Dog Forum banner

1 - 20 of 21 Posts

·
Registered
Joined
·
880 Posts
Discussion Starter #1
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.
 

Attachments

·
Registered
Joined
·
662 Posts
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.
 

·
Registered
Joined
·
1,829 Posts
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.

Stormy
 

·
Registered
Joined
·
880 Posts
Discussion Starter #4 (Edited)
@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.
 

·
Registered
Joined
·
662 Posts
@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.
 

·
Super Moderator
Joined
·
10,820 Posts
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.
 

·
Registered
Joined
·
4,437 Posts
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?
 

·
Registered
Joined
·
2,380 Posts
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.
 

·
Registered
Joined
·
5,884 Posts
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.
 

·
Banned
Joined
·
6,350 Posts
i was once on prozac helped but my skin was a mess not even a week or month later(cant remember as was 1999) came off it skin cleared up so if you increased the prozac maybe he can only take so much of it before a reaction? just make sure his face doesnt swell right up. the medicine the vet gave whats it for?

so sorry he aint well
 
  • Like
Reactions: Rain

·
Registered
Joined
·
880 Posts
Discussion Starter #12
The vet called Trucker a conundrum but that's when we went through all the factors and possibilities together.

Because of how it comes and goes, she ruled out:

  • Drug interactions (although she said this would mimic his symptoms and a good idea to stop the Hydroxyine)
  • Common eye infections
  • Horner's Syndrome
  • Eye Irritants
  • Hay Fever type allergies
  • Head Trauma
  • Poison
Because of the severity and the suddenness at which it occurs, she finally decided that it mostly likely could only be one thing:

  • Anaphylaxis
After seeing the pictures and video of him she told me I need to ensure I had liquid Benadryl with me (for Trucker) always until we figure out what this allergen is because he was on the edge the last time (likening it to a shellfish allergy where you can't even be in the same room as shellfish).

She put him on a week of Prednisone and did a complete blood work up but says she expects to fine nothing in the blood work but if he starts to have an Anaphylactic reaction again I need to bring him straight in no appointment necessary or to the emergency vet or to the closest vet but not to wait at home.

I plan to go see the vet allergist/dermatologist she told me about to see is we can pinpoint the allergens but she said it maybe hard.
 

·
Registered
Joined
·
880 Posts
Discussion Starter #13
i was once on prozac helped but my skin was a mess not even a week or month later(cant remember as was 1999) came off it skin cleared up so if you increased the prozac maybe he can only take so much of it before a reaction? just make sure his face doesnt swell right up. the medicine the vet gave whats it for?

so sorry he aint well
The Hydroxyine was for hives and Prozac is because of his severe generalized anxiety and thanks :) (I probably worry and panic to much about him but my cat and my dog i feel like depend on me to take care of them).
 

·
Registered
Joined
·
880 Posts
Discussion Starter #14
Oh no! Sorry to hear he is still not well. What have the vets done so far? Have they done any bloodwork?
I was actually quite mad about this with the first to visits. They didn't take his temp or do bloodwork. The one actually jump because he growled (I had him muzzled because I knew he was not feeling well so i wasn't sure how he would react to not the vet he trusted). He didn't lung or do anything else but the vet startled him when he came in so he did a baby growl then he relaxed back to just cowering, but you are a e-vet you have never been growled at before.

They really just did physical exams checked his eyes and his gums (I guess to make sure they weren't pale) and sent us home telling us to push fluids.
 

·
Registered
Joined
·
880 Posts
Discussion Starter #15
@Grabby Different vet same vet practice. There are 10 vets at the one vet practice. The one we went to yesterday was actually the one who used to be the vet for the dog I had growing up.
 
  • Like
Reactions: Grabby

·
Registered
Joined
·
880 Posts
Discussion Starter #16
@Gnostic Dog I know, My plan was to reassess at the end of the 60 days to decided if I wanted to wean off.

@Laco I didn't know there were Vet Internists, I just learned there were Vet Allergists/Dermatologists. I will look into one, I know that his high anxiety level causes his immune system to have a hard time fighting off things most dogs could.

@TiggerBounce
That is exactly what I did. He normally gets the Hydroxyine at around 9am (so he hadn't taken it yet on Saturday) and then both at night, so after the first e-vet visit when they said stop the one I decided it wouldn't hurt to stop both until I could talk to his actually vet about everything that had been going on. So by Sunday he had been off everything for since Friday night and was still having the problems and that's why I took him back in. Yesterday when it was the baddest that it had been I knew something weird was up because like you I was thinking 24hrs or more to "wait" to have a allergic reaction just doesn't seem right.

I wish they had seem him that first time it would have avoided this whole thing. Hives + face blowing up + labored breathing =
Anaphylaxis

I still don't get why he is so lethargic but I guess going/fighting through 10+ severe allergic reactions wears a dog out.
 
  • Like
Reactions: Kwenami

·
Registered
Joined
·
2,380 Posts
@Laco I didn't know there were Vet Internists, I just learned there were Vet Allergists/Dermatologists. I will look into one, I know that his high anxiety level causes his immune system to have a hard time fighting off things most dogs could.


I found out about Vet Internists when Samantha was referred to one two years ago, when she was having a terrible reaction to an antibiotic injection she received for bronchitis.
 

·
Banned
Joined
·
6,595 Posts
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.
Actually delayed reactions like this are VERY common with allergens-it's why some of mine were so difficult to pinpoint when I was first figuring it out. I'd drink an herbal tea with a chamomile filler and it'd be hours before I started puking. My dust allergies I only reacted to the day or day and a half after until they got more severe and I could figure out the places that were causing the reactions. It's also particularly common with weird allergic reactions-mine was a chronic cough, which is not what you think of when you think of a reaction. Makes things really hard to diagnose without an actual allergist around. The more you know! lol. I had no idea the delay could be that long either until after I was diagnosed-2 years later.
@TruckersMom I hope you get it figured out with your vet-I think the allergist appointment is a great idea. Maybe keep him in a 'clean room' until you get it figured out, with just a bed that was recently washed and the like? It may or may not help since you'll be trekking things in but reduction of allergens does help even if they aren't completely eliminated, assuming its not the medication. It might help you pinpoint what the reaction is to, at any rate. *hugs*
 

·
Registered
Joined
·
880 Posts
Discussion Starter #19
@Kwenami I immediately took away everything that had come into the house within the last week (put them in a giant black garage bag in the garage) because as soon as we got home his eyes started swelling up, I had to put him outside to keep it from happening again while disinfected the entire house and gave him some Benadryl (which the vet said was okay if he needed it). So for now it looks like we are good and it was one of the new toys or blankets he got last week, I just wish I knew which it was because all of them were duplicates of stuff he already has.
 

·
Premium Member
Joined
·
8,034 Posts
Yikes- hopefully he's on the mend soon! Please keep us posted!

PS - I totally read e-vet as electronic vet, as in online vet, at first... probably shouldn't admit to that stupid thought haha... I was trying to figure out how to tactfully say that an online vet isn't as helpful as an in person vet...
 
1 - 20 of 21 Posts
Top