Pomeranian laying on the floor looking as if in pain

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Gabapentin and tramadol are two prevalent pain medications often prescribed for dogs experiencing temporary or chronic pain. Gabapentin specifically targets nerve-induced pain, whereas tramadol, an opiate, offers broad-spectrum pain relief. Both medications are recognized for their effectiveness and are deemed safe for dogs. 

When comparing gabapentin and tramadol for canine pain relief, it's clear that each drug operates differently. Depending on the nature and source of the pain, a vet might prescribe either one of these medications or even both in some cases. The primary objective of using these drugs is to manage pain, ensuring comfort for dogs whether they're facing a brief bout of pain or an enduring pain source.

Read on to learn more about tramadol vs. gabapentin for dogs, and why your vet might choose them for your dog.

What Is Gabapentin?

Gabapentin is an anticonvulsant used to treat a number of neurological disorders. Often sold under the brand names Neurontin, FusePaq, Fanatrex, Gabarone, Horizant, and Gralise, it’s primarily used to treat epilepsy in humans, but can also be used for nerve pain caused by shingles, diabetes, and injury.1 

Gabapentin is often prescribed for dogs off-label, which means it hasn't received FDA approval specifically for canine use. However, off-label prescriptions are a widespread and generally safe practice in veterinary care, tailored to a pet’s specific needs under a vet's guidance. Consult your vet if you have any questions or concerns.

In veterinary medicine, gabapentin is available in the following formats:

  • Capsules
  • Tablets
  • Oral solution
  • Compounded version for dogs that need a customized formula or flavor

Uses

Gabapentin can be used for a variety of conditions and situations, including:

  • Pain: Gabapentin is often prescribed to alleviate chronic pain, especially nerve-related pain.2
  • Seizures: It can be used as an adjunctive therapy for controlling seizures in dogs.3
  • Anxiety: Some vets prescribe gabapentin to reduce anxiety, especially during events like thunderstorms or fireworks.4
  • Post-operative care: It can be given to dogs after surgeries to manage pain and provide comfort.4

Side Effects

The common side effects of gabapentin in dogs include:

  • Excitability
  • Depression
  • Oversleeping
  • Diarrhea
  • Nausea
  • Vomiting
  • Lightheadedness
  • Shakiness
  • Increase in appetite
  • Lack of coordination

Dosage

In terms of how much your dog should take and how often, it is crucial to consult your vet. While the Merck Veterinary Manual suggests 10 mg/kg and up to 30–60 mg/kg three times a day by mouth, every dog is different.2

What Is Tramadol?

Available under the brand names ConZip, Durela, Ultram, Tridural, Qdolo, Ralivia, and Rybix, tramadol is a synthetic opioid used to provide relief from moderate to moderately severe pain in humans. It acts by limiting the brain's reuptake of serotonin and norepinephrine, which in turn reduces the spinal cord's capacity to transmit pain signals to the brain.5

Uses

Tramadol is used to treat many different types of pain in dogs, including:

    • Acute pain: Tramadol can address sudden and severe pain resulting from injuries or trauma. 6
    • Chronic pain: Dogs with long-standing issues can benefit from tramadol's pain-relieving properties.7
    • Post-operative pain: Following surgical procedures, tramadol provides relief during recovery.8
    • Cancer-related pain: For dogs diagnosed with cancer, tramadol offers relief from pain caused by the disease or its treatment.9

    Side Effects

    Most dogs tend to tolerate tramadol well, but like with any medication, they can still experience certain side effects, including:

    • Constipation
    • Diarrhea
    • Anxiety
    • Drowsiness
    • Dizziness
    • Tremors
    • Nausea
    • Loss of appetite

    Dosage

    The dosage prescribed for your dog depends on their weight. Typically, a dose of 4–10 mg/kg is administered orally every 6 to 12 hours. However, based on the nature of the pain and your dog's specific needs, your vet might adjust this dosage. Always follow your veterinarian's recommendations.10

    Comparing Gabapentin And Tramadol For Dogs

    Gabapentin vs. tramadol chart

    Gabapentin and tramadol, while both utilized for pain relief in dogs, function distinctively in addressing pain origins. Gabapentin, primarily used for neuropathic and chronic pain, targets discomfort arising from the nervous system. Its unique mechanism makes it particularly effective for conditions where nerve damage or dysfunction is evident. 

