Sucralfate for dogs - few questions

[Displaced_Yankee]

Welp…the Princess Pumpernickle is on a new host of meds for her swallowing/coughing/reverse sneeze/vomiting/gagging issue. I dunno what to call it anymore…the vet and I have discussed all these terms. sigh

The madame has been prescribed sucralfate, in a slurry, every 8 hours, 30 minutes before meals. Few questions (I have a message into the vet, but he is sometimes slow to get back to me this week)

1. Can I mix her slurry in a chicken or beef broth? She is already pretty over all of the meds and poking and prodding. I’d love anything to make it a little better for her and not hate us.
2. It is not super feasible to dose her every 8 hours right now with out work schedules. (We must work, this creature is lighting my retirement funds on fire) . Is 12 hours ok Monday - Thursdays? We can do every 8 hours Friday-Sunday easy.

Thanks all!

Link to my earlier post:Laryngeal Paralysis in Dogs - (update post 10, 1 month later)

[cattywampus]

With the caveat that I am not PP’s veterinarian, standard disclaimer applies, etc, etc, if one of my patients asked me these questions, I would tell them:

1. I would rather have PP get the sucralfate every 12 hours than not at all, and do not want you to be stressed about the dose interval for this medication. For insulin or seizure meds, timing is more critical.
2. If you give it just before you leave, right when you get home, and right before bed, that could also be an option (unless you get home at 7 and go to bed at 9).
3. If adding a little flavor means the difference between getting it in PP vs on PP, saves your relationship with PP and keeps your fingers on your hand, that’s reasonable. (Flavors/syrup/Kool aid are added in human use as well to increase palatability .)
4. If all else fails, you can probably get it compounded.

[Displaced_Yankee]

Understood the disclaimer and thank you for responding!

• Any issue if we do 3 times a day (morning, after work, late evening) with the 2 later doses being close together. “Hypothetical-but-happens-to-match-my-schedule” schedule: 6:30 AM, 5:30 PM, 11PM/12AM.
• Flavor: do additives reduce efficacy? Alternatives include plain beef broth in a syringe outside of the dosing schedule to maintain friendship. Much like a syringe of applesauce for hard to deworm horses…

She is actually pretty good about everything…but she seems to know that being called into to kitchen = meds .

[cattywampus]

In my opinion, a little broth shouldn’t be a problem (next caveat–I’m not a pharmacist), and giving the occasional broth-only syringe is a good idea. I’ve been known to do what it takes to get the meds in without offending the patient, especially if there could be a stress component to the condition.

As far as time, your hypothetical schedule should be a-ok!

[Displaced_Yankee]

She very much enjoyed her broth only syringe now, slow push of the plunger and she licked it as it came out. That will be my plan for now. Plain slurry for dosing, broth for friendship.

Thank you again!

[Red_Dust]

that was pretty much how I dosed my sweet kitty with the unpleasant antibiotic. Tuna water and meds.

[HunterNiedz]

Hi!!! 16 Yo LARPAR Lab mom here. Our boy has had LARPAR for about 5 almost 6 years and it has been very well managed with herbal Chinese meds as well as tinctures and normal meds like Doxepin and Trazadone.
We just gave our boy sucralfate a few moments ago because he has been gagging and doing his belly breathing again which he hasn’t done in almost a year due to managing it with slippery elm tincutres, nerve & respiratory tincutres etc.
We are praying this sucrafate is the answer.
I was curious how your pup is doing or has been doing on it?

[Displaced_Yankee]

So our dog was diagnosed with…and I quote…‘profound esophagitis’. Sorry, I’ve had nearly 3 different threads on her issues this year!

We do think it helps. We are diligent about making sure to get it in her on a empty stomach (30+ minutes before meals. Our schedule really only permits for every 12 hours, but the closer we keep to that routine the more consistent she is. From my layman’s understanding of the drug…it coats the esophagus and stomach with a chalky coating, preventing further acid erosion and promoting healing. Our next step is to raise the pH level (I think I got that right? Not lower?)

She also gets Cisapride twice a day for the esophagitis, so that has helped too.