Why you need to ask your vet about pet drug interactions & side effects

Discuss potential medication side effects with your vet

In the middle of a busy veterinary practice, many veterinarians may overlook an opportunity to discuss the possibilities of drug interactions and pet medication side effects. For example, many commonly prescribed nonsteroidal anti-inflammatory medications (NSAIDs) can sometimes cause digestive upset and/or liver/kidney problems in some sensitive pets. Corticosteroids like Prednisone can cause similar problems in some pets, as well as predispose pets to diabetes with prolonged use.

While a topic of debate, these risks are increased if Prednisone and nonsteroidal anti-inflammatory drugs are used together.

While potentially lifesaving, antibiotics can also cause allergic reactions from digestive upset to skin irritation. Some pets are sensitive to topical flea and tick medications, and in my practice I always administer topical flea and tick medication on a separate day from heartworm preventative medication or vaccinations, in order to lessen the burden on a pet’s immune system.

Whenever multiple drugs are prescribed it is always important for pet owners to ask questions, because veterinarians not only prescribe pet medication but are also dispensing these medications in private practice.

Do you have a question on potential pet medication interactions or side effects? Leave a comment below. 

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1,830 Comments

  1. Is it OK to use Frontline spray, and Profender on cats at the same time? Is there any drug interactions? Thank you

  2. Dr. Michael Dym, VMD veterinarianJuly 26, 2011 at 9:04 pm

    You can use both products but I find it it is a bit overkill to use both products at same time on pets. Too many topical pesticides can sometimes cause problems in my opinion and experience.

  3. my 13 yr old Yorkie has been on low dose of phenobarb for several years. Can I also give him a joint pill containing glucosamine HCL and chondroitin sulfate?

  4. Dr. Michael Dym, VMD veterinarianSeptember 9, 2011 at 8:41 pm

    Giving glucosamine should not be a problem in this case.

  5. Can you give a dog benadryl and acepromazine together

  6. Can you give a dog the following medications together?

    Prednisone
    Anipryl
    Tremadol
    Proin

  7. Dr. Michael Dym, VMD veterinarianNovember 9, 2011 at 7:26 pm

    These meds should not interact significantly,but i would recommend blood work before giving them to make sure organ function normal

  8. Can I give my dog
    Proin
    Cephalexin
    Temaril

  9. Dr. Michael Dym, VMD veterinarianNovember 22, 2011 at 6:41 pm

    Yes it is possible to use all of these drugs at same time, however you should have your pet under vet’s care as well in your area.

  10. My dog is currently taking Diphenoxylate and Metronidazole for diarrhea. She has a very sore leg which she usually takes Tramadol for. Can she take Tramadol with these two drugs?

  11. Dr. Michael Dym, VMD veterinarianNovember 22, 2011 at 10:30 pm

    i would stop diphenoxylate. Wait 24 to 48 hours, and then ok to start tramadol. Not good to use both of these at same time, as they are drugs of similar class.

  12. Thank you for quick response. I did not know they were both of the same class. She is also suffering from acid reflux. Is it OK to give her Pepcid? She is a 70 lb lab mix.

  13. Dr. Michael Dym, VMD veterinarianNovember 23, 2011 at 11:37 pm

    Pepcid is fine and safe to use at dose of 20 mg twice daily. Given the wide variety of health issues and symptoms, consider consulting with holistic or homeopathic vet. Learn more at http://www.beyondflatearth.com as well as my website http://www.canineworld.com/drdym MAny homeopathic vets do offer phone consultations.

  14. Thank you. My wife said the vet told her we could give her two10 mg Pepcid a day. However, I found some notes from a couple of years ago when his partner said we could give 20 mg twice a day. Would the other two meds she is taking require a lower dose of Pepcid? She really has an upset stomach (which I think is caused by the Flagyl) and I would like to give her an extra 10 mg until I can contact the vet’s office, which is hopefully open tomorrow.

  15. Dr. Michael Dym, VMD veterinarianNovember 25, 2011 at 7:44 pm

    Dose of pepcid in animals is one quarter to one half mg per pound once to twice daily. I try not to give more than this.

  16. Thank you for your help. The vet on duty today said she could take up to 20 mg twice a day.

  17. The vet gave our dog Cipro,Temaril-P,ACE and Theophylline .The dog has been having more trouble breathing.

    Could the Cipro be causing him problems?

  18. Dr. Michael Dym, VMD veterinarianNovember 27, 2011 at 10:49 am

    Drugs in the cipro class can interact with theophylline, so I dont usually use those two drugs together. The trouble breathing, hover sounds like it is the primary problem, and so I would return to vet for further workup, including x rays, EKG and/or echocardiogram if needed.

  19. The additional Pepcid has been helpful. However I was wondering if a dog will experience rebound acid reflux after using Pepcid for a period of time?

  20. Dr. Michael Dym, VMD veterinarianNovember 27, 2011 at 11:49 pm

    I have not experienced rebound reflux, but have seen where pepcid stops working necessitating other drugs and/or GI workup at vet.

  21. Thank you for respondingDr. Dym.

    We did take him to the doctor today.We had stopped the Cipro but the doctor wants to start it again and if he has trouble breathing,he said that he may have to change to another medicine.

  22. Dr. Michael Dym, VMD veterinarianNovember 29, 2011 at 6:05 pm

    You are very welcome. keep us informed of what happens and/or if you have any other questions.

  23. Hi,
    Our vet compounded an otic preparation for our pet’s ear infection that is injectible Baytril; silver sulfadiazine and dexamethazone, with a distilled water carrier. Is dexamethazone safe to use in combination with those other two drugs?

    Thanks!

  24. Dr. Michael Dym, VMD veterinarianDecember 6, 2011 at 8:01 pm

    I dont think the topical dexamethasone will be a problem when used with these other medications.

  25. Are there any medications that would adversely interact with a Glucosamine/Chondroitin supplement? My dog takes them for arthritis. While not an interaction, can Glucosamine/Chondroitin can cause nausea in a dog?

  26. Dr. Michael Dym, VMD veterinarianDecember 8, 2011 at 4:03 pm

    Glucosamine usually does not cause nausea in dogs..The only interactions for a dog would be if on blood thinner which most dogs are not. Also occasionally if dog is diabetic then sometimes glucosamine may raise blood sugar levels.

  27. My 16 1/2 year old poodle is on Enalapril ( a quarter of a 2.5mg tab once a day), Furosemide ( 1 12.5mg in the morning and 1/2 12.5mg at night), Vetmedin (1 1.25mg tablet twice daily), and Cephalexin (1/2 250mg tablet in the morning and 1/2 250mg tablet at night) She is also on Humulin N insulin and she gets depend on her sugar (we check it several times a day using a regular meter and pricking her tail to get the blood). She has sever arthritis and has had 2 back injuries before. She’s starting to hurt a little and whimpers at night sometimes. Can we give her part of a 85mg chewable aspirin? Thanks for any replies in advance.

  28. My boxer was diagnosed with an inoperable large tumor and with Pancreatitis and placed on 750 mg Amoxicillan, 750 mg Metronidazole and 50 mg Tramadol. Upon 2 doses of the Tramadol he had an allergic reaction; this was resolved with one dose (50 mg) of benedryl, followed by 25 mg dose 12 hours later. He was then placed on 75 mg of Rimadyl. Within 12 hours his urine was the color of cola. Dr. indicated there was blood in it. We discontinued Rimadyl and 12 hours later, clear urine. Any thoughts? Thank you.

  29. Dr. Michael Dym, VMD veterinarianFebruary 28, 2012 at 1:05 pm

    Sounds like reaction to rimadyl as well. I would discontinue and call your vet for alternative.

  30. We did discontinue per the vets instructions. I guess my question here is have you ever heard of such a thing?

  31. My 9 yr old german shepherd has kidney failure and is on Baytril 68 mg twice a day and her Pancreas is inflamed. She takes Tramadal for pain and 20 ml of aluminum hydroxide which has toatally killed her appetite. Now she is on Metronidazole 125 mg twice a day for the pancreas I guess and I can’t get her to eat anything. I have tried steak , chicken turkey burger…nothing works. I have been reading a lot about the pancreas and the acid it releases. She is also constipated from it. I do call my vet constantly and am getting frustrtated. Can I give her Zantac or Prilosec with these mediacations? I also give her subcutaneous fluis 200-300 ml a day.
    thank you

  32. Dr. Michael Dym, VMD veterinarianApril 7, 2012 at 9:17 pm

    You can try pepcid AC at dose of one half mg per pound once to twice daily. Perhaps the antibiotics are upsetting her stomach. May be worth consulting a homeopathic vet for alternative approach. To learn more see http://www.beyondflatearth.com Also see my own website http://www.doctordym.com Many holistic vets do offer phone consultations.

  33. Can you please tell me if there any drug interactions with the following:
    Prednisolone
    Levo-thyroxin
    Vitamin A (bauch and Lomb preservision)
    http://www.bausch.com/en/Our-Products/Eye-Vitamins/Age-Related-Eye-Vitamins-Landing/Preservision-eye-vitamins-2
    Thank you.

  34. He also has lymphoma which has spread to his liver.

  35. We are asking because he has rapid breathing. He was diagnosed with lymphoma that has spread to his liver.

  36. Thank you so nuch for your help. I will try that.

  37. Dr. Michael Dym, VMD veterinarianApril 8, 2012 at 7:14 pm

    None that i am aware of.

  38. Dr. Michael Dym, VMD veterinarianApril 8, 2012 at 7:14 pm

    If rap9id breathing persists, I would recommend vet exam ASAP to make sure no fluid in lungs.

  39. Is it safe for my 14 year old Husky to take prion with tramadol?
    Thank you

  40. I have the German Shepherd with the kidney failure and the upset stomach. ( Posted 4/7/12) The pepcid ac did seem to help some but I went to my vet and asked about appetite stimulants because i don’t think she is eating enough. She has already lost 16 lbs. My vet said there are a lot of appetite stimulants for cats but not that many for dogs and that was it end of conversation. I am at baby food level now. Believe me when I say I have spent a lot of money on products claiming your dog will eat. I tried the raw Green tripe that even anorexic dogs are supposed to eat. Do you have any suggestions?
    Thank you again

  41. Dr. Michael Dym, VMD veterinarianApril 11, 2012 at 8:06 pm

    I would try force feeding some of formulas on Pat McKay’s website http://www.patmckay.com Holistic medicine and/or nutrient supplements/diet may help, even at this late stage on occasion. Consulting a homeopathic vet may be helpful as well, as mentioned before http://www.doctordym.com I have not had good experience with drug appetite stimulants just like your vet.

  42. Dr. Michael Dym, VMD veterinarianApril 11, 2012 at 8:06 pm

    I have not seen any problem when these two meds are used.

  43. I am giving theophylline to my dog everyday as she has trachea collapse. Is there drug interaction if I give her ilium ear drops (dichlorphen, lignocaine hci, piperonyl butoxide, pyrethrins)?

  44. Dr. Michael Dym, VMD veterinarianApril 19, 2012 at 12:44 pm

    There should not be any drug interactions with the ear drops.

  45. Please do not give Pepcid or any type of acid pill when your dog is on metronidazole! The acid pill can interact with metronidazole decreasing it’s clearance from the body.

  46. Dr. Michael Dym, VMD veterinarianApril 22, 2012 at 9:11 pm

    Thanks for sharing. Many drugs of the H-2 blocking family including tagamet and to a lesser extent famotidine or pepcid do have this interaction with drugs and liver enzymes that metabolize metronidazole

  47. Dr. Michael Dym, VMD veterinarianApril 22, 2012 at 9:12 pm

    No interactions that I know of with these drugs.

  48. Can my 5lb Chihuahua safely take 1ml of Cefa-Drops and .05ml of Metacam for 1 week?

  49. Dr. Michael Dym, VMD veterinarianMay 6, 2012 at 1:42 pm

    Should not be a problem but should be under care and recommendation of your local vet.

  50. I have an 11-ye old 68 lb Golden Retriever, who has a very large cancerous tumor in his abdomen. He’s taking Tramadol, Flagella and Pepcid. Is it okay to give him his Heartgard and Front line medicine? There won’t any negative interaction? Thanks.

  51. I have a 56 lb. lab. He has been taking prednisone for severe arthritis in his back and hips. Yesterday I started him on glucosamine chondroiton msn combination along with dog asprin. late last nigh he began vomiting. What combination could be causing the vomiting? Is there something better that I could give him for his arthritis? When he stands sttill his rear legs eventually start to give out and he starts slouching to the ground. Any suggestions? he is 12.

  52. Dr. Michael Dym, VMD veterinarianMay 13, 2012 at 8:42 pm

    Best to stop the prednisone and call and/or see your vet, as pred can cause ulcers in digestive tract that may need to be treated. Should not use aspirin and prednisone at same time.

  53. Dr. Michael Dym, VMD veterinarianMay 13, 2012 at 8:43 pm

    No negative interaction but I would personally would not use any potential toxic products that may stress his immune system more than it already is.

  54. Dr, Thanks for the quick response. Prior to the prednisone my vet had my dog on a non steriodal anti inflamatory. We had not reached the maximum dose with that, but, my dog was still having the similar problem. It has been nearly a week since he has been on prednisone and the problem is much much worse. Would it be best to ask the vet to put him on the maximum dose of the non steriodal anti inflamatory drug again instead of the prednisone? Or do you think he has just gotten that much worse in one week? again, he is a yellow lab, 56 lbs, 12 years old. What do you suggest? Do you think he might be suffering?

  55. Dr. Michael Dym, VMD veterinarianMay 14, 2012 at 10:27 pm

    I think trying the max dose of the nonsteroidal anti inflammatory medication is a better chioce. Also consider joint supplements such as super joint enhancer, proanthozone and perhaps yucca intensive by azmira as additional support from 1800petmeds.

  56. I wanted to know if it’s ok to give my dog Benadryl everyday to relieve allergy symptoms? Also she’s on Baytril Otic for an ear infection so would there be any drug side effects if I give her Benadryl?

  57. Dr. Michael Dym, VMD veterinarianMay 16, 2012 at 8:52 pm

    Benadryl is fine and safe to use. Also add fatty acids to meals like missing link from 1800petmeds.

  58. I have a 13 year old pom , weight 4.6 pd, she is on doxycycline 40mg liquid 1cc bid, theophylin, and a vitamin, can she take all of these together?

  59. Is there a drug interaction chart for dogs and cats somewhere, I found the people one, but no dog or cat one..please advise the site, thank you..

  60. Dr. Michael Dym, VMD veterinarianMay 21, 2012 at 6:49 pm

    I am not familiar with a specific chart.

  61. Dr. Michael Dym, VMD veterinarianMay 21, 2012 at 6:50 pm

    Yes. Taking these should not be a problem.

  62. Thanks so much for starting this topic. I was wondering if there is a serious risk for a dog taking tramadol and prozac together. This dog has been on prozac and was just diagnosed with a lung tumor, we anticipate needing pain meds down the road. She is on prednisone so can’t do NSAIDs. I have started to wean her off prozac because I saw tramadol/prozac has interactions for humans but was wondering if this also applies to dogs. She would be taking these shorterm (her prognosis is just 2-3 months) Thank you!

  63. for a 15.30lb. cat, can she be given bendaryl and acepromazine together, and what would the recommended dose be?

  64. What would the correct dosage of acepromazine for a cat weighing 15.30 obs.?

  65. What would the correct dosage of acepromazine for a
    15.30 lb. cat be?

  66. Dr. Michael Dym, VMD veterinarianMay 22, 2012 at 6:53 pm

    I would start with 5 mg acepromazine as every cat different in terms of reactions.

  67. Dr. Michael Dym, VMD veterinarianMay 22, 2012 at 6:53 pm

    I would not use benadryl at same time as acepromazine. Dose of benadryl would be 7.5 mg once to twice daily.

  68. Dr. Michael Dym, VMD veterinarianMay 22, 2012 at 6:54 pm

    Answered above.

  69. Dr. Michael Dym, VMD veterinarianMay 22, 2012 at 6:54 pm

    I am not familiar with any drug interactions between tramadol and prozac in dogs.

  70. My dog had been taking metacam for 3 or 4 years and was put on temaril-p without being taken off the metacam and is now in kidney failure. is it possible the combination of these drugs did this?

  71. Dr. Michael Dym, VMD veterinarianMay 29, 2012 at 4:08 pm

    Not likely. The metacam may have cause it

  72. Would their be a drug interaction problem of Theophylline (2 100mg tablets 2x’s a day) combined with Temeril P as needed every 6 to 8 hours for itching?

    Thanks

  73. My 10 month old 15lb Terrier just had surgery and is currently on Amoxicillin and is having a hard time sleeping so I was going to give her Benedryl, can she take both of those medications at the same time?

  74. my 13 1/2 year old 11# Pomeranian has arthritis, enlarged heart, spleen, and liver and congestive heart failure. She is on:
    Metacam drops – 9 drops 1xday
    Vetmedin – 1.25 mg 1xday
    Lasix – 1.25 mg 1xday
    Docusate Sodium stool softener – 100 mg 1xday.

    She is experiencing weakness in legs resulting in incoordination and occasional falling, and now excessive thirst (4 pints per day) and urination.

    Are these meds interacting with each other in an adverse way? I am concerned. If not, do you have any recommendations? Thank you so much!

  75. Dr. Michael Dym, VMD veterinarianJune 18, 2012 at 10:34 pm

    LAsix and some of other meds may cause increased thirst/urination, as well as electrolyte and rarely kidney abnormalities that may contribute to weakness. BEst to have vet recheck and recheck of blood work to check for these as drugs may need to be adjusted.

  76. Dr. Michael Dym, VMD veterinarianJune 18, 2012 at 10:36 pm

    Yes you can use both benadryl and amoxicillin.

  77. I have an 11 year old 70 lb. female lab mix that has bad hips and knees. Due to this she experiences chronic pain. We have avoided NSAIDs since the last time she took them it negatively affected her liver. Our vet has told us we can give 50 mg Tramadol a day up to 5 times a week. I know this gives her about 12 hours of pain relief. I would like to know if a dose of .25 mg of Tramadol twice a day would provide more constant pain relief? I am also wondering Tramadol is habit forming over time. Thank you.

  78. Explain blepharitis to me.My GS-husky 5year old 77lb boy has all the symptoms and secondary complications.I.E. hyperthyroidism,excessive urination,constant thirst,fanatic heart rates,uneventemperament,pacing,whining,anxiety issues,fatigue after two ball toss in short yard,inability to connect with other creatures.In other words,not much fun for us and him.I came across blepharitis when his poor eyes were sealed shut with waxy gooey mess.Sun and out door activity,like a walk, seem to make it worse.Any help?

  79. Dr. Michael Dym, VMD veterinarianJune 27, 2012 at 8:03 pm

    Blepharitis simply means inflammation of eye lids with secondary spasm of lids closed. Can have many causes which should be addressed by your veterinarian through thorough and proper eye exam.

  80. Can you give Temaril-P, Turbotol and Theophylline (spaced apart)? Dog is being weened off Temaril P today is last dose of single dose before every other day dose.

  81. My 9 year old lab appears to have summer sores on her face and neck. She is also swollen and on the side of her head that she has the sores on. I have given her Benedryl and cleaned the sores with DermabenSs shampoo and followed up with Trinzchlor 4% spray. I have also been told that shaving the area is recommended. Is there anything else I can do for her to keep the sores from spreading or to alleviate the swelling?

  82. Dr. Michael Dym, VMD veterinarianJune 29, 2012 at 10:09 pm

    Sounds like you are doing everything possible. A prescription antibiotic like cephalexin from your vet may be helpful as well.

