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  • 1.  Dealing with rescue that has epilepsy

    Posted 03-15-2024 09:29 PM

    Hello all, my name is Matthew and I am 37 years old living in south Texas.

    I took in a rescue dog about 3 years ago as a puppy and unfortunately he was diagnosed with epilepsy at 2 years old.

    its been a rough ride, we went from daily seizures to once or twice a month.

    here recently in the last couple of months, they seem to be coming more abundant.

    he is currently taking 

    92 mg Phenobarbital 

    200 mg zonisimide 

    1400mg Keppra 

    all 2x daily.

    his last vet visit his pheno levels were a little high and are being monitored. But is there room to add more in the zonisimide? Should we ween off Keppra into something else?

    there is no neurological vets near me, all 600-800 miles away and due to finances, I will not be able to take him to one in the near future.  I am not wasting money on a mri as they are $4000, and even if a tumor was found the surgery is much more. 

    I assume bc the medications have worked that, he doesn't have a tumor. But I believe we need to change this cocktail of medicine to something else.

    any help from this community on this matter? 

    thank you


    #Medicine,SurgeryandSterilization

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    Matthew Odom
    Sales
    None
    AR
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  • 2.  RE: Dealing with rescue that has epilepsy

    Posted 03-17-2024 08:45 AM

    Hi Matthew,

    I am a vet in Indiana.  How frequently are you seeing seizure behavior?  How much does your dog weigh?  As far as we know, levetiracetam (Keppra) is a very safe drug with a wide safety margin.  If I were going to increase any medication, it would be the Keppra.  Do you have the extended release prescription?  If not, by the book, Keppra is to be administered every eight hours.  If you do have the extended release form, I have had some luck in switching the dog from twice daily extended release dosing to thrice daily administration of the standard version.



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    Dave Murakowski
    Veterinarian
    Wildcat Valley Animal Clinic
    IN
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  • 3.  RE: Dealing with rescue that has epilepsy

    Posted 03-17-2024 12:43 PM

    I am not a veterinarian nor am I someone who works at a shelter; however, I did have a dog with epilepsy.  She was diagnosed at age 5 and I knew she had it before I adopted her from the shelter.  She was on many of the medications you list.  They controlled her seizures for many years and then every 3-5 years or so she would start having seizures again and would have to change her medication dosages and/or add more meds.  She lived to be 14 and at the end of her life she developed doggie dementia and had to take even more meds for that.  The seizures always came back but became a secondary issue. At the end of her life she was on 9 different pills.  I just wanted to share with you that dogs with epilepsy can have long lives and the mixture of many meds (as you note) was not unusual in our case.  It was terribly expensive, and she was not insurable with pet insurance, but I loved her to death like I'm sure you do yours.  Best of luck.



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    Karen Kirsch
    Founder
    Spayed and Aid
    KY
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  • 4.  RE: Dealing with rescue that has epilepsy

    Posted 03-19-2024 08:26 AM

    Hi Matthew,

    Managing your dog's epilepsy can be tough, especially without nearby specialized care. Considering the increased seizure frequency, discussing medication adjustments with your vet is wise. Zonisamide dosage may be adjustable, but only under veterinary guidance. Transitioning from Keppra to another pet medication without prescription or combination therapy could also be considered. Despite the cost barriers to MRI and specialized care, your vet can still provide valuable insights. Keep close communication with them, track seizure changes, and work together to find the best solution for your furry friend.

    Best wishes to you both.



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    Anna Watts
    UI/UX designer
    TeamLab
    LA
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  • 5.  RE: Dealing with rescue that has epilepsy

    Posted 03-20-2024 02:50 PM

    Hi, Matthew. 

    I have been where you are and I know how it feels to manage epileptic dogs. My heart goes out to you and your dog. I do have access to a veterinary neurologist and defer to her for any changes to medication but what I can offer is a suggestion to keep a detailed log of your dog's seizures if you aren't already doing that. A great tool to use to track seizure activity that will hopefully help your vet when they consider any medication changes is RVC Pet Epilepsy Tracker.  https://www.bing.com/fd/ls/GLinkPing.aspx?IG=B5B8158FFB234C1493D2F988181E0EBB&&ID=SERP,5463.1&SUIH=cUzt4tjPU9ik5Ony32MD8Q&redir=aHR0cHM6Ly9hcHBzLmFwcGxlLmNvbS91cy9hcHAvcnZjLXBldC1lcGlsZXBzeS10cmFja2VyL2lkOTkyOTE3ODA5



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    Grace Kelly
    President
    Finding Shelter Animal Rescue
    PA
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  • 6.  RE: Dealing with rescue that has epilepsy

    Posted 03-20-2024 02:50 PM

    Another suggestion! I have not personally used this service but it could be helpful for you since you do not have a local neurologist available. Good luck! I hope you and your dog get back to a place of peace without seizures! https://www.virtualvetneurology.com/



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    Grace Kelly
    President
    Finding Shelter Animal Rescue
    PA
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  • 7.  RE: Dealing with rescue that has epilepsy

    Posted 03-21-2024 06:13 PM

    You've got some good suggestions here.  How has your dog been doing lately?  We deal with our share of epilepsy cases (I myself had one epileptic dog that lived to 15 years of age and currently have a four-year old that may or may not be dealing with the same condition).  Even at the specialist level there is a good bit of guesswork and drawing from past experience when dealing with this (and other) conditions.  You are doing right by your dog and also realize that a lot of vets can't afford specialist care.  Keep up the good work and I'm sure you will get the right dosages dialed in.



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    Dave Murakowski
    Veterinarian
    Wildcat Valley Animal Clinic
    IN
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