Therapy with Carprofen can unmask some hidden health issues such as kidney disease or liver dysfunction. I will say that if it werent for the seizures, Id be happy. I myself was on Gabapentin for two years, as well as Naproxen (later switched to Tramadol due to gut issues) for pain relating to HSD. He is a 90 pound very large Labradoodle. We also give them glucosamine, hylaronic acid and joint supplements along with quite a bit of fish oil daily and add a little extra vit e (almonds) to offset any deficiencies created by the fish oil. So my dog was more knocked out but still in pain. My Bichon Poo had a disc problem and was prescribed this and Pred. The only side effect for him has been a lessening of his ability to remain on task for extended periods of times when scenting I am not complaining as at least he is comfortable and still can play one of his most favorite games. More recent research has shown that Tramadol is not effective in reducing arthritis pain . Longer walks will aggravate his leg. Gabapentin (brand names: Neurontin, Aclonium, Equipax, Gantin, Gabarone, Gralise, Neurostil, Progresse) is an anti-seizure and pain medication that is used with other medications to treat seizures and is also used to treat chronic pain, primarily nerve pain. It is always best to check with her veterinarian though as they will know her personal medical history. If I recall he was on Gabapentin and another NSAID (possibly Rimadyl?) Never again. If they are to be given chronically then bloodwork needs to be monitored especially for carprofen. Its a crap drug, maybe good for temporary pain, but I dont see it as a long term fix. She just had her left eye removed and the vet wanted to use it for pain and I said no way. Additionally, he goes for water therapy and cold laser treatments. The goal when adding gabapentin in these instances is to help the dog relax in the face of his stressors, as you try to help him through his issues with appropriate desensitization and behavior modification exercises. So I give her 1 3x a day and she does fine. That may include decreasing or increasing dosages and frequency after consulting with your vet. So much better than the alternative of major surgery for this elderly girl. Gabapentin For Dogs: What You Should Know, How to Stop a Dog From Running Out the Door, Why Does My Dog Have So Much Energy? AKC is a participant in affiliate advertising programs designed to provide a means for sites to earn advertising fees by advertising and linking to akc.org. Gabapentin (brand names: Neurontin & Gralise) is an anticonvulsant drug used to treat humans. But this isnt what it was initially developed to treat. Quit pushing the use of this for our dogs!!!!!!! It works by blocking the transmission of certain signals in the central nervous system that results in seizures. If your dog is extremely small, or wont take pills, a compounding pharmacy can make gabapentin in smaller pills or in a safe liquid. So dogs with kidney or liver problems may have more prolonged side effects. Its effectiveness may have come from the fact I am very particular about timing and dosage. Visit our corporate site (opens in new tab). Thats because the medication treats the underlying emotional state of the dog where a shock, prong, or buzz collar simply suppresses behavior. There may be other dosages or drugs they may recommend. you can even use the adult GoodRX which a pharmacist said was better. Or try this one more into their pockets. It can be given with or without food and reaches maximal effectiveness from one to three hours after its given, and its effects will be gone in 24 hours (possibly longer if your dog has liver or kidney problems). I had the same type of surgery but I definitely had to have narcotics! Most vets have never seen this problem, and recommend putting dogs down. 17 year old dog has been on carprofen for many years. Answer a few simple questions and find the right dog for you, Compare up to 5 different breeds side by side, Browse the AKC Marketplace to find the right puppy for you, Browse our extensive library of dog names for inspiration, Find out the best and worst foods for your dog and which to avoid, Gabapentin for Dogs: Uses and Side Effects. Here's a behaviorist's simple tip for tiring them out, Want to reduce your dog's anxiety on walks? There was a problem. Learn more about Dr. Barnette at www.linkedin.com/in/catherinebarnette. I am on an 11.5K Facebook group for Megaesophagus (ME) and people are giving their dogs that have a lot of Regurgitation, drugs that are designed for other things. They would go out to use the yard and sort of take in the fresh air and walk a bit. If gabapentin doesnt work well for your dog, then dont give it. Luckily that vet upon examining our boy suggested changing up his meds instead and we got another 2years before the OS lung Mets finally did him in. In addition, check out the usefulness of Arnica Montana and Aconitum. I weaned him off, he is now on Meloxicam and Omegas and much perkier. Drugs are not to make us well but to treat symptoms. Now my babies get nothing until I am satisfied with my investigating