  83. Dr. Michael Dym, VMD veterinarianJune 29, 2012 at 10:09 pm

    Yes you can give these drugs spaced apart.

  84. Dr. Michael Dym, VMD veterinarianJuly 1, 2012 at 4:51 pm

    Probably best to have vet exam as she may need prescription antibiotic like oral cephalexin to help with secondary skin infection here.

  85. Dr. Michael Dym, VMD veterinarianJuly 1, 2012 at 4:52 pm

    It is fine to use all 3 of these medications.

  86. Today I gave my dog heartgard and I applied certifect. Later on this evening I gave her one benadryl, 25mg, as directed by our vet to relax her during the current fireworks noise. Was this a bad combination to give her in one day? I didn’t think of asking the vet before and my dog is groggier today than yesterday when she had only benadryl, and her legs were trembling and a little wobbly. {lease advise. Thank you.

  87. Both Tramadol Hydrocholoride and Methocarbamol have been prescribed for my dog. Is it safe to take these together?

    Thanks!

  88. Dr. Michael Dym, VMD veterinarianJuly 6, 2012 at 6:21 pm

    There should be no problem in taking these two medications together. May have some increased sedation and lethargy, as both can have sedating properties.

  89. I have a 8.5# 12 year old Maltese with a collapsing trachea. The vet has him on Aminophylline 25 mg once a day, Disal 6.25 mg twice a day and he is on the last of his Primor 120 mg once a day. He has been coughing and the cough medicine the vet gave us in really not working. I gave him a half of eye-dropper of my Hydrco Poli/HCL ER liquid. Am I going to regret this?

  90. Dr. Michael Dym, VMD veterinarianJuly 7, 2012 at 2:46 pm

    Sounds like reasonable medications. If cough persists, return to vet for recheck. Other cough suppressant medications may help such as temaril p and others.

  91. Is it safe for the following drugs to be taken together:
    Temaril-P
    Cephalexin
    Fluconozole

    Thanks?

  92. Dr. Michael Dym, VMD veterinarianJuly 10, 2012 at 10:39 pm

    Should not be a problem taking temaril p, cephalexin and fluconazole.

  93. Dear Doctor,

    Can I give my 4.4 lb toy chihuahua her monthly flea & tick application while on Metronidazole (she’s on Day 2 of Metronidazole for diarrhea)? Thank you so much, Mai

  94. Dr. Michael Dym, VMD veterinarianJuly 14, 2012 at 4:59 pm

    I would wait until diarrhea clears up before giving any flea and tick medication to this tiny breed to avoid reactions.

  95. Thank you very much Dr. Dym, that’s very helpful. Our vet’s office was closed today and I had forgotten to ask them before the weekend.

  96. My 4 year old Dachshund started metacam today for a leg injury. His heartworm meds are also due today, can I give both medications on the same day?

  97. Dr. Michael Dym, VMD veterinarianJuly 15, 2012 at 5:34 pm

    I would wait a few days until leg injury improves.

  98. Can I give my dog Metronidazole and rimadyl at the same time?

  99. Dr. Michael Dym, VMD veterinarianJuly 18, 2012 at 11:12 am

    I dont think giving metronidazole and rimadyl at the same time should be a problem, however may want to check with your vet and have blood liver and/or kidney blood testing first

  100. Is it okay to give my bernese mountain dog tramadol and valium together? He is on tramadol for unknown pain at this time ( possible onset arthritis or slipped disc in neck) and he was unbelievable scared of storm.

  101. Dr. Michael Dym, VMD veterinarianJuly 18, 2012 at 11:21 pm

    It is ok to use this combination but it may be too sedating for him. I would not use combo every day, as could be too strong on liver.

  102. My dog (13 years old, 15lbs) has nasal and throat infections and the vet gave Cefuroxime Axetil which is for human use. Is it ok for dog use?

  103. Dr. Michael Dym, VMD veterinarianJuly 19, 2012 at 12:02 pm

    I am sure your vet would not give you dangerous medication for your dog, although I personally have no experience using this medication in practice.

  104. My 12 year old Weimaraner has stage 3 CHF and is on vetmedin and spiralactone as a diuretic. Can I also give him 2 benadryl a day to halp with mast cell tumors? I don’t want him to have surgery to remove them because of the CHF

  105. Dr. Michael Dym, VMD veterinarianJuly 21, 2012 at 2:55 pm

    I dont think benadryl will help,but you should check with your vet as sometimes benadryl can cause increased heart rate in some dogs.

  106. Good Evening,

    My dog, Sammie is currently taking Metacam every morning for arthritis. She seems to be having a lumpy allergic reaction to something and her neck looks a little swollen. She’s is behaving alright, just scratching quite a bit. Is it safe for me to administer a small dosage of Benadryl while she is taking Metacam?
    I appreciate your help!

  107. Dr. Michael Dym, VMD veterinarianJuly 23, 2012 at 6:46 pm

    Benadryl should not be a problem while on metacam.

  108. Thank you very much!

  109. Hi can I give Cephlexin and metcam together, my 11 year old cocker spaniel has a bacterial paw pad infection so has been given both by my vet.
    Thank You

  110. Dr. Michael Dym, VMD veterinarianJuly 24, 2012 at 8:59 pm

    These drugs are fine to use together without a problem in most cases.

  111. Thank you

  112. is it okay for my 50 lb. border collie to be on Prozac (40 Miligram) and Benadryl?

  113. Dr. Michael Dym, VMD veterinarianJuly 27, 2012 at 3:25 pm

    Should not be a problem.

  114. My shih tzu is currently taking rimadyl 12.5mg twice/ day after having surgery for eye ulcers yesterday. The vet clinic is currently closed and she is very uncomfortable. Can I give her tramadol to help ease her pain? I have 50 mg pills prescribed to her a few weeks ago due to continued eye infections. Thank you!

  115. Dr. Michael Dym, VMD veterinarianJuly 29, 2012 at 3:28 pm

    Giving tramadol would be fine.

  116. My Shih Tsu 11lbs has spinal/disk arthritis and had surg 1 1/2yr ago. She had been on metacam for 7days with sx’s of back pain. They want to put her on prednisone but want to wait 3 wks because of the metacam. She is given tramedol for the pain put it really is not helping much. Could she be given the pred sooner than the 3 wks?
    Thank you very much for your help.
    Joanne 🙁

  117. Dr. Michael Dym, VMD veterinarianJuly 30, 2012 at 4:55 pm

    I would think 3 to 4 days off of the metacam would be fine before starting prednisone but check with your vet.

  118. Can my dog take carprofen,famotidine and clavet together.

    Thank you very much

  119. I have a 13 year old pug who has a UTI. She took a 14 day course of Cephalexin and it did not help. Yesterday she started Cipro 125mg once daily and she received her second dose this evening after dinner. Her stomach is making a lot of noise yet she appears fairly comfortable. Can I give her 5mg of Pepcid? She weighs 19 lbs. Furthermore she is being switched from Royal Canin Urinary S/O food to Hills G/D diet and is on day five of the new food, almost fully transitioned. Until this evening I have not heard her stomach upset nor has she had vomiting or diarrhea. Thank you so much for any guidance!

  120. Dr. Michael Dym, VMD veterinarianAugust 1, 2012 at 10:13 pm

    5 mg pepcid is fine to give twice daily. Unless dog has bladder stones in history or had surgery for them, I would feed a more holistic natural diet in pet this age such as natures variety, wysong or halo from 1800petmeds.

  121. Thank you for such a quick response. She has a positive history of recurrent bladder stones. Her x-ray 2 weeks ago was negative but she does have crystals in her urine, which could also be related to the infection. They switched to G/D because her labs are high in cholesterol, fats, and lipase. I will try the Pepcid and see if it settles her stomach. Thanks again, so glad I stumbled upon this site.

  122. Dr. Michael Dym, VMD veterinarianAugust 1, 2012 at 10:24 pm

    you are welcome. I would consider home made diet for urinary tract stones as described in book on canine home recipes by Donald Strombeck, phd,which you can find on line Sincerely,
    Michael Dym, VMD http://www.doctordym.com

  123. My 76 pound female golden retriever was recently prescribed 1 500mg tablet of metronidazole every 12 hours. She also has very bad anxiety, is it safe to give her a 1 mg tablet of her lorazepam prescription while she is on the other medication? I would only be giving it to her once, it’s for situational anxiety.

  124. Dr. Michael Dym, VMD veterinarianAugust 2, 2012 at 9:59 pm

    Using Lorazepam at this dose should be fine but best to check with your vet. I dont think it will help much for the anxiety, however. Also can use natural remedies like Be Serene from 1800petmeds.

  125. Thank
    You so much for the quick response!

  126. Dr. Michael Dym, VMD veterinarianAugust 2, 2012 at 11:24 pm

    You are very welcome

  127. Is it ok to give my 15 year husky heartguard with predislone and metradanozle ? She has been on pred now 3 weeks and met she was just diagnosed with Acute Leukemia. I am also giving her other supplements like fish oil tablet (DHA), 5 K9 Immunity plus chewables daily , 1 C-CAP a day to try and help fight cancer. She also has arthritus and is taking synflex for dogs and I also give a greenlip mussel daily. My other question is about flaxseed oil. I have been thinking of also adding a 1 teaspoon of flaxseed with cottage cheese to her diet daily. I have read that flaxseed can help with tumors and reduce spread cancer. Any advise of flaxseed addition to help fight the cancer. Also based on all the above I am giving her would it be too much ? She has a home cooked diet based what foods to avoid if your dog has cancer.

  128. Dr. Michael Dym, VMD veterinarianAugust 3, 2012 at 7:48 pm

    Sorry to hear of your experiences with certifect. Unfortunately any pesticide can cause reaction in any sensitive pet. I hope your animal companion is recoverng.

  129. Dr. Michael Dym, VMD veterinarianAugust 3, 2012 at 7:50 pm

    Sounds like you are doing great job with your dog. I would give heartguard at reduced frequency rate of every 2 months given we dont need any extra toxic burdens on the body. Your pet will still be protected from heartworms. The flax seed oil and cottage cheese are fine. May be worthwhile to consider consultation with holistic vet. Many do offer phone consults and can also fine tune the supplements, etc See my website http://www.doctordym.com for more details.

  130. Our 2.5lbs chi was attacked by our min pin last night. She appeared more in shock and had no puncture wounds. I gave her some metacam that was left over from a leg injury. This morning she was showing signs of blindness. We took her to our vet and he stabilized her. She has severe head trauma. He gave her a dexamethasone injection and sent us home with prednisone and told us to start it in the morning. She started becoming very active (no success with sight though). Now, she seems to be going downhill. Is it ok to start her on the prednisone tonight vs tomorrow morning?

  131. Dr. Michael Dym, VMD veterinarianAugust 4, 2012 at 6:32 pm

    I would check with your vet on giving dexamethasone earlier, but if decline in condition occurs, I would go back to vet for recheck.

  132. Hi, can you tell me if there is an interaction with these drugs?:
    Simplicef
    Tramadol

    My Shih tzu has a shallow cut on his paw that’s oozing a bit and he is licking it profusely. I want to give him these two things for the pain and infection prevention until I can get my vet on monday.

  133. Dr. Michael Dym, VMD veterinarianAugust 4, 2012 at 6:54 pm

    There is no interaction with these drugs as far as I know.

  134. My dog is on metronidazole for a bad belly, but got home from a walk with what looks like a bug or bee sting on his nose..very itchy can I give him a benedryl?

  135. Hi my pug puppy has generalized demodectic mites, the vet has her on ivermectin daily, but her breeder has recommended using advocate (moxidectin + imidacloprid) every two weeks as well. I’ve read about using these individually but not in conjunction, I’m worried it will be too much for her low immune system. Do you know if these drugs can be used together or should we just pick one form of treatment?
    thanks

  136. Thank you. What is the likelihood of her eye sight coming back after a head injury?

  137. Dr. Michael Dym, VMD veterinarianAugust 5, 2012 at 6:09 pm

    Liklihood of eye sight returning would depend upon severity of trauma and affect on the rods and cones of the eye.

  138. Dr. Michael Dym, VMD veterinarianAugust 5, 2012 at 6:12 pm

    Benadryl would be fine at dose of 1/2 to 1 mg per pound repeated in 8 hours if needed. See vet if signs persist or worsen.

  139. Dr. Michael Dym, VMD veterinarianAugust 5, 2012 at 6:14 pm

    I am not familiar with using these drugs together but I dont think it would be a problem. Oral ivermectin daily is more common drug used, ande can take several weeks to be effective. Also consider home made diet as described in book Dr Pitcairns guide to natural health for dogs and cats by Richard Pitcairn, DVM, phd. as that may help immune system as well as his other suggestions in book on immune health and this condition.

  140. I have a 30 lb. Scottish Terrier currently taking 60 mg Phenbarbital 2x per day…he has in the past had issues with re-current bladder infections and has previously been given Clavamox 125mg 3x per day….I suspect he is dealing with another bladder infection (last one was in March, just prior to the intro to pheno when seizures started about the same time as the initial bladder infection) I tried the Clavamox in hopes of clearing up infection and making some dietary among other changes to prevent starting him on Pheno, but he continued to have cluster type siezures which I had to start the Pheno. My question is that I have some Clavamox, he is on Pheno …can I give him the two without any interaction?

  141. Dr. Michael Dym, VMD veterinarianAugust 5, 2012 at 9:41 pm

    THere should not be problem in using clavamox with phenobarbitol. If there is no improvement, however within a few days, you should have vet check and urine culture and possibly x ray. This breed also prone to bladder stones and bladder tumors, as well. You may want to consider exploring some holistic treatment options. Start with book dr PItcairns guide to natural health for dogs and cats by Richard Pitcairn, DVM, PHD. See my website http://www.doctordym.com Many homeopathic and holistic vets also do phone consultations if none in your area.

  142. Thank you so much for your reply. I think I will go ahead and give the two meds, maybe at different intervals; not together. I knew Scotties were prone to bladder issues and when my vet’s assistant (my vet is an old school vet who is a huge encouragement to me when I approach him with treatments other than medicinal, such as dietary and holistic…he is never crital about my feeding options (I choose a Species appropriate diet for both my Scottie boys) and I do not vaccinate (beyond the puppy series)…but the assistant is a younger vet and was quick when I took Auggie in for the seizures to just “assign” Pheno…I asked him to please check urine because Auggie had already given me reason to think he had a bladder issue such as urinating upon standing and inside which is way out of the norm for him, I expressed concern that he may have an infection and asked if such an infection could “cause or worsen” seizures. Auggie will be 10 in October and has never had any type of siezures to our knowledge before March. He obliged with urinalysis but said he felt like I should not waste time in getting him started on Pheno. My personal vet called the next day to say I was correct that Auggie had a “raging” bladder infection with blood and he called in the Clavamox…he also said the vet asst. asked me to bring him some crowe for lunch 🙂 Alas though Auggie started having 3-4 seizures a day several days later and I relented, started the Pheno and he has only had one seizure in 9 weeks…until last Tuesday when I noticed the penis licking afetr her peed and several “accidents upon standing”…I gave him a Clavamox Wednesday and Thursday and then Friday he had 2 seizures back to back…I was afraid the Clavamox interferred with the Pheno. I did call my vet when his office opened and spoke with the vet tec and she said she didnt think the two combined would be a problem as well. In my heart, I feel like whatever the cause of his bladder issues is the underlying cause of his seizures…At his age, I am gambling that I will get at least a couple of more years with him without his liver suffering from the effects of the Phenobarbital…My older Scottie just turned 11 so my boys are, well, my boys and I sure do love them an awful lot.

    Thanks again for your reply…I will check into more holistic approach with regard to health for them as I am interested in staying as far away from chemical junk as I can. Thanks again!

  143. Dr. Michael Dym, VMD veterinarianAugust 7, 2012 at 3:55 pm

    You are welcome. Sounds like you love your dogs very much.

  144. Are there any interactions when given flagyl and cephalexin to a cat?

  145. Dr. Michael Dym, VMD veterinarianAugust 7, 2012 at 7:42 pm

    I dont know of any interactions between flagyl anbd cephalexin.

  146. Thank you for such a fast reply. 😉

  147. Dr. Michael Dym, VMD veterinarianAugust 7, 2012 at 8:03 pm

    You are Welcome

  148. I have 15 yr old Lhasa taking 40mg furosemide,5mg enacard,vetmedin daily. Recently suffered ACL, Novox was giving him diarrhea even with pepcid. Can I give him 1/2 coated baby asprin w/pepcid every other day instead? Also has separation anxiety could we give him prozac? We are planning a two night vacation, hiring a sweet dog sitter to stay here with him but afraid to leave him without some calming meds. Also giving him joint supplement from Pet Meds. Thank you for any help!

  149. Dr. Michael Dym, VMD veterinarianAugust 7, 2012 at 9:11 pm

    I would not use baby aspirin unless you consult with your vet. In dog this age and on heart meds like this, I would be concerned about ulcers, etc even with the pepcid at the same time. As for prozac, I would not use that in dog this age and also prozac not indicated for short term use. I would try natural remedy like be serene from 1800petmeds to see if that can help with the anxiety.

  150. Thank you so much!! We have had \our baby\ for his entire 15 years and will do whatever necessary to keep him comfortable.

  151. Our 5 year old 10lb Dachshund has taken 7.5mg Prozac (Fluoxetine) for several years and it works WONDERS for her anxiety and OCD – no more issues with Prozac. She is having seizures and the vet wants to put her on Phenobarb – but says we cannot give her both Prozac and Phonobarb. Is it OK to give both meds?

  152. Dr. Michael Dym, VMD veterinarianAugust 10, 2012 at 7:03 pm

    I honestly have not had any patients over the years on both of these medications. There can be interactions in drugs acting on the brain so I would follow your vets recommendations as well as asking your vet about alternative seizure control medications.

  153. Is there any interaction between Temaril-P (used for skin itching) and Melatonin (used to settle over excitability and hyperactivity)?

  154. Dr. Michael Dym, VMD veterinarianAugust 12, 2012 at 9:54 pm

    Not as far as I know.

  155. Thank you for your quick response!

  156. Is it ok to give my dog benadryl while he’s on revolution? My dog doesn’t have heart worms, he’s using revolution to prevent getting heart worms.
    I’ve noticed that my dog has developed a rash around his elbows, pimples & bumps down his back, patches of hair loss on his arms (not at the site where the medicine is applied), constantly shaking his ears, and scratching himself all the time since the summer began. However, these symptoms develop way before we gave him the revolution treatment. I’ve read somewhere it could possibly be allergies and can be treated with benadryl, but I wanted to make sure it was ok to use benadryl while using revolution. Please advise, thank you! 🙂

  157. Dr. Michael Dym, VMD veterinarianAugust 14, 2012 at 6:45 pm

    Benadryl is fine to use while a pet is on revolution Also consider fatty acid supplements like missing link or be well from 1800petmeds. Yucca intensive may also be helpful, as well as bathing with shampoos like chlorihexiderm shampoo every few days from 1800petmeds.

  158. can i give a hip and joint tablet with Proin?

  159. Dr. Michael Dym, VMD veterinarianAugust 17, 2012 at 4:54 pm

    Should not be a problin in giving hip and joint tablet with proin.

  160. The flea, tick and worm preventative field is so confusing, can you help advise???

    Our Pyrenees mix was diagnosed with whipworms, yet ticks are a real concern as our backyard is adjacent to a park full of deer & wildlife. I moved her & our Aussie to Advantage Multi (400mg Imidacloprid + 100mg Moxidectin) to address the whipworms. Can I add in a Costco branded flea & tick to ensure they’re protected from ticks as well? Kirkland Signature (30% Etofenprox, 3.6% Methoprene, 5% Piperonyl Butoxide, 61.4% other)?

