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Pain Meds and EPI

Posted: 24 Aug 2019, 21:25
by Estolooee
Hi all,
My sweet epi girl, Rocksie, was just diagnosed with osteosarcoma (bone cancer). I have to make some hard choices about the right care for her over the next couple days, but in the mean time I want to make sure she is comfortable. My typical vet is out of town and the vet who diagnosed her does not have much experience with epi. However, she mentioned the enzymes might break down the pain medication, making it ineffective, if given at the same time. She suggested maybe giving her the pain meds an hour or so after digesting the enzymes. Of course, Rocksie won't take the medicine unless it is disguised in some food, so now I'm at a loss. Has anyone had to give their epi kiddos pain meds? I'd appreciate any advice or suggestions!

Re: Pain Meds and EPI

Posted: 24 Aug 2019, 21:39
by jilbert57
To my knowledge enzymes only work on fats, proteins and carbohydrates. You are good to give the pain medication with food.
Sorry to hear of the diagnosis.

Re: Pain Meds and EPI

Posted: 25 Aug 2019, 10:42
by Jean
the first thing I would do is ask for a second opinion just to make sure

which leg is it

I say this only because my friend's dog was wrongly diagnosed

I truly dont know the answer,

which pain meds is it?

Jean

Re: Pain Meds and EPI

Posted: 25 Aug 2019, 13:22
by Barb
Hello, Eryn, I am so sorry you are dealing with this diagnosis for your sweet girl. Please let us know how she does. We will keep you both in our hearts and prayer.

When Kolby bloated two years ago, they had to do GDV surgery to evacuate the gas and untwist the stomach. He came home on some pretty heavy meds for a week...tramadol and they were very effective. We did not do anything different with the enzymes. We gave them with his meals as normal.

Let us know how she is doing.

Barb

Re: Pain Meds and EPI

Posted: 25 Aug 2019, 17:44
by Miss Maddie Moo
Maddie was on metcam what i found and i dont know why was that if she had it at night it didn't upset her stomach but in the morning it would make her poop a bit iffy ...EPi is secondary with what your gal is going through i would concentrate on that and worry about the EPI after...good luck and hugs i know what it feels like when you are dealing with cancer in a dog .

Re: Pain Meds and EPI

Posted: 26 Aug 2019, 08:34
by TerryBin
I am so sorry to hear of your diagnosis. We have used pain meds (Tramadol mostly) with 2 of our dogs (one passed over the Rainbow Bridge in April) and we give it right after breakfast and before bed. Just our schedule. Don't think giving it with the meal would be an issue. We use pill pockets with Pharaoh and he will take the pills in the pill pocket. My thoughts are with you as you go through this last journey together.

Re: Pain Meds and EPI

Posted: 26 Aug 2019, 17:34
by Sparkle Tangerine
Our veterinarian gave Montgomery a shot of beuprenorphine (sp?) which lasts three days. The first time he got it, he was looped. The second time she cut the dose down and he was much better. It had no ill effect on his digestion, though the shot is painful initially.

Re: Pain Meds and EPI

Posted: 12 Sep 2019, 21:30
by Estolooee
Thank you all so much for your insight and sweet comments! I've been giving Rocksie her pain meds after meals and she is responding really well ❤️

Re: Pain Meds and EPI

Posted: 12 Sep 2019, 22:23
by jilbert57
Thank you for the update on Rocksie!

Jill

Re: Pain Meds and EPI

Posted: 14 Sep 2019, 15:58
by Barb
Glad to hear she is responding well. She is lucky to have you. Sending hugs. We know what this is like......

Barb