The end of your pet's life is a sad time for everyone involved. Once you accept that your dog's illness cannot be cured, find a way to make him as comfortable as possible during his final days. Several classes of pain medications exist to treat the different types and severity of pain. The goal is to use the weakest drug possible to provide relief, because the stronger the drug, the more unpleasant the potential side effects.
-
Non-Steroidal Anti-Inflammatories
-
Non-steroidal anti-inflammatory drugs (NSAIDS) work by blocking the production of chemicals responsible for inflammation, swelling and pain. Carprofen, etodolac and meloxicam are just three of the most commonly prescribed medications for mild to moderate pain, usually from arthritis. These drugs are easily absorbed into the bloodstream when taken orally, and most dogs tolerate them well. Combining NSAIDS with each other or with steroid drugs increases the risk of liver disease, and dogs who have poor liver function can experience sudden liver failure on these drugs.
Corticosteroids
-
Corticosteroid drugs do not actually relieve pain itself, but they excel at reducing inflammation that causes pain. Mostly given as an injection, these drugs require only periodic administration instead of a daily pill. Long-term use causes cartilage damage, but these drugs provide efficient, lasting relief in dogs with arthritis so advanced that they have very little cartilage left to be concerned about. If your dog is terminally ill, long-term side-effects are generally not a concern.
Narcotics
-
Narcotics are the drug of last resort for pets who are experiencing severe pain. Veterinary surgeons sometimes use fentanyl patches on animals who have just come through a traumatic surgery, but they are also prescribed as a part of palliative care. Morphine and Demerol offer solutions for pets who are experiencing tremendous suffering while their owners come to terms with the idea of euthanasia. All narcotics pose a risk of dependency as well as a number of unpleasant side effects, so their use is not taken lightly.
Alternative Therapies
-
If your dog is not yet ready to pass away, there are therapies that can make him more comfortable over time. Acupuncture has been shown to reduce pain and stress, and most dogs enjoy the experience. Omega-3 fatty acids and bioflavinoids are thought to decrease inflammation that causes pain when given as a daily supplement, and warm compresses are helpful for localized pain like sore joints.
-