    Are these safe from interaction, particularly if I apply them 2 weeks apart? If not, do you have any other suggestions?

    thank you!

  161. Dr. Michael Dym, VMD veterinarianAugust 18, 2012 at 4:40 pm

    The kirkland product is ok, although I have no experience with it, and usually dont recommend over the counter store generics. The one from 1800petmeds may be helpful called Flea 4X. No matter what, I would wait the two weeks before applying the topical pesticide.

  162. My dog has been diagnosed with IBD and hypothyroidism. He is on soloxine and Hill’s Z/D Ultra. He is fed 4x daily and recently, we were advised to add 1T cooked oatmeal to his dinner (seems to firm his stools and settle his stomach). Tagamet given before bed with a few pieces of kibble seems to help his acid reflux. Are there any side effects to giving Tagamet daily on a long term basis? Vet said some dogs can have “low white blood cells”. Would it be better to administer the Tagamet “as needed” vs daily? Please advise. Thank you.

  163. Dr. Michael Dym, VMD veterinarianAugust 21, 2012 at 6:10 pm

    AS needed would be preferably to daily, but many dogs can be given tagamet long term without any problems. You may want to ask your vet about famotidine or pepcid which is somewhat safer to use long term and has less effect on white blood cells and liver enzymes.

  164. Thank you very much for your help–we will inquire again about the pepcid (he previously said they had better results with the cimetidine but that was before our dog’s condition stabilized).

  165. We just used Frontline for the first time on our 5 month old puppy and she is also taking Acepromazine. Is it ok to give her both?

  166. Dr. Michael Dym, VMD veterinarianAugust 21, 2012 at 6:51 pm

    Should be ok. Just watch for sedation.

  167. Dr. Michael Dym, VMD veterinarianAugust 21, 2012 at 6:52 pm

    You are welcome.

  168. Thank you

  169. Hello! I have a male cat taking carvedilol for his heart. He sounds congested, either allergies or a cold, can I give him some cyproheptadine just until we get him to the vet? Thanks!

  170. Dr. Michael Dym, VMD veterinarianAugust 21, 2012 at 9:25 pm

    I would wait on giving him anything as some of these antihistamines can affect heart rate; in some cases slowing it down, and in other cases speeding it up.

  171. Is it ok to give a 13lb. maltese mix a little dose of benadryl if she has taken rimadyl, clindamycin and a 50mg. dose of pyrantel within the last 8 hours?
    Thanks.

  172. Dr. Michael Dym, VMD veterinarianAugust 25, 2012 at 7:19 pm

    I think that would be too much for a little dog in too short a period. Wait 3 to 4 days, and then ok to give the benadryl.

  173. I have a 9 lb. mini dachshund that is on 4 units of Metacam once a day for her arthritis. She was diagnosed today with an ear infection – inner and outer. She was prescribed Otibiotic ointment for her inner ear and Gentocin to spray on her flaky skin under her ears. She has been quite lethargic since her first treatment this morning. I just wanted to make sure that these drugs were okay to interact with the Metacam.

  174. Dr. Michael Dym, VMD veterinarianAugust 27, 2012 at 9:53 pm

    Should not be a problem, however if lethargy continues should have recheck and possibly blood work as metacam can affect appetite and kidney/liver on some occasions.

  175. What effects could occurif mtro and itamin k weere given together? My dog is acting psychotic.

  176. Thanks so much, Dr. Dym! I tried to respond last night, but the captcha wasn’t working with me. I slept better knowing she’d be okay. She is a little rescue from Katrina and one of three wienies loved very much in our home!

  177. Dr. Michael Dym, VMD veterinarianAugust 29, 2012 at 10:37 pm

    Metronidazole can cause neurological reactions in some pets so stop the drug and contact your vet .

  178. My dog just got spayed and she will not calm down so she was prescribed tramadol while on an an antibiotic cafpodoxine and carprophan. She has taken benedryl before would it be ok to give to her now to calm down and sleep? I know it sounds horrible but she’s developing fluid pockets and wont calm down and therefore she isn’t healing very well!

  179. Dr. Michael Dym, VMD veterinarianSeptember 8, 2012 at 11:25 pm

    Benadryl should be fine. Also consider naturall remedy Be serene from 1800petmeds.

  180. My dog is suffering with red raw paws. Gnawing at them. Hard to walk.

    He had been on prednisone for 2 months for this but I noticed weird symptoms (lethargy, somewhat labored breathing, sometimes difficulty walking, weight gain) and weaned him off slowly. (My vet went AWOL unexpectedly, so no help there).

    He has been off it for 10 days now.

    Would it be unwise to start him again on it (I still have many pills left) just until I find another decent vet this week? Very short term? He is really suffering. But I also gave him Benadryl today (2 doses 12 hours apart of 25mg each) which did nothing.

    23lb dog, 5mg pills.

    Thanks so much

  181. Dr. Michael Dym, VMD veterinarianSeptember 9, 2012 at 3:29 pm

    You could try the pred for a few days until you can see your vet. Also consider yucca intensive from 1800petmeds

  182. Oh my gosh, thank you! Yucca Intensive sounds great. Putting an order in immediately! I’m just shocked I didn’t know about this! I appreciate you running this blog. 🙂

  183. My 9 year old 35kg Rottie broke her leg approx. 31/2 years ago and a pin put down the centre of the bone with a fixator attached since then where the screws on the fixator had been every so often a pus filled like abcess would appear and she would be put on a antibiotic and it would burst and then heal up so this August the whole leg was painful with a lump she was given erythromycin which made her sick I stopped the tablets and saw vet week after vet then put her on synulox 500 x 2 daily she was already on tramadol 50mg x 3 daily wasn’t any better and not wanting food so took her back on 29/8/12 she was given zantac 1/2 x3 daily and rimadyl 1 daily took her back on the 4/9/12 still not wanting food stuggling to get meds in her vet took xray of leg, infection on the bone vet changed antibiotic to clindacyl 300mg x 3 daily plus increased her tramadol to 2 x 3 daily on 6/9/12 rang vet to say can’t get her to take any food or meds vet said to stop everthing but clindamycil and give them 11/2 twice a day by putting in the back of the throat and hold mouth shut, tickle throat but as she sat and we did this her front legs splayed and she stumbled to the floor disorientated, she has had episodes of retching like something stuck in her throat and then she gets disorientated and falls over and pants excessively afterwoods some times she pants first then retches then pants and calms down this has happened 2-3 times a day we took her back to vets on 8/9/12 and she did the same there the vet says she has a brain tumour i disagreed as this has only been happening since she was put on all these different meds my gut instinct is that this is toxacity to one of them or 2 of them are interacting she said she was sure but my dog hasn’t had any behavoural changes no aggression she is just really off colour since all these meds on the 8/9/12 the vet gave her a steriod injection and said this would make a difference and that would prove she has a brain tumour but no difference 9/9/12 she is slightly brighter and eating small amounts she had a episode in the morning and then no more so i thought as she was eating i would give her a clindimycl at 4pm with her food at 11.10 pm she had an episode so no more clindamycil got to ring vet today 10/9/12 to make desicion to euthanise or not still convinced 1 or more of these tablets caused this or sudden withdrawral of tramadol. could you please give me your opinion i’m a nervous wreck over this.

  184. Dr. Michael Dym, VMD veterinarianSeptember 10, 2012 at 4:58 pm

    Hard to say without MRI whether brain tumor or not. Sometimes pets can have odd reactions to meds. You could try homeop;athic remedy called nux vomica in 30c potency and give her one pellot once daily for 3 days to see if helps, as this remedy can help sometimes if allergic reaction. Also consider working with vet homeopath as well. To learn more see http://www.beyondflatearth.com or my website http://www.doctordym.com Many homeopathic vets offer phone consults.

  185. Do Iverhart Plus and Ketoconazole interact or cause problems together?
    I have a dog w/ a skin fungus issue. He really looks bad because it took a bit for me to afford the money for 200 mg 2tid for 30 days. I also just restarted his HW meds. Will it be a problem to use them togerther? Can the fungus affect his lungs. The last time I had him HW checked he was negative.
    He is a 12 year old,neutered male, Austrailian Cattle dog and terrier cross. About 32lbs.

  186. Dr. Michael Dym, VMD veterinarianSeptember 12, 2012 at 9:42 pm

    I have not heard of iverheart reacting with ketoconazole, however given the age of your dog, he should be monitored closely by your veterinarian.

  187. Can my 13y/o female pug take proin and doxycycline at the same time? She has incontinence during sleep and UTI very often.

  188. Dr. Michael Dym, VMD veterinarianSeptember 13, 2012 at 10:26 am

    I dont see a problem in using these two medications.

  189. can i give my 40lb 7 month old keflex 500mg i think that she got bit by a spider. She has a wound on her toe and is now starting to lose hair on her leg.

  190. Dr. Michael Dym, VMD veterinarianSeptember 14, 2012 at 6:26 pm

    500 mg keflex twice daily would be correct dose. Check with your local vet to see if appropriate.

  191. Hello. I have an approximately 5 month old cat. He weighs maybe 6 lbs. He came in his pet door today limping, with a swollen paw. The paw seemed much more swollen 12 hours ago than now. One of his toes- the swollen one- seems to be a little bit red on it and between it and the next, but there is no sign of any open wound. He will let me touch it to look at it, but he doesn’t want to walk on it and will pull away if I touch too hard directly on that toe. His leg does not hurt, nor does his ankle bone or the top of his foot. It does not feel warmer than the other foot. He is eating properly, not licking or biting at it, and will take swipes at the dog’s tail or a housefly with the swollen paw. My question is twofold: can I put topical benadryl on the swollen toe and cover it so he can’t ingest it, or can I give him a small dose of human benadryl(if so, what dosage please)? If it does start to look infected, can he take human keflex? Thank you.

  192. Dr. Michael Dym, VMD veterinarianSeptember 15, 2012 at 4:41 pm

    I would not use topical benadryl. Oral benadryl would be ok at dose of one half childrens dose up to twice daily. Keflex dose would be 50 to 75 mg twice daily. Best to see vet if signs persist.

  193. Thank you so much for your speedy reply! It’s so nice to have you doing this blog! Monty is already doing much better w/o anything but rest and being kept inside. The swelling has gone down and he is walking very lightly on it now. I really appreciate your help!

  194. Dr. Michael Dym, VMD veterinarianSeptember 15, 2012 at 6:01 pm

    You are very welcome. Tiphanie.

  195. is it safe to give Enalapril and Zantac(ranitidine) together for a small dog?

  196. My cat is taking Phenobarbital daily for seizure control, as well as Ciprofloxacin. I found fleas on him today for the first time ever. 🙁 Is it safe to use Advantix II in addition to these meds? Thanks SO much!

  197. Sorry, that was Advantage II, my apologies. My cat is taking Phenobarb and Ciprofloxacin, and I wonder if I should be concerned using Advantage II flea treatment. Thanks!

  198. Dr. Michael Dym, VMD veterinarianSeptember 16, 2012 at 8:40 pm

    Should not be a problem but as with any case of a pet with a chronic disease like seizures, monitor closely after applying topical pesticides.

  199. Thanks very much.

  200. My older lab suddenly has a swollen face, we gave her 2 (25mg) Benedryl, she is resting, drinking water seems okay. Is there anything else we should do? We don’t know what happened, she is staying in the house, was outside when whatever happened. Thank you!

  201. My older lab suddenly has a swollen face, we gave her 2 (25mg) Benedryl, she is resting, drinking water seems okay. Is there anything else we should do? We don’t know what happened, she is staying in the house, was outside when whatever happened. Fenced yard, no signs of trauma, seems to have a little diarrhea now. gave Benadryl 2 hours ago, still swollen face. She weighs 90lbs. Thank you!

  202. Dr. Michael Dym, VMD veterinarianSeptember 16, 2012 at 9:15 pm

    Sounds like allergic reaction to something. If swelling persists, best to see vet for evaluation and possibly cortisone injection.

  203. Dr. Michael Dym, VMD veterinarianSeptember 16, 2012 at 9:15 pm

    Answered previously.

  204. Dr. Michael Dym, VMD veterinarianSeptember 16, 2012 at 9:16 pm

    You are very welcome.

  205. Dr. Michael Dym, VMD veterinarianSeptember 16, 2012 at 9:16 pm

    I have not seen a problem with these drugs given together.

  206. Thank you so much for your prompt reply and for being available for us pet-parents, especially after hours. Vet gave her a cortisone shot just as you said she is doing great. Again, thank you!! Linda

  207. Hi, my vet give me Prednisolone and Pyrantel for my cat to treat allergy (i use sentry and after that she keep scratching) . i want to know can i stop use both prednisolone and pyrantel once she stop scratching? or i have to finish all of them (cos i am afraid of side effect on my cat). The Pyrantel that i get is actually for human, is that okay for cat too? i wonder…thank you

  208. Dr. Michael Dym, VMD veterinarianSeptember 18, 2012 at 4:49 pm

    I would follow your vet’s directions. The pyrantel is fine to use on the cat.

  209. Is it okay to give my dog soloxine and cimetidine with his meal at the same time?

  210. Dr. Michael Dym, VMD veterinarianSeptember 19, 2012 at 9:25 pm

    I dont see a problem using soloxine and cimetidine

  211. My 6 year old Jack Russell has anxiety and allergies..he has been taking 1/2 of 5mg valium every morning.If it storms or fireworks,he takes the other half.He also takes 1/2 a pred a day when needed for allergies.he has been taking this daily as ragweed and such is bad in Ohio.I put his Frontline flea drop on today.Are these meds/flea drop safe to use together?Thank You

  212. Dr. Michael Dym, VMD veterinarianSeptember 21, 2012 at 7:03 pm

    Should not be a problem using these meds and front line.

  213. My dog was prescribed with Kaoforte for upset stomach. Does it need to be refrigerated if not using the entire bottle? What is a reasonable self life?

  214. Dr. Michael Dym, VMD veterinarianSeptember 22, 2012 at 7:47 pm

    I am not familiar with this medicine. Iwould contact vet clinic that dispensed it for answers to your questions.

  215. 77 lb (35 k) basset hound (8yo) recently diagnosed with metastatic anal gland cancer with sudden onset of right hind leg deficit (we think an injury); vet ok’d 200 mg of tramadol every 8 hours, but dog still unsettled and seems in agony. We keep acepro. in house for travelling. I know it won’t have any pain effects, but can we give 50 mg of ace concurrent with tramadol? What is the maximum daily dose for tramadol in dogs? Have seen upwards of 5 mg per kilo up to 4x per day, but that seems like alot. Will be at ER tomorrow if pain and anxiety continue but not sure what to do in the meantime.

  216. My chihuahua iPad on amoxicillin and stll is ill her vet changed her meds to baytri. Can i still give her her heartguard.

  217. Dr. Michael Dym, VMD veterinarianSeptember 23, 2012 at 3:43 pm

    Yes you can proceed with heartguard.

  218. Dr. Michael Dym, VMD veterinarianSeptember 23, 2012 at 3:44 pm

    Yes you can go up on the tramadol to 5 mg per kg. CAnt recommend the ace at same time as may be too much sedation.

  219. Can you administer Heartgard Plus to your pet, while he or she is taking, or on a course of steroids. Such as prednisone?

  220. Dr. Michael Dym, VMD veterinarianSeptember 24, 2012 at 6:52 pm

    Heartguard is ok to use while on prednisone.

  221. I treated my cat with Hartz Flea med over 2 days ago ((S)-Methoprene and Etofenprox) and live fleas are still on him. Can I treat him with Frontline Plus (fipronil: 9.8%, (S)-methoprene: 11.8%)>

  222. Dr. Michael Dym, VMD veterinarianSeptember 26, 2012 at 9:22 pm

    I would bathe cat to remove hartz product and treat fleas. You will have to wait 10 or so days to consider front line. Try oral program or capstar instead for now or topical revolution

  223. It’s Sunday night, and my 2-year-old lab seems to be having some kind of allergic reaction–what looks like bumps/hives on her face & nose–and she is itching like crazy. She is breathing fine. My question is: can/should I give her some Benadryl, and if so, how much? She is currently taking 25mg Proin 2x/day. Thank you!
    ~Cassie

  224. Dr. Michael Dym, VMD veterinarianOctober 1, 2012 at 10:12 pm

    You could try benadryl at dose of 25 to 50 mg every 8 hours.

  225. I have a 14 year old beagle who weighs 37 lbs. She recently was diagnosed with lymphoma and a UTI. The lymphoma is causing lose of appettite, digestive issues (soft stool/noisy GI tract) Can Pepcid AC 10 mgs 2xs per day and Baytril 136 1 1/2 pills per day be given together?

  226. Dr. Michael Dym, VMD veterinarianOctober 2, 2012 at 5:54 pm

    Yes it is fine to use baytril and pepcid. I am sorry of your pet’s diagnosis. Good luck with treatment.

  227. Dr.Dym,

    Our dog is 12 years old and has kidney/liver problems.They are not severe and are bieng maintained with diet.

    He takes theophylline for copd/asthma 100mg. twice a day as needed.

    He has allergies,usually worse after being outside and the assistant at the vets office said that our dog could take 25mg. of Benadryl 3 times a day for his allergies.

    Is this ok to do?

    Thanks.

  228. Dr. Michael Dym, VMD veterinarianOctober 4, 2012 at 3:40 pm

    Dose of benadryl is 1/2 to 1 mg per pound twice to three times daily. Should not be a problem. Check with your vet however and get acceptance as well.

  229. My 65 lb 20 month old golden retriever has been taking famotidine since major stomach surgery last year. He’s now tested positive for Lyme and just started 30 day treatment with 150mg Doxycycline 2x/day. Can these meds be given at the same time?
    Thank you!!

  230. Dr. Michael Dym, VMD veterinarianOctober 5, 2012 at 4:08 pm

    There is no problem with famotidine and doxycycline being given together.

  231. My beagle is on enalapril and phenobarbital, can I give her Immodium for very mild diarrhea?

  232. Dr. Michael Dym, VMD veterinarianOctober 10, 2012 at 5:27 pm

    Giving immodium should not be a problem.

  233. i have an 11 yr old min pin. she has congestive heart failure and thyroid issues. The vet has her on Vetmedin 1.25 mg cap twice a day. also eltroxin .1mg twice a day and furosimide 20mg 1/2 pill twice a day. She was doing great but over the last couple days she is coughing again. I am worried that her time is coming to a close… Any suggestions?

  234. sorry I forgot to ask if it is safe to give these meds at the same time ? I have been spacing them out.

  235. Is it ok to give my dachshund baytril and metronidazole within an hour of each other?

  236. I am giving my 8 yr old dog the flaxseed and cottage cheese diet but he is taking phenobarbital for seizures he was having. Is this ok to give? Or is it a bad combination to be giving?.. Just wondering if this has a bad reaction. Thankssssssss

  237. Dr. Michael Dym, VMD veterinarianOctober 11, 2012 at 7:14 pm

    Should be no problem with diet and phenobarbitol

  238. Dr. Michael Dym, VMD veterinarianOctober 11, 2012 at 7:19 pm

    Should be no problem giving these two meds.

  239. Dr. Michael Dym, VMD veterinarianOctober 11, 2012 at 7:21 pm

    See your vet as adjustment in meds may be needed. Enalopril is good drug for chronic heart disease. There are also cough suppressants that can help like hycodan that your vet can prescribe. Adjustments in lasix dose also may be needed.

