Amos
We had Amos on Deramaxx for 11 days and his ALT level went from 91 to 160. We have stopped the Deramaxx, but are unsure if putting him on Tramadol now makes sense. I have also been starting him on Milk Thistle.
Three Response(s) to “Arthritis and medication”:
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Veteran Advisor Helen Fines says:
February 20th, 2008 at 06:24 PM
Tramadol is a very different type of drug so it shouldn't have the same effect on ALT. The decision whether to medicate for arthritis therefore depends on the severity of it, and other factors relating to Amos's general health. You could discuss this with your vet, and there are also sometimes surgical options. If you opt for conservative treatment, medication is only a part of it, in conjunction with weight control and a regular moderate exercise problem. Also alot of animals respond well to hydrotherapy. Good luck!
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User says:
February 20th, 2008 at 10:56 PM
Does Tramadol have any risks or side effects? What is the chance of it actually working? He gets around fine, but his back legs are pretty weak and he can't jump and he has trouble getting up and walking on the tile floors. Is Tramadol a good alternative treatment for his condition vs. NAISDs? How concerned should we be about the ALT level and how long will it take to go down? Just want an another opinion since we just switched to this vet and he isn't really recommending what we should do, rather he is just providing options of what we can do. Thanks!!!
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Veteran Advisor Helen Fines says:
February 22nd, 2008 at 10:42 AM
Hi again. Tramadol is generally effective for chronic pain, and the risks are probably lower than with NSAIDs. There is a chance of tolerance developing to it in long term use. Some dogs will appear slightly sedated at first. The ALT should come down within a few weeks, and i wouldn't be too concerned about that now the meds have changed. I'm also a vet who likes to give clients all the options and allow them to make an informed choice as far as possible, so it's quite legitimate to ask many questions of your vet if you aren't 100% clear about what you are making a decision on. Thanks also for reminding me of that issue, it's easy for us to forget that we are coming at a situation from a different angle! Let us know how Amos gets on.
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