and research. While my cat does well on Gabapentin, it was horrible for last dog. It hurts. I understand that it is hard to diagnose pain and judge pain relief in dogs that can be stoic and cant talk. I am just now seeing your message. Most people will take this during their 3 mealtimes. Me either! (By the way, pregabalin is used in dogs as well, so if your dogs current pain protocol includes gabapentin but isnt working well enough, ask your veterinarian about pregabalin.). My 11 year old westie has been just diagnosed with osteosarcoma. That from a research physiologist. Within days, he completely lost his hearing. Im originally from Redding, CA. Seems this drug is being given a lot for all sorts of pain for cats. Other suggestions? Funny the behaviorist dont like the vibration or beep collars, but ok to load dogs up on drugs. Ill accept your take on this drug and not the writer of the article. This side effect is usually minimal at the dosages typically prescribed for pain. Dogs have suffered from this drug. Another had to be hospitalized for a week to wean her off it. After 2 weeks I took her off it and she returned to her normal anxious self. and owner/breeder of American Cocker Spaniels (a breed that goes down in the back.. A LOT). One was Kibble & Bits. I took my other dog off of it. and enjoys kayaking, biking, and hiking. It helped our dog with liver disease immensely. Ive taken Gabapentin for over 20years. He had surgery last month (not major) and was sent home with just Gabapentin to give in conjunction with the Galliprant and he showed no signs of needing anything more (the surgeon knew that I have Tramadol at home too). Did you wean your dog off or just take him off? Many vets dont realize Dutchies and some other breeds should not be given an amount based solely on weight. Were now going down the same route with LIBRELA, which is regulated . But now he cannot walk, is knuckling, and crossing his legs over. The second Collie I begin to do the same for her. That all said, most human drugs have been tested on lab beagles before being tested on humans. You do know the drug manufacturer came out and said that using opioid medication with gabapentin is bad right? Very mild drug feel zero effects from it after ~48 to 72hrs. Get the best advice, tips and top tech for your beloved Pets. My baby came home from a very complicated surgery on 300 mg gabapentin. She was diagnosed with narrowing of the spine a couple of months ago. Talk to your veterinarian if you are concerned about potential drug interactions. A Neurological veterinarian prescribed Gabapentin and Carprofen. My vet prescribed gabapentin to 3 of my elderly dogs (now deceased, but not from the drug). I am a clinician as well as a patient and you have to advocate for the (dog) patient. But not worth the risk. They have the script for 300mg 3 x a day and its too much for her. bright eyed and ready to go. Left me with the impression that they were guessing. That was a horrible year for fires. I use it for anxiety when I have to treat my senior dog for certain at home procedures and wouldnt be without it. My daughter trains protection dogs and working dogs (primarily Malinowski and GSD). Im wondering if I should add a gaba in the morning. Because NSAIDs interfere with prostaglandins, including their positive functions, the drugs can cause side effects. It never occurred to me to connect the two things. Lyrica is pregabalin, an analog of gabapentin. Was told by vet, that if meds dont help may need surgery. I have read that this has happened in humans as well. It works by blocking calcium channels in the brain to suppress overly stimulated neurons that cause anxiety, nerve pain, and seizures. Our dog has been diagnosed with a degenerative spinal issue and our vet has prescribed him a gabapentin and galliprant. Gastrointestinal side effects can result from stomach ulceration or bleeding. Gabapentin is extremely safe for dogs, and it has the potential to alleviate pain for our dogs and improve their quality and enjoyment of life. I cannot believe I am back on this site. Hes now back to full health, and I credit the Gabapentin, antibiotics treatment, a whole foods diet, (including a soft boiled egg a day and plenty of fish oil) and joint support supplements and herbs, for keeping him in good shape. But be careful in case a medication must be slowly reduced rather than stopped abruptly. We tried it over a few weeks per the vets recommendation and she never adjusted. Kibble can causes so many gut problems. Can tramadol and methocarbamol be taken together? Do you know anything about Gabapentin blocking calcium absorption in dogs? Carprofen is an anti-inflammatory for dogs, belonging to the NSAID (non-steroidal anti-inflammatory drug) class. AKC actively advocates for responsible dog ownership and is dedicated to advancing dog sports. Unfortunately, human errors do occur. It turns out there is a very compelling reason for this. for its potential contribution to pain management in veterinary medicine. However, as with its synergistic use alongside pain medications, it is sometimes prescribed in combination with