  240. Dr. Michael Dym, VMD veterinarianOctober 11, 2012 at 7:22 pm

    Should be ok to use these meds at same time

  241. my 13.5 yr old jack russell (17 lbs) has chf, heart murmur and her lung function is diminished. Regular meds 1/4 of .125 digoxin daily, 25 mg theophylline 2x daily, 1/4 of 2.5mg enalapril 2x daily (these last two we prescribed double the amount I am giving but she is doing well as is), 12.5mg lasix daily and 5 days a month get 1/4 of 5mg prednisone.
    She is now in the middle of an allergic reaction. We added 10mg hydroxyzine 2-3x daily (4 days ago) without much help. Two days ago we added Temeril-P 2x daily. She has had 3rd dose of it last night. Hives are on belly, around mouth, ears and other less severe places on her body. Don’t know the source but had cut out almost all food except ID for sensitive stomach and Pedigree Healthy Longevity. Starting today she is only getting turkey lunchmeat to hide her pills, homemade boiled chicken and SD hypoallergenic treats. My main concern, in addition to clearing the allergic reaction, is the interaction of all these drugs. My country vet is not even online at her office though she does the best she can. Since my husband passed away this critter is my best friend. I am worried about “killing her with kindness”. Any advice would be most appreciated.

  242. Correction on Donna post:

    Starting today she is getting homemade chicken with rice, boiled. Sorry

  243. My dog was recently neutered & received rimadyl, can he take benadryl along with this? Also can he take immodium with it, the rimadyl is upsetting his stomach!

  244. Dr. Michael Dym, VMD veterinarianOctober 13, 2012 at 4:59 pm

    There should be no problem with this combination of meds.

  245. Dr. Michael Dym, VMD veterinarianOctober 13, 2012 at 5:00 pm

    Sounds like you are doing everything possible. Continue temaril p and any other meds prescribed.

  246. Can I have my dog the following medications/supplements together?
    Torbutrol
    Phycox joint supplements
    Clavamox

  247. Dr. Michael Dym, VMD veterinarianOctober 13, 2012 at 5:54 pm

    This should not be a problem.

  248. Thanks so much for your response. She seems to be beginning to improve, but I feel relieved about all the meds she is getting right now.

  249. My dog is currently on Carprofen and Tramadol for a torn CCL. She also has a cough that Benadryl usually helps with. Will Benadryl will interact with either of the above? Thank you.

  250. Dr. Michael Dym, VMD veterinarianOctober 13, 2012 at 9:12 pm

    Should not be a problem using benadryl with these meds.

  251. Dr. Michael Dym, VMD veterinarianOctober 13, 2012 at 9:12 pm

    You are welcome

  252. Can Proin and Capstar be used together?
    I use Sentinel regularly and Capstar as needed, up to once a week in summer months. 70 pound dog now started on Proin.

  253. I have a 4-yr-old germ. Shep. She used to run with me. One day she winced with pain when she moved head to right. X-rays show nothing. She was placed on pain meds and prednisone and responded well. After meds done, symptoms slowly returned. Got another dose of meds. Same thing. Now she’s on carprofen only, but seems to be deteriorating slowly. MRI and surgery is not an option. Took her to chiro. She liked it, but can’t afford that either. Can she take carprofen one day and prednisone once or twice a week for management? She responds well to prednisone.

  254. Is it ok to take prednisone 2 days a week(1pill) and painkiller the other days?

  255. Dr. Michael Dym, VMD veterinarianOctober 14, 2012 at 5:18 pm

    That would depend upon the pain killer

  256. Dr. Michael Dym, VMD veterinarianOctober 14, 2012 at 5:18 pm

    I would use prednisone or carprofen. Not wise to use both at same time during same week.

  257. Our 10 lb cat is on 8mg of phenobarbital twice daily for seizures, but is also having aggression issues (that existed even before the seizures). We’ve tried Feliway, Rescue Remedy, and other calming solutions as well as behavior training, but nothing has worked at all. Our vet said normally she would prescribe Prozac for the aggression at this point but that she had never given phenobarbital in combination with Prozac. Are these safe to give together for a cat? Thanks!

  258. Dr. Michael Dym, VMD veterinarianOctober 15, 2012 at 12:53 pm

    I would not give these two drugs together. I would consider working with a vet homeopath on these health issues which may offer another alternative. To learn more see http://www.beyondflatearth.com or my website http://www.doctordym.com Many homeopathic vets do offer phone consultations. Not a quick fix but may be worth the time and committment.

  259. please consult with a holistic vet asap. My gs mix had pancreatitis, kidney failure from a bad response to a cushings med, and liver tumors and was on a feeding tube as would not eat. Went to a holistic vet. After using what he prescribed,, he regained his appetiite and energy, and was with us another 9 monhts until one of his liver tumors ruptured. what the holistic vet prescribed worked!!!

  260. Dr. Michael Dym, VMD veterinarianOctober 16, 2012 at 4:30 pm

    Thanks for sharing. Holistic vet medicine is certainly a wonderful option for many animal guardians. To learn more see http://www.ALTVETMED.org as well as my website http://www.doctordym.com Many holistic vets do offer phone consults as well.

  261. Hi Doctor, may I give my 10 year old pug prednisone and a joint enhancer containing glucosamine at the same time? Thank you in advance for your time.

  262. Dr. Michael Dym, VMD veterinarianOctober 17, 2012 at 4:30 pm

    Yes there should not be a problem giving both pred and the joint supplement.

  263. Thank you for your prompt reply. May I also apply mometamax or surolan to my pet’s ears to clear up an ear infection while administering the prednisone and joint supplement? Thank you in advance again. Your advice is very helpful.

  264. Is it okay to give my dog her regular dose of Heartgard and Frontline while she is taking Promace, Rimadyl, Tramadol, and Cephalexin?

  265. I gave my dog, a 72 lb. Newfoundland/Lab mix his monthly dose of Heartguard last week. I just started Advantage for fleas 1 month ago and his next topical treatment is due. Is it now safe to apply the next dose of advantage treatment for fleas?

  266. Dr. Michael Dym, VMD veterinarianOctober 19, 2012 at 12:40 pm

    Should not be a problem in reapplying advantage for fleas.

  267. Dr. Michael Dym, VMD veterinarianOctober 19, 2012 at 12:42 pm

    IT is ok to give heartguard and front line but I wouild do on separate days roughly 7 days apart.

  268. Dr. Michael Dym, VMD veterinarianOctober 19, 2012 at 12:44 pm

    You are very welcome. You can use the mometamax or surolan to the ears.

  269. Hello,
    My 20 pound 1 1/2 year old mixed dog from the pound has kennel cough he contracted at pound. He is on 1/2 tab of doxycycline twice a day and now has runny bright orange stools. Can he take flagyl with this med to improve the loose stools? He has been on the doxy for 3 days. Vet is closed and stools are getting worse.

    Thank you,
    Leslie

  270. Should add that the doxy is 100mg tabs.
    thanks again,
    Leslie

  271. Dr. Michael Dym, VMD veterinarianOctober 21, 2012 at 4:30 pm

    It is fine to use flagyl at same time as doxycycline. Also consider probiotic like fast balance from 1800petmeds.

  272. Dr. Michael Dym, VMD veterinarianOctober 21, 2012 at 4:31 pm

    Answer below

  273. 150# Great Dane, wanting to start adaquan shots but didn’t know if I should wean him off of his 1x day meloxicam pill. He gets a quarter of a 15mg pill. Or can I stop the meloxicam at once? Ty

  274. Dr. Michael Dym, VMD veterinarianOctober 26, 2012 at 5:17 pm

    You can stop the meloxicam at once. No problem starting Adequan. Also consider other joint supplements like super joint enhancer, proanthozone, and yucca intensive from 1800petmeds

  275. My mom’s Corgi was recently diagnosed with serious neurologic damage due to seizure activity. She could not afford to do the entire neuro workout so the vet gave her Phenylbarbitol. The dog seems to be getting worse and seems to be in pain. Is it safe to give any anelgesics?

  276. Dr. Michael Dym, VMD veterinarianOctober 27, 2012 at 6:41 pm

    I would not give any analgesics unless cleared by your vet as they can interact with phenobarbitol.

  277. can dogs have tramadol and methocarbamol together

  278. Dr. Michael Dym, VMD veterinarianOctober 29, 2012 at 10:31 pm

    These drugs will cause excessive sedation when used together. I would prefer only tramadol

  279. In dogs, can Tramadol be given along with Lorazepam?

  280. Can Tramadol and Lorazepam be given together to dogs?

  281. My do had an epilus removed from his mouth earlier this week and is taking two antibiotic pills per day to prevent infection. Is it okay to give him Heartguard and flea and tick preventative while on the antibiotic? We always give them to him on the first of the month. Thanks for your help!

  282. Dr. Michael Dym, VMD veterinarianNovember 1, 2012 at 9:41 am

    I usually like to separate dose of heartworm meds and flea meds by 1-2 weeks. Easier on body.

  283. Dr. Michael Dym, VMD veterinarianNovember 1, 2012 at 9:46 am

    I dont think a problem with these two meds although excessive sedation may be seen.

  284. Dr. Michael Dym, VMD veterinarianNovember 1, 2012 at 9:47 am

    Answered above. No problem with tramadol and lorazepam, but mild sedation may be seen.

  285. *Cat/12 yo/Male/FIV+/Chronic Megacolon/Canned food only diet*

    Ten Days on the following meds:
    – Marbofloxacin 25 mg
    – Prednisolone 5 mg
    – Neo/Poly/Dex (drops in ear)
    – Meclizine 12.5 mg
    – Supplemental Dexamethasone injections (Day1, Day 5 (at the ER), Day8)

    Note: This cat cannot be pilled, and all oral meds have to be crushed and syringed with Science Diet AD (canned)

    My concerns:

    1. Could the Science Diet AD decrease the product bio-availability of the Marbofloxacin? (Reference Drug Interactions of full prescribing information sheet)

    2. What can I safely use for constipation? Up to this point during treatment, one or more of the above drugs has kept him from becoming constipated and I have not had to give him anything additional. I generally use MiraLax alternating with mineral oil (both mixed in food), but am concerned about Miralax use with Prednisolone.

    I would have expected this guy to be much better than he is after 10 days of treatment.

    Thank you!

  286. RE: Constipation

    Fiber worsens his condition.

  287. Dr. Michael Dym, VMD veterinarianNovember 1, 2012 at 9:24 pm

    I would not think the Ad would decrease the availability of marbofloxicin significantly. As for constipation, you could try a dose or two of dulculax over a few days. I would still try adding pinch of psyllium from health food store to each AD feeding. CAnned pumkpin also may help. Sounds like GREAT case to consult with a vet homeopath. To learn more see http://www.beyondflatearth.com or my website http://www.doctordym.com Many homeopathic vets offer phone consultations. I have no idea why your cat would be on Meclizine which is mainly used for problems with balance.

  288. Dr. Michael Dym, VMD veterinarianNovember 1, 2012 at 9:26 pm

    VEry unusual that fiber worsens his condition. That is why a vet homeopath would be worth consulting on with this one. I would also try and avoid prednisolone in FIv cat if at all possible.

  289. I was wondering if there would be any problem in giving my dog Glyco-Flex III Soft-Chews (they contain glucosamine, Perna Canaliculus, and MSM) while she is on 25mg of Proin a day… I wouldn’t want to have any interactions! She is 13yrs old, about 30lbs, and has no major health problems.

  290. Dr. Michael Dym, VMD veterinarianNovember 2, 2012 at 4:15 pm

    There should be no interaction between glycoflex II and proin

  291. Dr. Michael Dym, VMD veterinarianNovember 2, 2012 at 4:16 pm

    There should be no interaction between the glycoflex and the proin.

  292. My 5 yo German Shepherd has been prescribed Proin. She takes Benadryl regularly for allergies and has recently shown signs of joint pain. Is it safe to add a glucosamine supplement to her routine?

  293. Thank you so much for your quick reply. He’s never had Dulculax, so perhaps that’s worth a try along with the psyllium.

    As for the Meclizine, Simon was put on this at the emergency clinic (5 days after his initial vet visit). Ataxia? Vertigo? I honestly do not know which term is correct, but the Monday before last (10/22) when this started, I found Simon drooling & vocalizing with a complete loss of coordination. He literally looked like a bobblehead doll, and had rapid eye movement (left to right). Unfortunately, he only has one eye. He’s being treated for a suspected ear infection. In May he was treated for a confirmed ear infection that had very subtle/mild symptoms. At that time, he was given a Convenia injection (yikes) and Tresaderm drops. This was a different/weekend Vet.

    I actually adopted Simon from around your area in 2003 when I was doing some work in Miami Lakes! He came from The Cat Network. I had his left eye removed shortly after adoption, and other than the mega colon, he’s had no problems until recently (past year). I also adopted his litter mate and lost him in May. He was \end stage\ FIV for several years (much longer than expected). We didn’t have much luck with homeopathic remedies for him, but did have success with LTCI (think that’s it).

  294. Simon’s in serious condition, and believe me when I say that I do not want him on steroids due to his FIV status, but there’s simply no other option (that I know of).

  295. my 9 year old maltese had surgery 10 days ago-cervical disc compression on spine. He breathing has been sounding wheezy since. I assumed this was due to intubation. He was given methacarbonol, prednisone, and an antibiotic post surgery.. A couple of days post surgery, he still sounded wheezy and seemed to be in pain so we called to see if vet would give him tramadol. The vet said yes, but to stop taking prednisone. 8 days post surgery I took him back to vet because of the wheezy breathing and still appeared to be in pain, and not drinking water. Another vet (original on vacation) said to put him back on prednisone, it should help with pain and inflammation. So currently Charlie is taking the methocarbonol, prednisone, and tramadol. Because his breathing sounds bad, I wonder if benadryl would help, but am not sure of the effects with these other drugs. He does have sinus allergies frequently for which we have given him benadryl, but I’m not sure if he can he be given benadryl while he is on tramadol, prednisone, and methocarbonal. I think he just finished his last dose of methocarbonal tonight, given about 30 minutes ago. We’re still having a hard time getting him to drink water,

  296. Can I give remadyl or Temaril P to my dog at ten same time than Atopica?

  297. Correction rimadyl*

  298. Dr. Michael Dym, VMD veterinarianNovember 4, 2012 at 11:51 am

    Rimadyl OR temaril p can be given with atopica but check with your vet.

  299. Dr. Michael Dym, VMD veterinarianNovember 4, 2012 at 11:52 am

    I would not give benadryl with all of these other medications. You may want to consult with a homeopathic vet if these odd symptoms persist. To learn more about homeopathy see http://www.beyondflatearth.com or my website http://www.doctordym.com Many homeopathic vets do offer phone consultations.

  300. Dr. Michael Dym, VMD veterinarianNovember 4, 2012 at 11:57 am

    Thanks for additional information. Not much more I can add from conventional medical perspective other than doing what you are already doing. Perhaps consider supplementing with transfer factor which can help boost immune system. Homeopathy is only other option I know. Some cases can be helped while others it is more difficult to advanced suppressed condition.

  301. Dr. Michael Dym, VMD veterinarianNovember 4, 2012 at 11:58 am

    Again I would consider consulting with classical homeopathic vet who can also counsel on nutritional supplements, diet, etc. Best of luck in difficult situation.

  302. Dr. Michael Dym, VMD veterinarianNovember 4, 2012 at 11:59 am

    I dont think a glucosamine supplement would be a problem. Consider super joint enhancer from 1800petmeds.

  303. I have a 16 lb poodle–is it okay to give him novox, enalapril, and tramadol together? The tramadol is only temporary for a pulled muscle. Thanks

  304. Dr. Michael Dym, VMD veterinarianNovember 4, 2012 at 7:30 pm

    I dont think these drugs will be a problem together.

  305. My 11 yr old Bichon just had a bladder stone removed 3 days ago and it ruptured so they re stitched it. He is on Tramadol, clavaseptin and now Metacam are these 3 ok to give

    thanks

  306. Dr. Michael Dym, VMD veterinarianNovember 5, 2012 at 10:46 pm

    Using these medications should be fine in this case.

  307. My dog is about seven years old. She was prescribed prednisone for an injured disc in her neck. The neck is healing fine. We are weaning her off the prednisone as prescribed by our vet. She started experiencing abdominal pain. We took her back to the vet and they said she had a lot of gas. They gave her Barium and said she should be doing better. The also prescribed prilosec, five mg a nite. She still isnt doing well. She is taking prednisone every other day. The days she does not take it, she is in pain and can’t walk and they seem to be getting worse. Is this normal? The days she takes the prednisone are better each time.

  308. She is also on Tramadal now. My vet says this is all because she is slightly overweight.

  309. My dog just started two days ago on Furoquid and Enalapril two days ago for enlarged heart & low kidney function. Today I put on PetArmor Plus, which has the exact same ingredients as Frontline which I have been using on him for two years with no problems. He won’t eat today, has had a little water, and has thrown up a couple times just some bile probably. Is this a reaction from the PetArmor possibly? I washed off what was on the outside surface on his hair, but it’s been at least 8 hours so it’s already in his skin. Or could he be having just a reaction to the meds? Please advise. Thank you so much. I’m borderline hysterical! He’s 14, a 3.4 pound Chihuahua. I cooked him ground turkey, rice, sweet potatoes, tried bananas, his favorite, and apples. He won’t go for anything right now and is just curled up resting.

  310. Dr. Michael Dym, VMD veterinarianNovember 9, 2012 at 12:16 pm

    Reaction is possible to meds but most likely the topical flea medicine. Wash it off as you have and see your vet if appetite remains low.

  311. Dr. Michael Dym, VMD veterinarianNovember 9, 2012 at 12:18 pm

    I would ask your vet about possibly using the prednisone daily. If not help consider asking your vet for a referral to a holistic vet in your area who offers chiropractic and/or acupuncture, which can sometimes help with disc problems in dogs.

  312. Dr. Michael Dym, VMD veterinarianNovember 9, 2012 at 12:19 pm

    Tramadol is fine to use in these dogs. You can also ask your vet about other pain meds like gabapentin and amantadine which also may help.

  313. Thank you so very much for your response. I really appreciate this service you are providing! My vet opens at 9:00, and I’ll be waiting at the door ;0)

  314. My 11 year old Golden Retriever started having seizures 5 months ago and she was started at 30 mg Phenobarbital 2x/day and currently is taking 45 mg 2x/time. Vet suspects brain tumor as all blood work perfect. We just started Prednisone 10 mg 2x/day. Prior to the addition of the Prednisone, we were giving her 175 mg milk thistle, 400 mg Sam-E, 50 mg Vitamin B-6 and 400 iu Vitamin E per day and want to ensure no problems with continuing this. Also, can the Pheno & Prednisone be given at the same time or should they be separated, and if so, how long between the two.

  315. Dr. Michael Dym, VMD veterinarianNovember 10, 2012 at 11:36 pm

    Pheno and pred can be given at same time. It is fine to keep up with all of those excellent liver supplements. Sounds like you are doing everything you can for your pet. I would also stay away from vaccinations and un-necessary topical and oral pesticides in a pet with seizures like this at this age.

  316. Thank you so much for your reply! We just started the Prednisone 24 hours ago and the change is absolutely amazing already. We thought we were at the end and she now has a new lease on life. She always has had titres vs vaccinations. Re oral pesticides, are you referring to heartworm meds? She currently is on Heartguard Plus. We last administered mid-Sept & live in GA so mosquito population has diminished somewhat but not entirely.

  317. Dr. Michael Dym, VMD veterinarianNovember 11, 2012 at 4:45 pm

    I would go to every 45 days on the heartworm prevention, as there is safety factor in there.

  318. Is it okay to give frontline while my cat is on clavamox?

  319. Dr. Michael Dym, VMD veterinarianNovember 15, 2012 at 12:31 pm

    Yes giving front line and clavamox should not be a problem.

