Pain medication, now he's worse

[Seymour's mom]

I took Seymour back to vet today, he said his incision looks great no sign of infection. So probably just pain, he gave him oral pain medicine and said he should be better by tonight. He's just laying there, he'll eat if offered but hes so just out of it. Does pain medicine do that ? God I should have never got him fixed

[LR]

What kind of medicine did they give him?

[Seymour's mom]

I don't know they're just little plunger dispensers and nothing's on the envelope . I'm supposed to give one a day
Does it make them like totally high?

[Nancy in New York]

I don't know they're just little plunger dispensers and nothing's on the envelope . I'm supposed to give one a day
Does it make them like totally high?

Can you take a picture of this med and the dispenser.
Are these pills? I guess I'm not understanding this.
Is your vet an exotics vet that treats squirrels often.
If we can identify the drug we may be able to tell you
how it might affect him.
Is this drug for pain?

[Seymour's mom]

It's a tiny child like oral syringe, clear liquid. Filled to 2ml
For pain . He's moving around more now but still just seems stoned as hell. Is that normal for pain meds?

[HRT4SQRLS]

How much of that are you supposed to give?

Sometimes it will say on the invoice what the drugs are.

[Nancy in New York]

It's a tiny child like oral syringe, clear liquid. Filled to 2ml
For pain . He's moving around more now but still just seems stoned as hell. Is that normal for pain meds?

OK it's filled to 2ml, how much are you suppose to give and how often?

Edit: Sorry didn't see HRTS4SQRLS post.

[Mel1959]

How much of that are you supposed to give?

Sometimes it will say on the invoice what the drugs are.

Yes, look at your receipt from the vet. It may list the drug.

[cava]

Some "pain meds" effect the central nervous system, some manage inflammation. Some can cause dizziness and "highs" and some cause stomach upset and some cause lethargy and so on and so on. It depends on what the actual medicine is. Without this information it's impossible to tell if what he is experiencing is "normal".

[SammysMom]

Offer extra fluids and call the vet in the morning. You will need to ask the med name and the strength for us to double check dosing. I woul dnt give again until you've got that info though, just to be on the safe side.

[Seymour's mom]

OK it's filled to 2ml, how much are you suppose to give and how often?

Edit: Sorry didn't see HRTS4SQRLS post.

They were all pre filled to 2 ml

[Seymour's mom]

Yes, look at your receipt from the vet. It may list the drug.

They didn't give me one this time, he said no charge to look at him .

[LR]

How's Seymour this morning?

[Seymour's mom]

How's Seymour this morning?

He climbed back in his backpack where he normally sleeps,after the medicine he just kept splatting on the floor of his cage.So that's one good sign, he drank some water before going back in. When I woke him up one of his eyes looked sleepy? I offered a . block he ate a tad then went back to sleep. It is early though,he's never awake at this time.

[Nancy in New York]

He climbed back in his backpack where he normally sleeps,after the medicine he just kept splatting on the floor of his cage.So that's one good sign, he drank some water before going back in. When I woke him up one of his eyes looked sleepy? I offered a . block he ate a tad then went back to sleep. It is early though,he's never awake at this time.

Can you call the vets this morning, get the name of the drug and the strength/mg/ml.
Something seems off here.
:Love_Icon Seymour :Love_Icon

[Seymour's mom]

Yes im calling as soon as they open, and definitely not giving anymore of the medicine.

[Nancy in New York]

Yes im calling as soon as they open, and definitely not giving anymore of the medicine.

Exactly, no more for now until we figure this out.
Do you know how much Seymour weighs?

[LR]

If you don't have a scale for him that's something else you can ask the vet. They would have weighed him before surgery and dosing his medicine.

[Seymour's mom]

Exactly, no more for now until we figure this out.
Do you know how much Seymour weighs?

I don't know , I was assuming vet knew to give him the dosage he did.

[Nancy in New York]

I don't know , I was assuming vet knew to give him the dosage he did.

Yes that's what I would assume too, but just ask if they have the weight on him.
Did they do any paper work/make a chart on him?
How old is Seymour, do you have a recent picture?

