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Discussion on Reducing Post-Op Bute Dose

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Natalie Sorscher
Member
Username: sorscher

Post Number: 7
Registered: 12-2007
Posted on Saturday, Apr 12, 2008 - 11:30 pm:   Edit PostPrint Post

Hi Dr O and all,

My gelding underwent front left annular ligament resection with tendon splitting (of basically the entire SDF) on March 5. His recovery has been pretty ideal - we're currently hand walking 25 minutes daily, working toward a goal of 30 minutes daily.

After being discharged he was on 2g Bute/day, reduced to 1 gram after the second week. My instructions were to try to wean him off of the Bute, but to bump him back to 1 gram if necessary.

I reduced his Bute to 0.5 grams daily 4 days ago. His level of soundness has not changed (he's sound at the walk is all I know for sure!) and he seems comfortable. It seems to me, though, there is more heat in his leg on this reduced dose. (The lower dose is the only change I can identify in his circumstances.)

Should I continue at 0.5g/day with the objective of his eventually being Bute-free or is the 1g/day a better regimen for now?

Thank you!
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Robert N. Oglesby DVM
Moderator
Username: dro

Post Number: 20471
Registered: 1-1997
Posted on Sunday, Apr 13, 2008 - 10:35 am:   Edit PostPrint Post

This is a question for your surgeon Natalie but from the information provided this would not be a sign to go back up to me. Increased swelling and/or lameness would be clearer indications.
DrO
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