It has come to my attention over the last couple of weeks (it just got sunny here about then, before that, rain rain rain) that she seems to be having a low pain constantly and right now her level of pain is pretty high since she's in the midst of another attack.
Anyway, the vet advised 2g of bute for two days after an attack starts, then 1g a day after that as long as she's in pain.
However, Miss L turns into an absolute fruitloop on bute. Basically, like someone who's in a maniac stage/super high.
Since the first rule of business with an ERU attack is to get inflammation in the eye down asap, a high dose of bute for the first couple of days, until the swelling goes down, seem reasonable.
But, after that initial high dose, when I start tapering off the bute (I'm trying to keep her at a .25g/day dose since that seems to help her usual level of pain without making her nuts) she acts extremely depressed for a few days, then she's fine. I don't thiiiink it's pain making her depressed because when her eyes hurt and I take her flymask off, she'll do whatever she can to get the mask back on. When she's acting like this, she doesn't care of the mask is on or off, acts like she doesn't want to eat - I have to hold her feed bucket to get anything into her, she's unbelieveably cranky, etc etc. It's just weird.
It happened the last time she had an attack and I was tapering her bute off and it's happening now, as I'm tapering the bute off.
Also, before I continue, about the above, the vet and I have talked about it and we're both a stumped. So I am working in conjunction with a vet and Lacey was thoroughly checked out (bloodwork, physical exam, the whole 9 yards) with no out of the ordinary results.
However, after reading up more on the side effects of bute -even in low doses (I wasn't aware that a low dose could do as much harm as a big one!) and just seeing how she is coming off it, I don't think I want to keep her on bute longterm, if at all possible. Seems reasonable to use it in the midst of an attack but I'd like to get it out of her system as quickly as possible.
However, the internets has not been helpful as to what the "best" supplement is and what the correct doseages would be. I'm not made of money so I can't just try a bunch of things and I don't think it's really fair to play around with her pain, yknow?
I've heard that devil's claw is good (no doseage info though!), asprin (same deal - baby or adult? What's the correct doseage??), "No-Bute", "Bute-Less", etc etc.
For you "anti-herbal/whatever" people out there, I'm skeptical too. However, we're a little desperate over here to find something that works and so far the prescribed thing isn't doing so hot.
Sorry for the novel but I just don't know what to do. It's making me a little nuts (and depressed too! Haha) seeing her like this and knowing that this is just going to keep happening in the years to come.
I thought we had such a good lil' regimen all figured out and then bam, back to square one.
If you read it all, you're the best! Hugs and cookies for you!