[HRT4SQRLS]

I don't know , I was assuming vet knew to give him the dosage he did.

Probably, but 2ml seems like a LOT of any medication for a squirrel.
(We dose in tenths or even hundredths of an ml. Never 2 ml.) :thinking
Definitely check... medical errors happen every day.

[Seymour's mom]

He turned 2 beginning of august. I 296019 I don't think the pic loaded

[Seymour's mom]

Oh good it loaded

[Seymour's mom]

Probably, but 2ml seems like a LOT of any medication for a squirrel.
(We dose in tenths or even hundredths of an ml. Never 2 ml.) :thinking
Definitely check... medical errors happen every day.

Omg!! It's probably an overdose, can they recover from that? I would think if it was enough to kill him it would have happened by now ? Maybe just needs to totally leave his system?

[cava]

That birthday photo is adorable. When was the last dose you gave. If he is out of his stupor and drinking and eating, he's probably going to be fine. But definitely check with the vet about the med specifics!

[Seymour's mom]

That birthday photo is adorable. When was the last dose you gave. If he is out of his stupor and drinking and eating, he's probably going to be fine. But definitely check with the vet about the med specifics!

He just ate a blueberry and a squirrel block , but is still in backpack.

[Seymour's mom]

I got him out of bed and brought him to his post, he's just laying down. 296021

[Nancy in New York]

Oh he's precious!
I am going to guess MINIMUM of 700 grams.

[Nancy in New York]

Omg!! It's probably an overdose, can they recover from that? I would think if it was enough to kill him it would have happened by now ? Maybe just needs to totally leave his system?

I would push hydration as much as you can to get it out of his system.
Try some water with a touch of honey for taste. OR anything else that he likes.
Would he still take formula?
This probably isn't possible, but can you stimulate him go pee?
If this is an overdose, stimulation will get it out of his system faster.

[Seymour's mom]

Just got off phone with vet. He weighs 1.1, the medicine was zipronex,buprenorphine. My spellings probably wrong. He said it has a half life of 24hrs so he should be coming out of it and of course don't give anymore. Oh and his dose was .05. I'm supposed to call if not any better

[Seymour's mom]

Oh he's precious!
I am going to guess MINIMUM of 700 grams.

I don't know about grams but hes 1.1lbs lol

[Nancy in New York]

Just got off phone with vet. He weighs 1.1, the medicine was zipronex,buprenorphine. My spellings probably wrong. He said it has a half life of 24hrs so he should be coming out of it and of course don't give anymore. Oh and his dose was .05. I'm supposed to call if not any better

WOW, the weight surprises me.
Seymour's a fox squirrel correct?
1.1 lb is a tad shy of 500 grams.
I've not heard of the drug.
Did you give the dose of .05 OR did you give the
whole 2 mls?

[Seymour's mom]

Is that a good weight? The take home meds are filled to 2,but he gave him a dose in the office and I'm not sure he said .05

[Nancy in New York]

I found this about Buprenorphine.
Does Seymour have a drug problem? :)

How It Works

Buprenorphine is an opioid medicine similar to morphine, codeine, and heroin. It targets the same places in the brain that opioids do. It relieves drug cravings without giving you the same high as other opioid drugs.

Buprenorphine can cause side effects similar to other opioids and also can cause physical dependence.
Why It Is Used

Buprenorphine can help treat addiction to opioid drugs, including heroin and narcotic painkillers. It prevents or reduces withdrawal symptoms caused by quitting these drugs.

[Nancy in New York]

Is that a good weight? The take home meds are filled to 2,but he gave him a dose in the office and I'm not sure he said .05

When YOU give the drug at home, what amount are you giving?
I think the weight is low for a 2 year old fox squirrel, though he looks in great shape,
just surprised he's not heavier

[Jen413]

Probably, but 2ml seems like a LOT of any medication for a squirrel.
(We dose in tenths or even hundredths of an ml. Never 2 ml.) :thinking
Definitely check... medical errors happen every day.

