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Dog Arthritis Treatment Options Using Prescription Pain Killers Part 3 - Amantadine 

Amantadine is the generic name of Symmetrel and is a prescription drug that comes in the form 100 mg capsules or 10 mg/ml oral liquid. In veterinary medicine, it is used in as a support therapy to NSAIDs in the management of chronic pain relating to dog arthritis, surgery, or cancer.
 
Talking to Your Vet about Amantadine 
 
The use of Amantadine in the treatment of dog arthritis pain is a fairly new practice. In fact, it was only after a 2008 study that revealed the efficacy of Amantadine as a support therapy to NSAIDs that more vets began considering the drug as a treatment option for dog arthritis. Nevertheless, you should ask your vet the following questions if Amantadine is being considered:
  
  • What are the side effects of Amantadine? There are no known side effects yet established in dogs. However the drug has been known to cause diarrhea, hallucinations, and dizziness in human patients.
 
  • Is Amantadine safe to use with other drugs? Amantadine should never be used together with trimethoprim-sulfa, quinidine, thiazide diuretics, and anticholinergic drugs. Also, inform your vet of any medications (not mentioned in the list), supplements, or vitamins that you are giving to your dog. The information will prove useful if your dog does not respond well to Amantadine.
 
  • What if my dog has a pre-existing condition? More studies are needed in this area. However, as a precautionary measure, vets will avoid recommending the drug to dogs that have seizure disorders or have conditions of the liver, heart, or kidneys.
Use of Amantadine 
 
In the 2008 study, Amantadine was used in conjunction with an NSAID. The test dogs were first treated with Meloxicam for five weeks. In the third week, Amantadine was introduced at a dosage of three to five milligrams per kilogram of the dog’s weight. The drug was given only once every twenty-four hours for the next three weeks. When the study ended, it was revealed that the combination of Amantadine and an NSAID worked better than using an NSAID alone.  
 
Usually when your vet is recommending Amantadine, this will be alongside an NSAID that your vet has chosen to use in your dog. The administration and the dosage will normally follow what was in the 2008 study. Thus, the dose will be around 3-5 milligrams per kilogram of the dog’s weight. However, the use of Amantadine should never exceed fourteen days and the drug can only be used again if the pain returns.  

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