  320. Is it okay to give ace with benedryl ?

  321. Dr. Michael Dym, VMD veterinarianNovember 16, 2012 at 5:44 pm

    I have not seen problem with ace and benadryl given together.

  322. A roomate gave my 55 lb dog Hartz Ultraguard Plus 60+ (Phenothrin 85.7%, (S)-Methoprene 2.3%, OTHER INGREDIENTS12.0%) a week ago and I really wanted him to have K9 Advantix (imidacloprid 8.8%, permethrin 44.0%)used because I know it is effective and Hartz usually is a pretty sketchy brand. When is it safe to put K9 Advantix on my dog?

  323. Dr. Michael Dym, VMD veterinarianNovember 17, 2012 at 7:02 pm

    I would wait 2 weeks after the Hartz and then use the advantix.

  324. I have a 22-year-old Westie suffering from canine cognitive dysfunction syndrome, whose back legs work, at best, around 20 percent. Some days they won’t bear weight at all. He’s still eating, but has lost pretty much all muscle mass and now only weighs about 10 pounds. He gets so agitated, since the CDS force him to pace, but he can’t walk very well because of his rear legs… we have elected to try to give him comfort care rather than go the route of euthanasia. The vet started him on 1/4 tablet of 50 mg Tramadol, which has had no noticeable effect on him at all. No drowsiness, nothing. A friend who is a vet tech suggested we might want to add Benedryl to the mix. Is this safe, and what would the correct dosage be? We just want him to be comfortable and get some sleep, especially at night, when he’s only sleeping 15 minutes at a time and whimpering and howling because he can’t move. Thank you so much.

  325. Dr. Michael Dym, VMD veterinarianNovember 18, 2012 at 5:37 pm

    Benadryl is ok to try I would give a childens dose 12.5 mg before bedtime to see if it may help

  326. Can I give my dog clavaseptin and benadryl together? He has been prescribed clavaseptin for an infected hot spot.

  327. My 12 year old dachshund weighs 12 pounds. She hurts her back every year when it gets colder. Is it okay for her to take Metacam and Tramadol together? I am almost positive she was prescribed them and took them together in the past but I want to be certain. I have some of both medicines left from a previous back injury. She is in a lot of pain. I have given her a 1/4 of Tramadol about 2 hours ago & want to know if I can give her the Metacam right now. Any advice would be greatly appreciated. Thanks, Bridget

  328. Dr. Michael Dym, VMD veterinarianNovember 20, 2012 at 8:41 pm

    There is no problem using tramadol and metacam together.

  329. Dr. Michael Dym, VMD veterinarianNovember 20, 2012 at 8:43 pm

    I think yo umean clavamox? Yes it is fine to use them both together.

  330. Thank you so much Dr. Dym. I really appreciate you taking the time to answer my question. Have a wonderful day! Sincerely, Bridget

  331. Hello, my 60lb 11yo male English Billdog has been on 75mg Rimadyl for at least 6 months. Bloodwork done about a month ago to make sure all is well. No problems. On tuesday, 11/20 he was put on 1/2 pill 20mg Prednisone for 4 days then to 1/2 pill for 8 more days. I’ve noticed his respiratory rate really increase. Called vet yesterday and they said go down to just the 1/2 pill for the remained. Have NEVER told me to quit the Rimadyl. He has gotten 3days of 2x on the predisone, normal rimadyl, 1 day of 1 1/2pill of predisone and now I’m so worried to give it for today. They put him on prednisone for start of skin rash (staph) which he has done well on in the past….but was never on rimadyl at the same time.

  332. Dr. Michael Dym, VMD veterinarianNovember 24, 2012 at 8:06 pm

    I would stop the rimadyl and call your vet as prednisone not best to give at same time as rimadyl.

  333. My chihuahua was given temaril, terbutaline and amoxicillin today for allergies developed after a trip out of state. He’s still very congested and I’m wondering if adding baby Benadryl is okay for tonight or if it should not be mixed with mess already prescribed this morning.

  334. Dr. Michael Dym, VMD veterinarianNovember 25, 2012 at 7:51 pm

    I would not mix benadryl with temaril p as temaril p already has an antihistamine in it. Give meds a few days to work.

  335. My comment should have read ” with what was” already prescribed this morning… Not ” mess” oops

  336. My 7 year old, 90lb mixed breed dog was diagnosed with lymphoma 2 months ago and is on 10 mg prednisone/day. She is manifesting symptoms of UTI, which was confirmed with AZO strip. Is it okay to administer Clavamox simultaneously with prednisone given her condition?

  337. Dr. Michael Dym, VMD veterinarianNovember 27, 2012 at 1:56 pm

    Yes it is fine to administer clavamox at the same time for UTI.

  338. can my dog take tramadol 50mg with metacam he is 14 months and weighs 25.4 pounds. i need a responce fast my dogs in pain my vet is closed and he just got home at 4 pm from getting neutered he took metacam at 7:30 pm its 12:30 am now the metacam dose he was givin was 0.77 ml plzz respond

  339. Hey Chris. I asked the same question a few days ago. You can look back on this blog. I have a 12 year old dachshund that hurt her back. I asked if she could take Tramadol & Metacam together and the vet on this blog said it was okay for me to give her the 2 meds together. I gave them both to her for a few days. She did fine and is better now. It’ll probably be tomorrow before the vet replies to your question so I thought I would. Just look back a few posts and you’ll see my question and the vet’s reply. Take care, Bridget

  340. Thank you so much Bridget you really helped me out so glad you responded to my answer so quickly ! Thank you so much !

  341. Your welcome Chris. I know what it’s like to worry about your baby (dog). Take care, Bridget

  342. yes there our babies 🙂 my dog tripp is doing alot better thanks again bridget ! aww and tripp said thanks 🙂

  343. yes there our babies 🙂 my dog tripp is doing alot better thanks again bridget ! aww and tripp said thanks 🙂

  344. Dr. Michael Dym, VMD veterinarianNovember 28, 2012 at 9:46 am

    Hi Chris. Yes metacam and tramadol are fine to take together, and is a commonly prescribed combination of pain meds given by vets after surgery.

  345. Dr. Michael Dym, VMD veterinarianNovember 28, 2012 at 9:47 am

    Hi Bridget. Thanks for sharing your knowledge and information from this blog.

  346. Hi. Could the DVM answer my question. I’ve a dog in the middle stages of inoperable bladder cancer (tcc). Currently she takes deramaxx (25mgs) a day, plus I give her tramadol (about 50 mg a day). We just found out from an ultrasound that she also likely has pyrometra.

    She isn’t a good candidate for surgery to remove the uterus/ovaries because of her TCC. She doesn’t have much longer to live. However, do you know of any antibiotic therapies we could use at all for perhaps some temporary relief, in the interim, safely, that don’t have harmful interactions with her other medications? We have some clindamycin tablets (that our other dog never finished taking after some surgery). Would that drug be too hard on the kidneys? Would clavamox be better? Thank you very much.

  347. Hi. Could the DVM answer my question. I’ve a dog in the middle stages of inoperable bladder cancer (tcc). Currently she takes deramaxx (25mgs a day), plus I give her tramadol (about 50 mg a day). We just found out from an ultrasound that she also likely has pyrometra.

    She isn’t a good candidate for surgery to remove the uterus/ovaries because of her TCC. She doesn’t have much longer to live. However, do you know of any antibiotic therapies we could use at all for perhaps some temporary relief, in the interim, safely, that don’t have harmful interactions with her other medications? We have some clindamycin tablets (that our other dog never finished taking after some surgery). Would that drug be too hard on the kidneys? Would clavamox be better? Thank you very much.

  348. Dr. Michael Dym, VMD veterinarianNovember 30, 2012 at 7:17 pm

    Clavamox a better choice but even better would be baytril if you could get your vet to write a script for it. Also ask about drug piroxicam instead of deramaxx for TCC of bladder.

  349. Hi and help!
    My 9 year old boxer has been diagnosed with a lung fungal infection and blastomycosis! .. He is starting on ketoconizole 200mg per day and SMZ TMP because he was taking that and the vet says keep him on it. Should I also ask for prednisone to help with his breathing? My vet is stumped as to whether it’s fungal or tumors? Sent out xrays, proved the pro’s to be stumped to! .. His lungs look so cloudy and a tracheal wash won’t prove much and he could not survive it my vet says! .. He is my baby and I am devastated .. Any suggestions?? .. He is my best buddy! Adopted from a shelter in Georgia only 3 years ago, my time with him has not been nearly long enough.

  350. Is it okay for a cat to take prozac and metronidazole at the same time? She takes prozac in the transdermal gel applicator.

  351. Dr. Michael Dym, VMD veterinarianDecember 2, 2012 at 5:53 pm

    I dont think prozac and metronidazole a problem. If used long term liver values should be monitored.

  352. Dr. Michael Dym, VMD veterinarianDecember 2, 2012 at 5:55 pm

    Prednisone is always an option when breathing becomes difficult as long as you have other antimicrobials on board. MAy be a good case to consult with a holistic vet on alternative treatments. To learn more see http://www.beyondflatearth.com or my website http://www.doctordym.com Many homeopathic vets offer phone consultations.

  353. My Pomeranian/Japanese chin is currently on prednisone and robaxin due to a spinal trauma. I have just brought her home after a two day stay at the vet, and she is just so distraught over not having use in her back end, that she just pants and pants. It hasn’t stopped since the injury occurred. Can I give her some melatonin to settle her down? She weighs 12 pounds. How much could I give her if its ok with her other meds? Thank you so much. I really want my little girl to be able to relax a bit.

  354. Dr. Michael Dym, VMD veterinarianDecember 4, 2012 at 7:13 pm

    I dont think melatonin will help but 1 mg is fine to try. Check with your vet however. These drugs should not interact.

  355. I have a 1 yr old lab female that just got stitches and staples put in her frint leg. She is therefore wearing an e-collar. She is getting somewhat used to it but she was really stressing out for a good hour and was trying to get it off. She is used to running in the woods and being outside. She can’t do her normal things well such as playing with her stuffed bear, etc. because it requires the use of mouth and paws which she can’t do with an e-collar.

    My question is can I give her a benadryl to mellow her put when she gets worked up or is that a bad reason to give a dog that kind of medicine? Right now she is on amoxicillin, one every 12 hours at 400mg. Or will shw be fine and I’m doing this more for me?

  356. Sorry-she is 47 pounds

  357. This is not a Serious question but a Interesting question. If dogs are colar blind how does my dog know when drinking milk ? He’s not close to me but where he can see me ! He never has any Interest In anything I drink ! But when I grad me a glass of milk his ass is right here sucking up to me for some ice cold milk lol ! So how does my dog Tripp know i got milk when I would think he’s to far to smell it if he could even smell milk like that. Anyone have any answers ? I would love to know how he knows if dogs are colar blind ! Thanks Chris proud owner of a Shiba Inu named Tripp 🙂

  358. Well, for one thing color blind means seeing in black & white only and milk is white. And, secondly they can smell milk from a mile away. But, I don’t think they are color blind. I never have. One of my dachshunds always favors all of her green stuffed animals. I think dogs are the only ones that know if they are color blind and they have no way to tell us. Lol.

  359. Our bloodhound had eyelid surgery yesterday to remove 2 growths. He’s on 75 mg of rimadyl twice a day. Can I give him benadryl to settle him down?(shaking his head & making the area bleed)how much is safe to give him? (75 lbs)Thank you!

  360. Dr. Michael Dym, VMD veterinarianDecember 6, 2012 at 2:59 pm

    You can try 50 mg benadryl up to twice daily.

  361. Dr. Michael Dym, VMD veterinarianDecember 6, 2012 at 3:12 pm

    Benadryl is fine to try at 1 mg per pound twice daily.

  362. I have an Olde English Bulldogge that has what my vet said is a pretty bad allergy problem. She was scatching and biting herself badly and smelled horrible. This carried on for several months so I finally took her to the vet where they gave her a cortisone and antibiotic shot along with a prescription for antibiotics. The shots alone fixed her right up and she was better for about a month and now the same problem is happening again. I don’t have any money to take her to the vet so I am wondering if I can give her some cortisone and antibiotics from pet meds to fix her up. She was on cephelaxin for this before and I am not sure what type of cortisone it was. She weighs about 70 lbs. Thank you for you time.

  363. Dr. Michael Dym, VMD veterinarianDecember 8, 2012 at 7:51 pm

    Cortisone and antibiotics would likely be helpful but you will need a prescription from your vet to fill these from 1800petmeds. You can try shampooing with antibacterial shampoo like malaseb shamoo every few days from 1800petmeds, as well as use oral benadryl at dose of 1 mg per pound twice daily. Use oral fatty acid like missing link which may help long term.

  364. Our 9 month old cat is thought to have asthma though they’re having a hard time getting control of it. He takes half a tablet of prednisolone every other day (so 2.5 mg every other day), a puff of albuterol and flovent two times a day and now the vet just prescribed him 10 mg of Claritin once a day and panacure (for worms) in addition to his other meds. They know it’s a lot of steroids so we are trying to wean him off. 10 mg of Claritin seems like a lot for him and I’m concerned about all the meds he’s on. Is this okay? Specifically the amount of Claritin?

  365. Dr. Michael Dym, VMD veterinarianDecember 10, 2012 at 1:53 pm

    I have not had much experience or success using claritin in cats but could be worth a try. Such a young cat. Would be great to consider consulting with a vet knowledgable in holistic medicine, nutrition, nutritional suppements and potentially homeopathy. I worry about long term effects of steroid in such a young animal. To learn more about homeopathy see http://www.beyondflatearth.com as well as my website http://www.doctordym.com Many homeopathic vets do offer phone consultations. However patience and time is needed when trying natural methods on cases like this.

  366. My dog is a terrier mix male, and weighs 25 lbs. He recently was diagnosed w/ a disc problem (still waiting for blood work to rule out anything else). It started when he randomly yelped, then walked w/ his back curved to the side. The vet pressed down and moved his neck, etc, and my dog was fine. We finally got xrays that noticed a calcified disc. He is on a steroid (in the weaning off phase), and since he hasnt improved, is now on tramadol. The vet said a pill 2-3 times a day, 50mg per pill. We noticed elsewhere that dosages were about 1mg per pound. We have given him 2 pills already today. Is 100mg too much for such a small dog? Please help, we are very concerned. Thank you!

  367. We just got off the phone w/ the animal hospital, the prescribed amount is okay. Since he’s not showing a lot of improvement (still yelps when he twists/bends a certain way), do you have any suggestions on how to help heal him? I dont want to keep him on pills after this initial treatment. If he’s not better the vet recommended an xray w/ the dog having dye inside him. We’d want to avoid that obviously. Thank you! This blog is great.

  368. Dr. Michael Dym, VMD veterinarianDecember 11, 2012 at 8:04 pm

    I think 100 mg tramadol is too high for dog this size. You could ask vet about muscle relaxants like methocarbimol which is prescription medicine. Also gabbapentin is a prescription pain alternative as well. Consider acupuncture and/or chiropractic from vet in your area or even homeopathy. See http://www.altvetmed.org and http://www.doctordym.com

  369. Dr. Michael Dym, VMD veterinarianDecember 11, 2012 at 8:05 pm

    I would not consider myelogram x rays unless back surgery being considered. Try other drugs and/or holistic therapies first. Even physical therapy is now increasingly available for dogs.

  370. Can we give glucosamine to a 9 week old puppy that is taking Clavamox Drops and Zantac Oral Compound?

  371. Can we give glucosamine to a 9 week old puppy, Border Collie, that is taking Clavamox Drops and Zantac Oral Compound?

  372. Dr. Michael Dym, VMD veterinarianDecember 11, 2012 at 8:46 pm

    Should not be a problem in giving glucosamine but I dont usually recommend it to puppies this young as not usually necessary.

  373. Dr. Michael Dym, VMD veterinarianDecember 11, 2012 at 8:46 pm

    Answered below.

  374. this puppy is completely healthy except for 3 legs that are somehow underdeveloped or something. he is on these meds and she thinks if he doesnt walk within a couple weeks that maybe he will have to be put down becaue he will never walk 🙁 we are too attached to him to let that happen.

  375. Dr. Michael Dym, VMD veterinarianDecember 11, 2012 at 8:58 pm

    The glucosamine woudl be fine. I would consult with homeopathic vet however who may be able to help. See http://www.beyondflatearth.com as well as my website http://www.doctordym.com Many homeopathic vets offer phone consults.

  376. Thank you very much for your help. We will try everything.

  377. We have a 10 years old maltese x. He has been diagnosed with pancreatitis and biliary tract problems. He had been in vet hospital twice in the last 4 weeks. He is now home – with vet prescribing liquid food and medication to be fed via a feeding tube (surgically inserted). We have been feeding him 5 to 6 times a day with the Royal Canine convalescing powder (made up to liquid) – from 30ml each feed to 70ml currently. He has refused food for 3 weeks and lost weight from 10kg to now below 8kg. He has been on the following medications: cerenia (anti nausea), destolit (biliary tract), denamarin (milk thistle), zantac syrup, tramadol (pain), mecloropramide (anti vomit), metronidazole (antibiotic), synulox (antibiotic). With his liquid food we have given him milk thistle powder (from capsules) and vit E (from capsules). We have had a few set-backs with him – when he vomitted after 1 hour of feeding. We cut back volume of food. However, today after giving him 70ml of liquid food, with synulox, mecloropramide and milk thistle + vitE, he vomitted (a really worry for us). We are wondering if he is allergic to synulox? Or, is synulox interacting with mecloropramide and/or milk thistle? Or, are we giving him too much food again? We would appreciate any views on this.

  378. My dog has a foot infection. The vet has prescribed him :
    2 tablets of Clavet-500 a day
    2 tablets of Emanzen twice daily
    Are there any drug interactions with the 2?

    And is the dosage too high? My pet weighs just 21 kilos.
    He also has a history of gastric problems. Is there
    Anything in these meds I should watch out for?
    Thank-you for your help in advance.

  379. Hello, I am pretty sure I can because my vet gave them both to me for my dog but can I give methocarbamol and prednisone at the same time? His back is hurting. Thanks. I already gave him the muscle relaxer this morning. Thanks.

  380. I have very sad news regarding our dog. Vet said his latest blood test results were extremely bad – the worst. She said time is up and we need to make a decision. Our dog is home, but very lethargic. We still feeding him with medication via feeding tube. He still does wees and poos, but his mouth has got a lot of white sticky stuff (which I wipe every time I feed him). As a last resort, I have tried to give him homeo drops from Fiveleafpetpharmacy for liver and blood cleansing. But, I cannot see any improvement. Vet has also given him vetergesic (for pains) and prednisolone.

  381. Dr. Michael Dym, VMD veterinarianDecember 14, 2012 at 12:56 pm

    Sounds like time is coming close. You certainly sound like you did everything possible. Sometimes the homeopathic remedy arsenicum album in 30c potency can assist in the process of passing. I would stop the liver/blood cleansing drops. My thoughts and prayers are with you.

  382. Dr. Michael Dym, VMD veterinarianDecember 14, 2012 at 12:57 pm

    MEthocarbimol and pred are ok to use together. Also consider seeking out holistic options as well such as chiropractic and/or acupuncture. To find a vet in your area see http://www.ALTVETMED.org

  383. Dr. Michael Dym, VMD veterinarianDecember 14, 2012 at 1:02 pm

    Not familiar with either of these drugs, at least as spelled here.

  384. Dr. Michael Dym, VMD veterinarianDecember 14, 2012 at 1:05 pm

    Certainly alot of drugs and efforts on everyone’s end. Difficult chronic disease to treat.

