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Tramadol not working.

Species: Dog
Breed: mutt
Age: 8-11 years
He is on Tramodol 50 mg 3x a day plus 80lbs of Metacam for Arthritis. He was put on Tramadol for pain when lying down -possible his elbows- and moving to his side moaning. Hes had 4 doses of tramadol with no relief. Does Tramadol have to "build up" in his system to "start" to relieve his pain?


Online vet, Dr. Marie

Dr. Marie replied:

Usually, if Tramadol is going to work we should be seeing some results within the first day of treatment.

Tramadol has a really wide dosing range. You may want to ask your vet if they think you should increase the dose.

Sometimes if Tramadol and Metacam are not working I will add a medication called Gabapentin.

You could also talk to your vet about having an orthopedic surgeon do a SHO (Sliding Humeral Osteotomy) which is a surgery which may help him.



---This question was asked in our Ask A Vet For Free section.---


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Disclaimer: Although Dr. Marie is a qualified veterinarian, the information found on this site is not meant to replace the advice of your own veterinarian. AskAVetQuestion.com and Dr. Marie do not accept any responsibility for any loss, damage, injury, death, or disease which may arise from reliance on information contained on this site. Do not use information found on this site for diagnosing or treating your pet. Anything you read here is for information only.

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Dr. MarieDr. Marie is a veterinarian who practices in a busy animal hospital in Ottawa, Ontario. She created Ask A Vet Question as a resource for good, accurate veterinary advice online. Dr. Marie treats dogs, cats, hamsters, guinea pigs, and rats. She has been a vet since 1999.

Is an online vet visit just as good as a trip to your veterinarian? No! But, many times, asking an online veterinarian a question can help save you money. While Dr. Marie can't officially diagnose your pet or prescribe medications, she can often advise you on whether a vet visit is necessary. You can also ask Dr. Marie for a second opinion on your pet's condition.