Medications used

Ty says:

A safe vet and an educated owner is a dog's best protection.

$4 for each 30 tabs Rx 
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  • Famotidine 20 mg (stomach protector)
  • Tramadol 50 mg (pain reliever)
  • * Prednisone 2.5mg, 5mg (steroid)
  • * Meloxicam 7.5mg (NSAID)
*WARNING: LIfe-threatening adverse GI tract effects of NSAID or steroid use can come from incorrect dosing: 
1. Using NSAIDs and steroids together
2.  No  4-7 day washout between the    NSAID and the steroid class of anti-inflammatories. 
Offerings can change,
call to verify

Shop best price for prescription meds not on the $4 generic programs:
  • Methocarbamol 500mg  (muscle spasm pain)
  • Gabapentin 100mg capsules. Caveat: if compounded to a liquid  verify no toxic xylitol sweetner used!
  • Sucralfate 1 gram  (stomach protector)
1. Reduce swelling is the purpose of using anti-inflammatories.
  • Steriods – Prednisone/prednisolone, dexamethasone, methyl prednisolone. (Note: Dex is among the strongest and longest lasting of steroids, may have more adverse side effects related to GI and urinary tract infection than other steroids)
  • NSAIDs Non-steroidal anti-inflammatory drugs – Rimadyl, Previcox, Deramaxx and others. (FDA on NSAIDs)
Anti-inflammatories can take a 7-30 days to resolve all painful inflammation in the spinal cord.
Caution: Steroids and NSAIDs must not be given together NOR one after the other without a safe washout period of 4-7 days.

2. Pain Medications to give comfort until swelling goes down. Vets have many options in pain medications, dose and frequency to alleviate pain. Often prescribed for IVDD: Tramadol; Muscle Relaxants: Robaxin (Methocarbamol); Valium (Diazepam). Neurontin (Gabapentin) for neuropathic pain that can accompany nervous system disorders such as IVDD. It is generally tolerated and works well in combination with Tramadol.

Acupuncture or laser light therapy can also help with pain relief and can be started at any time.

3. Stomach protector. Ask your vet if there is a medical reason your dog may not take Pepcid AC. If there is no reason, we give doxies 5mg Pepcid (famotidine) 30 minutes before the NSAID/ Steroid and thereafter every 12 hours. Pepcid is generally considered a safe over-the-counter anti-acid for a healthy dog and good insurance. Dogs don't speak up at the first signs of stomach problems like people do. By the time we notice symptoms the problem has headed in a dangerous direction.