scott@vtx-cpd.com

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 Nadine S. 02/10/2023 - 20:59

Hello!

Yes, you are totally right!

This is my mistake. Really sorry.

I have edited the post.

Scott 🙂

Replying to Loren S. 19/09/2023 - 20:53

Hello Loren.

I agree with your concern about the diaphragm. It was the concern of the referring vets too. I often end up doing CT in these cases if there is any question over what the radiographs are telling us. Once I got the radiography report back I felt confident skipping CT on this occasion. We did indeed carry out bronchoscopy and BAL next!

The bronchoscopy revealed lots of white/yellow mucus in the airways. We performed a BAL. The cytology was consistent with significant neutrophilic inflammation and no bacteria were seen. Culture was nagative.

Only problem was… the dog has some antibiotics prior to these investigations.

My dilemma… lots of things pointing towards an infection but negative culture and persistence of clinical signs despite 5 days of antibiotics.

Any thoughts on treatment options?

Scott 🙂

Replying to Hannah N. 02/10/2023 - 10:40

Hello Hannah!

Rugby sounds lots more fun than CPD! 🙂

I hope you had a lovely time. Thank you for joining the course.

Let me know if you have any questions.

Scott 🙂

Replying to Lesley m. 19/09/2023 - 22:46

I would love to do the asparagus study!

If you have a link to any of these discussions it would be great if you could share. They talk about canned asparagus as far as I can remember?! Not something I have ever tried.

Scott 🙂