to take tablets tbh.

I go for shoving it down their throat and food after for ones who won’t take food with it in, or who are good at eating the food and spitting the tablet back out.

Iheartmysmart · 28/07/2023 09:37

Just got back from the vets. He’s been put on Gabapentin with the option of reintroducing the Metacam if needed. But it won’t be a long term solution, we’ll be looking at PTS sooner rather than later.

I sprinkled the first capsule on some tuna and surprisingly he did eat it. Very suspiciously I have to say. Think I’ll need to be creative with administering it going forward.

Thanks everyone for your help and suggestions. Hopefully I can give DDog a few more months pain free.

OP posts:
triballeader · 28/07/2023 09:47

My old girl has severe arthritis. We follow the Canine Arthritis Management advice. She has Galliprant rather than metacam. She thinks they are dog treats and wolves those down as they are meaty flavoured. When that was no longer enough we asked for a referral to a vet hospital that provides a chronic pain a management clinic. She had physio, laser treatment and acupuncture which all helped whilst the drugs for neuropathic pain kicked in. She has gone from being unable to move to gentle mobilisation. At 10 I thought my only option would be pts but she is now 13+ and gently tottering on. She does see her vet every four weeks to check on her quality of life and health as well as repeated drugs. The liberella slows the progression of arthritis thus improving quality of life but does not treat the actual pain from flare ups. I block access to the stairs but since she had physio the silly girl still finds a way up. Thee is a help them up harness on the CAM shop that helps an active in pain dog stay mobile.
https://caninearthritis.co.uk/

CAM open graph image

Canine Arthritis Management – Arthritis in Dogs

Canine Arthritis Management helps owners identify arthritis in dogs and offers a wide range of advice and tools to help manage their dog in the long term.

https://caninearthritis.co.uk/

MontyDonsBlueScarf · 28/07/2023 10:22

@Iheartmysmart mine were on Yumove too with the same results, but the Vince the Vet one works much, much better for her. Glad you have something else to try. Good luck.

ScattyHattie · 28/07/2023 11:23

https://caninearthritis.co.uk/ loads of information can fully trust as from vets & specialists. Medication is only part of what you can do to help manage arthritis, It's well worth signing up for annual membership of £25 to get full access ( it supports the site so they can continue to be independent).
Holly's Army CAMs owner support FB group.

Much comes down to management and home/life adaptions. I had the stairs issue and used the Help em up harness to support. I did also consider making an adapted stairlift as these are often cheap second hand & DIY track options on youtube, but I've too complex stairs. There is also complimentary therapies, physio/massage, laser ( stimulates cells to heal/reduces pain), electrotherapies, accupuncture. Hydrotherapy can be beneficial to hip dysplasia as helps increase muscle to support them, the warm water takes off the weight of body so they can move more freely and with less pain than on land, arthritis often leads to muscle loss as become less active and they move differently to offload a painful area.

Sometimes what works best is a bit of a meds cocktail to work on the different pain pathways/ inflammation reduction.

Gabapentin works on the neuropathic pathways to reduce nerve pain but I found it very useful for my dogs arthritis. It often gets a bad rep because of the side effects of drowsiness/ wobblyness these often pass as the body adjusts but ideally it should be titrated upto the desired dose to avoid, so if you have this issue please speak to the vet about a lowering the dose with plan to increase gradually. The only side effect my dog had was increased appetite which was actually a benefit when she had kidney disease.
It's controlled drug so can't get repeat prescriptions but if have a common dose it's very cheap to buy from a human pharmacy (not boots) so vets £40 v £15pm script + £8meds ( my vet can't buy it at that, not ripping me off)

Galliprant is a NSAID which targets the specific receptors so is more gentle on the gut/kidney than metacam & other NSAIDS, but depends what the blood issue is whether maybe suitable. These reduce inflamation rather than just being pain relief.

There is cartrophen injections too which has anti-inflam action can be bit hit and miss whether makes any difference but a course is 4 weekly injections and it wasn't as expensive as some treatments to try out. It should be given at same time as nsaids but can alongside other pain relief.

You can get some meds in liquid form which can syringe in, dogs can have human paracetamol but needs to be correct dosage & without any extra stuff, so they can have like Calpol but not with xylitol sweetener which is very toxic to dogs so would check with your Speak to the vet nurses, they are pro's at getting meds into animals, if you need help with tablet technique.

If your insured/have funds its worth seeing an orthopedic specialist as they are much more knowledable on medications/treatments available and able to pick up issues the GP vet may have missed because they have the wealth of experience of these cases and access to more hi-tec equipment.
Sometimes require anesthesia but not the ordeal of more invasive surgery. Various types of intra-articular injections to reduce inflation/lubricate problem joints or regenative therapy treatments.