    On the other hand, tramadol is an opioid-based analgesic, more broad-spectrum in its approach. It's commonly prescribed for acute pain scenarios, such as intense discomfort or post-op recovery. While gabapentin is typically well-tolerated and can be used alongside other pain medications, tramadol, being an opioid, has potential for more significant side effects and may cause dependency if used long-term.11 

    Despite their differences, both medications should always be administered under strict veterinary guidance to ensure the safety and well-being of your pet.

    The benefits of combining gabapentin and tramadol together for pain management

    Gabapentin and tramadol can be used together in dogs under the supervision of a vet. When combined, they can offer synergistic effects for pain management, particularly for dogs with chronic or severe pain conditions. Combining these medications can allow for lower doses of each drug, potentially minimizing side effects. Your vet may also prescribe a dog-safe non-steroidal anti-inflammatory drug (NSAID) in conjunction with tramadol and gabapentin for dogs who are in acute pain and need maximum pain relief.12 

    Which Medication Is Right For Your Dog?

    List of considerations for prescribing pet pain medication

    Before choosing tramadol or gabapentin for your dog's pain, always consult your vet. Both meds require a prescription and the prescribed dosage may vary based on your dog's specific pain issue. The first step is a vet check-up to identify the cause of the pain. After evaluating your dog, the vet will recommend either tramadol, gabapentin, or possibly a combination, considering the nature of the pain and any other health factors. They may also prescribe a different medicine, such as a NSAID.

    Here are some of the factors your vet will consider before prescribing your dog gabapentin:

    • Diagnosis: Your vet conducts various tests and imaging to pinpoint the cause of your dog's pain and solidify their preliminary diagnosis. 
    • Medical history: Reviewing your dog's past health issues and previously prescribed medications provides context.
    • Known allergies and sensitivities: Some dogs might be allergic or sensitive to ingredients in medications. The vet checks for any signs your dog might not tolerate certain drugs.
    • Drug interactions: If your dog is already on medication, your vet checks for any possible adverse reactions with gabapentin and tramadol. If there's a known negative interaction, alternative pain relievers may be considered.
    • Type and severity of pain: The vet examines the type and intensity of your dog’s pain. Their prescription will align with these findings.
    • Age and weight: Your dog's age can influence medication decisions. As dogs age, their response to medication can change. Meanwhile, weight is crucial for determining the correct dosage to ensure effective pain relief.
    • Side effects: Both gabapentin and tramadol have potential side effects. By examining your dog's history and any past drug intolerances, the vet can make an informed choice.
    • Cost: If two medications are equally effective but one is cheaper, the vet will discuss the pros and cons with you.

    Considering all these factors, your vet will make the best medication choice for your dog. Always feel free to discuss any concerns or questions with your vet, ensuring you're well-informed and confident in the care your dog receives.

    FAQs

    Can I give my dog gabapentin and tramadol at the same time?

    While it's possible to give your dog both medications concurrently, it's crucial to do so only under your veterinarian's guidance.

    Are there OTC pain meds for dogs?

    Over-the-counter pain medications for dogs are not recommended without veterinary guidance. It's crucial to consult a veterinarian for any concerns about your dog’s pain management. Using human medications can be harmful and ineffective for your furry friend, so it’s crucial to prioritize their well-being with professional advice.

    How can I tell if my dog is in pain?

    Dogs exhibit pain in varied ways. Some symptoms may develop slowly, while others can be sudden. They might start favoring a limb or become sensitive in a particular area. Common indicators of pain in dogs include:

    • Yelping or other vocalizations
    • Flattened ears
    • Lethargy
    • Reduced appetite
    • Limping and/or stiffness.
    • Unable to keep up during walks
    • Reluctance to jump, run, play, or engage in other activities

    Dog lying on table being examined by veterinarian

    Final Notes 

    When comparing gabapentin vs. tramadol for dogs, it's important to note that they can be administered concurrently for pain management. Each medication operates through unique pain-relieving mechanisms, allowing them to effectively complement one another. In certain cases, they can even be combined with an NSAID to achieve comprehensive pain relief for intricate pain profiles. While it's beneficial to be aware of these pain relief options for your dog, it's crucial to engage in a conversation with your vet before deciding on any medication.

