Otis' Medical Thread (Polyp?)

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TwoWhitePiggies

Post   » Mon Dec 29, 2008 3:49 am


I'm so sorry that you have another stone pig. Poor baby. I e-mailed you the information you requested about Rimadyl and Metacam.

I have not tried giving shilintong to Henry, so I don't know about the interactions.

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sef1268

Post   » Wed Dec 31, 2008 8:50 am


Thanks again, TWP.

Does anyone know how to dose B12? Otis is not too interested in pellets (will nibble a few, but not with any enthusiasm). I might try switching to another brand and see if it will stimulate his appetite. Also, supplementing with some oral B12.

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sef1268

Post   » Fri Jan 02, 2009 9:30 pm


Darn. Otis seemed to be doing better over the past couple of days -- blood in the urine was looking more dilute, less crying when eliminating, and generally in better spirits. This evening, though, he is in a lot of pain. I don't know what to do for him. I've given him another dose of Metacam (have upped it from .1cc once a day to .15cc twice a day), and I'm still giving him Shilintong and he's on the Actigall at .5cc once a day (bumping it back tomorrow, per vet's instructions), but tonight he is really crying and hunching. Could he be trying to pass the stone?

I feel so helpless at this point. :(

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Lynx
RESIST

Post   » Fri Jan 02, 2009 10:48 pm


I'm sorry Sef. I hate that helpless feeling.

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rshevin

Post   » Fri Jan 02, 2009 10:58 pm


Piggy ended up on Buprenex and boatloads of metacam. He had a steroid at some point (discontinued the metacam for 24 hours) and that helped, I think it was dex.

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sef1268

Post   » Sat Jan 03, 2009 2:10 pm


Thanks. I picked up some Tramadol from our vet's colleague today...Dr. M was off today, and I had wanted her to do another x-ray to see what's going on with that stone. He is still passing urine, and there isn't any *visible* blood in the urine, but the crying is more frequent and he's hunching and straining when he urinates and defecates. I just don't like the looks of it.

He's on for 9:00 a.m. on Monday with our regular vet. In addition to re-evaluating the stone size and location, we're going to discuss the possibility of surgery. Dr. M expressed some concerns about Otis' ability to deal with recovery, but if she feels it's at least worth a try and if she's willing to work with us on the bill (we can't afford to pay it in one lump sum this time; hoping she might be open to us paying in installments), we'll go ahead and schedule surgery for later this week.

In the meantime, we're giving the Tram a try and also picked up some more butterfly sets in case I need to push fluids over the weekend. He doesn't seem to be drinking as much today. :(

ETA -- this is Otis:
Image

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Bugs Mom

Post   » Sat Jan 03, 2009 2:36 pm


I'm sorry for all the problems Otis is having. He sure is a cutie.

Tracis
Let Sleeping Pigs Lie

Post   » Sat Jan 03, 2009 2:41 pm


Otis is gorgeous. I'm keeping him in my thoughts.

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sef1268

Post   » Sat Jan 03, 2009 6:10 pm


Many thanks.


I could use some help with Tramadol dosing. According to this source -
http://www.vasg.org/s_thru_u.htm

general dosing for Tram is 1-5mg/kg for dogs, and 1-2mg/kg for cats. I can't find any dosing information for rodents or rabbits.

The label on compound that Dr. J gave me today says:
.2cc orally every 8-12 hours. 50 mg in 10cc; 5 mg/cc.

If there are 5 milligrams in a full cc, that's .5mg per unit, right? He is prescribing this at .2cc's for Otis, who weighs 1 kg, so that would be .10mg. Right? Does that sound extremely low to anyone else?

Also, does anyone have any information on combining this drug with Metacam?

Thanks again.

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rshevin

Post   » Sat Jan 03, 2009 6:15 pm


Ok make sure I'm doing my math right because I'm getting a different answer from you.

