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 vs. 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.

Get vet-prescribed gabapentin for your dog—order online through Dutch for safe, convenient pain relief.

What is gabapentin for dogs?

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.

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 form:

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

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

          Gabapetin 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

          Gabapentin 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.

          Learn more about gabapentin for dogs and get a prescription online today.

          What is tramadol for dogs?

          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.

          Tramadol 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. 
          • Chronic pain: Dogs with long-standing issues can benefit from tramadol's pain-relieving properties.
          • Post-operative pain: Following surgical procedures, tramadol provides relief during recovery.
          • Cancer-related pain: For dogs diagnosed with cancer, tramadol offers relief from pain caused by the disease or its treatment.

            Tramadol 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

            Tramadol 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.

            Dog Weight

            Approximate Weight (kg)

            Typical Dose Range (4–10 mg/kg)

            Frequency

            5 lbs

            2.3 kg

            9–23 mg

            Every 6–12 hours

            10 lbs

            4.5 kg

            18–45 mg

            Every 6–12 hours

            20 lbs

            9.1 kg

            36–91 mg

            Every 6–12 hours

            30 lbs

            13.6 kg

            54–136 mg

            Every 6–12 hours

            40 lbs

            18.1 kg

            72–181 mg

            Every 6–12 hours

            50 lbs

            22.7 kg

            91–227 mg

            Every 6–12 hours

            75 lbs

            34 kg

            136–340 mg

            Every 6–12 hours

            100 lbs

            45.4 kg

            181–454 mg

            Every 6–12 hours

             

            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. 

            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 using 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. 

            Gabapentin and tramadol drug interactions

            Gabapentin and tramadol are sometimes prescribed together for dogs because they manage pain through different mechanisms. When used concurrently, their sedative effects may increase, leading to drowsiness, lethargy, or coordination issues, especially when starting treatment or adjusting doses.

            Both medications can also interact with other drugs, particularly those affecting the central nervous system. Tramadol may interact with medications that influence serotonin levels, while gabapentin can enhance the effects of sedatives, making your dog sleepier or more lethargic. A veterinarian should always review your dog’s full medication list to ensure safe use.

            Gabapentin vs. tramadol: How to choose the best medication 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.

            Feature

            Tramadol

            Gabapentin

            Drug type

            Opioid-like analgesic

            Anticonvulsant / neuropathic pain reliever

            Primary use

            Moderate to severe pain

            Chronic, nerve-related, or neuropathic pain

            How it works

            Alters pain perception in the brain

            Reduces nerve signal transmission

            Common conditions treated

            Post-surgical pain, injury, arthritis

            Nerve pain, arthritis, chronic pain conditions

            Sedation risk

            Moderate

            Moderate to high

            Onset of relief

            Relatively fast

            Gradual, may take several doses

            Dosing frequency

            Every 6–12 hours

            Typically every 8–12 hours

            Can be used together?

            Yes, under veterinary guidance

            Yes, under veterinary guidance

            Prescription required

            Yes

            Yes

            Key considerations

            May interact with serotonin-affecting drugs

            Can increase drowsiness when combined with sedatives

            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.

            Dog lying on table being examined by veterinarian

            Keep your dog pain-free with gabapentin from Dutch 

            Choosing gabapentin vs. tramadol for your dog ultimately depends on the type, severity, and cause of their pain. It's helpful to know about these pain relief options for your dog, but 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.

            Join Dutch today to connect with a licensed vet and explore pain relief options for your dog.

            Get gabapentin online today.

            Gabapentin vs. tramadol FAQs

            Why do vets prescribe tramadol for dogs?

            Vets prescribe tramadol to manage moderate to severe pain in dogs, including post-surgical pain, injuries, arthritis, and chronic conditions. It works by changing how the brain processes pain rather than reducing inflammation.

            Tramadol is often chosen because it can be safely combined with other pain medications, such as gabapentin or NSAIDs, allowing vets to customize pain relief based on a dog’s needs.

            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

            Can dogs take CBD and gabapentin?

            Yes, CBD and gabapentin are sometimes used together in dogs, but only under veterinary guidance. Both can cause sedation, so combining them may increase drowsiness or coordination issues, especially when starting treatment or adjusting doses.

            Is tramadol or gabapentin better for dogs in pain?

            Neither medication is better in every case — it depends on the type of pain. Tramadol is often used for moderate to severe pain, while gabapentin is typically preferred for nerve-related or chronic pain, and they’re sometimes prescribed together for enhanced relief.

            Can gabapentin cause diarrhea?

            Yes, diarrhea is a possible side effect of gabapentin in dogs, though it’s less common than drowsiness or lethargy. Gastrointestinal side effects are usually mild, but you should contact your vet if diarrhea persists or worsens.

             

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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

            Frequently asked questions

            With Dutch, you’re never alone when it comes to your pet’s health. Whether your pet needs care or you just have a question, our compassionate and knowledgeable vets are always happy to help.

            Here are some ways you can use Dutch:

            • Care & prescriptions for over 150 issues
            • Behavioral health, nutrition, and exercise advice
            • Puppy, kitten, and new pet parent advice
            • Preventive care plans
            • Night and weekend vet care
            • Second opinions & follow-up care after in-person visits
            • Advice on whether you need to go to the ER or urgent care
            • Vet care when you’re traveling
            • Easy prescription refills
            • Longevity treatment plans 
            • Answers to non-urgent questions

            When booking a video call with a vet, you'll be asked a few questions about your pet’s health issue. Depending on the issue, you may also be asked to fill out a longer questionnaire about their symptoms and share photographs of them so our veterinarians can better understand what’s going on. You’ll then pick an appointment time that works best for you.

            During your video call, one of our licensed veterinarians will talk to you about the symptoms your pet is experiencing, ask you questions, review your pet’s medical history if you’ve provided it, and answer any questions you have. The vet will ask to see your pet and their environment. And they may ask you to perform some simple checks on them if needed.

            After your video call, the vet will send you a message with a custom treatment plan to help your pet feel better, including a link to buy any recommended prescription or over-the-counter medications. Place your order and we’ll ship it free.

            Our vets can provide care and prescriptions for more than 150 issues — and over 90% of cases can be treated virtually. 

            The vet can diagnose your pet based on your description of their symptoms, their medical history, seeing them during your video call, and, if needed, through uploaded photos and videos. They may ask you to do a few simple checks during the call. We also offer a number of at-home lab test kits for dogs and cats.

            The health and safety of pets is our top priority. In the rare case that a vet determines a pet needs to go to a local clinic, they’ll provide a referral and offer advice on how to care for them until they can be seen. 

            Some things that require in-person care include emergencies, wounds that need stitches, and issues that require blood work, imaging (X-rays or ultrasounds), or surgery.

            Our vets are always available for second opinions and follow-up care after in-person vet visits — so you don’t have to navigate health issues alone.

            We offer several membership plans to fit your needs and budget. All of our annual plans include fast, unlimited access to vets via video chat and messaging for up to 5 pets — for one low price.

            Prescriptions and any other treatments the vet recommends aren’t included in your membership. The cost of these varies based on what your pet needs. You can browse our pharmacy to get an idea of medication costs. To make your pet’s care as affordable as possible, we offer a price-match guarantee and free standard shipping.

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