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Peer-reviewed veterinary case report

Treating suspected nerve pain in three dogs with amitriptyline

By Cashmore, R G et al.·Published in Australian veterinary journal·2009·The Queen's Veterinary School Hospital, United Kingdom·View original on PubMed

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Original publication title: Clinical diagnosis and treatment of suspected neuropathic pain in three dogs.

Species:
dog
Brain & nervesDogs

Plain-English summary

Three dogs with ongoing pain and movement issues were referred to a veterinary hospital after not responding to common pain medications. They underwent thorough examinations and tests, which led to a diagnosis of neuropathic pain, a type of pain that is often overlooked in dogs. Treatment with either amitriptyline, a tricyclic antidepressant, or gabapentin, an antiepileptic drug, resulted in significant improvement or complete resolution of their symptoms. All three dogs showed much better mobility and comfort after starting these medications.

People also search for: dog chronic pain treatment · neuropathic pain in dogs · amitriptyline for dogs · gabapentin for dog pain

Abstract

Three dogs were referred to The Queen's Veterinary School Hospital at University of Cambridge for chronic behavioural or locomotor disorders associated with pain. All three had been unsuccessfully treated with conventional analgesics, including non-steroidal anti-inflammatory drugs, glucocorticoids and opiate agonists, prior to referral, with minimal or no response. They were investigated by neurological examination plus conventional ancillary diagnostic tests and therapeutic drug trials. Ruling out other causes of pain and applying previously well-described criteria, each case was diagnosed as consistent with neuropathic pain, a poorly recognised condition in domestic dogs. Treatment with the tricyclic antidepressant drug, amitriptyline, or the antiepileptic drug, gabapentin, resulted in either a dramatic improvement or full resolution of clinical signs in all cases.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/19178477/