Please Help: After 2 E-Vet Vists Still Do Not Know

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Please Help: After 2 E-Vet Vists Still Do Not Know

This is a discussion on Please Help: After 2 E-Vet Vists Still Do Not Know within the Dog Health forums, part of the Keeping and Caring for Dogs category; This weekend has been a terrifying weekend so far and it just continues. Trucker has be to the e-vet twice to no avail so don't ...

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Old 02-08-2016, 08:03 AM
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Please Help: After 2 E-Vet Vists Still Do Not Know

This weekend has been a terrifying weekend so far and it just continues. Trucker has be to the e-vet twice to no avail so don't thinking I am not trying or willing to pay whatever to get this sorted out. I am trying to get another appointment with his regular vet today but I am also reaching out to you guys in hopes that you may have some ideas.

A little background:

-Trucker has been on Prozac/(Fluoxetine 30mg once a day for about a 3 days and prior 20mg once a day for a week and a half leading up to that.

-He had what look like an allergic reaction rash on his back on Thursday and when I called the vet about giving benadryl with the Prozac I was told to give his Hydroxyzine/Atarax 50mg twice a day until the rash subsided. He was still taking it when this other such happened.
(this is an example picture not him)


-On Friday he had an accident in his crate while I was at work and I assumed it was because I had been a half hour longer than normal.

-On Saturday morning he was slightly more lethargic than normal but I was told that cold be expected with the combination of Hydroxyzine and Prozac. When I got home after a a 3 hour car show in the morning Trucker could barely open his left eye (there is no real discharge other than normal eye boogers) and when he does get it open it was clear his third eyelid was covering his eye still and his face was sagging.

This alarmed me greatly so I immediately found an open vet who could take him and took him ( I wasn't sure what was going on). Upon hearing the meds he was on they said it was a drug reaction and he just needed 11 to 19hours to flush it out of his system.

So 19 hours go by with no change (actually getting worse now both eyes and sides of face) so I call a different e-vet and ask for an appointment and they say come on over. They say his eyes look fine (keep in mind my dog gets hyper alert at the vet and never acts ill at these moments) and send us home.

The worst part about the whole thing is one second he act normal and fine and I think he is better then the next he is so much worse than before.

He is NOT fine, he is scared, he is in pain. So this time I took pictures. So when they can't see it in person because he is forcing himself to "act" healthy I can show them he is not. I am terrified because I feel like no one is providing me answers no matter how much I pay them. They are letting me down and in turn I am letting Trucker down. So I am turning to this community for help, please don't say go to the vet I did and I WILL CONTINUE TO GO TO THE VET but I feel like maybe if I bring them some ideas it might help.

The pictures in his harness were from right after the second visit: The ones where I am holding his face are from this morning.
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Old 02-08-2016, 08:39 AM
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Poor baby. I am sorry I can't help. All I know is what I would do, and that is take him off all pharmaceutical medications and let his body detox, the body always pays some price for taking these pharmaceuticals. I would also consult a homeopathic vet to assist with the detoxification process, but that's just me.

Wishing Trucker healing vibes.
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Old 02-08-2016, 08:39 AM
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Wish I could help you out.

Hopefully, he will flush the stuff from his system. When I had a little dog react to a fly collar back in the early 1990's the vet I took her too, to help the process of getting the poison out of her, hooked her up to an I.V.

She also sedated my dog, who's name was Shilo, because Shilo was having massive muscle cramps from the poison, and also gave her antidote for the poison.

The vet tilted the table Shilo was on, hung a bucket at the end of it and Shilo just started a steady 'leak' after that, due to all the fluid going into her system.

I wonder if that would have worked with your dog...an I.V. ??? By the time you see your vet, it might be too late as far as your dog having flushed out the meds on his own.

Maybe you can check with your vet on this before your appointment, see if increasing his water intake would help. If so, maybe adding a little meat juice to his water would encourage him to drink a bunch of it so that it might hurry the flushing out process along?

