Can I give my dog with terminal cancer 500mg Tramadol for pain relief?

Tramadol and gabapentin are safe to give together. Tramadol comes in 50 mg tablets. The upper limit of the dosing range for a 78 pound dog is 150 mg. However, I rarely start with the high dose. I usually start with 50 mg every 8 hours and then increase to 100 mg if you feel it’s needed. Best of luck and I hope you find the reason tomorrow! I hope he improves quickly. Thank you for using Pet Coach.

That is a very high dose if given all at once, it is 1.5 times the maximum recommended dose. 800mg spread out through 3 or 4 doses would be good. If your pet is in pain, gabapentin may not be enough. You should discuss a multi-modal pain protocol with your vet, often adding in steroids, NSAIDs, opioids, acupuncture, laser therapy, etc will be better than a single medication.

Tramadol has been found to have very little effectiveness in pain control in dogs. So less and less vets are prescribing it. Of course humans are abusing it, and it is a controlled drug. But the main reason is that it just is not that effective. Here is a research article: https://avmajournals.avma.org/doi/pdfplus/10.2460/javma.252.4.427?utm_content=buffera3998&utm_medium=social&utm_source=facebook.com&utm_campaign=buffer

Hi, thanks for using Petco Pet Education Center, formerly Petcoach! I am so sorry for De O'Gee's diagnosis. The dose of Codeine he is on is the maximum published dose at 2mg/kg every 8 hours. I can not advise increasing it. You can increase the gabapentin but be aware that will increase sedation. The dose he was started on is below the 10mg/kg every 8 hour starting dose. You can increase the gabapentin to 100mg every 8 hours, but watch for sedation. I wish you the best!

Unfortunately, by law it is illegal for the experts at PetCoach to give the dose information for any drug without seeing the animal in person first. That's because doing so requires a veterinary client patient relationship which cannot be achieved via an internet forum. In addition, the experts cannot say for certain if a specific drug is safe for Tillie. If she has a pyometra, this is a medical emergency and she has to see a vet now. If paying for a vet is an issue, you can see if your vet accepts payment plans, if there is a low cost clinic in your area, or you can apply for Care Credit online. There is also an organization called Red Rover that give grants for treatment of sick animals, and you can see if you qualify for one of their grants. Best Friends also has a list of resources that offer financial assistance on their website. http://www.humanesociety.org/animals/resources/tips/trouble_affording_pet.html?credit=web_id91754962 https://www.redrover.org https://www.carecredit.com http://bestfriends.org/resources/financial-aid-pets http://lessonsfromaparalyzeddog.com/when-pet-owners-cant-afford-veterinary-bills/ http://www.dogheirs.com/resources-affordable-veterinary-care/ Best of luck.

They can be given together but I generally recommend giving the tramadol at night, if only given once a day. It is for pain only and can cause drowsiness. That way she will sleep better and be less painful in the morning. If needed tramadol can be given up to four times daily. Check the dose and frequency with your veterinarian to see what they recommend. The Galliprant is an anti inflammatory medication which reduces joint inflammation thereby reducing discomfort. I recommend giving this with a full meal in the morning so she can be active without discomfort during the day. Please make sure she doesn’t gain weight since that can also increase arthritis pain. Thanks for using Petco Pet Education Center, formerly Petcoach to help you care for Murphy.

I'm so sorry Bubba is doing so poorly! Unfortunately, by law it is illegal for the experts at Petco Pet Education Center, formerly Petcoach to say it's safe to give an extra dose of medication without seeing the animal in person first. That's because doing so requires a veterinary client patient relationship which cannot be achieved via an internet forum. If he's in a lot of pain, I would give his vet a call now to discuss if they feel it's safe to give him some extra Previcox. Best of luck.