  385. Thank you, Dr Dym, for your replies. Our hearts have been very heavy with anguish and sorrow. I just cannot bring myself to say goodbye to our dog – when I can still see him moving around the house with me, wanting me to cuddle him. Vet kept saying he is not going to get better. I am praying for a miracle from God. We have cried every day. I just don’t know when is the time to say goodbye.

  386. Another thing is that my husband is going overseas for 10 days (trip arranged more than 4 mos ago) to visit his mother. He is torn between saying goodbye to our baby tomorrow (before he flies out) and leaving me to grieve on my own. Or, for me to keep our baby as comfortable as possible until he returns on Christmas day to spend a few days with our baby before saying goodbye to him.

  387. Dr. Michael Dym, VMD veterinarianDecember 14, 2012 at 1:32 pm

    It is very hard to know when to say goodbye and/or when time is to have pets euthanized. I would try the homeopathic remedy arsenicum album in 30c potency 1 pellot every 8 hours for maximum of 3 doses, which can sometimes help ease fear and calm pets if they are anxious or nervous near the end of life. Can get this from health food store, along with rescue remedy which can help ease transitions when it is time.

  388. Thanks, Dr Dym. I live in London, and google arsenicum album 30c but could not find it listed. Our dog has been lying down most of today – he has moved from one spot to another. My heart breaks to see him just lying there. Yet, 5 weeks ago he was still active and playful with a big smile on his face. Now, he walks with head down, tail down tugging between his back legs.

  389. Dr. Michael Dym, VMD veterinarianDecember 14, 2012 at 2:52 pm

    There is homeopathic pharmacy called Helios pharmacy in England which carries all homeopathic remedies. If you cant get arsenicum album locally at health food store then you can try this pharmacy.

  390. The Emanzen is manufactured by Emcure. On the packaging it says “each enteric film-coated tablet contains: Serratiopeptidase 5 mg. ( 10,000 Serratiopeptidase units)”

    The Clavet-500 is manufactured by Cipla Ltd.
    On the packaging it says “each uncoated tablet contains: Amoxicillin Trihydrate BP equivalent to Amoxicillin 400 mg
    Clavulanic acid 100 mg (present as Clavulante Potassium USP)

    Amoxicillin and Clavulanate Potassium Tablets USP 400/100 mg

    Please let me know if you require any other information. Thank-you.

  391. my dog was prescribed flagyl for diarrhea he is also over due by one week for his heartgard, the vet said no problems giving both, but I wanted to ask you. I gave him the heartgard but have not started the flagyl as his diarrhea may be from a stress reaction he was with a pet sitter while we were away and the stool cultures are pending.
    my second question involves frontline plus I read in your responses you do not like giving flea/tick and heartgard together and like to space a week or two apart, is it alright to apply the flea and tick everyother month? my dog hates the frontline plus and runs from it, I think it must stink his skin. any advise would be appreciated

  392. my dog was prescribed flagyl for diarrhea he is also over due by one week for his heartgard, the vet said no problems giving both, but I wanted to ask you. I gave him the heartgard but have not started the flagyl as his diarrhea may be from a stress reaction he was with a pet sitter while we were away and the stool cultures are pending.
    my second question involves frontline plus I read in your responses you do not like giving flea/tick and heartgard together and like to space a week or two apart, is it alright to apply the flea and tick everyother month? my dog hates the frontline plus and runs from it, I think it must stink his skin. any advise would be appreciated thank you

  393. The Emanzen is manufactured by Emcure. On the packaging it says “each enteric film-coated tablet contains: Serratiopeptidase 5 mg. ( 10,000 Serratiopeptidase units)”
    The Clavet-500 is manufactured by Cipla Ltd.
    On the packaging it says “each uncoated tablet contains:Amoxicillin Trihydrate BP equivalent to Amoxicillin 400 mg
    Clavulanic acid 100 mg (present as Clavulante Potassium USP)
    Amoxicillin and Clavulanate Potassium Tablets USP 400/100 mg
    Please let me know if you require any other information. Thank-you.
    [Reply]

  394. Currently my vet is prescribing 4 Emanzen a day and 2 CLAVET-500. my dog has a paw infection, swollen weeping and bleeding. He is 12 years old and has a history of gastrointestinal problems. When I give him the CLAVET he seems lethargic, pants and has a warm nose. Should I stop? I’m very worried.

  395. Dr. Michael Dym, VMD veterinarianDecember 15, 2012 at 11:43 am

    It does sound like an allergic reaction of some kind. Might be best to stop the medicine and call your vet for possibly other alternative drugs.

  396. Dr. Michael Dym, VMD veterinarianDecember 15, 2012 at 11:45 am

    The clavet is equivalent to clavamox in this country, which can occasionally cause digestive upset in pets. I would contact your vet for apossible other alternative prescription antibiotic.

  397. Dr. Michael Dym, VMD veterinarianDecember 15, 2012 at 11:48 am

    Front line can be applied every other month. Only thing to watch for is for ticks, as efficacy for tick control often drops after one month. If he is moving away when you apply this product, then consider other alternatives such as advantix or oral comfortis. Flagyl does not interact with heartguard, but if your dog has diarrhea it may be best to treat and control the diarrhea first with meds like flagyl or bland diet, and wait on giving him the next heartworm pill for a week or two.

  398. My dog has red spots all over his tummy, armpits and legs.
    The vet prescribed me vanectryl p tablets… He seems very groggy and out of it when taking this medication.
    After 2 pills the spots are getting redder.. Took him to emergency and they gave him antibiotics.
    Is it okay to mix the antibiotics and vanectyl pills?
    I think next step is blood work… So worried

  399. Dr. Michael Dym, VMD veterinarianDecember 16, 2012 at 1:29 pm

    I am not famliiar with the drug vanectyl unless it has another name so I cant comment.

  400. Is it okay to use dasuquin with MSM for small to medium dogs combined with Welactin liquid and teddy’s pride (now known as Evora Pet) oral care probiotic, all mixed together in my dogs food once daily? or should i use one in the morning feeding and two during evening feeding?

  401. My Bichon is routinely on Proin for bladder leakage. When we have her groomed she has in the past taken Acepromazine. Can those two meds be used safely together?

  402. Dr. Michael Dym, VMD veterinarianDecember 19, 2012 at 12:02 am

    Using acepromazine short term for grooming like this should not be a problem with proin.

  403. Dr. Michael Dym, VMD veterinarianDecember 19, 2012 at 12:19 am

    I dont see any problems with the supplements being mixted together in the food.

  404. My 7 yr. old toy poodle(10lb.) started licking around his genital region yesterday and I noticed some swelling (which was unusual for him) so I took him to the vet. The vet put him on temaril-p. He told me to stop his daily rimadyl, that he has been taking for pain from his luxating patella. He then attempted to place his knee back in place which did not work. This morn. I did not give Buddy his rimadyl but gave him his first dose of temaril-p and now 4 hours later he is exhibiting pain. Do you think it is the lack of the pain pill or from the vet manipulating his knee yesterday? Also will it be okay to stop the temaril-p after only one dose today and give him his rimadyl(he gets 1/4 of a 25mg. tab) tonight? I know the 2 can not be given at the same time. Thanks.

  405. Dr. Michael Dym, VMD veterinarianDecember 20, 2012 at 2:03 pm

    I would follow your local vet’s recommendation regarding medication. Temaril p also has some anti inflammatory pain effects. The pain could be from the patella continuing to luxate out of position. If symptoms persist, sometimes surgery is necessary. Also put him on good joint supplement like glycoflex II from 1800petmeds.

  406. My 78 lb mixed breed dog was just diagnosed with Masticatory Muscle Myositis and will be put on high dose steroids for 4-6 months. He also has IBD and has had surgery for a CCL injury. He is taking Dasaquin, Welactin, MSM, Lubrisyn (hyaluronic acid), Boswellia, Naturvet digestive enzymes, and Brewer’s yeast/garlic. Should I stop any of these supplements before starting the steroids?
    I plan to add Milk Thistle and Famotidine when the steroids start. What dose of Milk Thistle should I give?
    Thanks for any help.

  407. Dr. Michael Dym, VMD veterinarianDecember 24, 2012 at 11:18 am

    Sounds like alot of supplements, but all sound like good choices. . Dose of milk thistle varies in dogs. Safe dose would be 100-200 mg daily. I would consider consulting with homeopathic vet, who may be able to help with all of these health issues long term, rather than waiting for next health care crisis to occur. Homeopathy addresses the totality of symptoms over the life of the patient. To learn more see http://www.beyondflatearth.com as well as my website http://www.doctordym.com Many homeopathic vets offer phone consultations, but is not a quick fix but something to consider in chronic disease states like this.

  408. Should I stop any of these supplements prior to starting the high dose steroids?
    Thanks

  409. Dr. Michael Dym, VMD veterinarianDecember 24, 2012 at 10:41 pm

    No the supplements are fine.

  410. I’m sorry, my mind is in a whirl. I forgot to ask about steroids and heart worm prevention. His takes liquid Ivermectin and is due for a dose Jan. 1. Is it OK to give it since he will be on high dose steroids?
    Thanks so much.

  411. Can 5 month old toy poodle take both clyndamycin and temaril at the same time? He was just prescribed temaril yesterday and hasn’t finished the clyndamycin. L

  412. Dr. Michael Dym, VMD veterinarianDecember 25, 2012 at 3:26 pm

    There are no known interactions with these drugs that I am aware of.

  413. Dr. Michael Dym, VMD veterinarianDecember 25, 2012 at 3:28 pm

    I dont think there will be a problem giving heartworm medicine at same time as steroids, but also check with your local examining vet.

  414. Dr. Michael Dym, VMD veterinarianDecember 26, 2012 at 11:36 am

    There should not be a problem with taking heartworm prevention and using the steroids.

  415. Oreo, my shih tzu, is taking Tramadol and Novox for pain from a ruptured ACL, acepromazine for storm anxiety, and using Revolution. Are there any interactions between these drugs that I should be aware of?

  416. Dr. Michael Dym, VMD veterinarianDecember 27, 2012 at 10:21 pm

    No interactions that I am aware of with these meds.

  417. Can I give my 15 lb rat terrier Phycox and Welactin? Any other preventative items? She is 11, is a bit overweight and has allergies. Has some teeth issues(i get them cleaned every other year) and tore her ACL last year. Otherwise, she is healthy. Thanks!

  418. Dr. Michael Dym, VMD veterinarianDecember 29, 2012 at 12:21 pm

    I would check with your vet before giving Phycox but should not be an issue as long as blood work checked periodically.

  419. My French Bulldog was taking 10 mg of Prednisone for 6 straight days beginning 11/19, then 10 mg every other day until 12/23. He’s now taking Temaril P beginning 12/28…2 tabs every 12 hours for three days then 1 tab every 12 hours as needed for allergies.
    My question is…can I also give him a weight appropriate dose of Rimadyl? I’m pretty sure he pulled a muscle while playing outside earlier.
    Thank you very much.

  420. Dr. Michael Dym, VMD veterinarianDecember 29, 2012 at 11:47 pm

    No. Dont use rimadyl at same time as temaril p which also has a low dose of prednisone in it. See your vet if signs persist.

  421. I give my 65lb boxer Claratin when she has seasonal allergies. She pulled a muscle and I’m currently giving her asprin for pain relief while she heals up (the last 3 days.) Allergies have kicked in. Can I give her Claratin while she’s till on the asprin regimine right now?

  422. Hi. Is it ok to give my 12 yr old great Dane tramadol,rimadyl,and proin? Recent blood work showed normal values. She has arthritis and occasional sleep incontenence. Thank you.

  423. Dr. Michael Dym, VMD veterinarianDecember 31, 2012 at 11:32 am

    Using these drugs should be ok. I would just recommend periodic blood work to monitor.

  424. My 12-year-old, 80-pound lab has been on Tramadol & Carprofen for many years (with regular check ups and bloodwork). She sounds (and smells) like she’s having tummy troubles. Is it okay to give Ranitidine, given her other meds? (I have 150 mg Ranitidine tabs on hand that I could split in half.) Thanks much.

  425. Dr. Michael Dym, VMD veterinarianJanuary 3, 2013 at 10:36 am

    Ranitidine is fine to use, however I have more experience using famotidine at dose of 40 mg once to twice daily.

  426. My dog is taking Tramadol and Gabapentin. Can I give him Glucosamine Chondroitin and Fish Oil along with those two drugs without any advserse drug interaction?

  427. Dr. Michael Dym, VMD veterinarianJanuary 3, 2013 at 11:28 am

    No probem in giving chondroitin and fish oil. Also consider yucca intensive by azmira from 1800petmeds.

  428. Thank you for the response. I will look at the information regarding yucca intensive.

  429. Our 12 1/2 year old Basset Hound has had difficulties with persistent pain for years. We adopted him 7 1/2 years ago. He has Carpus Valgus in his left leg creating problems along his neck and spine. When we first adopted him a Chiropractor saw him, and he ended up paralyzed. Our current Veterinarian put him on Prednisone, and it helped him enormously. The swelling in his spine dissipated, and he was walking again. As he aged he has had difficulties with pain and muscle spasms along his spine. Our Veterinarian added meds to help him, and his current med list includes: Previcox, Tramodol, Methocarbimal and Gabepentin. Is it possible to add Prednisone temporarily to help with the swelling of his spine? Is there danger of drug interaction? Thank you. Susan

  430. Dr. Michael Dym, VMD veterinarianJanuary 3, 2013 at 6:56 pm

    NO prednisone while on Previcox. Have to stop previcox for a few days before going on it. You could ask your vet about amantadine, which is another pain medicine for dogs. There is a blog on this website on its use. Consider yucca intensive from 1800petmeds.

  431. My 18 year old mini doxi has a malignant tumor on his gum. We had it removed but it grew back quickly and is into the roof of his mouth. It progressed to his sinus cavity…caused nasal bleeding. We tried nose drops and that stopped the bleeding. He is on Baytril for liver infection, tramadol, pepcid, and tylan power for occasional stomach upset. He now has grand mal seizures and was put on phenobarbital. Can all these meds be given at the same time? I have to dilute them in a little water and put down his throat with a syringe or he won’t take them…please advise…and if I have to add clindamycin to the mix for mouth infection can I do that as well? Any drug interactions there…especially Tramadol and pheno?
    Thanks so much.

  432. Dr. Michael Dym, VMD veterinarianJanuary 3, 2013 at 11:15 pm

    I would not use tramadol and phenobarbitol at same time. Clindamycin would be ok. I would just have blood work done periodically

  433. The malignancy has probably progressed to his brain…thus the seizures. We started the pheno tonight. He needs the tramadol for pain….is a quite ill 18 year old … but still trots into the kitchen for his meals…so is still fighting to stay alive. How far apart must the tramadol and pheno be given? He gets tramadol 3 x day…pheno once every 12 hours. Is Baytril okay in the mix? Thanks so much for your quick answer…we are trying so hard with him.

  434. Dr. Michael Dym, VMD veterinarianJanuary 3, 2013 at 11:31 pm

    I have no experience using tramadol and phenobarbitol at same time so I cant recommend it. As for Baytril, that is probably fine. Good luck with tough situation.

  435. This week, I started giving my 4-year-old, 70 pound lab mix a daily supplement of 300 mg Glucosamine and 50 mg Chondroitin. He is due for his once-a-month Heartguard Plus for dogs (51-100 lbs) pill, which contains ivermectin and pyrantel. Is there any danger in giving him this pill once a month while he takes the supplement?

  436. Dr. Michael Dym, VMD veterinarianJanuary 5, 2013 at 12:04 am

    Should be no problem with the supplements and heartguard plus.

  437. Hi. Great site!. Is there an drug interaction between Tramadol and Yucca. I was told my 15 year-old GSD with bad hip dysplasia would benefit from 3/4 of tsp. of Yucca, instead of Previcox. But I also give 50 mg of Tramadol? Help Thanks.

  438. Hello. Is there an drug interaction between Tramadol and Yucca? I was told my 15 year-old GSD with bad hip dysplasia would benefit from 3/4 of tsp. of Yucca, instead of Previcox. But I also give 50 mg of Tramadol? Help Thanks.

  439. Dr. Michael Dym, VMD veterinarianJanuary 6, 2013 at 12:35 am

    I dont know of any reactions between yucca and tramadol.

  440. Dr. Michael Dym, VMD veterinarianJanuary 6, 2013 at 12:36 am

    I dont know of any drug interactions between tramadol and yucca.

  441. My 10 y.o. Belgian Shepherd is on Enrofloxacin 150mg daily; Flagyl 200mg BD, and Keflex 500mg bd for the past 2 weeks. Is it safe to give her 15mg Acepromazine to visit the vet as she is very nervous. Thankyou, Sally

  442. Dr. Michael Dym, VMD veterinarianJanuary 8, 2013 at 9:47 am

    The ace should not be a problem but I would check with your vet first.

  443. Any problems giving a small dog Tramadol (1/8 of a 50mg tablet) for arthritis pain while taking Phenobarbital 1/4 g. daily?? She is 12 years old and hurting.

  444. Dr. Michael Dym, VMD veterinarianJanuary 9, 2013 at 5:47 pm

    You could try it but both drugs together may make her a bit sedate. Ask vet about other pain meds such as gabapentin and amantadine.

  445. Thank you. I give her the seizure meds (Phenobarital) at bedtime as it makes her drowsy. I do have Gabapentin on hand all the time (I take it for neuropathy). How much of a 100mg cap would I give her and would this replace the Phenobarb? She is 6 lbs, 12 year old Pom.

  446. Dr. Michael Dym, VMD veterinarianJanuary 9, 2013 at 7:24 pm

    You would have to get the medicine compounded as dose for dog this size would not be more than 10 mg once or twice daily of gabapentin. Check with 1800petmeds if they would compound it for you, or you could check with pharmacy like Stokes pharmacy who you can google and who can ship meds nationwide

  447. Thanks. Have an appt for blood work up on this dog tomorrow and we will go from there.

  448. Dr. Michael Dym, VMD veterinarianJanuary 9, 2013 at 11:38 pm

    Yes let me know about pain meds, as well as ask vet about other supportive pain meds like gabapentin, amantadine and others. Also yucca intensive by azmira from 1800petmeds can sometimes help as well.

  449. Should you give a 10 lb dog phenobarbital 1/4 grain with prozac 10 mg.

  450. how safe is prozac 10 mg with hepobarbitol 1/4 gr 2 times a day for a 10 lb chichuahua

  451. Since Deramax is not avail. What is safer: Metacam or previcox. My dog is walking using Tramadol, but his back leg still gives out. Should I use Metacam or previcox too? If so, which one? Thanks so much.

  452. Dr. Michael Dym, VMD veterinarianJanuary 10, 2013 at 8:02 pm

    Both are excellent choices. I would check with your local vet. I would only use 1 of course. I have more experience with metacam

  453. Dr. Michael Dym, VMD veterinarianJanuary 10, 2013 at 8:04 pm

    Should be ok but you should have periodic blood work, especially to monitor liver function and phenobarbitol blood levels at various times.

  454. Dr. Michael Dym, VMD veterinarianJanuary 10, 2013 at 8:05 pm

    See above answer

  455. Is that one of either NSAID with Tramodol? Sorry for your time.

    Also, what is your rate for going over my dog’s bloodwork, he has a slight elevated WBC.

  456. Dr. Michael Dym, VMD veterinarianJanuary 10, 2013 at 9:12 pm

    Metacam OR previcox with tramadol. As for going over blood work a slight elevated WBC usually means mild inflammation or infection but it also could mean stress. If you would like for me to review further Tracey, see my website http://www.doctordym.com which discusses how my phone practice works and fees, etc.