50mg/10cc => 5mg/1cc => 0.5mg/0.1cc

Otis has been prescribed 0.2cc. 0.5mg in 0.1cc * 2@0.1cc = 1mg and since he's 1kg that's the lowball dose for cats which I find a reasonable starting point.

Basically 0.5*2 = 1.0, not 0.1 two halfs = 1 whole

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sef1268

Post   » Sat Jan 03, 2009 6:25 pm


Oh good grief, I had my stupid decimal point in the wrong place. (And husband wonders why I make him balance the checkbook.)

Thanks, rshevin.

Not wanting to speak too soon, but Otis has seemed a little better this evening. He's munching hay and crying less frequently. Maybe the Tram is kicking in.
Last edited by sef1268 on Sat Jan 03, 2009 6:27 pm, edited 1 time in total.

Tracis
Let Sleeping Pigs Lie

Post   » Sat Jan 03, 2009 6:25 pm


"Also, does anyone have any information on combining this drug with Metacam?"

According to Talishan's post, Tramadol can be used with NSAIDs:
http://www.guinealynx.info/forums/viewtopic.php?p=1390247#1390247

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sef1268

Post   » Sat Jan 03, 2009 6:29 pm


Thanks, tracis. I did see that post, but there doesn't seem to be any mention of how Metacam should be dosed if used with Tramadol. One reference I found elsewhere, said that Metacam dose could be lowered if used in conjunction with Tram, but nothing specific.

With his lack of appetite right now (as far as pellets go), I don't want to upset his stomach.

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rshevin

Post   » Sat Jan 03, 2009 6:33 pm


I would certainly expect you can lower metacam with an opoid of any kind. If he's feeling better after a few days, it won't hurt to try tapering down the metacam.

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sef1268

Post   » Sat Jan 03, 2009 6:42 pm


That sounds reasonable.


Otis' cagemate, Toby, has been right by his side all day today. He's such a good little friend.

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Lynx
RESIST

Post   » Sat Jan 03, 2009 7:33 pm


He is such a doll. I hope you can work out the dosing so he is comfortable.

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sef1268

Post   » Sat Jan 03, 2009 10:33 pm


Otis has actually been up and around a little this evening. I'm hoping this is a positive sign.

Not sure if I should give him a dose of Metacam before bed, or another dose of Tramadol (the bottle says every 8-12 hours; the first dose was around 1:00 p.m.), or just leave well enough alone since he hasn't cried this evening. Knocking wood here, but it has been several hours since I heard him cry. This is a HUGE improvement over last night and earlier today, when it seemed like he was crying and hunching every 5 minutes or so.

As I type this, he's investigating their clean cage, drinking water, nibbling hay and actually looking fairly perky.

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rshevin

Post   » Sat Jan 03, 2009 11:52 pm


Sef I think you should keep him on pain control. With humans it's very important not to let pain get out of hand. It's easier to manage than relieve if that makes sense. If it's time for more meds, go ahead and give them. I wouldn't even cut back the metacam tonight, perhaps taper down a bit in the morning.

TwoWhitePiggies

Post   » Sun Jan 04, 2009 12:34 am


I'm so sorry Otis is having a hard time. I believe that on its own, you could safely increase the metacam quite a bit more for the short term, but I wouldn't do this without talking to a vet if you're giving him other things, as well.

Josephine
Little Jo Wheek

Post   » Sun Jan 04, 2009 12:38 am


Sef, I don't have any extracts on literature for exotics on tramadol, either. Unfortunately, it's a newer drug in the veterinary field and there is a wide variety on dosing on the canine and feline side. It seems the dose you were given IS reasonable, given what we know. I would dose the tramadol minimally every 12 hours, but ideally, if it is needed go for the every 8 hours (three times a day), since it is better to not have him in pain at all, rather than wait for him to be in pain to try to manage it. Pre-emptive pain management is best. I would certainly follow the recommendations to make sure he is comfy for a few days prior to backing off of the Metacam any--if that's what your goal is.

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