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Peer-reviewed veterinary case report

Treatment of cyclobenzaprine poisoning in two dogs with intravenous

By Dreese, Kaitlyn et al.·Published in Frontiers in veterinary science·2024·College of Veterinary Medicine, United States·View original on PubMed

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Original publication title: Case report: Treatment of cyclobenzaprine ingestion in two dogs with intravenous intralipid therapy.

Species:
dog
Dog having seizuresStomach & digestionDogs

Plain-English summary

A 4-year-old female Rat Terrier and a 5-month-old female mixed-breed dog were both brought to the vet after ingesting cyclobenzaprine, a muscle relaxant. The Rat Terrier showed signs like agitation, tremors, and a fast heartbeat, while the younger dog was dull and had tremors and a loss of gag reflex. Both dogs were treated with a combination of activated charcoal, gastric lavage (to empty their stomachs), and intravenous intralipid therapy, which helped resolve all their symptoms. Thankfully, both dogs recovered fully after treatment.

People also search for: dog cyclobenzaprine poisoning · dog tremors after medication · treatment for dog drug ingestion

Abstract

INTRODUCTION: The objective of this case series is to describe the clinical signs and outcome of cyclobenzaprine ingestion in two dogs treated with intralipid emulsion (ILE) and supportive care. CASE OR SERIES SUMMARY: Two dogs presented for evaluation of cyclobenzaprine ingestion. A 4-year-old female spayed Rat Terrier (dog 1) presented within 4 h of ingestion of cyclobenzaprine (between 9.7 and 25.9 mg/kg). The dog experienced abnormal behavior, agitation, tremors, tachycardia, and hypertension. There were no significant clinicopathological abnormalities. The dog was treated with ILE, cyproheptadine, and activated charcoal. All clinical signs resolved after treatment. A 5-month-old female intact mixed-breed dog (dog 2) presented after ingestion of an unknown amount of cyclobenzaprine 2-3 h prior to presentation. The dog experienced dull mentation, tremors, loss of gag reflex, tachycardia, and hypertension. There were no significant clinicopathological abnormalities. Orogastric decontamination was performed via gastric lavage, and activated charcoal was given via orogastric tube, followed by ILE. All clinical signs resolved after therapeutic intervention. DISCUSSION: This is the first report documenting clinical signs of cyclobenzaprine toxicity in two dogs followed by successful treatment with gastric emptying, ILE, and supportive care.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/38410740/