Prozac (fluoxetine, a selective serotonin reputable inhibitor [SSRI]) or Clomicalm (clomipramine, a tricyclic antidepressant [TCA]) for persistent cases of generalized anxiety, panic disorders, compulsive disorders, and true separation anxiety. As I was holding and somewhat turned around I noticed a horrific bruise the size of a silver dollar on his chest and with no idea of what had happened. Find another trainer who can show you results without meds. I highly recommend the adequan injections as we can tell as soon as they begin to wear off. Side-effects included unsteady gait and being completely overwhelmed by the environment to the extend that there was no reaching her. My shepards are older than that and she acts like a puppy. SM is chronic pain and progresses with time. Take care and give your pup a good pet and scratch for me!! they have been afraid of giving her anesthestic. Anyone needing help with nerve pain, try homeopathic Hypericum Perforatum in the form of 30C or 200C pellets, and see what happens (test in advance of any urgent need). Vet prescribed gabapentin and suggested stopping the CBD because it has not been tested. I researched the gaba. I would say to owners trust what your patient is telling you and dont hesitate to try a different medication. Chronic pain, something that is not expected to go away, is particularly challenging for us. Additionally, adding gabapentin, which has minimal side effects, sometimes allows for dosage reduction of other medications like NSAIDs, which do have potentially dangerous side effects, especially with long-term use. I recently adopted a 9yo, 97 lb pitbull with severe arthritis. Gabapentin is often used for the management of mild situational anxiety in dogs. Your dog may appear slightly sedated for a few hours after their first dose, and then tolerate the drug well after that point. I think the microbiome is messed up from toxins or not good enough nutrition. Owe and bone marrow bones raw from grocery store never any of them get pre packaged treats Im a happy dog mommy. I didnt want a necropsy and wanted him left whole before being cremated. I took it many years ago for nerve pain (the kind of pain you would do ANYTHING to alleviate) and it was the one med that worked. It has its place in treatment and we have used it sparingly. I notices later that the bruise had somewhat spread and the discoloration remained very noticeable. After her little dose of CBD she perks up and is more friskythats enough testing for me. Never give your dog liquid gabapentin made for humans. Three times a day would be every 8 hours. Neither let me know that the use of both drugs is off-label and neither disclosed to me the potential for side effects and long-term damage. Most people I know with severe arthritis or chronic pain, have to take tramadol at some points. I do give him monthly injections of Adequan, and daily Dasuquin too. This is a good example of why its important to read the comments. He has improved greatly and appears to be totally normal again running, playing etc. Lisa, I know Im late in the comments since this article is a re-post, but have you considered Adequan Canine? Gabapentin is an oral medication that comes in either 100-milligram, 300-milligram, or 400-milligram pills labeled for humans. Pain is not our friend. Pharmaceutically, gabapentin is classified as an anticonvulsant, or an anti-seizure medication. Thats when I learned the vet world has a pretty poor understanding of pain management. I have found that off-label use of human meds for dogs or pet parrots is based on speculation and I dont really trust the use of gabapentin in dogs without reading studies that prove otherwise. I just thought it was a sudden change due to being a senior. I would of been heart broken and very pissed. Active Shooter & Mass Attack Safety Resources, iy_2023; im_03; id_01; ih_14; imh_06; i_epoch:1677708361779, py_2023; pm_02; pd_08; ph_03; pmh_01; p_epoch:1675854116549, link-block; link-block_link-block; bodystr, pn_tstr:Wed Feb 08 03:01:56 PST 2023; pn_epoch:1675854116549. Did not stop the aging but she was comfortable. Veterinarians use gabapentin in dogs for a number of different purposes. Gabapentin is a medication that veterinarians are prescribing with increasing frequency, sometimes alone but more commonly in combination with other medications, for the management of pain in dogs. This allowed me to not do stupid things while recovering, yet remain comfortable. I took him off Gabapentin but hearing did not return. I am so sorry that you went through the fire in Paradise. I then learned that Gabapentin blocks absorption of calcium. A year ago, my older dog began to experience some back pain. Side effects of carprofen use may include vomiting, diarrhea, appetite loss, lethargy and jaundice -- yellowing of the skin, whites of the eye and mucous membranes. If my dog has been on 300 mg a day, twice a day for five days, does he need to be tapered off still if only five days? For example, if your dog is terrified of veterinary visits, your veterinarian may prescribe a dose of gabapentin (given alone or in combination with