Raven’s visit to the regular vet

The Urination Situation

Mom & Dad took me to my regular vet today. It’s a 30 minute car ride but it’s much calmer and quieter there with just a few animals and staff. If you remember, I went to the hectic & noisy emergency vet on Saturday because I was frequently peeing small amounts.

The regular vet said his initial test shows some blood in my urine and I’m not concentrating my urine like normal. The dilute urine might be left-over from the fluids the emergency vet gave me on Saturday, but he doesn’t think that’s the case. He sent my urine sample and blood out for more thorough testing and we’ll get the results tomorrow.

In the meantime, I’m starting an antibiotic and waiting for the pain medication to leave my system.

About this pain medication

The pain medication I was given was supposed to last only 24 hours, but it’s approaching 48 hours and my pupils are still dilated (about 2 mm less than yesterday) and I’m still agitated and not acting like my normal self. If you compare today’s and yesterday’s photos, you can see my pupils are still very dilated but I don’t appear to be quite so traumatized or startled. I’m really glad it’s cloudy outside and Mom & Dad are keeping the lights off for me so I don’t suffer from the bright lights. I could close my eyes if I weren’t wired and agitated. I’ve barely slept in the last 2 days.

Raven's dilated eyes

Mom here:

I’m not happy with the adverse effects of the pain medication that Raven was given. Simbadol is an opiate pain medication (buprenorphine) that can be injected once daily for up to three days for pain control in cats. It was recently approved for use in cats.  I’ve used oral buprenorhine before and had no problems with it. After more reading, I don’t think Simbadol was an appropriate drug to use in this situation. It seems more appropriate for post-surgery pain (moderate to severe pain) and Raven was not demonstrating any obvious signs of pain when she was using the litter box. Granted, cats are excellent at hiding pain, and I’m 100% in favor of appropriate pain control, but this seems to have been much too strong a drug for Raven. Or, Raven may be extremely sensitive to it and very slow at clearing it from her system.

I’m not saying Simbadol is a bad drug. My personal philosophy is to use the mildest, safest, shortest-acting drug that will be effective. Based solely on Raven’s reaction, Simbadol is not a drug I would use again unless she were in serious pain. If your vet recommends Simbadol, I suggest discussing if it is truly needed for the level of pain your pet may be experiencing or if there is a milder or shorter acting drug that may be effective.

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16 Responses to Raven’s visit to the regular vet

  1. kittiesblue says:

    Thank you for sharing this info with us. We sure hope Raven gets what she needs from her regular vet and gets the opiate out of her system so she can get back to normal. Sending lots of POTP, prayers and purrs. XOCK, Lily Olivia, Mauricio, Misty May, Giulietta, Angel Fiona, Astrid, Lisbeth and Calista Jo

  2. Mary McNeil says:

    Wow ! Sounds like Raven had just the opposite reaction to what would be expected. Purrayers she clears it out safely and is back to her old self ! Good call on keeping the lights low

  3. mariodacat says:

    Oh dear, poor Raven. Purrs and prayers are coming your way that she gets better soon. Poor baby to be so wired. Thanks for sharing this so we can be aware and ask questions is prescribed for one of our kitties.

  4. We’ve only used oral buprenorphine as well. We sure hope Raven is back to normal soon.

  5. Jan K says:

    Hope the tests come back OK and it’s nothing more than a treatable infection, so Raven can be feeling better soon.
    Our regular vet does not believe in pain meds (we have to ask if we want them). He might be too extreme on one side, but there should be a happy medium! I am very wary of meds, especially newer ones, but I can also be overly cautious. Thanks for sharing this information….it’s tough when we trust medical professionals to do what’s best and they let us down.

  6. Summer says:

    Poor Raven! I wonder if this is what I had last time I needed pain meds – I was loopy for a few days! Not agitated, but goofy, but it did last much longer than it really should have. I hope Raven is MUCH better soon!

  7. Brian says:

    Purrs to you sweet Raven. We agree with the Mom assessment, trust your gut.

  8. Annie says:

    Oh, I’m sorry about these adverse effects from the pain medication! Am I understanding correctly that buprenorphine is the same as Simbadol? I’ve used buprenorphine on two of my kitties with good results and always thought it was a very good pain med for kitties. I’ll click on the link next. I sure hope Raven is able to rest and be comfortable soon and you get good results from the vet.

    • Raven says:

      Simbadol is a newer formulation of buprenorphine for injection manufactured by Zoetis,. This article is fairly technical but it describes three formulas (see the second paragraph on the second page ) http://www.cliniciansbrief.com/sites/default/files/attachments/MEDS_Bupreorphine.pdf

      I have used the formula that you give orally and have not had any bad effects (other than it not working very well for one cat).
      Simbadol is a 24-hour duration injectable that was given to Raven.
      Buprenorphine SR is a 72-hour formula. The vet mentioned she could also give a 3-day medication and I’m assuming this is what she was talking about.

  9. pilch92 says:

    Clearly the injection is too much if her pupils are still dilated, poor kitty. I am praying Raven is better soon.XO

  10. Oh, poor poor Raven. What a miserable weekend. We had to catch up and had no idea. We all purr she feels better soon. And that the test results are good.

  11. Poor Raven. Hope the effects wear off soon and that the lab work gets things sorted out. Keeping you in my thoughts.

  12. Poor Raven, we are sorry you are going through this. We send purrs and healing thoughts. Hope you feel better soon.

    Purrs xx
    Athena and Marie

  13. Deziz World says:

    Well, we are glad this trip wasn’t as taxing. We do hope things work out and dat you’re feelin’ better in no time sweet Raven. We’re sendin’ lots of purrayers. Big hugs

    Luv ya’

    Dezi and Raena

  14. Catching up on your posts… sorry to hear things went downhill a little again after things seemed to be getting so much better with the allergy situation. Hope you get to the bottom of this and Raven is feeling lots better very soon! Sending pawsitive thoughts!

  15. Cathy Keisha says:

    Whoa! That’s some serious opiate going on, Raven. Remind me never to get that stuff.

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