My dog had stem cell & platelet rich plasma treatment at 14yrs as most joints apart from hips/elbows were arthritic, we'd exhausted many option and otherwise was very healthy. It made a huge difference to her comfort & mobility but it was very expensive and wouldn't been an option without insurance paying bulk of cost. I think there a donor stem cell option has now come out to reduce cost as lot of the expense is the lab to grow from their own fat cell sample. This was pre -librella and some people have similar result but it only treats the pain and the joints will still be degrading and possibly at faster rate if activity not regulated.

https://caninearthritis.co.uk

Pasithean · 28/07/2023 11:28

Amazing in the uk pets have more rights to pain killers than humans do. 😞

MillWood85 · 28/07/2023 11:29

My cocker is 10.5 and he has terrible arthritis. He has a monthly cartrophen injection which has made a huge difference - you can have a 4 x weekly course every 6 months but mine does better on a monthly dose. He also doesn't tolerate metacam, so he has 1/2 paracetamol tablet mixed in with his food morning and night, and he can have another one during the day if he needs it. Our vet didn't recommend Librela and we used Cartrophen with our old lab so I'm confident of it's value.

You can also have Pardale which is paracetamol/codeine for dogs but that's via the vet only. I get his paracetamol myself as it's 50p a pack! Don't give up - there are lots of options. Get a second opinion if your vet isn't helping. We're now looking into hydrotherapy and a friend swears by a physio for her dog that had a serious spine injury.

annonymousse · 28/07/2023 11:31

My old lady lab was on steroids and glucosamine granules for her last 3 years. She had spinal arthritis. They kept her happy and pain free. My current dog also has back problems and when it flares up she has gabapentin and paracetamol.

tabulahrasa · 28/07/2023 11:38

Pasithean · 28/07/2023 11:28

Amazing in the uk pets have more rights to pain killers than humans do. 😞

In what way?

Iheartmysmart · 28/07/2023 11:46

Thanks for the link @triballeader There’s some really helpful info on the website and I’ve ordered one of the supports to help with the stairs.

Thanks as well @MontyDonsBlueScarf I will get some of those supplements and give them a try once he’s settled on the new meds.

@ScattyHattie If he was otherwise healthy then I’d happily pursue as many options as possible. Unfortunately he is also showing early signs of dementia so that needs to be taken into account. Plus his hearing and eyesight aren’t great so he gets very stressed away from his routine.

The vet suggested starting on a lower dose of gabapentin with the option to increase it if he’s having a bad day. He does go to hydrotherapy but absolutely hates it. I seem to have one of the few spaniels that detests water! Might try acupuncture instead. I also have a heat massager which he quite likes.

@MillWood85 He refused point blank to take Pardale! For a dog that will eat pretty much anything he seemed to sniff that out no matter what I tried to hide it in. He eventually got suspicious of everything and stopped eating completely.

OP posts:
ScattyHattie · 28/07/2023 11:52

Pasithean · 28/07/2023 11:28

Amazing in the uk pets have more rights to pain killers than humans do. 😞

It's probably more due to paying for private medical service, I must admit im jealous of the service my dogs get at the vets, but the costs are bit 😱 when used to NHS.

Seems like addiction is less of a risk in animals perhaps how they metabolise it, but then they can't self-medicate, but they still have restrictions on prescribing controlled drugs. The risks of long term damage from some of these drugs is also less of a concern too when future lifespan maybe only few years- decade compared to humans and no dialysis, organ replacements to consider then to extend life.

MixedBlessings · 28/07/2023 12:08

Following with interest. My 15 year old border collie cross has been on Metacam/meloxodyl for a couple of years, latterly with an added dose of paracetamol. She's now been diagnosed with kidney disease so the meloxodyl has to stop. We tried librela but it didn't suit her - she was lethargic, lost her appetite, unsteady on her back legs - it was awful. Vet seems to think we should try it again!

We're continuing with paracetamol but I'm struggling to find effective pain relief she can take with kidney disease. We can't even give her YuMove any more.

ScattyHattie · 28/07/2023 12:18

I would look for a veterinary physiotherapist then as they are great at pinpointing issues as they arise and using massage to help free any tightness to improve range of motion, they often use a type of laser and elecrotherapies as part of treatment. They also give you exercises to do to build strength/flexibility. Some will come to your home or work from centre/vets. Acupuncture can only be done by a vet so it can depend what's available in your area.

😂yeah they don't all live up to their breed traits do they. My dog was a very reluctant swimmer but she tolerated it for treats after each rep. She was a pro on the underwater treadmill after initial hatred, probably as she got more food than swimming . She was always extra bouncy after a hydro session though so felt better for it.

Some meds do seem to smell/taste worse than others, think tramadol must be bitter if they break the casing as my dog looked like eating a lemon then would refuse to take those after so had to roll inside bread balls. I was lucky and could just dip most pills in peanut butter and would get scoffed down.

Floralnomad · 28/07/2023 12:28

Our vet is currently offering some kind of laser therapy for pain , I’ve not tried it with ours as he’s running around happily on his metacam but that may be worth looking into .

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