    At Dutch, we provide accessible online vet care, offering customized treatments for your pet. From arthritis to UTIs, our team can address a variety of conditions. With Dutch, there's no need to disrupt your pet's comfort by making them travel, especially when they're in pain. Experience the convenience of Dutch and get your pet’s prescriptions delivered free straight to your door from our online pharmacy. Try Dutch today. 

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    References

    1. Gabapentin (Oral Route), Mayo Clinic, 1/8/2023, https://www.mayoclinic.org/drugs-supplements/gabapentin-oral-route/description/drg-20064011.

    2. Di Cesare, Federica and Negro, Viviana. et al. "Gabapentin: Clinical Use and Pharmacokinetics in Dogs, Cats, and Horses." MDPI Animals. Jun. 2023. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10295034/.

    3. Thompson, H. C., and J. B. Storer. "Genetic improvement in beef cattle." Australian Veterinary Journal, vol. 83, no. 3, March 2005, pp. 146-151. Wiley Online Library, doi:10.1111/j.1751-0813.2005.tb13269.x.

    4. MDPI. "Effects of Aging on Animal Behavior: A Review." Animals, vol. 13, no. 12, 2023, pp. 2045. MDPI, https://www.mdpi.com/2076-2615/13/12/2045.

    5. “Antiepileptic Drugs.” Merck Veterinary Manual. https://www.merckvetmanual.com/multimedia/table/antiepileptic-drugs.

    6. "Perceptions of climate change risk and adaptation among ranchers in the Great Plains." Global Environmental Change, vol. 68, 2021, 102284. ScienceDirect, https://www.sciencedirect.com/science/article/abs/pii/S1467298721000143.

    7. "Bridging the gap between urban and rural veterinary medicine through short-term experiential placements." Veterinary Record Open, vol. 8, no. 1, 2021, e9. PubMed Central, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8520146/

    8. Peterson, M. N., et al. "Fostering rational decision-making in conservation and natural resource management: An exploration of the contributions of behavioural sciences." Oryx, vol. 46, no. 4, 2012, pp. 513-523. Taylor & Francis Online, https://www.tandfonline.com/doi/abs/10.1080/00480169.2011.641156

    9. "Land-use transition and vertebrate biodiversity decline in the American Great Plains." Global Environmental Change, vol. 41, 2016, pp. 287-299. ScienceDirect, https://www.sciencedirect.com/science/article/abs/pii/S1467298716302380

    10. Grond, S. Sablotzki, A. Clinical pharmacology of tramadol, National Library of Medicine, https://pubmed.ncbi.nlm.nih.gov/15509185/

    11. Warne, L.N. "Injectable and Oral Tramadol for Pain Control." World Small Animal Veterinary Association Congress Proceedings, 2018. https://www.vin.com/apputil/content/defaultadv1.aspx?pId=22915&catId=124676&id=8896806&ind=455&objTypeID=17 

    12. Burke, Anna, Tramadol for Dogs; Uses and Side Effects, American Kennel Club, 30/11/2016, updated 18/8/2018, https://www.akc.org/expert-advice/health/tramadol-for-dogs/ 

    13. Get the Facts about Pain Relievers for Pets, U.S. Food and Drug Administration, https://www.fda.gov/animal-veterinary/animal-health-literacy/get-facts-about-pain-relievers-pets

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    Frequently Asked Questions

    Who is Dutch?

    Dutch is an online veterinary pet telehealth service, created by pet parents and board-certified veterinary specialists. We use a science-backed approach to provide pets relief for their everyday physical and behavioral health issues. Dutch connects you with licensed veterinarians over video chat and messaging to help you get care for your dog or cat quickly wherever you are — without the stress or expense of a vet visit. We also partner with pharmacies who can deliver prescription medication (in applicable states only) and over-the-counter treatments directly to your door. Dutch isn’t a veterinary practice or pharmacy, but a company that helps facilitate these services for pet parents to make veterinary care more accessible to all.

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