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Cerenia and dogs who vomit for no reason.
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Cerenia and dogs who vomit for no reason.

Many of you know my trials and tribulations with Jake the Vomiting Doberman.

No reason for him to vomit after all the tests and such they've done.  He's just what they call a "Puker-dog".  He vomits when his stomach his too empty.

Anyway, they tried him on Cerenia, a new med for dogs with nausea/vomiting.  Its a GODSEND.  its extremely expensive ($32 for FOUR PILLS).  Its to be taken once a day.

He has been getting by on 1/2 tab just before bedtime, and that seems to get him through the entire night without throwing up.  Its the night time puking that is killing us, and our carpets.   So anything that lets me get a whole nights sleep without wakingup to a pile of dog puke is A-ok with me.

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24 Comments Post a Comment
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274158_tn?1276350787
Thats great that you found something that worked. It's expensive, but at least there will be no barf!!It makes it worth it!
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Avatar_f_tn
So, there is another dog that just vomits to vomit!  We have a doxie, Daisy, she is 19 mo old, weighs 11.8 lbs.  If I give her 1/2 a pill each morning, she is great. Only happens when her tummy is empty, and all she throws up is  a little bit of bile and foam.  No other problems,  Her weight is great, so is her "poop". Her vet found nothing wrong with her.  I  need to know if there are any long term side effects that anyone has heard of.  Also, maybe  there is another "antiemetic" that isn't prescription.  Any help appreciated.  I don't have to pay as much as you do, but would seem easier if not prescription.  We are not home this winter, and I feel like a druggie going into a pet clinic for a fix!! Thanks, Mary
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462817_tn?1216654621
We have a 9 year old Rottweiler that will vomit if her stomach is empty.  Usually it's if she doesn't eat her breakfast.  We feed her 2 x's a day.  I've always thought she had a nervous stomach.  She is otherwise healthy.  I'm glad to read she is not the only one but sorry it happens to your dogs, too.  I thought it was just our wacky dog.
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Avatar_n_tn
so far, my dog oscar has been on cerenia (5 half pills each week) for about 8 months. he's recently become confused easily and sometimes falls over for no reason. i'm taking him to see a neurologist next week; i'm not sure if cerenia is the cause of his recent disorientations. has anyone else had related problems?
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390388_tn?1279639813
Peek hi.  Just curious.  Have you ever tried Dramamine?  It might work and would cost far less.  You would have to ask your vet about the proper dose though.  

Anyhow I'm really glad it is working for you.  ;~)
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675347_tn?1365464245
There is a herbal anti-emetic, it is called BLACK HOREHOUND. It is considered safe to use for pregnant women, so (but I am not 100% sure about this) it may be ok for dogs. Probably the tincture form of the herb would be best, as it would be easy to dose him with this.The way to find out for sure would be to ask a herbal vet maybe online? And also check if it ok to use long-term. I have no idea whether it would work or not, but would be SO MUCH cheaper, and maybe worth trying?

I used to have a JRT who just LOVED to puke (for fun?) About an hour before his dinner, he would run and play in the garden, grinning like an idiot, then eat grass quite deliberately, grin at me and puke. (All the grass and a little mucussy liquid) That done, he would run and play again. No-one could get to the bottom of why he did this. At the time he was only 4 or 5 and in perfect health. ok so when dogs eat grass it can make them puke....but he was doing this quite deliberately at a certain time of day, and only when his stomach was empty. He never did it at other times. I wondered (as he showed no ill-effects from this habit) whether he knew what he was doing, and was kind of 'washing out his stomach' (?)
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172023_tn?1334675884
We did try dramamine, didn't help.  

Curiously, benadryl was the only OTC that did help.  If we gave him 50mg at bedtime, usually he wouldn't throw up during the night.

But now we're into week 2 on the new food--no puking!
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675347_tn?1365464245
Another idea...you can try homoeopathic IPECAC (6c /2 tabs/3 times a day) It might be worth a try....Don't ask me HOW homeopathic meds work, because they shouldn't! Yet very often they do!
If you have used the homoeopathic remedies before, forgive me, but I'll post the info. in case anyone else is interested.

Crush the 2 tablets between 2 spoons to make powder. Don't handle the tablets. Dogs usually will lick the powder from a spoon, because it tastes nice. If not, sprinkle powder in the dog's water, or dissolve in water and shoot into the dog's mouth with needle-less syringe,  (back corner of mouth, head held firmly and slightly up)   As soon as there is any improvement, cut the dose from 3 times a day to 2 times (morning and night) Marked improvement, cut to once a day. If symptoms stop, stop the medication. Only start it again if/when symptoms return.
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172023_tn?1334675884
Wonder where you can get them?