  457. I have a 3yr old 60.2 lb F German Shepherd with severe aggression/anxiety. We our now working with a behaviorest who suggest we try medicating her (we’ve spent over $2,000 in trainers thus far) as our last resort. Her vet has prescribed her Prozac 20mg 1 1/2 tabs po q day & Xanax 2mg 1tab po prn may repeat 1/2 tab in 30min ( for training sessions) are these safe doses and also I have heard that prozac causes canine cancer…. Thank you and what a great site you have here !!

  458. Dr. Michael Dym, VMD veterinarianJanuary 12, 2013 at 10:23 am

    Hi Coleen: Sorry for your difficult situation. I personally have not heard of prozac causing canine cancer but would be interested in hearing the source of your information, as I am also interested in its long term effects(besides behavioral) on people. The xanax sounds ok. Only other option I would consider is working with homeopathic vet. To learn more see http://www.beyondflatearth.com as well as my website http://www.doctordym.com Many homeopathic vets do offer phone consultations. This would take time and patience but may be able to be helped homeopathically over time.

  459. Thank you for all the leads (links) to more info and YES I am a big advocate for homepathic methods as I used these methods on my son along with behavioral modification who is ADHD and is now a healthy 20 yr old who seems to adapted well (never used traditional medication) and I was actually wondering about that for my dog! The source of my information regarding the canine cancer came from a close friend who has been in rescue for some time. She has a Golden that has anxiety issues (non aggressive) and she did the research and her vet agreed with her findings.. I will inquire as to where she came to this conclusion. I have no idea on the long term effect either on humans or animals. I did question our dog behaviorest ( who also does rescue work specific with aggression issues) regarding the canine cancer and although she herself has never heard of it (she has recommended medication before on rescues) her final thoughts were in the event that our dog were to have some side effects in the LONG RUN it out weighs her current out look and quality of life as it is now and most prob needing to be PTS… This is a last resort, homepathic or medicated we seem to of hit a serious brick wall. Thank you again so much I will be looking into your suggestions immed!!

  460. Can cephalexin make my dog lethargic?

  461. Dr. Michael Dym, VMD veterinarianJanuary 12, 2013 at 8:28 pm

    Any oral antibiotic can cause lethargy and/or digestive upset in some patients.

  462. Can I give my dog revolution when he is taking meta am?

  463. I meant to say Metacam thank you.

  464. Dr. Michael Dym, VMD veterinarianJanuary 12, 2013 at 9:46 pm

    There is no problem with being on revolution and metacam at same time.

  465. Dr. Michael Dym, VMD veterinarianJanuary 12, 2013 at 9:47 pm

    Answered below

  466. Dr. Michael Dym, VMD veterinarianJanuary 12, 2013 at 9:48 pm

    You are very welcome Coleen. Let me know if I can help you further.

  467. Hi! My kitty was injured yesterday and I took her to the vet. She had to have stiches almost the whole length of her tail and down one of her back legs (she had snuck out the door without my knowledge and was in my car engine when I started the car and it cut her.) She came home this morning and the doc sent her home with antibiotics (amoxicillan) but no pain pills. He said he had given her a long lasting cortisone shot. The paper I brought home says cortisone injection with baytril. But she seems to be in a good deal of pain. I have some torbutrol tabs left from when she was spayed. I was wondering if I can give these to her or if it would interact with any other meds she’s had. I hate to see her so umcomfortable. Thank you!

  468. Hello,
    After attempting multiple different behavior modification techniques with a trainer for 7 months, the vet decided that my dog’s separation anxiety was too severe to treat with training alone so she prescribed prozac. Is it safe to use prozac with frontline flea medication and heartworm medication, because I notice it says do not use with flea collars. Thanks!

  469. Dr. Michael Dym, VMD veterinarianJanuary 13, 2013 at 1:01 pm

    I have not seen problems with front line, heartworm meds and prozac. Good luck. I have also found homeopathy sometimes helpful in helping pets with chronic anxiety issues. Keep that in mind should prozac fail. To learn more see http://www.beyondflatearth.com and my website http://www.doctordym.com Many homeopathic vets offer phone consultations.

  470. Dr. Michael Dym, VMD veterinarianJanuary 13, 2013 at 1:02 pm

    Hi Amy: I dont see any problems using the torbutrol for pain relief in this case although pills dont last long. Check with your local vet if ok. Also consider trying wonderful natural remedy called traumeel from 1800petmeds for pain relief as well.

  471. Is it safe to give my dog the following together? He’s terminal, so long term side effects aren’t an issue, but I don’t want to cause him any immediate problems.

    Marblofloxacin
    Prednisone
    Tramadol

    Thank you!

  472. Dr. Michael Dym, VMD veterinarianJanuary 14, 2013 at 11:09 am

    Should not be any severe interactions with these meds. Good luck with your elder canine companion.

  473. I have a 17 lb. male breeder ragdoll cat who is was never socialized by the breeder I bought him from who cannot be handled at all without becoming vicious. We were given Acepromazine 10 mg. by a Vet who we no longer go to because of some issues and I would like to know what dosage to give this cat to put him pretty much to sleep so that we can shave the hairballs out of him and groom him without causing any physical harm to him. We just do not want to get bitten or torn apart in this process.

  474. Thank you so much.

  475. Is it safe to give Carprofen 50 mg and Tramadol 50 mg together at same time. My dog is 13 and weighs about 60 lbs.?

  476. Dr. Michael Dym, VMD veterinarianJanuary 16, 2013 at 12:17 am

    Should not be a problem but I would have periodic blood checks if drugs used long term.

  477. Dr. Michael Dym, VMD veterinarianJanuary 16, 2013 at 12:21 am

    Ace 10 mg should be ok to try, however responses among animals differ. Also this drug is NOT an anesthetic but a sedative that can calm the cat in many cases.

  478. Can Baytril and Fluconazole be taken togeter?

  479. Hello, Sorry, I meant to say: Can Baytril and Fluconazole be taken together? Thank you so much!

  480. My pet was given fluconazole due to possibility of Valley Fever but initial blood test results came back negative so then she was prescribed Baytril for Pnuemonia but we were advised to keep her on the Fluconazole as well. Thank you

  481. Dr. Michael Dym, VMD veterinarianJanuary 19, 2013 at 11:44 pm

    I have not seen any problem using these two drugs together.

  482. Dr. Michael Dym, VMD veterinarianJanuary 19, 2013 at 11:45 pm

    Answered below. I have not seen problem using these two drugs at same time.

  483. Okay, thank you so much!

  484. My 14-year old GSD has been on previcox for about a year for arthritis. Last month an X-ray showed a mass in her chest. My vet prescribed prednisone and we took her off the previcox. She did ok until recently, and now cannot stand up on her own and falls after taking a few steps. My vet said I could add the previcox back in as long as I gave her famotidine and watched her appetite. Is this ok? Is there a better alternative?

  485. I had to have one of my shih tzu put down last week. My other shih tzu has spent 9 years ~ 24/7 with her. He is grieving terribly, as I am. It has been suggested to give him Sam E (supplement to elevate mood). He is on Tramadol for his back. Can these two be taken together?
    Thanks so much!
    Carol Dawn

  486. Dr. Michael Dym, VMD veterinarianJanuary 21, 2013 at 1:29 pm

    Yes these can be taken together. Also try the homeopathic remedy ignatia in 30c potency 1 pellot twice daily for 3 days to see if this can help with grieving process. Rescue remedy from health food store also may help.

  487. Dr. Michael Dym, VMD veterinarianJanuary 21, 2013 at 1:32 pm

    I would not use previcox and prednisone at same time. Consider alternative pain meds like Gabapentin or amantadine. Also consider supplements like yucca intensive by azmira from 1800petmeds.

  488. Thank you! I just picked up some Gabapentin from my vet. I had already ordered some Phycox (not to use with the Gabapentin). Would that be safe with the prednisone if the Gabapentin doesn’t seem to work?

  489. Dr. Michael Dym, VMD veterinarianJanuary 21, 2013 at 10:55 pm

    I would not use phycox with prednisone either.

  490. Proin, tramadol, carpaquin, and potassium citrate, and a liver vitamin supplement, could these cause diarrhea? Proin was just started last night for first time.

  491. Dr. Michael Dym, VMD veterinarianJanuary 22, 2013 at 9:54 pm

    Any drugs may cause diarrhea. Probably best to stop proin for a few days to see if diarrhea resolves.

  492. Thank you for the reply. Other professional opinions were to cut back on the carpaquin, which I failed to mention we had re-started (at 2x the frequency) at same time as beginning the first course of proin. I was panicked and did not give you enough info.

  493. Dr. Michael Dym, VMD veterinarianJanuary 23, 2013 at 12:47 pm

    WHenever using lots of drugs, there is always possibility of diarrhea, which is then difficult to figure out which is causing it. Also try adding probiotics to meals like fast balance and naturevet enzymes from 1800petmeds which also may help with stool and gut flora.

  494. Can you give a dog keoconazole for a yeast infection and prednisone for itching at the same time?

  495. Hi Dr. My 14.4 year old GSD fell down the stairs a week ago, and xrays revealed a broken toe and badly ankle sprain. Vet beleives it will heal in time,and pend another xray and possible surgery in 4 weeks. Now my dog is chewing his foot, and now needs I believe antibiotcs. HELP! Two questions,
    1. will a broken toe heal on its own?
    2. Doesn’t Ciproflaxen interact with Gabapentin, Tramadol and Glucosamine? Thanks so much.

  496. My dog was having severe arthritis in her hips and was prescribed tramadol and rymadil. We gave her the tramadol (50 mg for a 65 lb dog) (without the rymadil) and she has had an extreme reaction to it; she has been very sedated, sleeping for more than 24 hours. She has also lost her appetite and is somewhat disoriented. She is still drinking water and waiting to go to the bathroom outside, but she has had diarrhea and is not eating much food at all (and she is food-crazy usually). It seems really crazy that it is taking her this long to come off the medication, and her symptoms are not much improved from when we first gave her the tramadol more than a day ago! What can cause this, and will she eventually get better? We brought her to the vet and they checked her vitals and her vitals are all fine, as well.

  497. Dr. Michael Dym, VMD veterinarianJanuary 23, 2013 at 10:48 pm

    Yes a Very unusual reaction to tramadol. I wonder if she has a pre existing liver problem, which can sometimes be trouble in tramadol patients. Consider having blood work and/or x rays to evaluate liver. I would think if simple drug reaction she should perk up within a few days, however given her symptoms I think a further workup is needed if symptoms persist.

  498. Dr. Michael Dym, VMD veterinarianJanuary 23, 2013 at 10:53 pm

    I dont think cipro interacts with these other drugs. As for broken toes, they can often heal with supportive splints and/or bandages and rest. I also love the supplement traumeel from 1800petmeds which can also help accelerate fracture healing when used over time. Also great natural pain medicine. Try it.

  499. Dr. Michael Dym, VMD veterinarianJanuary 23, 2013 at 10:54 pm

    Yes. I have used ketoconazole and pred at the same time, as long as not for prolonged periods.

  500. Dog with demodex and kennel cough. He has been prescribed Clavamox and Ivermectin. Can we also give him 1 mg of melatonin or will these interact poorly?

    Thank you

  501. Dr. Michael Dym, VMD veterinarianJanuary 27, 2013 at 4:24 am

    I see no problem with melatonin but dont know why you would use it now with these two conditions.

  502. I am wondering if 40mg of Aminophyllin is too much for an 8# morkie with a collapsing trachea. As a nurse, it seems like a bit much to me so I am a little skeptical to start it.

  503. Dr. Michael Dym, VMD veterinarianJanuary 28, 2013 at 12:32 pm

    Dose of oral aminophylline is 5 mg per pound twice daily so the dose you ask about is ok.

  504. My elderly cat is getting cyproheptadcide for appetite , methimzaole for hyperthyroid, and orbax for a urinary tract infection (all prescribed yesterday). Any drug interactions with this combination?
    Thank you.

  505. Dr. Michael Dym, VMD veterinarianJanuary 30, 2013 at 2:31 pm

    No interactions that I know of.

  506. Dr. Dym, thank you for the response. A second opinion is really appreciated.

  507. Dr. Michael Dym, VMD veterinarianJanuary 31, 2013 at 12:01 am

    You are very welcome Janice….

  508. we occassionally treat our 11 yr old yorkie with prednisone tabs for a chronic cough from a collapsing trachea… seems to work well & the problem disappears for a month or two… but recently she’s been diagnosed with diabetes and we’re treating her with insulin injections twice a day… now the cough is starting again… is it safe to give her the prednisone while she’s on the insulin ?
    Thank You

  509. Dr. Michael Dym, VMD veterinarianJanuary 31, 2013 at 1:21 am

    I would not give the prednisone which can complicate diabetes management. Ask your vet for other prescription alternative such as theophylline. You could try homeopet cough medicine which is a homeopathic combination remedy that may help.

  510. Hello Dr. Dym. Our 1.75 year old cocker spaniel was prescribed prednisolone 5mg (1 tab twice a day/4 days; 1 tab once a day/4 days; 1 tab every other day/4 days), ciprofloxacin 250 mg (1/2 tablet twice a day/30 days and fluconazole 200 mg (1/2 tab once a day30 days) for an ear bacterial and fungal infection and overall itching. Are there any issues with using these at the same time?

  511. Can Aproxamine be given with Tramadol (1/4 50 mg. caplet) AND Robaxin (1/4 500 mg. tablet), or should it be given at a different time? Both meds are given together at mid morning and at night around 9:00 p.m. Our dog (18 lbs) is also taking 1/2 tab of Novox 2x a day with meals at a different time from the other two medications.

  512. Dr. Michael Dym, VMD veterinarianJanuary 31, 2013 at 3:47 pm

    I dont think giving these meds together will be a problem. Just possibly excessive sedation.

  513. Dr. Michael Dym, VMD veterinarianJanuary 31, 2013 at 3:50 pm

    i dont see any problem using these meds together as has been prescribed by your vet.

  514. Thanks for your response, appreciate that.

  515. my 8 year old chihuahua is in congestive heart failure and is taking vetmedin, lasix, and benzepril…..she is upset to her stomach. can we give her cerenia with the CHF pills also?

  516. Dr. Michael Dym, VMD veterinarianFebruary 4, 2013 at 12:38 am

    Cerenia is ok to give with these other meds.

  517. thanks for your prompt reply….appreciate it!

  518. My 3 month old puppy’s (just adopted her Saturday) incision from her spay is infected. After a visit to the emergency vet, we came home with Rimadyl and Clavamox. During her follow up today, we were given Clindamycin to get to her. I asked if they were ok to take with the other two and the vet said it would be fine. Just wanted a second opinion.

  519. Dr. Michael Dym, VMD veterinarianFebruary 4, 2013 at 10:27 pm

    It is ok to use both antibiotics, although it does sound like a bit of overkill to me as clavamox should be fine. You need to monitor closely for digestive upset which can occur with clindamycin or when multiple antibiotics are used.

  520. Thank you for your prompt response! I’ll be sure to keep an eye on her. Another question, can dogs be allergic to antibiotics? It looks as if there are some hives on her ears. I am allergic to all mycins and cilins and was curious if the same thing could occur with dogs.

  521. Dr. Michael Dym, VMD veterinarianFebruary 4, 2013 at 11:04 pm

    YEs dogs can be allergic to antibiotics. The hives, though on ears could be from inhalent/contact allergies and/or food allergies as well.

  522. My 3 yo Lab-Pit mix had emergency toenail removal surgery Jan 25th and was put on Keflex (250mg t.i.d.) and Tramadol (50mg b.i.d.). Then was spayed Jan 28th. Returned to vet on 29th due to a reaction from anesthesia. Was throwing up yellow bile, 3 times, 12+ hours later and was dehydrated. Taken to vet, blood work done including overnight stay for IV fluids & observation. Blood came back liver enzymes sightly elevated probably caused by anesthesia & stress. Told don’t be concerned. Given Reglan (10mg – 5mg t.i.d.) and Famotidine (1/2 tab b.i.d.). Told to feed bland diet 3-4 times daily. Fed Chicken & Brown rice 30th, 31st & 1st. Fed Brown rice & canned moist turkey dinner on 2nd. Yesterday, Feb 3rd, she threw up bile, yellow, once & had first stool in a week, very soft, orange & mucusy. Back to Chicken & rice 3rd & 4th. Back to vet today, 4th, for recheck. Dx: Giardia. Given Metronidazole (250mg – 1-1/2 tabs b.i.d.)

    Concerned about Drug interaction: Keflex & Metronidazole; along with Reglan & Famotidine due to comments from you & other users above. Forgot to ask vet about taking both antibiotics until I was ready to give tonights dose.

    Completely healthy dog until double surgeries. Any other recommendations? Thanks for the assistance!

  523. Dr. Michael Dym, VMD veterinarianFebruary 5, 2013 at 11:53 am

    I dont see any problem with these drugs given the situation. Sometimes surgical stresses bring out weaknesses in our pets due to stress on the body, etc. I would try adding probiotics and enzymes such as naturevet enzymes to meals and fast balance from 1800petmeds. If signs persist or worsen, maybe consider consulting with a holistic veterinarian.

  524. Thank you. I will try searching for a holistic vet in my neck of the woods.

  525. Dr. Michael Dym, VMD veterinarianFebruary 5, 2013 at 5:22 pm

    If none available, many homeopathic vets do work by phone. To learn more see http://www.beyondflatearth.com as well as my website http://www.doctordym.com Good luck.

  526. Is it okay for my dog to be on Temaril-P, and then give her Iverhart while she’s still on Temaril-P?

  527. Dr. Michael Dym, VMD veterinarianFebruary 6, 2013 at 11:35 pm

    Hi Allegra. I dont see a problem with iverhart and temaril p.

  528. Our Boston Terrier has been prescribed Proin for over one year. She is9 years old, 21lbs and takes 75mg p/day (1/2 in morning , and 1/2 in the evening). She also has allergies and we wanted to know if taking Atopica (50mg p/day) would be safe since she also takes the Proin. What potential side effects should we know about with the Atopica itself…and also taking both medications together.

    Thanks!!

  529. Dr. Michael Dym, VMD veterinarianFebruary 7, 2013 at 11:58 pm

    I dont think there are any interactions with proin and atopica. Atopica can cause digestive upset in some animals such as vomiting, etc. Rarely some pets may develop overgrowth of gum tissues in the mouth, as well as occasional problems with the bone marrow, but these are not common.

  530. I put Hartz Ultra Guard Pro on my cat last week. After a few days I he was still scratching. I took him vet. Vet said Hartz was worst and I needed to use Revolution. He said for liability reasons he could not recommend putting the Revolution on now. He told me to wait three weeks, bathe the cat, wait another week then put Revolution. As I’m still seeing fleas on the cat the Hartz is not working. Has anyone tried revolution so soon to hartz? Will this really harm my cat? More so than dealing with fleas for 3 more weeks?

  531. Dr. Michael Dym, VMD veterinarianFebruary 9, 2013 at 7:20 pm

    I bathe the cat and then apply the revolution in 1 week. other option would be comfortis from 1800petmeds.

  532. Dr. Michael Dym, VMD veterinarianFebruary 9, 2013 at 10:59 pm

    I would wait 1 week then bathe your cat, and then use the revolution or you could use oral comfortis from 1800petmeds.

  533. My 11.5 year old Catahoula just had major dental surgery and is on Rimadyl for arthritis and Clavaseptin for tooth abscess is it safe to give 5 mg per night of melatonin as she does a fair amount of big wandering.

  534. Night wandering

  535. Dr. Michael Dym, VMD veterinarianFebruary 10, 2013 at 6:53 pm

    I would go with lower dose of melatonin like 3 mg nightly./

  536. Thanks so much!

  537. Dr. Michael Dym, VMD veterinarianFebruary 10, 2013 at 10:45 pm

    You are very welcome Kristine

  538. Hi, my cat is on two Clindacyl tablets twice a day. I think I have missed one but cant be sure. Should I forget the pill or try to give him another?

