Page 80 - BSAVA Guide to Pain Management in Small Animal Practice
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5  |  Pharmacological treatment of pain



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                    In humans, low levels pass into  milk, unlikely to be harmful to  o spring, prevent feeding at time  of peak plasma concentrations  Not licensed due to absence of  safety data availability. Use with  caution and if necessary  In humans low levels pass into  milk, unlikely to be harmful to  o spring, prevent feeding at time  of peak plasma concentrations  See






              Lactating                     Can be used  Can be used









              Caesarean    spring at risk of   respiratory depression/   sedation, consider   delaying administration   until neonates are   delivered  Do not use prior to  Caesarean section, use  cautiously if necessary  after Caesarean section   Can be used  Can be used, provided  arterial blood pressure is   monitored and   hypotension treated  No data, unlikely to be   requ




                    Short-term use unlikely to  harm fetuses, long-term use   associated with fetal   withdrawal syndrome  No safety data available. Use  only if necessary, considering   that all products are  contraindicated in pregnancy     Can be used, provided  hypotension is not caused   that may compromise   placental blood  ow  Possibly teratogenic but   limited data in





              Pregnant                      Can be used                           contraindicated





                    May be more sensitive to  sedative e ects, prolonged  duration of action possible  May be more sensitive to   side e ects, especially  during chronic treatment.  Use minimum e ective dose  Use in older animals may   involve additional risk  May be more sensitive to   No data in dogs and cats  May be more sensitive to




              Geriatric                              Can be used  sedative e ects  sedative e ects  inhibitor;  CA   tricyclic antidepressant.  continues



                    No safety data available  Use low doses to e ect  Consider individual   licences, as there are   signi cant di erences  Paracetamol (dogs only!)  Use in animals younger   than 6 weeks may   involve additional risk  Local anaesthetics  Can be used   there is  greater risk of overdose   due to the small size  No data in paediatric   dogs and cats, widely   No



              Paediatric  Opioids  NSAIDs                    Tramadol  used in children  Antidepressants  dogs and cats





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