That's what I was thinking when I saw that! Glad he seems to have come out of it. By this point Sammy was pretty much back to his normal self. I'm so sorry he seems to be having such a hard time. Really seems like he was in pain and needed the meds first and then once he got them he either got too much or they just knocked him for a loop. If he's still acting like he's in pain and you have his weight maybe someone could dose infant ibuprofen? Praying your baby feels better today. :Love_Icon


P.S. Every time I read anything about him I find myself closing out the thread while singing, "SUDDENLY SEYMOOOOOORRRREEEE!" :grin2

[Seymour's mom]

When YOU give the drug at home, what amount are you giving?
I think the weight is low for a 2 year old fox squirrel, though he looks in great shape,
just surprised he's not heavier

I haven't given him any, he's had one dose at vets. He gave me some to take home for 3 more days. His initial dose at vet office is all he's had

[Nancy in New York]

I haven't given him any, he's had one dose at vets. He gave me some to take home for 3 more days. His initial dose at vet office is all he's had

Oh, I must have misunderstood. :hug

[Seymour's mom]

Oh, I must have misunderstood. :hug

That's ok 😊 I'm crappy at relaying details lol

[Seymour's mom]

Now I'm worried about his weight too lol ugh not cool for anxiety 😂

[Nancy in New York]

Now I'm worried about his weight too lol ugh not cool for anxiety ��

If he looks good to you, which he absolutely does to me,
he's fine. I just thought he looked larger than 500 grams.
When you feel him, do you feel any ribs, it clearly doesn't
look like you would. :)

[Seymour's mom]

If he looks good to you, which he absolutely does to me,
he's fine. I just thought he looked larger than 500 grams.
When you feel him, do you feel any ribs, it clearly doesn't
look like you would. :)

I don't feel ribs so that's good ��

[SammysMom]

Go to Wal-Mart and get yourself a kitchen scale that weighs in grams. Your anxiety will bge rel I ever and we will be more sure about the dose. By the way, he us adorable and looks perfect. Opiod m eds kick my butt so I understand how he feels!

[TubeDriver]

Something like this:
https://www.homedepot.com/p/Ozeri-Pronto-Digital-Multifunction-Kitchen-and-Food-Scale-in-Elegant-Black-ZK14-S/203725598?cm_mmc=Shopping%7CTHD%7CDigitalDecor%7Cg oogle%7CD29B+Housewares%7C_pkw__pmt__product_20372 5598&mid=spqnFKJHw%7Cdc_mtid_8903yuu57254_pcrid_5116649 7102_pkw__pmt__product_203725598_slid_&gclid=EAIaIQobChMI27WVsJLB1wIVFUsNCh1RTwHrEAQYBSAB EgKwTfD_BwE

I would have guess about 700g too, he hides his weight well! :grin2

[Seymour's mom]

Ok I'll definitely have to get a scale. Funny we don't own a scale for ourselves lol

[Seymour's mom]

Ok it's been the 24hr mark since he had the dose, not as loopy like and weak. He still eats and drinks, however when he went to pee 2 times nothing came out. I looked after he moved and there were no pee spots on the paper. It's new paper because I just changed it because his pee was alot stronger smelling than normal. Maybe he has a uti?

[Seymour's mom]

My vets calling me back after lunch

[Seymour's mom]

He's sending a script to pharmacy😊

[Nancy in New York]

He's sending a script to pharmacy😊

What's the script for UTI or other pain meds?

[Seymour's mom]

What's the script for UTI or other pain meds?

UTI I think it's because he's still getting over mbd, that and stress of surgery.

[Seymour's mom]

I found this about Buprenorphine.
Does Seymour have a drug problem? :)

How It Works

Buprenorphine is an opioid medicine similar to morphine, codeine, and heroin. It targets the same places in the brain that opioids do. It relieves drug cravings without giving you the same high as other opioid drugs.

Buprenorphine can cause side effects similar to other opioids and also can cause physical dependence.
Why It Is Used

Buprenorphine can help treat addiction to opioid drugs, including heroin and narcotic painkillers. It prevents or reduces withdrawal symptoms caused by quitting these drugs.

Hahaha 😂you know the opiod problem in america is bad when the squirrels start using lol I hope this doesnt offend anyone

[LR]

At least he wasn't paranoid and hallucinating...

