Gabapentin is metabolized through both the liver and kidneys in dogs, so it can potentially put stress on a dog’s liver, especially if liver function is already compromised. It is not necessarily “hard” on the liver, but caution is advised in dogs with liver disease. Q: What Medications Should Be Used in Dogs With Elevated Liver Enzymes and Chronic Kidney Disease? Elevated Liver Enzymes. It has been shown that, in the absence of liver dysfunction, elevated liver enzymes—serum alkaline phosphatase (ALP) and/or alanine aminotransferase (ALT)—are not necessarily a contraindication to the administration of Gabapentin for dogs is an anti-seizure and pain medication commonly prescribed to dogs by veterinarians. Gabapentin for dogs may be helpful for treating chronic pain especially nerve pain that is secondary to neurological diseases such as slipped discs. The most common side effects of gabapentin in dogs include sedation and dizziness. Most dogs are prescribed gabapentin to manage chronic pain associated with arthritis and cancer as well as neural and post-operative pain. It’s often prescribed alongside NSAIDs or opiates. It’s thought to amplify their effect on pain management despite potential side effects. Gabapentin is a unique anticonvulsant that is used as adjunctive therapy in management of epilepsy and for neuropathic pain syndromes. Therapy with gabapentin is not associated with serum aminotransferase elevations, but several cases of clinically apparent liver injury from gabapentin have been reported. Lastly, because gabapentin also undergoes some liver metabolism, it should be used with caution in dogs with liver disease. Which Is the More Effective Analgesic in Dogs—Gabapentin or Tramadol? The short answer is: While rare, gabapentin can potentially contribute to liver injury in dogs, though it’s not a common side effect. The relationship is complex and often involves multiple factors rather than being a direct cause-and-effect scenario. Is Gabapentin okay for dogs with liver disease? My dog took gabapentin for arthritis for a few days and it really helps. She barely moves without it. My dog has elevated liver enzymes (mild) but the vet isn’t sure if it’s mild or serious. She is taking supplements for this. In dogs, gabapentin was useful in the treatment of epilepsy, as well as chronic, neuropathic, and post-operative pain and anxiety. In cats, it was effective in post-ovariohysterectomy-related pain and in the management of anxiety. In horses, it has been administered as an analgesic for chronic pain. Another serious side effect of gabapentin in dogs is liver damage. In rare cases, gabapentin can cause liver toxicity, which can lead to liver failure and death. This risk is higher in dogs with pre-existing liver disease or those taking other medications that can affect liver function. Gabapentin. Gabapentin is used as a pain-relieving medication and anticonvulsant. A 2005 study investigated gabapentin as an add-on anticonvulsant in dogs with refractory seizures and found that in a 4-month period, 3 of 17 dogs were seizure-free and 4 other dogs had a 50% reduction in seizure frequency. The question of whether gabapentin is harmful to a dog’s liver is a valid concern for pet owners, especially when considering long-term medication. In short, while gabapentin is not known to directly cause liver damage in most cases, the situation isn’t entirely black and white. Gabapentin should also be used with caution in animals with kidney or liver disease, as it will take longer to metabolize. What's the Gabapentin Dosage for Dogs? The dosage range for gabapentin varies widely depending on what it’s being used to treat. Gabapentin is metabolized by the kidneys, so it is a safer choice for dogs who have a history of liver disease, though there are other, more effective medications that don’t affect the liver. In dogs with underlying kidney disease opens in a new tab , lower dosing or less frequent dosing may be recommended. In dogs with kidney or liver diseases, gabapentin should be used with caution because it will take longer for them to metabolize the drug. Image Credit By: luchschenF, Shutterstock Frequently Asked Questions (FAQs) So dogs with kidney or liver problems may have more prolonged side effects. Your veterinarian may want to monitor kidney and liver blood values when using gabapentin long-term. Recommended doses While gabapentin is not directly known to cause liver damage, it should be used cautiously in dogs with pre-existing liver disease, as their liver may not be able to metabolize the drug efficiently, potentially leading to increased levels and adverse effects. This short-acting medication should stop working within 24 hours, although effects can be longer in pets with liver or kidney disease. Are there any risk factors for this medication? Gabapentin should NOT BE USED in pets that are allergic to it. Gabapentin should be USED WITH CAUTION in pets that: have kidney disease; are pregnant and/or lactating He continues to remain off gabapentin without any sequelae of liver disease. Discussion. Gabapentin, a gamma-aminobutyric acid (GABA) analogue with an obscure mechanism of action, is Food and Drug Administration (FDA) approved for the management of epilepsy and post-herpetic neuralgia . Additionally, it is used, off-label, for the treatment of However, the effects may persist longer in dogs with liver and kidney disease. Therefore, Gabapentin should be used with caution in dogs with: Liver and kidney problems ; Young puppies ; Pregnant and lactating female dogs; On the other hand, Gabapentin should not be used at all in dogs: Allergic to the active ingredient ; Receiving meds with
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