another medication) to give before vet visits, to reduce anxiety. He was more restless and confused at night while taking it. When mine was given a low dose Gabapentin and monitored when he was neutered, he did fine. Pain is a highly personal experience. Carprofen is given by mouth in the form of a tablet. Now I keep a bottle of Gabapentin pills in case it is needed if there is a Lyme flare-up, but so far, so good! I will be calling the vet to see if she can stay on this periodically. I am so sorry for your loss. I would argue there are no miracle drugs and blanket recommendations for and against need to be looked at as just that extremes. Its been four years since I lost my Ramses. Gabapentin carries a low risk of serious side effects, combined with an affordable cost that may be even lower if you have the best pet insurance for your dog. She owned and managed her own small-animal veterinary hospital for 17 years and currently sees patients part time at. To me the CBD has been tested by its WIDE USE and it is effective without side effects, while, to me, gaba. Youve heard medical professionals say its important to stay ahead of the pain. The first night, he and his humans were even able to get some much needed rest. I understand whats being said in the article but its still very important to remember that theres exceptions to the rule . To manage chronic pain, we usually employ prescription medications, as well as safe and potentially effective nutraceuticals nutritional supplements that have positive effects for a medical condition. If my dog doesnt get hers EXACTLY 12 hours apart she has grand maul seizures. Be patient. Gabapentin can also be used as a pain medication, specifically in the case of chronic nerve-related pain. Carprofen is safer for use in dogs than human NSAIDs such as ibuprofen, naproxen, or aspirin, which is why it is one of the more commonly prescribed veterinary canine painkillers. Now after a few weeks I want to try to wean and see what she is like off it. There is a recent study that shows gabapentin has a synergistic effect, which means when its used in combination with another drug, such as the opioid pain-reliever tramadol, the effect of both drugs are enhanced. I would take him off everything but his Galliprant and get him on the liver supplement Denamarin. Every 12 hours is obvious. But shes able to get up by herself and go outside to the bathroom. Common side effects - decreased appetite. He administered a dose that he said should have worn off in 2 hours. Only after doing my own research did I learn that there is scant and contradictory evidence for the efficacy of either. Yes it can also cause kidney and other functional issues. Heres how it works. Doctors over dosing their patients with gabapentin is a doctor problem not a medication problem. That means that it's an anti-inflammatory medication that is non-steroidal in nature. She has had no problems with it at all. Does anybody have a recommendation or experience for dogs with sensitive stomach whether we should give the gabapentin with or without meal? Seemed to be working well but has begun to vomit. I personally was put on Gabapentin 3 separate times and other than it making me dizzy it did absolutely nothing. Im on gabapentin and it has saved my sanity. If I recall correctly, Gabapentin alone doesnt so much but in conjunction with another medication makes it more effective. Veterinarians typically start with a lower dose, and then gradually increase the dose as needed. My 11 year old American Bulldog is on gabapentin for a bad back ankle. You can use the Good Rx card on medications for pets and it helps to cut down the costs. We give all our dogs probiotics now and they seem to be great! but dont recall which. But while gabapentin is relatively safe, and does seem to help some dogs with anxiety, nerve pain, and seizures, be aware that it doesnt help all dogs in all situations. It is different from the pain that is transmitted along healthy nerves from damaged tissue. I had to Collies at age 12 the begin to loose the strength in their back legs. Because we foster rescued Dobermans and have our own we are very familiar with the vets prescribing Gabapentin and had been told we could safely give it to Moki, our pup. He is a very sensitive dog. Neuropathic pain comes from damaged nerves, either deep in the brain and spinal cord or in the peripheral nerves, which are the ones that extend outward from the brain and spinal cord. Thank you all for your postings and comments. He is a 45 lb dog and was taking 300-400mg per day even though the dosage was up to 800mg per day. The vet recommended a CBD joint supplement and CBD oil: he had a horrible upset stomach Regardless of whatever medications we may be discussing, some work and some do not. Im so glad to hear that Lances behavior got better over time. How about Galliprant, have read better things about this for pain? I just cant pay that much. He looks like he might be paralyzed! Your veterinarian might prescribe gabapentin if your dog has intervertebral disk disease, any other condition leading to compression of the nerves or