Hello this is Dr. Aaron. Please let me know when you're available and we can talk about Sandy.
Hello Dr. Aaron. I am free to talk thankyou
Great. When was the last time Sandy's phenobarbital level was checked?
Only a month or so ago and the vet said that it was fine
It is likely that the additional stress of the puppy is causing the seizures.
This type of increase in seizures does not always happen..every dog with epilepsy is very different.
I would recommend calling your local vet and seeing if there is any room to increase the phenobarbital dose.
Usually there is a satisfactory therapeutic range.
Thankyou Dr Aaron. Would the phenobarbital dose be raised temporarily to allow for this time of settling in with the puppy or be raised on a more permanent basis?
I am so sorry. My computer randomly shut down and then it wouldn't work.
It is very possible that Sandy would only require an increased dose until she is more used to the new addition
But it is just as likely that an increased dose would become her dose moving forward.
If the phenobarbital level was such that additional dosage of this medication is not recommended, there are other alternatives that can be added on such as Potassium Bromide, Zonisamide or Keppra
Using a very slow introductory period for the dogs is likely going to be crucial moving forward
You can try to take measures to lower Sandy's stress level. Often times medication is used for this, but because she is already on phenobarbital it would be beneficial to try other avenues.
One option would be a natural product such as Zylkene.
This medication has a milk protein in it that has been showed to ease anxiety in dogs and cats.