12/20 Maggie AMPS=102, +2=54, +4=59, +6=79, PMPS=96, +2=74, +4=67

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+2=54. Ate about 2/3 of her +2 meal. I think her teeth are bothering her. She had some extractions done a little over a year ago. I think more should have been done, but she had been under anesthesia a long time. In fact, I think it caused some neurological damage. Anyway, her lower jaw is very sensitive. She was scratching it earlier and shaking her head. Unfortunately, because of her age and other medical conditions I don't think she could withstand a dental. I wish I could find a pain med that was easy to administer and wouldn't space her out. Bup is very difficult to give because of her mouth sensitivity, and I'm not sure it has ever done anything for her. Gabapentin makes her dizzy and unsteady.
@Marje and Gracie or anyone else, any thoughts on other pain meds to try?
 
Aw, I'm sorry to hear about her teeth. :( If you find a fix or a workaround, do share, we are in a similar boat with Asia's teeth. Glad to see the almost green AMPS, she is trying really hard.
 
Tried giving Maggie straight food without any supplements and she still turned it down. Tried FortiFlora on top, ate a little. Finally added tuna water, and she drank it down. She's just not feeling good today and I think it is several issues, not just her teeth.
 
Bupe is an injectable so if you could get your vet to give it to you as an injection, I still think it is the best option.

Gapapentin is typically for nerve related pain. Tramadol makes many cats, including my own, crazy. Perhaps your vet would be willing to give you predrawn injectable bupe? The only issue with that is they give bigger needles but you could get them to translate it into a “unit” dosage and use an insulin syringe.
The stuff they give you when you give it orally is the same thing.

Poor girl....I’m so sorry she’s not feeling well. Have you tried baby food like Beechnut? Be sure you don’t buy anything like Gerbers that has vegetable broth. You just want the chicken or turkey in chicken or turkey broth.
 
Marje and Gracie said:
Bupe is an injectable so if you could get your vet to give it to you as an injection, I still think it is the best option.

Gapapentin is typically for nerve related pain. Tramadol makes many cats, including my own, crazy. Perhaps your vet would be willing to give you predrawn injectable bupe? The only issue with that is they give bigger needles but you could get them to translate it into a “unit” dosage and use an insulin syringe.
The stuff they give you when you give it orally is the same thing.

Poor girl....I’m so sorry she’s not feeling well. Have you tried baby food like Beechnut? Be sure you don’t buy anything like Gerbers that has vegetable broth. You just want the chicken or turkey in chicken or turkey broth.
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No, I haven't tried baby food. I'll get some to have on hand. I am getting her to eat a fair bit by drizzling tuna water on her "soup."
I didn't realize the injectable bupe is the same thing as the oral. I will ask my vet about a predrawn bupe. Does that mean she will put it in a vial instead of syringes and then I draw per dose?
Thanks you so much!! :)
 
In the 2015 AAHA/AAFP Pain Management Guidelines for Cats/Dogs, has the following to say about bupe.
in cats, the subcutaneous (SC) route of opioid administration is not recommended. intramuscular (iM) and intravenous (iV) routes are preferred both pre- and postoperatively. The oral transmucosal or buccal route of administration for buprenorphine may have clinical efficacy as well.
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We do have one member here who gets it compounded in a transdermal for the ears.
 
Alicia & Maggie said:
No, I haven't tried baby food. I'll get some to have on hand. I am getting her to eat a fair bit by drizzling tuna water on her "soup."
I didn't realize the injectable bupe is the same thing as the oral. I will ask my vet about a predrawn bupe. Does that mean she will put it in a vial instead of syringes and then I draw per dose?
Thanks you so much!! :)
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I’m not sure how your vet would dispense it. She might put it in tuberculin syringes similar to how she would do it if you were giving it orally. I would discuss with her how she could give it to you and if she would convert the dose to units so you could use insulin syringes. My vet did that for me with ondansetron.

Alicia & Maggie said:
Is that injection subcutaneous, not intramuscular? @Marje and Gracie
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Subq. :)

The transdermal is also something to consider but you have to be sure you wear the gloves and watch the handling of it so it doesn’t get onto you or anyone else/any pets.
 
