I feel so helpless at this point. :(
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:
I could use some help with Tramadol dosing. According to this source -
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?
50mg/10cc => 5mg/1cc => 0.5mg/0.1cc
Otis has been prescribed 0.2cc. 0.5mg in 0.1cc * email@example.com = 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
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.
- Let Sleeping Pigs Lie
According to Talishan's post, Tramadol can be used with NSAIDs:
With his lack of appetite right now (as far as pellets go), I don't want to upset his stomach.
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.
- Little Jo Wheek