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nekovet, Veterinarian
Category: Dog
Satisfied Customers: 22434
Experience:  Hello, I am a small animal veterinarian and am happy to discuss any concerns & questions you have on any species.
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My dog has not been able to put weight on one of his front

Customer Question

my dog has not been able to put weight on one of his front paw and it appears to be shoulder pain he yelped a couple of days ago after chasing his ball in the garden and had a slight limp which has happened before but it seems to have gotten a lot worse this morning and he nearly fell over twice when he went in the garden very slowly. I gave him an ibuprofen thinking this may help and have now read that this should never be given to a dog and now I don't know what to do am petrified ive just made things a lot worse.
Submitted: 2 years ago.
Category: Dog
Expert:  nekovet replied 2 years ago.

Hello & welcome, I am Dr. B, a licensed veterinarian and I would like to help you with your wee one today.

When did his signs start?

When did you give the Ibuprofen?

How much?

How much does he weigh?

Customer: replied 2 years ago.

this time it started a couple of days ago but it has happened over the last couple of years when he has gone for a long run or is excited and over jumps or runs around fast I gave him ibuprofen a couple of hours ago 200mg and he weighs around 25kg

Expert:  nekovet replied 2 years ago.
Thank you Tanya,

Now as you have noted Ibuprofen is not safe for dogs and cause serious harm to both the stomach (causing upset, vomiting, but also stomach bleeds, ulcers, and perforation) and kidneys. Based on the dose you have given, this is one that isn't likely to harm his kidneys (as long as they are healthy) but could cause those GI signs. So, if you gave this > 2 hours ago, then we will be in a situation where we need to be proactive and block further absorption to limit his risk.

So, where <2 hours would allow us to induce vomiting (which we'd want his vet to administer apomorphine by injection) and get the tablets back, we instead need to consider administering activated charcoal at this stage. This is available over the counter from the pharmacy (ask for the high strength version, not the one for gas) but your local vet will likely have it on hand as well (and can help administer it or potentially dispense some to you). It works by binding any remaining material in the stomach. For activated charcoal, we tend to give 1-4 grams per pound every 8 hrs. This can be mixed with food to be fed or with water to syringe feed (do note that it stains, so keep it away from white carpets/clothes). This will just limit how much is absorbed and reduce the intoxication risk here.

Afterwards, we would need to start him on an antacid to offset the risk of harm to his stomach. There are a number of antacids that are available over the counter and pet friendly. I would advise only treating with one, but the two I tend to use are Pepcid (More Info/Dose @ or Zantac (More Info/Dose @ As well, we can also use Milk of Magnesia (1tsp every 8 hours) with the above or on its own. This is a stomach coating antacid that can reduce stomach acid to reduce harm from t his but also can protect directly as a coating on the stomach lining. Otherwise, we can also have his local vet dispense Sucralfate as a gastroprotectant. Whichever we use here, I would also note that these are usually given 20 minutes before offering food (to allow absorption) and of course you want to double check with your vet before use if your wee one has any pre-existing health issues or is on any medications you haven't mentioned.

As well, we also want to consider offering a light diet option for a few days. Examples of an easily digestible diet include cooked white rice with boiled chicken, boiled white fish, scrambled egg, or meat baby food (as long as its free from garlic or onion powder). Ideally, we want to offer this as small frequent meals to keep the stomach settled but also give the stomach acid something safe to "chew" on.

Overall, this is a dangerous drug for him to have had. So, we need to use the above now. And since he does have shoulder pain (which sounds like a strain), I have to say that it'd be best to have him seen now by your local vet so that they can help you with the above but also start him on a gut safe pain relief (ie Tramadol, Bupenorphine) to reduce stomach based pain with this toxicity but also to address that shoulder too.

I hope this information is helpful.

If you need any additional information, do not hesitate to ask!

All the best,

Dr. B.


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