Is looking into a dental specialist an option for you (not everywhere has one nearby)? I'm asking because they often have the option of calling in an anesthesiologist for geriatric or high risk patients that need dental work for quality of life. We have sent quite a lot of kitties over to our local one, and they have done wonderful. The veterinary anesthesiologist is monitoring anesthesia 100% of the procedure. Wasn't sure if it's something you have looked into or not. (Also, @Stacy & Asia)
Sending healing vines, and hoping she keeps eating and not finding her Bupe (Darwin is VERY difficult to medicate orally as well, so I feel your pain there and am dreading his medications after his procedure in a little over a week).
 
Oh sorry to hear that, hope Maggie will feel better soon or at least be able to eat little bites:(. We get sick with our cats too, i know how do you feel :(. Get well soon Maggie
 
Tasha & Darwin said:
Is looking into a dental specialist an option for you (not everywhere has one nearby)? I'm asking because they often have the option of calling in an anesthesiologist for geriatric or high risk patients that need dental work for quality of life. We have sent quite a lot of kitties over to our local one, and they have done wonderful. The veterinary anesthesiologist is monitoring anesthesia 100% of the procedure. Wasn't sure if it's something you have looked into or not. (Also, @Stacy & Asia)
Sending healing vines, and hoping she keeps eating and not finding her Bupe (Darwin is VERY difficult to medicate orally as well, so I feel your pain there and am dreading his medications after his procedure in a little over a week).
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Yes, that's the plan if we go through with it. There are specialists here with a dedicated anesthesiologist. With Asia, who is near impossible to medicate orally, the first time around they shaved around her wrist and did a fentanyl patch, so that's a pain option you could inquire about. She stared trying to bite it off after the first day and that scared the crap out of me that she could eat it and OD, so I removed it. Bupe is easy enough to give her, they say as long as it touches the mucosa it doesn't much matter if it all goes down, so that's not too bad.
 
Tasha & Darwin said:
Is looking into a dental specialist an option for you (not everywhere has one nearby)?
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There is a dental specialist about an hour and a half from us. He's possibly the only one in the state because I live very close to Oklahoma City, which is the largest city in the state, but I had to go to Tulsa to see this specialist and get extractions and FORLS taken care of a year ago. I was unhappy with his work because she still had sensitivity/pain in her mouth, and I believe she was neurologically damaged because she came back changed. All emotional connections she had to me were gone. I mourned the loss of the Maggie I used to know.
 
Alicia & Maggie said:
There is a dental specialist about an hour and a half from us. He's possibly the only one in the state because I live very close to Oklahoma City, which is the largest city in the state, but I had to go to Tulsa to see this specialist and get extractions and FORLS taken care of a year ago. I was unhappy with his work because she still had sensitivity/pain in her mouth, and I believe she was neurologically damaged because she came back changed. All emotional connections she had to me were gone. I mourned the loss of the Maggie I used to know.
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:(:(:( That’s so sad! I’m very sorry. Did she have Horners Syndrome? The anesthesia can cause it with varying degrees of impact.
 
Alicia & Maggie said:
There is a dental specialist about an hour and a half from us. He's possibly the only one in the state because I live very close to Oklahoma City, which is the largest city in the state, but I had to go to Tulsa to see this specialist and get extractions and FORLS taken care of a year ago. I was unhappy with his work because she still had sensitivity/pain in her mouth, and I believe she was neurologically damaged because she came back changed. All emotional connections she had to me were gone. I mourned the loss of the Maggie I used to know.
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Oh that's heartbreaking! :( She never came back, emotionally in all that time? Did they do X-rays? I hope they didn't leave a chunk of tooth in there, I wouldn't think it should still hurt after healing from the extractions unless they missed a piece. :( I'm so sorry, that must make it an even harder decision to do it again. :bighug::bighug::bighug:
 
@CassAndGordy That's me and Noah! Very quickly, have to leave. Noah should have had all his teeth pulled two years ago but only had a 5% chance of making it through surgery. He was getting oral BUPE and we tried every flavor there was. I honestly thought he was going to have a stroke, he HATED it that much!
This BUPE is the consistency of toothpaste in a syringe, easily measurable and in any strength your vet specifies. You put a little blob on the supplied spoons and smear it on the inside of the ear. Keep the ear clean and rotate ears. You can also use a smaller amount and apply more frequently. Noah is a pretty happy cat considering what he's been through and never gets looped so we don't have to block the stairs. It will expire within 2 months and keeping it cool/cold doesn't help.
If anyone has more questions tag me anytime. :)
 
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