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Thread: Question about osteoarthritis and pain meds Reply to Thread
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Topic Review (Newest First)
01-25-2013 09:29 PM
Anubis_Star
Quote:
Originally Posted by Magwart View Post
For the sake of comparison to Anubis' vet's prices, KV Supply lists Adequan Canine 5 ml vials in their current print catalog for $52.95 ($105.90 for 10 ml) -- that's way cheaper than buying it from the vet, and they're a reputable source.

At my vet, for an 80# dog, I pay just under $50 per injection for them to do it. The loading dose came to about $400 (2 x week x 4 weeks), then it's $50 every other week to maintain (or $100/mo.). It would be far cheaper to order it from KV Supply and do it ourselves....but I don't want to do an intramuscular injection myself. I'm a wimp about that stuff, so I have to pay my vet's higher fee.

You really need to do the loading dose (twice a week for a month) for it to work though -- you shouldn't skip that to save money, or you won't get the results. The "magic" seems to happen in week 3 of the loading dose, for many people--that's when mine started running for the first time in years.
Yeah, my day clinic can be a little pricey - in fact, most prices are more expensive than the EMERGENCY clinics I work at. So if you could get an outside prescription filled for cheaper, and ideally do it yourself, that would be the best option. At our clinic, we don't charge to do the injection, we simply fill the prescription (like I said 180$ for 10 mls) and then just keep it in our fridge.That may be one reason our price is so high, because we throw in the conveinence of a weekly (or bi-weekly) tech IM injection
01-25-2013 01:13 PM
Magwart For the sake of comparison to Anubis' vet's prices, KV Supply lists Adequan Canine 5 ml vials in their current print catalog for $52.95 ($105.90 for 10 ml) -- that's way cheaper than buying it from the vet, and they're a reputable source.

At my vet, for an 80# dog, I pay just under $50 per injection for them to do it. The loading dose came to about $400 (2 x week x 4 weeks), then it's $50 every other week to maintain (or $100/mo.). It would be far cheaper to order it from KV Supply and do it ourselves....but I don't want to do an intramuscular injection myself. I'm a wimp about that stuff, so I have to pay my vet's higher fee.

You really need to do the loading dose (twice a week for a month) for it to work though -- you shouldn't skip that to save money, or you won't get the results. The "magic" seems to happen in week 3 of the loading dose, for many people--that's when mine started running for the first time in years.
01-25-2013 11:35 AM
Raccoonlassie Unfortunantly it sounds like adequan will be above our price limit. I will do some more looking into it though to see for sure.
Will be speaking to our vet more about it for certain. Hopefully we can come up with a plan that works out well. I am stressed about this all as I am so worried that I will lose Otro!
01-25-2013 04:58 AM
Anubis_Star Adequan is expensive. For 10 mls (2 5ml vials) you are spending 180$ at my day practice I work at. Larger dogs generally get 2-3 mls either weekly or bi-weekly if you're lucky. Weekly, that's a little over a month. Owners can give it at home if they feel comfortable or we just keep their prescription in the fridge and they come in once a week to have us do it (or again, bi-weekly). HOWEVER, it works WONDERS, so if you can afford the cost, I always recommend it.

If metacam isn't working, I recommend looking at rimadyl and potentially even tramadol for bad days. Talk with your vet, they will know which medication would be best to try next.
01-24-2013 09:37 PM
katdog5911 I use adaquan on my newfie cross. Seems to help. But I give him the injections. Vet showed me how, so now I order it online. It is a bit costly though but well worth it.
01-24-2013 07:56 PM
Raccoonlassie He is on a glucosamine supplement with chrondroitin and msm in it. I had not heard of adequan. I will definantly be checking into that though. What was the average cost of the adequan treatment?
01-24-2013 11:44 AM
gagsd My old dog had the feet crossing thing. For him, it was a degenerative condition, not "just" arthritis. So pain meds made no difference.
Best wishes,
01-24-2013 11:29 AM
JeanKBBMMMAAN The Senior Dog
Has a lot of threads with some great information.

DogAware.com: Diet & Health Info for Man's Best Friend has good stuff, as does:
Pain, Arthritis, & Medications Pain in Dogs and Cats: Introduction and Basics
Pain in Dogs and Cats: Injuries, Mild Pain, Arthritis, First Aid
Pain in Dogs and Cats: Post-Surgery, Severe Pain
Adequan: A Near-Miracle for Dogs with Arthritis

There are also vets now who do pain management - Cornell has a service that any vet can call (and maybe pet owners too).

Good luck!
01-23-2013 09:36 PM
Magwart I agree with Jocoyn--ask about Adequan!

Adequan requires a commitment to do the loading dose (2 shots a week for 4 weeks), then maintain with shots every other week probably, but it helps the joints heal and build new cartilage instead of just covering up the pain. I honestly think it should be the first line of treatment for a lot of arthritic dogs because if it works, the results can be dramatic, and it's supposed to be very safe. For some reason, not a lot of vets seem to know about it -- my old vet never mentioned it as an option. I learned about it from this board, then found a younger, more progressive vet who had been using it successfully in his practice, who also did a very thorough ortho exam before prescribing it.

My 10-year-old senior went from moving slowly and having trouble getting up from his bed to wanting to jog again, and even putting his forepaws on my lap and standing up briefly with all his weight on his rear legs -- something he hasn't done in years. The change in him is amazing --- we're totally without NSAIDs in his treatment protocol now, and he's doing really well. We're using a combination of adequan maintenance shots, exercise, supplements, and a low dose of nightly gabipentin before bedtime.

For supplements, we are doing 4,000 mg of fish oil (we worked up to that) because it's a potent natural anti-inflammatory. We also add mixed tocopherol vitamin E, Ester-C, natural eggshell membrane, collagen II, and B-complex. My vet's theory is that my old guy's doing so well because the supplements are supporting the Adequan, and we keep him moving with his daily walks, and the multi-pronged approach consistently yields better results in his patients.

We tried just using NSAID pain meds for a short time before this, with my old vet. We got significant improvement, but not as much as we got with the multi-pronged approach, after fading away the NSAIDs.
01-23-2013 03:33 PM
jocoyn Are you using glucosamine and is the vet injecting adequan?
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