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Wait Period To Switch From Steroid To Nsaid


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In trying to manage Kasey's LS with all this chemo going on isn't an easy feat. I'd like to weigh some pros and cons for switching from prednisone to an NSAID.

 

The pred right now is essentially handling the inflammation in his back. He has been on a light dose since 2008 to control allergies, so I already had it on hand and the vet said it was ok to increase to help him, this was before the tumour was biopsied.

 

Some days his legs are just sticks on a body, and before he becomes too reliant on the steroid, I'd like to consider another option, that hopefully helps his pain, inflammation and stops the side effects of muscle wasting etc. Is there anything else out there? How long does he have to be off pred before switching - it's difficult for him to go longer than 36 hours right now on 10mg.

 

Similarly, if I visit this Depo injection thing again, he would also have to be off pred for a bit before we do that.....

Edited by XTRAWLD

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10 year old "Ryder" CR Redman Gotcha May 2010
12.5 year old Angel "Kasey" Goodbye Kasey Gotcha July 2005-Aug 1, 2015

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I think the standard is a week in between but JJNg or tbhounds may have better info. Meantime he could have tramadol and/or gabapentin.

 

Hugs to your pupper.

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Yup one weekish pretty standard to my knowledge---even when switching from NSAID to NSAID it's one week. Of course every clinician has their own protocol and it certainly depends on the patient. One thing I will mention because it involves an OTC medicine - of all the NSAIDs aspirin requires the longest washout period between nsaid to nsaid-just FYI.

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My experience with LS was that Gabapentin was what worked, not an NSAID. Although to be fair, George also took Deramaxx, but that was for his overall body ricketyness. I just made that word up I think!


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Well I don't doubt that Gabapentin is working for him, but if it was just gaba alone it wouldn't be enough. Giving him pred is what makes his back straighten back out and his legs "strong". So I'm sorta looking for a replacement of the pred that isn't a steroid......

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10 year old "Ryder" CR Redman Gotcha May 2010
12.5 year old Angel "Kasey" Goodbye Kasey Gotcha July 2005-Aug 1, 2015

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Have you asked your vet?

 

In humans, it depends on how long the drug stays in the system (which is related to the half-life although not the same). That's why washout periods can be fairly different, even for drugs in the same class.

 

Some drugs you have to taper down, too, cold turkey is dangerous. I don't know if that's the case with prednisone, but it's a question to ask your vet.

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