[Seymour's mom]

At least he wasn't paranoid and hallucinating...

Or was he lol

[LR]

LOL maybe that's why he stayed in the backpack so long....

[Seymour's mom]

Picked up his prescription 1ml 2 times a day of sulfatrim pediatric. Gave him his first dose so hopefully he gets better. 1ml seems like nothing though , that's tiny

[stepnstone]

Picked up his prescription 1ml 2 times a day of sulfatrim pediatric. Gave him his first dose so hopefully he gets better. 1ml seems like nothing though , that's tiny
I hope you mean .01 ??

[Nancy in New York]

Picked up his prescription 1ml 2 times a day of sulfatrim pediatric. Gave him his first dose so hopefully he gets better. 1ml seems like nothing though , that's tiny

What is the strength/mg of the sulfatrim?
Double check your dose.
Did you give the amount of the green arrow which is 1ml?

Black arrow is 0.01ml
Red arrow is 0.1ml
Green arrow is 1ml
https://photos.smugmug.com/photos/i-GbSXpvt/0/18f858e9/O/i-GbSXpvt.jpg

[Scooterzmom]

Now I don't know that medication but seriously, please do check that it's not .1 ml instead as 1 ml is the full syringe! Only me, but I would that would be way too much for a squirrel, and could possibly kill the poor little one... others can chime in, but I've never had such a big dose prescribed for any of my squirrels.

[Seymour's mom]

Sorry it's. O1 , the very end of the syringe .

[Seymour's mom]

I must have scared the **** out of you guys lol Sorry 1ml would be the whole syringe. My bad lol

[Nancy in New York]

Sorry it's. O1 , the very end of the syringe .

Does this have a strength/ml on it?
Is it where the black arrow is on the photo? (previous page)
If it's 50 mg/ml .01 would be the dose for a 25 gram squirrel.

[Seymour's mom]

Yes where the black arrow is, I would have known not to give the entire syringe to a one pound squirrel lol That would have taken pretty much all the medicine in the bottle that's supposed to be administered for 10 days. It's sulfatrim pediatric 200-40mg/5mi sus stip
2times a day for 10 days 😊 he doesn't like it lol

[SammysMom]

I think tgat i s too low a dose, but will confirm with Nancy via pm.

[Nancy in New York]

Yes where the black arrow is, I would have known not to give the entire syringe to a one pound squirrel lol That would have taken pretty much all the medicine in the bottle that's supposed to be administered for 10 days. It's sulfatrim pediatric 200-40mg/5mi sus stip
2times a day for 10 days �� he doesn't like it lol

WOW if my calculations are right this would be 48 mg/ml
We dose at 50 mg/ml.
The chart doses at 25mg/kg.

I'm going to ask someone else to double check my math. :)

By my calculations Semour (@500 grams)should be getting 0.25 twice daily.

http://i673.photobucket.com/albums/vv95/nancym518/Bronx%20Babies%202012/Bronx%20Babies%20%20part%202%20%202012/Wild%20Mammal%20Babies%20Medical%20Section/2036.jpg (http://s673.photobucket.com/user/nancym518/media/Bronx%20Babies%202012/Bronx%20Babies%20%20part%202%20%202012/Wild%20Mammal%20Babies%20Medical%20Section/2036.jpg.html)

[Seymour's mom]

Omg this is maddening lol

[Seymour's mom]

So that would be filling it half way between .02 and .03?

[Nancy in New York]

Yeah this is crazy.
Alright I've already had one rehabber pm me that the squirrel is being underdosed and my
calculations are correct for a 500 gram squirrel.
Hold on for one more to confirm. I KNOW I'm right but still want their input.

This is where the amount should be on a syringe.

https://photos.smugmug.com/photos/i-jQpfdrs/0/134621af/O/i-jQpfdrs.jpg

[Seymour's mom]

It's 5ml. I need bifocals

[Nancy in New York]

I am not sure what “sulfatrim pediatric 200-40mg/5mi sus stip” means?

40mg/5ml?

Good question. The sus means suspension.

