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Originally Posted by Ellie May  Interesting that this has come up again when we don't even know what went wrong in this situation...
NSAIDs are the post-op drug of choice for soft tissue surgery here (most noticabley, spays). Rimadyl and Metacam are often used.
Ellie had taken Metacam before we knew about her liver problem. She did just fine with it. After we found out she had high bile acids, her vet knew NSAIDs were no longer the drug of choice (I didn't say anything either). And when there are questions about drugs and her liver, she opens a book! Ellie took buprenorphine after her spay and did okay although don't think it was great pain control for her. That said, if Ellie had a very painful ortho procedure done and her vet(s) thought the only thing that would work well would be an NSAID and they felt that the benefit outweighed the risk, then I would allow it.
I will "not" have my dog in that much pain just b/c I'm worried about her liver. If something else works, great, but that isn't always the case. And I don't go for the dogs need to be in pain after surgery theory. I have some thoughts about that and I won't go into them here, but we'll just leave it at I strongly disagree. I don't think Tramadol is a stand alone ortho drug, so I'm sure there are cases where NSAIDs have to be given even when tehre is a liver problem. I would explain my concerns and let the vet decide. If I didn't trust my vet to decide after talking wtih them, then I'd be finding a new one.
There was a report put out about Rimadryl and there may be a slight increase in side effects than other NSAIDs. I wouldn't have a problem using it for a few days post-op although I'd choose something else if I was there while the vet was filling it. That would be for a healthy dog... |
C I consulted two bc orthos both said NO NSAIDS with liver disease dogs tramadol would be fine if she had surgery
C how do we do a poll as I want to know what the percentage of nsaids that are done after surgery as now my curiosity is way up
also op stated surgery then pain meds then death but we do need more info
I think it comes up bc I disagree with some on here in the use of nsaids after my dog was sick on metacam so that probably will never change - we all can agree to disagree and owners can get both perspectives
I agree no dog should be in pain but a sprain is not a reason to rush into using nsaids. DD was limping thursday night and friday she rested and saturday she rested and today is totally fine. I did not rush into using drugs even though i had tramadol here to use and ER said let her rest and if she was in pain today I would have used tramadol and taken her for xray tomorrow. Sometimes you just need to rest a dog like when you sprain your ankle. I had achilles rupture surgery and was cautious on using nsaids and pain meds a little pain is not going to kill you or your dog and resting an injury is key. If I walk too long my achilles hurts but i rest and do not run home to take an nsaid.
Due to the fact that drugs cause side effects they should be taken with caution knowing all the facts and doing what is safe.
I do loans and a client came in adimant he wanted a heloc for 100k and the reason is it saved his wife years ago as a doctor gave her two drugs that interacted and killed her liver within days and she needed a liver transplant and due to it being over thanksgiving weekend they could not get a hold of her insurance company and ucla would not put her on the list without 100,000 check so he used his equity line to get her on that liver transplant list that weekend until they could get a hold of her insurance company. She has had a liver transplant and now is on massive drugs for the rest of her life due to that one mistake and you know what he told me? I wish we would have read up on it before her taking it as it was all over the internet that those two drugs should not be mixed yet we trusted this doctor. That was a HUGE WAKE UP CALL for me. The doctor was sorry admitted to mistake but the DAMAGE was done.