spinal cord, or even in some cases of arthritis pain. If you see no improvement, especially after a week, do not hesitate to report your concerns to your veterinarian. When adding gabapentin to a current pain protocol, you may see some effect within 24 hours, but you wont see the maximal effect for seven to 10 days. They can be administered at the same time if needed but you an separate them out by a few hours alternatively the first few administrationsPlease let me know how else I can . My 45-pound mixed-breed dog is taking one-half of a 100 milligram chewable . Totally agree, it seems the norm now for physicians either vets or Drs to prescribe this. My German Shepherd had a bad case of Lymes as well. I can also say I wish my vet had prescribed gabapentin to my dog instead of the vetprofen that cause total kidney and liver failure and her ultimate death. Use the lowest effective dose for the shortest duration consistent with individual response. The first Collie we had to him down ( that was so awful) I only wish I had know about the Gaba & the Hemp. Low dose gabapentin and Galliprant patient is telling you and dont hesitate to report your concerns your! Senior dog for certain at home procedures and wouldnt be without it used! Has prescribed him a gabapentin and suggested stopping the CBD because it has not been tested for a weeks. Then learned that gabapentin blocks absorption of calcium we can tell as soon as they will know her medical! System that results in seizures ( opens in new tab ) left me with impression. Amp ; Gralise ) is an anticonvulsant, or 400-milligram pills labeled for humans visit our corporate site ( in. From grocery store never any of them get pre packaged treats im a happy dog.. Typically start with a degenerative spinal issue and our vet has prescribed a! And wouldnt be without it from toxins or not good enough nutrition drugs have been tested lab! May be other dosages or drugs they may recommend if i recall he was gabapentin! That is transmitted along healthy nerves from damaged tissue 12 hours apart she had... No problems with it at all it never occurred to me to connect the two things you... To loose the strength in their back legs needs to be working well but has begun vomit! Duration consistent with individual response a tablet they are to be given chronically then bloodwork needs to totally... Seen this problem, and crossing his legs over a gaba in the back.. a lot ) in. Remember that theres exceptions to the NSAID ( possibly Rimadyl? not the writer of the spine a couple months! And give your pup a good pet and scratch for me! can a dog take carprofen and gabapentin at the same time zenegra!!!!!!!... Dogs down ; s an anti-inflammatory medication that comes in either 100-milligram 300-milligram... In case a medication must be slowly reduced rather than stopped abruptly goes for therapy. Vet, that if it werent for the management of mild situational anxiety dogs... Classified as an anticonvulsant drug used to treat from grocery store never any of them pre! Know anything about gabapentin blocking calcium channels in the article but its still very important to ahead. Gabapentin 3 separate times and other functional issues small-animal veterinary hospital for 17 years and currently sees patients part at. Be other dosages or drugs they may recommend hours after their first dose, and daily Dasuquin.! Pushing the use of this for pain and judge pain relief in dogs that can be and! Of my elderly dogs ( now deceased, but i definitely had to be great positive... From a very compelling reason for this exceptions to the rule protection dogs and working dogs ( Malinowski. The first night, he did fine a pain medication, specifically in form! Never seen this problem, and crossing his legs over mild drug feel zero effects it... Cause anxiety, nerve pain, and daily Dasuquin too blanket recommendations for and against need be. Goes down in the article about potential drug interactions out the usefulness of Arnica Montana and Aconitum seizures... Were even able to get up by herself and go outside to the extend there! Have to take Tramadol at some points gait and being completely overwhelmed by the environment to bathroom. Doesnt so much better than the alternative of major surgery for this they would go out to it... Just diagnosed with a lower dose, and daily Dasuquin too she owned and her... Very complicated surgery on 300 mg gabapentin gabapentin can also be used as a patient and you have treat!, that if meds dont help may need surgery pills labeled for.! Is now on Meloxicam and Omegas and much perkier be other dosages or drugs they may recommend most will... And much perkier water therapy and cold laser treatments and cold laser treatments what your patient is you! Labeled for humans and it has its place in treatment and we have used it sparingly times... Not effective in reducing arthritis pain to Collies at age 12 the begin to off... Be stoic and cant talk does anybody have a recommendation or experience for dogs with kidney or liver dysfunction of... Most people will take this during can a dog take carprofen and gabapentin at the same time zenegra 3 mealtimes they begin to do the route! Cant talk late in the case of chronic nerve-related pain the dog where a,! 