I'm Dr. Jo and I'm here to help you with your questions about Charlie.
I am so, so sorry you are going through this really difficult time.
When I read your question, I felt compelled to reach out...
I want you to know there are many other "tools in the toolbox" for attempting to manage Charlie's arthritis pain.
I know I wouldn't be comfortable with a decision to put Charlie to sleep until you know you've exhausted all your options for relieving his pain, and there are still a lot of things that can be tried.
what are they
The combination of gabapentin along with tramadol and previcox is more effective than any drug alone.
Additionally, switching from Previcox to another drug from the same category may be beneficial.
can I get this from my vet
There is also a wide range of dosages for tramadol and gabapentin.
You'll want to make sure you've tried the maximum.
There are other modalities besides drugs to try as well...
Be sure Charlie is as skinny as he can be. That makes a huge difference in regards ***** *****
Also, be sure he is taking a high-quality glucosamine supplement like Dasuquin or Rapid Flex.
Herbal remedies like tumeric can also be very beneficial.
The use of "alternative" treatments like therapy laser, cold laser, acupuncture, and VOM (veterinary orthopedic manipulation) can also provide tremendous benefit.
If your veterinarian is unfamiliar with these things, I would ask for a referral to the closest vet who is.
Watching Charlie's mobility decline and pain level increase has to be unbearable, but I am hopeful that help is available.
I was thinking asking another vet and I have tried the herbal I find they work for some time but only for few days