What pain relief is safe for my dog with arthritis and liver disease?

Question

Hello, we have a 12 year old poodle mix who was diagnosed 15 months ago as having an enlarged heart and liver , she has in the past had several bouts of acute pancreatitis .. Her latest blood readings showed BUN 63mg/dL. , CREA 1.7 mg/dL and ALKP 641 U/l. . She takes 10mg Enalapril and 80 mg Furosemide+amiloride hydrochloride daily plus a supplement for her liver . She has recently started having a problem with her hip joints and x rays confirm arthritis ,which painkiller is best for her. Pet's info: Dog | Mixed Breed | Female | spayed | 12 years old | 38 lbs

Jennifer Summerfield, DVM CPDT-KA · Accepted Answer

Generally speaking, tramadol or gabapentin are the safest pain medication options for a dog with pre-existing liver or kidney issues. Non-steroidal anti-inflammatory drugs (NSAIDS) have more risks in a dog with these issues, so most vets would probably try to avoid them in this case. I would recommend asking Lulu's regular veterinarian what he/she would recommend - they should be able to prescribe a safe pain medication for her. You might also consider starting a glucosamine/chondroitin supplement such as Dasuquin, along with an omega-3 fatty acid supplement like Welactin - both of these have been shown to be helpful for arthritis, and can safely be used along with prescription pain meds if needed. These are generally considered to be very safe, but it's always best to check with your regular vet before starting any new supplements, to make sure they don't have any concerns.

What pain relief is safe for my dog with arthritis and liver disease?

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