scott@vtx-cpd.com

Replying to Viktoria T. 20/10/2022 - 21:44

Hello Viktoria.

Great question. I will make sure Felipe gets the question and we will cover it at the Q&A!

Scott 🙂

Replying to Holly D. 19/10/2022 - 10:30

Hey.

Codeine wise I would go with 0.3-2mg/kg PO q6-12h.

The other option is butorphanol:

Dogs: 0.55–1.1 mg/kg, PO, q6- 12h.

Cats: 0.1–0.4 mg/ kg, SC, q6-12h.

Butorphanol works really well as an antitussive, but currently unavailable in UK in tablet form. Injectable formulation has been used per os, but dosing schedule not well-defined (Rozanski 2014).

Hope that helps.

Scott 🙂

Replying to Liz Bode 17/10/2022 - 14:04

Hey Liz.

I have never used this! Really interesting. I did a quick literature search, but could not find anything specific in this area. I presume based on peoples experience?

Really interesting! Thank you for sharing!

Scott 🙂

Replying to Jessica Wilson 18/10/2022 - 01:58

Welcome Jessica!

Where did you work overseas? Thank you so much for joining the course.

Please let me know if you have any questions.

Scott 🙂

Replying to Holly D. 16/10/2022 - 21:26

Hey.

I thought I would share my thoughts regarding the management of tracheal collapse. Long-term treatment mainly aims to decrease all potential promoting factors and the level of inflammation of the tracheal mucosa. Weight reduction in the obese animal is essential. Weight loss alone can be curative of clinical signs. Likewise, replacement of neck collars with harnesses can be effective. Removing the dog from respiratory irritants such as noxious gases, smoke, and dust is common sense and should be explained clearly to the owner. It is also important to detect and treat other diseases, including chronic airway disease, cardiac disease, and hyperadrenocorticism.

Long-term therapy consists of very low-dosage corticosteroids (prednisone 0.2 mg/kg PO q 24 h × 1-2 weeks, at 3-month intervals, for instance), or by inhalation (fluticasone, one 120 mcg puff q 12 h using a face mask and spacer), often in combination with a sedative-antihistamine. Oversedation must be avoided, since the animal must keep moving to avoid gaining weight and to promote clearance of tracheal secretions. Oral antitussive agents that are effective in controlling cough include hydrocodone (0.22 mg/kg PO q 12 h) and butorphanol (0.55 mg/kg PO q 12 h). I must admit that I most routinely use codeine as an antitussive. I would also consider antibiotics in some cases. I tent to think doxycycline is a good choice!

Hope that is helpful.

Scott 🙂

Replying to Dani B. 17/10/2022 - 09:18

Dani!

Never too late! So nice to see you here!

You sound very busy indeed! Please let me know if you have any questions.

Scott 🙂

Replying to Holly D. 15/10/2022 - 17:16

Hello!

I am not stepping in Liz’s toes with this one and am really interested to hear what she has to say. I do not have direct experience of using this drug. Can I ask what other therapy you have tried in this case?

Scott 🙂