My dog's epilepsy meds caused liver damage. What are safe options?

Hello there and thank you for using Pet Coach! There are multiple anti-seizure drugs available and some with less side effects than others. If Bailey is on Phenobarbital, Keppra may be a good option for him as this particular drug has fewer side effects and I find that it is less harsh on the liver. Switching to a different drug with less side effects will certainly help. You can also talk to your vet about prescription liver diets in addition to the Denmarin. Hepagen-C is a veterinary product that is over the counter, which we use at our clinic in conjunction with Denamarin or Denosyl. Your vet can also perform a Bile Acids test to determine how much function of the liver has been lost. A scan would certainly be recommended and there are sedative combinations and drugs that we can use that will not trigger seizures, as they are anti-seizure drugs that we use to control seizures. I would still recommend an ultrasound, but talk to your vet about the different drugs that can be used to prevent seizures while sedated. I hope this helps! Please do not hesitate to contact me with any other questions or concerns that you may have. I am also available via phone or text consultation if needed. Please remember to rate this post as helpful or not. Thank you!