[Nancy in New York]

It's 5ml. I need bifocals

You did put 5ml
So this is what your bottle says, correct?
It's sulfatrim pediatric 200-40mg/5mi sus stip
If this is correct, then the strength of yours is 48 mg/ml
almost exactly the strength where the book doses.
You can see the dose for a 500 grams squirrel on the chart of 0.25

Edit: Can you call your pharmacist and ask what the sus stip means after the 200-40mg/5ml?

[Seymour's mom]

I'm confused , so what should I fill it to?

[Seymour's mom]

I called it's the first 4 letters of the manufacturer

[Seymour's mom]

I think the discrepancy is that I initially thought he was overdosed on pain meds when according to the chart it was the correct amount. Vet thought it must have been too strong for him so he probably gave him a lesser dose of the antibiotics. All along it was a UTI not overdose

[Nancy in New York]

This is where the amount should be on a syringe, 0.25 is what you dose,
see the arrow below? Fill your syringe to that.



Yeah this is crazy.
Alright I've already had one rehabber pm me that the squirrel is being underdosed and my
calculations are correct for a 500 gram squirrel.
Hold on for one more to confirm. I KNOW I'm right but still want their input.



https://photos.smugmug.com/photos/i-jQpfdrs/0/134621af/O/i-jQpfdrs.jpg

[Nancy in New York]

I think the discrepancy is that I initially thought he was overdosed on pain meds when according to the chart it was the correct amount. Vet thought it must have been too strong for him so he probably gave him a lesser dose of the antibiotics. All along it was a UTI not overdose

We never had a chart for the drug that Seymour was dosed. :dono
In fact, I have never seen nor heard of zipronex, even when I google it.
You said he was given 1 mL of that drug, that's where we thought he was overdosed.

[Seymour's mom]

Ok 😁 that's what I thought. I learned how to read a syringe, ya learn something new everyday lol That was exactly where the pain medication was dosed to on the syringe. Geez I feel bad for my vet, he thought he overdosed him

[Seymour's mom]

Well, just because it's the same amount, doesn't mean that all drugs are dosed that.
Example if he gave him Metacam the range would have been 0.10 (loading dose) up, depending on the
WMB book you were using.

True that lol well I feel like a dunce today.

[Nancy in New York]

True that lol well I feel like a dunce today.

Not at all. :nono
You're really smart double checking doses, good for you!

[cava]

zipronex = cipromax?

[Nancy in New York]

zipronex = cipromax?

Yeah but this was given for pain. :dono
Unless this is 2 different drugs below, you know like
Clavamox is Amoxi/Clavulinic acid.
I was confused and found just buprenorphine.



Just got off phone with vet. He weighs 1.1, the medicine was zipronex,buprenorphine. My spellings probably wrong. He said it has a half life of 24hrs so he should be coming out of it and of course don't give anymore. Oh and his dose was .05. I'm supposed to call if not any better

[cava]

buprenorphine is also called Buprenex. :dono

[TubeDriver]

This is an opioid pain med and has nothing to do with Cipro.

I do not know what zipronex is? If it is Cipro, than this solution might be a mixture of an antibiotic (cipro) and an opiode pain reliever (Buprenex)?






buprenorphine is also called Buprenex. :dono

[Seymour's mom]

Seymour is feeling much better😊 he woke up at his usual time of 7am and was hanging on his cage ready to come out. He's also been running up and down his tree which is me😁

[Nancy in New York]

Seymour is feeling much better😊 he woke up at his usual time of 7am and was hanging on his cage ready to come out. He's also been running up and down his tree which is me😁

Now this is a fantastic update!!!!!!!!!!!!!!!:bliss :fireworks

[island rehabber]

WHEW, thank goodness! I have been holding my breath every time I check this thread! Yay Seymour!!:great

[TubeDriver]

:w00t

[Jen413]

:w00t:clap:dance

So happy to see this!!!

[Scooterzmom]

So happy to hear the good news!!! :crazy :clap

[SammysMom]

Awesome!!!:Love_Icon

[Mel1959]

Glad to hear Seymour is feeling like himself again. :dance:dance