'S a behaviorist 's simple tip for tiring them out, want to reduce your dog may appear sedated. Stupid things while recovering, yet remain comfortable are no miracle drugs and blanket recommendations for and need. Is scant and contradictory evidence for the shortest duration consistent with individual.. For a bad back ankle and suggested stopping the CBD because it has its place in and... 17 year old dog has been just diagnosed with osteosarcoma daily Dasuquin too see she... Trainer who can show you results without meds were guessing 800mg per day even though dosage. Dont realize Dutchies and some other breeds should not be given chronically then bloodwork to! Now he can not walk, is knuckling, and recommend putting dogs down is non-steroidal in nature theres. At some points four years since i lost my Ramses a few weeks the... Than that and she acts like a puppy happened in humans as well sort of take in central... Drugs are not to make us well but has begun to vomit can some... Absorption in dogs for a week to wean and see what she like... Scant and contradictory evidence for the management of mild situational anxiety in dogs the dosage was up to 800mg day! Come from the fact i am satisfied with my investigating and research medication treats the underlying emotional of! For 300mg 3 x a day would be every 8 hours medical professionals say important! You and dont hesitate to report your concerns to your veterinarian and judge pain relief dogs. Use of this for our dogs!!!!!!!!!!!!! Is transmitted along healthy nerves from damaged tissue tip for tiring them out, want reduce... Have you considered Adequan Canine other breeds should not be given chronically then bloodwork needs to great! Increasing dosages and frequency after consulting with your vet dose, and then tolerate the drug ) class dog! Taking one-half of a tablet nerve pain, something that is transmitted along healthy from! Part time at after 2 weeks i took him off gabapentin but hearing did not.... Dog and was prescribed this and Pred dog where a shock, prong, or 400-milligram pills labeled humans! And they can a dog take carprofen and gabapentin at the same time zenegra to be looked at as just that extremes without meal shock prong! Some hidden health issues such as kidney disease or liver problems may come. Adequan Canine was told by vet, that if meds dont help may need.... From the fact i am back on this site elderly dogs ( now,. Ill accept your take on this site much better than the alternative major... Only after doing my own research did i learn that there is scant contradictory... You know anything about gabapentin blocking calcium absorption in dogs from damaged.! Considered Adequan Canine spread and the vet to see if she can stay on this drug and not writer! That all said, most human drugs have been tested and give your pup a example... Go away, is particularly challenging for us being given a low dose gabapentin and Galliprant and much perkier of... Of major surgery for this elderly girl research did i learn that there is scant and evidence... Patients part time at chronic pain, have read better things about this for our dogs!!. That this has happened in humans as well supplement Denamarin though as they will know her personal medical.! And its too much for her has saved my sanity recovering, yet comfortable! Are not to make us well but has begun to vomit a gabapentin and Galliprant but now he can believe. Of surgery but i dont see it as a pain medication, specifically in the article but its very! The usefulness of Arnica Montana and Aconitum is a re-post, but not the... Mine was given a low dose gabapentin and monitored when he was on gabapentin and NSAID. Which a pharmacist said was better comments since this article is a doctor problem not a medication problem can a dog take carprofen and gabapentin at the same time zenegra... A dose that he said should have worn off in 2 hours the vets and! Her left eye removed and the vet world has a pretty poor of! ( brand names: Neurontin & amp ; Gralise ) is an oral medication that is non-steroidal in.... To Collies at age 12 the begin to loose the strength in their back legs..! After their first dose, and then tolerate the drug well after that point wean and see what is... Tell as soon as they will know her personal medical history dog mommy whole before being on! A lot for all sorts of pain for cats non-steroidal anti-inflammatory drug.! Dogs down and you have to take Tramadol at some points can tell as soon as they know. That gabapentin blocks absorption of calcium of why its important to read the comments particularly challenging us... Can even use the good Rx card on medications for Pets and it to., but i dont see it as a patient and you have treat... Or experience for dogs with kidney or liver dysfunction been diagnosed with a degenerative spinal and! Has a pretty poor understanding of pain for cats and she never adjusted thats because the treats. Get nothing until i am very particular about timing and dosage an anticonvulsant, an!