scott@vtx-cpd.com
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Replying to Steph Sorrell 18/10/2023 - 17:58
Thank you for sharing your thoughts on this Steph.
Really interesting and very helpful.
Scott 🙂
Replying to Lesley m. 17/10/2023 - 01:45
Hello Lesley.
I agree, some of the positive effect may just be from the slight nasal flush we are performing each time!
I have always just used a 1ml syringe but know some colleagues will give owners the syringe attachment from the nasal kennel cough vaccine to use.
I have also wondered about nebulising the solution, but I have no experience of doing this.
Scott 🙂
Replying to Sarah Keir 18/10/2023 - 19:04
Hey Sarah.
Really interesting chat at the live session regarding these drugs and cardiac disease. Thanks for highlighting it!
Scott 🙂
Replying to Sarah Keir 16/10/2023 - 17:46
Hello Sarah.
Lovely to see you on the live call, I hope you enjoyed it. I am sorry I left the call so abruptly at the end… my internet went funny at just the wrong moment!
I hope you had a lovely time away and feel recharged. I hear Santorini is beautiful. Your feed back regarding the course is very valuable. I am running a few ‘organ/system’ specific courses next year that might be of interest. Would be great to chat about content that you might find helpful. We are always keen to develop new content that is of benefit to people. Drop me an email if you have any ideas/thoughts:
Scott 🙂
Replying to Sarah Keir 16/10/2023 - 17:44
Thanks Sarah.
Interesting points regarding the minimal effect gabapentin has on echocardiography.
I thought your comments regarding the combination of trazodone and gabapentin were interesting. I never use these drugs in combination, especially not in cats! In fact, I don’t think I have ever used trazodone in a cat.
Having said that, I was rounding about a case (dog) in hospital today that had been put on a combination of trazodone and gabapentin post cystotomy. I will need to have more of a think about that combination and possible contraindications/drug interactions.
I had a question regarding how you use gabapentin in your cases. Do you prescribe gabapentin prior to seeing the case? How does that work with the new RCVS prescribing guidelines that I am not even going to pretend to understand? This is a question that came up on one of our other forums. I would be really interested to hear your thoughts.
Thanks!
Scott 🙂
Replying to Steph Sorrell 18/10/2023 - 18:01
This is really helpful Steph.
Thanks for sharing.
Scott 🙂
Hey Steph.
This is really helpful. Thank you for sharing.
Scott x
Replying to Sarah Keir 19/10/2023 - 09:13
Hey Sarah!
The CPD is not real without a certificate. I will pass this one on to Andy to answer!
Thanks again.
Scott 🙂
Replying to Rosanna G. 19/10/2023 - 15:32
Hello Rosanna.
Great to have you here. I hope you enjoyed the first session. The live session will be recorded next week, so you should be able to watch this back. You also have plenty of time to watch the recordings, so take your time!
Let me know if you have any questions.
Scott 🙂
Replying to Sarah Keir 16/10/2023 - 17:01
Hey Sarah.
Yes, maropitant does seem to have a number of mystical and undetermined properties.
The data seems to vary regarding visceral analgesic properties etc. I must admit I do use it in these very chronically congested cats with some positive effect. Could simply be the positive effect of flushing the nasal cavity!
I was thinking of setting up a panel discussion on the topic:
“Maropitant… magic or not?”
Other title suggestions on a postcard please?! 🙂
Scott
One more thing!
My perception of euthanasia rates in DM patients is different from what the literature says. My primary care colleagues in the USA report much higher euthanasia rates due to DM and owners not willing to treat (due to a variety of reasons).
Scott 🙂
Hello Sarah.
Thanks for sharing. It is a potentially interesting drug, but clearly not perfect regarding the spectrum of use and the side effect profile.
The published data on this drug is also limited:
https://pubmed.ncbi.nlm.nih.gov/29139146/
A lot of the ‘data’ that has been discussed is unpublished data from the drug company. I attended a round table discussion regarding this drug at ECVIM Congress recently. The opinion was mixed. Some people have some positive experience of using the drug. Others feel very strongly that there is not a place for it and the side effects are rather undesirable. I suppose the other side of the discussion is the owners perception of treatment and the euthanasia of some DM patients:
https://pubmed.ncbi.nlm.nih.gov/29139146/
The argument being that some patients would not be euthanised if there were alternatives to insulin injection. I am in no way suggesting that this is an alternative to insulin treatment, but may be another option in the tool kit for some patients.
As with most things endocrinology based, there is very rarely a right or wrong answer, just a lot of different (often very strong) opinions!
Would be interested to hear what others think.
Have a great weekend.
Scott 🙂
Replying to Rebecca P. 14/10/2023 - 22:28
Hey Rebecca.
Thank you so much for your comments. Lots of brilliant points. The paper I posted looks at gabapentin and trazodone in cats. To be perfectly honest, I do not really use trazodone in cats. I tend to use gabapentin in cats and trazodone in dogs:
https://pubmed.ncbi.nlm.nih.gov/35333743/
Would love to hear others experience though. I have never been in a situation where either drug has been requested when I have not physically seen the patient in the last 6 months. I am also not as up to speed as I probably should be with new guidance, so am probably not the best person to ask regarding that side of things. Again, I would love to pull on the knowledge of others in the group.
This article might also help as a general overview:
https://pubmed.ncbi.nlm.nih.gov/34475580/
Overall, I think these are both brilliant drugs and have massive benefit on patients. I have administered trazadone in a couple of dogs this week in hospital dogs that were stressed out and it worked a treat!
The prescription for fireworks is a good point. I have used trazadone for this purpose in my mum’s dogs, but not sure what the current thinking is regarding this.
Hope that helps a little.
Scott 🙂
Replying to Anna H. 10/10/2023 - 20:14
Hello Anna!
Welcome! Life does get in the way a bit! Remember you have a year to access the material, so hopefully that will help!
Let me know if you have any questions. Have a lovely weekend.
Scott 🙂
Thank you Liz!
Great course as always!
Scott x
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