Originally posted by: Baked
If you can't afford to take your pet to vet, don't own a pet.
Originally posted by: theflyingpig
I've been a vet for 25 years, and I've always recommended owners use Tylenol for their animals pain.
Question: Hi Dr Mike:
I have a question about Acetaminophen (Tylenol?). The Receptionist at our local veterinarian told us that in case of fever, it was ok to give our dogs a Tylenol? and NOT to give them ASPIRIN, or IBUPROFEN.
http://www.avma.org/pubhlth/poisgde.asp#yew
According to the AVMA Pet Poison Guide ratings scale, it appears to me that the Acetaminophen (Tylenol?) is more dangerous then the ASPIRIN, or IBUPROFEN. Is this true or am I misunderstanding what I am reading or was this by chance a misprint?
What would you recommend be given to a dog in case of a fever ASPIRIN, IBUPROFEN, Acetaminophen (Tylenol?) or something else?
Thank you for your time. I hope to hear from you soon, David
Answer: David-
Based on reactions in our canine patients, this is the ranking I would give these medications: safest = acetaminophen (Tylenol tm), also safe = aspirin, less safe = ibuprofen (Advil tm, Motrin Rx). However, this is the ranking that I would give them based on the reports in the literature and factoring in the likelihood of a bad reaction causing death: safest = aspirin, also safe but less so = acetaminophen and less safe = ibuprofen.
The reason for these rankings include these things. Aspirin is reasonably likely to cause gastric ulcers, which can be life threatening if ignored but which respond to withdrawal of the medication. Acetaminophen doesn't seem to cause ulcers but there are uncommon reactions to it in which liver failure occurs and this may not respond to therapy, so death is a possibility. Ibuprofen is very likely to cause ulcers, with 100% of dogs developing ulcers with the use of ibuprofen in at least one study. On the other hand, lots of my clients come in and tell me "I gave my dog an ibuprofen last night" and I have only had to treat one or two cases of ulcers and I can't recall a dog dying from this medication, yet.
My personal preference for pain and fever in dogs is aspirin but we do warn our clients to discontinue the medication if the dog stops eating and to call us or come in for a recheck if that happens.
In cats the situation is different. Acetaminophen is very toxic to cats and this medication should simply never be used to treat a cat. Aspirin has a long half life in cats, at least 24 to 48 hours, so it will reach toxic levels pretty quickly if it is given more frequently than once every 48
hours and the dosage is 10mg/lb so a baby aspirin (81mg) is a much more appropriate dosage for a cat than an adult aspirin. I have not seen much information on ibuprofen and cats but it is a good idea to avoid all non-steroidal anti-inflammatory medications in cats, at least until one of them does prove to be safe in someone's clinical trials.
Mike Richards, DVM
Originally posted by: ScottyB
Can you give a dog Tylenol?
In: Dog Health, Tylenol
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I can't believe the two answers below. No, you can NOT give your dog tylenol. Tylenol is FATAL to dogs. My dog is currently at an Animal Hospital in ICU because of ingestion of Tylenol (he got into a bottle) and they said theres a chance he dies in 3-5 days from now - and all he needed to ingest were 3 or more 500 mg tablets (he is 30lbs for anyone to use as a guideline). They vets have a formula that determines the toxicity in dogs - and usually its only a pill or two to become toxic for the dogs. See below for the effects (including death). DO NOT EVER ADMINISTER YOUR DOG TYLENOL WITHOUT CONSULTING WITH YOUR VET. If your dog has ingested tylenol, call up Poison Control - they will give you a case number (which you will need later on at the vet or ER for them to treat him) and then go to your vet or Animal ER for treatment as soon as possible. It takes 5-6 hours from the time of ingestion to move through the stomach into the intestines - and you want to catch it before it moves to the intestines so they can make your dog throw up the pills. If you do NOT know when they were ingested, the approach to help the dog is usually more aggressive.
Originally posted by: PrinceofWands
You shouldn't even give humans Tylenol, it's a crappy drug. That being said don't give an animal anything a vet doesn't clear first. Animals are not people.
