Page 80 - BSAVA Guide to Pain Management in Small Animal Practice
P. 80
5 | Pharmacological treatment of pain
VetBooks.ir
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
75
Ch05 Pain Management.indd 75 19/12/2018 10:36