I also had another vet help my cat out when she was sick and wasn't drinking. Rather than doing a complicated IV to get liquids in her in a hurry, my vet just injected a large amount of saline fluid under the skin around my cat's shoulder and the body absorbed it quiet fast (but then, my cat was dehydrated a bit at that point too...that fast absorption might not work with a dog that is well hydrated.

I hope every thing comes out oik.

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Old 02-08-2016, 09:45 AM
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@Gnostic Dog The Prozac by itself seemed to be helping Trucker to feel more confident. Then this happened and now he is just really scared, I am using his handle on his harness to help guide him around and talking him through it which seems to help a lot. I was really initially against the medication for this reason and if it turns out this is a side effect of it, I don't think that we will be trying another because the benefits (the little confidence he gains) just don't outweigh the costs (he is just so scared right now and it is so scary for me too). If it is something else then I can't blame Prozac for him getting an eye infection.

@StormyPeak Our appointment is at 11:40 today so hopefully we will get some answers. I know I am asking for an eye stain this time.

I have been giving him 1/3 chicken broth and 2/3 water to drink which was working until this morning when he was just really struggling (although he did eat some kibble). Yesterday he drank so much he had an accident (he is still super lethargic) and then when I got him up still had to go to the bathroom a ton. I am more worried about the lethargy, the eyes, and the droopy face than I am about the dehydration (it really sounds like signs of poisoning not drug interaction, which is really scary).

Things like this scare me.

Last edited by TruckersMom; 02-08-2016 at 09:48 AM.
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Old 02-08-2016, 11:44 AM
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Quote:
Originally Posted by TruckersMom View Post
@Gnostic Dog The Prozac by itself seemed to be helping Trucker to feel more confident. Then this happened and now he is just really scared, I am using his handle on his harness to help guide him around and talking him through it which seems to help a lot. I was really initially against the medication for this reason and if it turns out this is a side effect of it, I don't think that we will be trying another because the benefits (the little confidence he gains) just don't outweigh the costs (he is just so scared right now and it is so scary for me too). If it is something else then I can't blame Prozac for him getting an eye infection.
@TruckersMom, the thing is even if the medication appeared to be working, it is still going to exact a price on Trucker's body, you can't mess with enzymes and expect nothing to happen. JMHO.
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Old 02-08-2016, 11:50 AM
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Oh no! Sorry to hear he is still not well. What have the vets done so far? Have they done any bloodwork?
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Old 02-08-2016, 11:55 AM
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First thing to do is take him off the prozac. It is not necessary for his health, and giving it to him along with the benedryl is sort of like someone who breaks out in hives after eating seafood continuing to do so after taking a dose of benedryl. There are other anxiety meds to try if you want to keep going that route. If you do make sure it is not in the same drug class as the Prozac.

If you want to you can take him off the Prozac, see if the allergic reaction subsides, and if it does put him back on it and see if it comes back. If it does you will know that it's the Prozac that's causing the allergic reaction.
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Old 02-08-2016, 01:24 PM
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I thought you said that it was a drug interaction between the two and assumed you had stopped the allergy med.

Are you going back to the same vet who prescribed two drugs that shouldn't be prescribed together?
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Old 02-08-2016, 02:22 PM
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I agree with those that say its most likely the medication he is on. Any med he is taking, that is not necessary for anything life-threatening, I would get him off of. You might also try getting him to an Vet Internist, as they are the ones with the most knowledge about possible drug interactions and reactions.
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Old 02-08-2016, 06:42 PM
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It's unusual for an allergic reaction to develop more than 24 hours after ingesting the allergen. If he's been on prozac for over a week and has been fine, then I'd hesitate to blame that. But I'd still take him off everything for now.

Also strange that the vet would recommend a medication and give a dosage and instructions without actually seeing the dog first. The clinic where I worked would not do that because it's a liability....The vet is basically treating a condition that he hasn't properly diagnosed.

Hopefully the vet visit you had today got some answers and solutions.
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