  539. Dr. Michael Dym, VMD veterinarianFebruary 11, 2013 at 5:52 pm

    Just pick up with dosing. Dont give extra pill.

  540. I have a 12 year old mixed breedk, mostly terrier. He was diagnosed with Diabetes ic Oct. 2011. The vet finally got it regulate but a week ago, he contracted some sort of sickness. Was in the hospital for several days, they could find nothing. Sent him home with Metronidazole 100 mg 2 pills 2x’s a day. His sugar level was 300, they said start him back on his regular dose of 6 units 2x’s a day. He is back to how he was when he was first diagnosed with diabetes. drinking tons of water and urinating like crazy. I can’t test him at home, can’t get the blood. I upped him to 7 units 2x’s a day but still has not worked. Can the Metronidazole be spiking his sugar?

  541. I have a 12 year old mixed breed, mostly terrier. He was diagnosed with Diabetes ic Oct. 2011. The vet finally got it regulate but a week ago, he contracted some sort of sickness. Was in the hospital for several days, they could find nothing. Sent him home with Metronidazole 100 mg 2 pills 2x’s a day. His sugar level was 300, they said start him back on his regular dose of 6 units 2x’s a day. He is back to how he was when he was first diagnosed with diabetes. drinking tons of water and urinating like crazy. I can’t test him at home, can’t get the blood. I upped him to 7 units 2x’s a day but still has not worked. Can the Metronidazole be spiking his sugar?

  542. Dr. Michael Dym, VMD veterinarianFebruary 11, 2013 at 11:50 pm

    i dont think the metronidazole involved but it sounds like your dog may have ongoing pancreatitis. An ultrasound may be helpful in diagnosing issue and best treatment plan. I would also have urine analysis done at vet to see if any urinary tract infections complicating diabetes management.

  543. Thank you. With all the tests they did while he was in the hospital, I don’t think they did a urine analysis. I will call the Vet today. We’ll start with that!

  544. Well..the reason I asked about the Atopica itself is that she developed a large lump while we were out of town for the holidays (3 weeks) right about where her submanidibular lymph node would be on the left side. we had a aspirate done…which came back inconclusive..and our vet seems to be discounting the possibility of lymphoma..and which is odd to me given that he knows the potential long-term effect s of a immunosuppressant like Atopica (now we know..they were not discussed at all at the vet) ..which she has now been on since mid-November.

  545. Dr. Michael Dym, VMD veterinarianFebruary 12, 2013 at 7:37 pm

    Atopica is indeed a very strong drug that has powerful immunosuppressive effect so I would not be surprised that in some sensitive animals, lumps or lymph node enlargements could occur

  546. Our 10 year old Irish Setter has suffered from seizures for 3+ years and is currently taking phenobarb and keppra. His last seizure(s) was August 2011. At this time he was having cluster seizures for 3 days before the vet got them shut down. We have stopped with vaccinations other than rabies and are very reluctant to introduce any other meds especially if the vet can’t tell us there will be on interaction (an I don’t think so doesn’t get it for us). He currently has a bacterial ear infection and has been on cepholexin (excuse spelling) ear drops and epi-otic cleaner but none of it is working. I read that amoxicyllin is effective in treating bacterial infection. Would there be any interaction with the use of amxicyllin and current seizure meds?

  547. Dr. Michael Dym, VMD veterinarianFebruary 13, 2013 at 11:45 am

    Amoxicillin not usually a great choice for ear infections in dogs. Perhaps try zymox otic HC from 1800petmeds which is often effective with ear infections like this.

  548. Can Advantage II be given along with Proin or Novox? Thank yo for your response in advance.

  549. Dr. Michael Dym, VMD veterinarianFebruary 17, 2013 at 11:17 pm

    No problem with advantage II with either of these.

  550. can I space my dogs heartgard plus to every 45 days, I am trying to cut down on pesticides, to prevent autoimmune problems,,,thanks

  551. Dr. Michael Dym, VMD veterinarianFebruary 20, 2013 at 11:46 pm

    HI Dressia. I have used heartworm prevention less frequently like this without a problem. Also consider working with a holistic vet on diet, supplements, and improving health through great systems of medicine like homeopathy. To learn more see http://www.beyondflatearth.com as well as my website http://www.doctordym.com Many homeopathic vets offer phone consultations.

  552. Our old chow mix (no age because he is a rescue) has been prescribed Clindamycin for a outh bacteria Previcox for arthritis pain and now Tramadol for pain and Methocarbamol for muscle relaxing. Is it ok to take all of these?

    Thank you.

  553. My 11 year old 30 lb. mix suffers from mast cell tumors and has just been put on 50 mg. two times a day of Tagamet to help slow down the growth of the tumors along with Noni capsules. She takes 15 mg. of hydrosyzine two times a day for her skin allergies, .2 mg. two times a day of solozine for her thyroid, and dasuquin with msm for her joints. Do I have to worry about any interactions.

  554. Dr. Michael Dym, VMD veterinarianFebruary 26, 2013 at 12:38 am

    I dont think there is a problem with all of these supplements and meds.

  555. Dr. Michael Dym, VMD veterinarianFebruary 26, 2013 at 12:40 am

    Should be ok, although I think the methocarbimol may not be necessary.

  556. Does milk interfere with the effectiveness of furoquid when given together?

  557. Dr. Michael Dym, VMD veterinarianFebruary 27, 2013 at 8:06 pm

    Not that I am aware of.

  558. My dog is on prozac for separation anxiety. He went in to the vet today for a cut on his head and received staples. They gave him tramadol for pain. I’ve seen a few conflicting answers if they interact with each other. I want to make sure it’s safe for him to take the pain medication without seizures or serotonin syndrome. He would only be on the tramadol for a week or so, as needed, until the staples come out.

  559. Dr. Michael Dym, VMD veterinarianMarch 10, 2013 at 2:54 am

    i dont think there will be a problem with one week of tramadol and prozac.

  560. Mt 14 yr old toy poodle 15 lbs is taking simplicef 100mg for a spot on his foot that he keeps licking. Can I also give him a benedryl along with the antibiotic? He is still licking the area even with the collar on.

  561. Dr. Michael Dym, VMD veterinarianMarch 10, 2013 at 8:19 pm

    Should be no problem taking a childrens dose of benadryl once to twice daily but also check with your vet.

  562. Is it safe for dogs to take acepromazine, cephalexin, benadryl and rimadyl together? My dog just had surgery to have a mast cell tumor removed on his back by his tail.

  563. Is it safe for dogs to take acepromazine, cephalexin, benadryl and rimadyl together? My dog just had surgery to have a mast cell tumor removed on his back by his tail. Just seems like a lot at one time…

  564. Dr. Michael Dym, VMD veterinarianMarch 14, 2013 at 10:32 pm

    Seems like alot to me…..Not sure why acepromazine is being used in this case.

  565. What pain killers can we give our dog with temaril-p? Our vet said no rimadyl which she takes for arthritis. Is there any others?

  566. Dr. Michael Dym, VMD veterinarianMarch 17, 2013 at 11:18 pm

    You can ask your vet about other pain medicines like tramadol which should be safe with temaril p.

  567. How much tramadol can I give a 90 lb lab and how often? Also can I give her acepromazine with it or will they interact? Thank. You

  568. Dr. Michael Dym, VMD veterinarianMarch 27, 2013 at 10:59 pm

    I would not give acepromazine at same time as tramadol…..Too sedating……. Dose of tramadol for your lab is 75 to 100 mg twice to three times daily.

  569. 58lb 3yr old female lab mix.
    – Proin 50mg 1/2 tablet twice daily
    – Prednisone 20mg once daily
    – Tramadal 50mg twice daily (as needed for pain)
    – Trifexis once monthly

    I appreciate your insight on these interactions. Thank you.

  570. My 8 yr cross Jack Russell/Maltese suddenly was lethargic,wouldn’t eat and couldn’t go up and down the stairs..almost like he aged 10 years overnight.
    The vet tested his blood and urine and said his liver enzymes were slightly elevated.
    She prescribed Clavulox 3/4 250mg +Tramal 1/2 50mg morning and night.Should I just continue everything until finished?The Tramal really knocks him around.Also do you think I should test him for Cushings because he also pants at night.

  571. Dr. Michael Dym, VMD veterinarianMarch 30, 2013 at 8:43 pm

    Cushings probably not the cause of his problems. Consider supplements like joint enhancer and proanthozone from 1800petmeds. Also consider transfer factor http://www.tfpets.com May also want to consult with a homeopathic vet http://www.doctordym.com Tramadol more for pain but likely will not make difference in ability to go up and down stairs.

  572. Dr. Michael Dym, VMD veterinarianMarch 30, 2013 at 8:47 pm

    Should not be a problem using these meds together.

  573. Thank you so much for your speedy response Dr Dym
    I am looking into going to a homeopathic vet.I have stopped the Tramadol because he doesn’t appear to be in pain..should I finish his Clavulox..he only has about 3 days left?
    I have already started with Milk Thistle sprinkled into his food…I will definitely be going down the homeopathic path.

  574. Dr. Michael Dym, VMD veterinarianMarch 30, 2013 at 9:45 pm

    I dont think the clavamox is making a difference so do whatever you feel comfortable with regarding that. If you have trouble finding a local homeopathic vet, feel free to contact my practice, as I do offer phone consultations. Make sure vet you find is trained in classical homeopathy, as there are alot of ineffective variations out there.

  575. What are the side affects or dangers of combining Phenabarbatal , gabbapentin, & Iverhart max……….

  576. I just posted .this med combo is for seziures & I wondered if the heart worm meds could contribute to his problem….He does slobber alot even when not is a seziure. Please help………this is a 80 lb cho lab.

  577. Dr. Michael Dym, VMD veterinarianApril 2, 2013 at 8:41 am

    These drugs can potentially be used together, but it is always a concern to have an epileptic seizure patient on combinations of drugs. While ivermart Max would likely be tolorated fine, you have to monitor for increased neurologic reactions such as seizures, etc

  578. Dr. Michael Dym, VMD veterinarianApril 2, 2013 at 8:42 am

    Yes heartworm meds can rarely exascerbate seizures in some animals. You could consider natural heartworm prevention such as quassia bark, which you can get from Fiesta Pet Deli in Pompano, Florida, who can ship it to you.

  579. can my dog take Benadryl 25 mg on top of tramadol 50mg and gabapentin 100mg for pain? He is 26 lbs. I was told it was ok but wanting to double check. my dog is in a lot of pain and needs to get some sleep hoping Benadryl will help plzz someone reply back asap ! thank chris

  580. Dr. Michael Dym, VMD veterinarianApril 8, 2013 at 1:31 am

    Benadryl should be ok but could cause excessive sedation with these other meds. Also ask your vet about drug amantadine for pain, which may help

  581. 10 y. o. mini dachshund is on Melatonin 3mg twice daily, dasaquin 1/2 tablet daily, allerg-3 1 pump daily, 1/2 multivitamin daily, prebiotic and probiotic 1/2 tsp. 3 times daily. Today had immediate reaction to one or more of these: DHLP, parvovirus vaccination, corona virus vaccination, bordetella vaccination, rabies vaccination. Vet gave anti nausea shot, steroid shot, Benadryl shot, and fluids. He ate lunch with no meds, but I forgot that his melatonin 3mg was in his dinner so he ate that and I also gave him 12.5 mg Benadryl as vet instructed. He is still swollen on muzzle, has hives, swelling under throat, water pouch from fluids vet injected. My question is will he be okay with the melatonin and Benadryl given so close together? Shots given @ 10:00 am Benadryl and other shots @ 10:30 am. Oral Benadryl and melatonin @ 6:30 pm.

  582. Dr. Michael Dym, VMD veterinarianApril 10, 2013 at 7:43 am

    The melatonin and benadryl should not be a problem. What is more problematic and disturbing is why a veterinarian would inject a sensitive toy breed like a doxie with so many needless vaccinations in this age, especially to a dog who clearly has chronic disease. Shameful in my opinion bordering on malpractice . Learn more about vaccinosis on shirleys wellness cafe website and my website http://www.doctordym.com

  583. She did the same with my other mini dachshund (female) who is older than the male. Her reaction was fever, nausea, vomiting, but no swelling, hives, etc. Neither will be getting all vaccinations at the same time in the future.

  584. Dr. Michael Dym, VMD veterinarianApril 10, 2013 at 9:01 pm

    STAY away from dhpp, parvo, corona bordatella, etc which are not needed in adult pets and most of these are not even effective….

  585. I administered Advantage II to my 13 lb Cairn Terrier yesterday and today he is licking himself raw on the tummy from flea allergy is it ok to give him a Temaril p tablet?

  586. Dr. Michael Dym, VMD veterinarianApril 13, 2013 at 8:38 am

    Should be ok to give a temaril p to your dog but I would also check with your local vet.

  587. My dog has valley fever and was given Fluconazole; his cough is getting worse not better; I have Torbutrol from when he had a cold and it is used for coughing- can I give him Fluconazole and Torbutrol at the same time without a drug interaction?
    Thank you,
    Cindy

  588. Dr. Michael Dym, VMD veterinarianApril 15, 2013 at 10:07 am

    HI Check with your vet but I dont think there should be a problem using these two meds.

  589. My dog takes Temaril-P for allergy control. Recently we put her on Soloxine for her thyroid. Are the two medicines compatable?

  590. My mini-pins begain to itch and scratch all over body and ears shortly after apply Advantage II. Last year they used Frontline but vet is promoting Adv. II. She examined one because I thought they might have mites. She said no sign. Might be allergies. Suggested benedryl. Strange both have this. I think it is Adv II. One Mini-pen has diabeties. Both are 6yrs old. Your thoughts.

  591. Dogs are not happy dogs. Please respond. Costing me a fortune for each vet visit.

  592. how long do I have to wait to give my 31 pound cooker spaniel (10 years old)Temerial-P after he took 2 days of 25 mg of rimadyl?

  593. Dr. Michael Dym, VMD veterinarianApril 28, 2013 at 10:43 pm

    I think it wold be fine to wait 24 to 48 hours to start temaril p

  594. Dr. Michael Dym, VMD veterinarianApril 28, 2013 at 10:49 pm

    In this breed, allergies are likely to inhalent/contact allergies and/or food allergies. I would try the benadryl, as well as shampoo with malaseb shampoo from 1800petmeds every few days. Also add salmon oil from 1800petmeds, as well as try yucca intensive as natural alternative.

  595. Dr. Michael Dym, VMD veterinarianApril 28, 2013 at 10:51 pm

    These two meds are fine.

  596. My 100 pound American Bulldog mix has had very bad diarrhea and I took him to the vet. We have tried all kinds of things to help my poor puppy including Prozac. I was wondering if he can have the Prozac(Fluoxetine 20 mg’s) and also tylan? Our vet said that everything we do is more of a Band-Aid treatment since they can’t find a cause. I look forward to hearing from you and thank you for your time.

  597. Dr. Michael Dym, VMD veterinarianMay 6, 2013 at 10:46 pm

    I dont think there is a problem using the prozac and tylan powder. If your pet has such a wide variety of symptoms, you may want to learn about and explore homeopathic medicine. To learn more about homeopathy, see http://www.beyondflatearth.com as well as my website http://www.doctordym.com Many homeopathic vets do offer phone consultations.

  598. Dr. Michael Dym, VMD veterinarianMay 6, 2013 at 10:48 pm

    No problem using prozac and tylan at same time. however if your pet has wide variety of symptoms, it may be good idea to consider homeopathic approach. To learn more see http://www.beyondflatearth.com as well as my website http://www.doctordym.com Many homeopathic vets like myself offer phone consultations.

  599. I have a 13 year old Scottie that was diagnosedwith diabites today. Started on ver low dose of insulin. I have been giving him a half of low dose Tramadol To help with pain. He also gets a liver support suppliment as a year ago his liver levels were 12x normal. They are now half that. Can I give him tramadol and insulin together?

  600. Dr. Michael Dym, VMD veterinarianMay 8, 2013 at 11:46 pm

    tramadol and insulin can be used together but must be careful with tramadol in patient like this on long term treatment as tramadol can be very hard on liver. Consider consulting with holistic oriented vet on improving health and diet overall. see http://www.doctordym.com for more information.

  601. The doctor put my golden retriever on Methocarbamol and said to give with zantac and also on prednisone for arthritus. Is this an ok combination? She was checked out by him first. For some odd reason once a year she goes paralized in her hind legs for about 2 weeks. But after 2 weeks on meds she is up and running again.

  602. Dr. Michael Dym, VMD veterinarianMay 12, 2013 at 11:07 pm

    This combo of meds if fine. I would also consider supplementing your pet with joint supplements for long term joint health, including super joint enhancer from 1800petmeds, as well as antioxidant proanthozone, and yucca intensive.

  603. I have a 7-8 week o;d german shepperd who we recently treated for worms and parasites. She is on Primor . Before we even took her to vet i noticed she had a little discharge and it stayed sticky down there. I did not take her to vet so noone asked about that for me. Now she is on antiboics and was treated for those things and we also put flea n tick meds on her. Everything seems to be working but she been panting really hard and breathing fast. i thought she was hot or thirsty bt neither helped. shes not doing any activity to leave her breathing this way. Can it be a side effect to meds or is this normal ?

  604. Dr. Michael Dym, VMD veterinarianMay 20, 2013 at 11:30 pm

    Sounds like too many meds at one time on growing puppy. Primor can occasionally cause reactions, as well as topical flea/tick meds at same time. I would try and space out wormers, and parasite/antibiotic meds from one another in young puppies.

  605. Is 100 mg. twice daily of Zonisamide for seizures for a 45 lb. canine ok?

  606. My cat has been on 10 mg prednisolone (5 mg twice a day), 62.5 mg clavamox and 1/2 of a Pepcid AC for 10 days to treat possible pancreatitis and gall bladder inflammation. Just cut pred dose to 5 mg once a day, Clavamox course is completed. Do we still need the Pepcid? Not sure if it was to ease side effects of Clavamox or of Pred (or neither??)

  607. Dr. Michael Dym, VMD veterinarianMay 21, 2013 at 10:59 pm

    usually clavamox is a 10-14 day course, and prednisone is typically tapered slowly over time, pending response to medication and condition being treated. Pepcid is fairly harmless drug that can be safely continued long term if needed for nausea/vomiting, etc

  608. Dr. Michael Dym, VMD veterinarianMay 21, 2013 at 11:01 pm

    I dont think this dose of zonisamide is a problem but check with your vet.

  609. Hi Dr Dym! Got a long one for you.

    I’ve got a list of things my cat is on and we’ve just been told to add two things, so I wanted to get a second opinion because I worry my vet may have forgotten some of the things he was already on long-term. He has kidney disease, low potassium, constipation, and now, a sinus infection as well as a tooth with a likely abscess and to top it off, mildly high blood pressure. The poor guy can’t catch a break, but is still acting like he feels fine. I’m trying to figure out how to break up his medication, or if I can give it all in one sitting, because we syringe it to him and he’s not a big fan.

    He is on:
    Renal K+ (potassium gluconate with B-complex) (1060mg daily)
    Viralys (L-Lysine Powder) (500 mg daily)
    Miralax (polyethylene glycol 3350) (1/8-3/16 tsp daily)
    Aluminum Hydroxide USP (mixed with non-renal food) (2/8 tsp daily)
    Subcutaneous Fluids (lactated ringers solution) (50-100ml daily)

    We are being told to add Baytril for the sinus infection and tooth, and also he had high blood pressure and elevated kidn