Originally posted by: Pepsei
Question: Hi Dr Mike:
I have a question about Acetaminophen (Tylenol?). The Receptionist at our local veterinarian told us that in case of fever, it was ok to give our dogs a Tylenol? and NOT to give them ASPIRIN, or IBUPROFEN.
http://www.avma.org/pubhlth/poisgde.asp#yew
According to the AVMA Pet Poison Guide ratings scale, it appears to me that the Acetaminophen (Tylenol?) is more dangerous then the ASPIRIN, or IBUPROFEN. Is this true or am I misunderstanding what I am reading or was this by chance a misprint?
What would you recommend be given to a dog in case of a fever ASPIRIN, IBUPROFEN, Acetaminophen (Tylenol?) or something else?
Thank you for your time. I hope to hear from you soon, David
Answer: David-
Based on reactions in our canine patients, this is the ranking I would give these medications: safest = acetaminophen (Tylenol tm), also safe = aspirin, less safe = ibuprofen (Advil tm, Motrin Rx). However, this is the ranking that I would give them based on the reports in the literature and factoring in the likelihood of a bad reaction causing death: safest = aspirin, also safe but less so = acetaminophen and less safe = ibuprofen.
The reason for these rankings include these things. Aspirin is reasonably likely to cause gastric ulcers, which can be life threatening if ignored but which respond to withdrawal of the medication. Acetaminophen doesn't seem to cause ulcers but there are uncommon reactions to it in which liver failure occurs and this may not respond to therapy, so death is a possibility. Ibuprofen is very likely to cause ulcers, with 100% of dogs developing ulcers with the use of ibuprofen in at least one study. On the other hand, lots of my clients come in and tell me "I gave my dog an ibuprofen last night" and I have only had to treat one or two cases of ulcers and I can't recall a dog dying from this medication, yet.
My personal preference for pain and fever in dogs is aspirin but we do warn our clients to discontinue the medication if the dog stops eating and to call us or come in for a recheck if that happens.
In cats the situation is different. Acetaminophen is very toxic to cats and this medication should simply never be used to treat a cat. Aspirin has a long half life in cats, at least 24 to 48 hours, so it will reach toxic levels pretty quickly if it is given more frequently than once every 48
hours and the dosage is 10mg/lb so a baby aspirin (81mg) is a much more appropriate dosage for a cat than an adult aspirin. I have not seen much information on ibuprofen and cats but it is a good idea to avoid all non-steroidal anti-inflammatory medications in cats, at least until one of them does prove to be safe in someone's clinical trials.
Mike Richards, DVM
so far very different answers
Originally posted by: theflyingpig
I've been a vet for 25 years, and I've always recommended owners use Tylenol for their animals pain.
Originally posted by: Capt Caveman
Originally posted by: theflyingpig
I've been a vet for 25 years, and I've always recommended owners use Tylenol for their animals pain.
BAN
Originally posted by: PrinceofWands
You shouldn't even give humans Tylenol, it's a crappy drug. That being said don't give an animal anything a vet doesn't clear first. Animals are not people.
Originally posted by: ConstipatedVigilante
Originally posted by: PrinceofWands
You shouldn't even give humans Tylenol, it's a crappy drug. That being said don't give an animal anything a vet doesn't clear first. Animals are not people.
Tylenol is an amazing drug. It's just very toxic if you take even a little too much. Just because you have to be careful with something doesn't mean it doesn't have its uses.
Originally posted by: Capt Caveman
Originally posted by: theflyingpig
I've been a vet for 25 years, and I've always recommended owners use Tylenol for their animals pain.
BAN
Originally posted by: theflyingpig
Originally posted by: Capt Caveman
Originally posted by: theflyingpig
I've been a vet for 25 years, and I've always recommended owners use Tylenol for their animals pain.
BAN
Oh shut up. If anyone bothered to read the post directly above mine and still gave their dog Tylenol then they're an idiot. My post was clearly sarcastic in nature.