How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. B. Your Own Question

Dr. B.
Dr. B., Board Certified Veterinarian
Category: Vet
Satisfied Customers: 17065
Experience:  General practice veterinary surgeon with extensive experience in a wide range of species.
60269376
Type Your Vet Question Here...
Dr. B. is online now

I am based in the UK. I have a beautiful cat who is nearly

Resolved Question:

Hi, I am based in the UK. I have a beautiful cat who is nearly 20 years old. She has been having difficulty eating and on examination has been diagnosed with severe dental resorptive lesions. The vet advised that the teeth need to be removed under a general anaesthetic. The vet has also given her vetergesic, 0.1ml orally twice a day.
Several years back she had the same vetergesic injected. I believe 0.2ml. The outcome was terrifying. Vomiting, shaking, drooling, hiding and miserable. She refused food and water. Eventually she took some bits but it was too late and she went into kidney failure. She was admitted on a drip and eventually came out fine.
She has previously been diagnosed witness CRF.
The vet is insisting I give her 0.1ml of vetergesic twice a day for pain relief. He is also advising that Vetergesic will be administered post-op. He says it's such a small dose and ping through her digestive system too.
I am keen not to make the same mistake twice because of the frightening and dramatic reaction she had previously. So are there any other safe pain medications with limited side effect that's preferably not an opiate and will not hurt her kidneys? I did wonder about a local anaesthetic or maybe gabapentin or prednisolone.
Thank you so much for any help. She is a dear old thing and I am desperately keen to keep her with me and pain free.
Submitted: 1 year ago.
Category: Vet
Expert:  Dr. B. replied 1 year ago.
Hello & welcome, I am Dr. B, a licensed veterinarian and I would like to help you with your wee one today.
Actually, I have to say that I am surprised to hear about your previous experience with Vetergesic. This is because the drug itself (Buprenorphine) tends to be very kidney friendly. In fact, it is a common pain relief used in cases of human kidney failure and dialysis patients. So, it is odd to hear that she had such a reaction (especially as we'd usually think of those signs related to the non-steroidal anti-inflammatories).
In any case, if she has had such a reaction, then we'd be best to consider an alternative. As I hinted before and with her kidney related history, non-steroidal anti-inflammatories would need to be avoided here. As well, local treatments are no practical as they are short acting and often require sedation to give. Furthermore, while Gabapentin can be tried, its more effective for nerve pain and therefore likely would not really manage this for her. Therefore, with that all in mind and all our concerns, steroids like Prednisolone would be our most reasonable option for this case. They would reduce the pain and inflammation (which the opiates couldn't do) in her mouth. As well, moderate doses tend to be well tolerated in the cat and could actually boost her appetite if it has been on the wane with her sore mouth.
Overall, extraction of the affected teeth would be ideal, but keeping her comfortable is our main priority here. Therefore, considering her history and our UK based treatment options, steroids are going to be the most practical in reducing her discomfort but also reducing the inflammation here.
All the best,
Dr. B.
-----------------------------------------------------------------------------------------------------------------
If you have any other questions, please ask me – I’ll be happy to respond. *Please remember to rate my service once you have all the information you need, as this is the only way I receive credit for helping you today. Thank you! : )
Dr. B., Board Certified Veterinarian
Category: Vet
Satisfied Customers: 17065
Experience: General practice veterinary surgeon with extensive experience in a wide range of species.
Dr. B. and other Vet Specialists are ready to help you

What Customers are Saying:

 
 
 
  • It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found ""JustAnswer"" on my Google search -- you are now in my ""Favorites"" list! And, yes we do love our kitty - she makes our life complete! Bev & George
< Previous | Next >
  • It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found ""JustAnswer"" on my Google search -- you are now in my ""Favorites"" list! And, yes we do love our kitty - she makes our life complete! Bev & George
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Dr Scott Nimmo

    Dr Scott Nimmo

    Small Animal Veterinary Surgeon.

    Satisfied Customers:

    135
    BVMS, MRCVS. { Glasgow UK }
< Previous | Next >
  • http://ww2.justanswer.com/uploads/VE/VetAnswers/2013-4-5_8257_prof10.64x64.jpg Dr Scott Nimmo's Avatar

    Dr Scott Nimmo

    Small Animal Veterinary Surgeon.

    Satisfied Customers:

    135
    BVMS, MRCVS. { Glasgow UK }
  • http://ww2.justanswer.com/uploads/VE/vetforyou/2012-6-20_33122_PearlPhoto.64x64.jpg Dr. Andy's Avatar

    Dr. Andy

    Medical Director

    Satisfied Customers:

    2571
    2003 Graduate
  • http://ww2.justanswer.com/uploads/AN/andrewDVM/2012-4-27_12585_iStock000011751407XSmall.64x64.jpg Dr. Drew's Avatar

    Dr. Drew

    Veterinarian

    Satisfied Customers:

    1840
    Small Animal Medicine and Surgery
  • http://ww2.justanswer.com/uploads/doggfone1/2009-07-16_133633_vet_pic.jpg Dr. Scott's Avatar

    Dr. Scott

    Veterinarian

    Satisfied Customers:

    865
    15 years of small animal, equine and pocket pet experience in medicine and surgery.
  • http://ww2.justanswer.com/uploads/DR/DrRalston/2011-10-18_1611_Vet.64x64.JPG DrRalston's Avatar

    DrRalston

    Veterinarian

    Satisfied Customers:

    169
    Over twelve years of internal medicine, surgery, and preventive care.
  • http://ww2.justanswer.com/uploads/VE/vetdeb/Debbie Headshot 500.64x64.jpg Dr. Deb's Avatar

    Dr. Deb

    Veterinarian

    Satisfied Customers:

    100
    I have been a practicing veterinarian for over 30 years.
  • http://ww2.justanswer.com/uploads/PE/petdoctor09/2011-12-14_51529_Picture1.64x64.jpg petdoctor09's Avatar

    petdoctor09

    Board Certified Veterinarian

    Satisfied Customers:

    72
    Veterinarian, General Practitioner
 
 
 

Related Vet Questions