He puked again just now.  Sigh.
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675347_tn?1365464245
Well I don't know what the pharmacy stocks where you are Peek. But here in UK you can buy them at the pharmacy. They have a good selection usually too. Or at a health food shop.
This couldn't be a kind of gastritis, could it? When I was a teenager I got that, and I was always worse, felt bloated and nauseous on an EMPTY stomach (the stomach acids make it feel worse) When I'd eaten, it was always better...
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390388_tn?1279639813
So sorry you are having issues again with Jake.  Poor guy and you.  :-{  I was wondering back in around May or so he was having issues with his PH and amorphous crystals wasn't it.  Could the two be related and this be an issue again?  Also I can't remember but have you tried Prilosec?  Sorry just winging it here.  I feel for you.  Take care;
Amy.
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Avatar_m_tn
I have a dog with a "nervous stomach" and for the last seven years we have given her 10mg of Reglan 1 hour before meals and it works great. It is a people medicine that has been around forever, so, safe and effective. I have used this on my other dogs occasionally for vomiting and it works well. In some instances it can cause hyper-anxiety which occurred in two of my dogs. 5mg of Valium quickly stopped the anxiety but I no longer use Reglan on those two. So to recap, Reglan great for most dogs, but, some are sensitive to it. It is cheap and has proven effective for me. I am noticing that Vets are pulling away from Reglan and using these new "Designer Drugs". My personal opinion is they are doing this from an economic standpoint because Reglan is just dirt-cheap and very effective.

Cerenia has only been on the market for about 1.5 years so I do not like to use drugs that have less than two years on the market to determine all side effects that were not discovered during clinical trials. I do use the Cerenia on one of my dogs that was sensitive to Reglan, but, at half the prescribed dosage and it has proven effective in prevention of vomiting with no side effects. I do not know what dose you are buying from your Vet, but, I buy the 24mg dose and pay $1 per pill. $32 seems kind of expensive.

Maybe give the Regaln a try and see if it helps. My dog weighs 48 lbs. and takes 5mg at a time. I buy the 10mg pills and break in half. You will not believe how cheap this stuff is compared to Cerenia.

Best of luck to you and your furry friend. I have 5 dogs now, but at one time we had 10. All were rescued from the street and all were injured when we got them. One even had a gunshot wound. It is terrible what people do to animals. It is great to see people like you that do not discard your dog just because he has an upset stomach. You are a saint to work through it with your dog and help to find him the relief he needs. Sure, you have to clean up vomit, but, just think how lousy he feels with an upset stomach and the feeling of nausea. I think I would rather hit my thumb with a hammer than suffer with nausea. That is just the worst feeling in the world.

I hope the Reglan helps. I am not a Vet, but, I have owned 15 dogs over 23 years and have spent a lot of time staring at them through long nights when they were sick. So what I offer is 23 years of my own observations and what has worked for me over the years. All of my dogs are 50+ pounds and they usually live to be 15+ years old, so we must be doing something right. A good part of that success is a good relationship with our Vet and looking long and hard for a GREAT Vet not just a good Vet. Communicate your thoughts and concerns about the cost of the drug because there are always alternatives.
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172023_tn?1334675884
I've used Reglan.  

But thanks.  And yes, half a dose works very well, and that's what we did until lately, he seems better, I think because of a food change.
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675347_tn?1365464245
I hope your Jake is getting better now. Has the change of food worked? Or is it too early to tell yet ? Anyway, good luck.
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Avatar_n_tn
Our dog just died 12 hours after taking two cerenia tablets.  We are extyremely upset.  She had vomited for two days about three hours after each meal so we took her to the vet who did a battery of tests (cost a fortune) then gave her an injection of something that I thought she said would control the vomiting, followed by a prescription of Cerenia ,2 pills once a day for two days.  She took the first two pills, and three hours later started acting very wierd - walking backwards, looking spacey, would not eat.  She made it through the night but was spacey and no appetite in the morning.  About three hours later she crawled into bed and died.
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Avatar_m_tn
My Dog is a 2 yr old male Chocolate Labradoor called Ruben that has started to vomit in the night.  I initially thought it was his bed time treat of a Denta stick, i stopped that and it seemed to work.  He stopped for about 2 weeks and has just started again, yesterday he was sick in the house during the day time for the first time, i took him to my Vet who did several examinations to feel if there were any 'foriegn bodies' in his stomach. Nothing found. He prescribed 4 tablets of 60mg of Cerenia at a cost of £54 sterling!!!!!
I gave him the first tablet last night and there was no sick this morning but he did look very dopey this morning and stumbled a little and was not interested in his food.  I have complete trust in the Vet however reading other comments especially the one from BuffysMom makes me very apprehensive about sontinuing the meds.
Any help would be much appreciated
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Avatar_f_tn
I have two dogs that will vomit stomach acid if they aren't fed right when they first wake up in the morning.  Instead of giving them pills, I give them a few oyster crackers or a small dog biscuit and they're good to go till it's feeding time an hour or two later.  Works every time.  Just a thought if you want to save some money and avoid giving your dog medicine.
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Avatar_m_tn
My Sheltie has just died after a Cerenia injection. She occasionally vomited in the AM and the vet thought Cerenia was the 'cure'.

Our poor Sheltie became disoriented, in pain, would not eat and finally died. The vet claims to have dosed dozens of dogs with no side effects but I have lost all faith in this product...and my vet.
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1462810_tn?1327364049
I just posted this to Laura235's question about vomiting:  

Your story exactly matches that of a friends Sharpei (spelling?) - They got her from a puppy, healthy.  Her proclivity was to jump the fence.  After a while she starter crying in pain occasionally when she ate.  Then sometimes she would vomit everything (ruining white carpets in the process.)  They took her to the vet repeatedly and did the whole search for the right food thing.  This went on for years.  Then, not understanding the necessity of keeping up her heartworm medicine even during the supposedly "no mosquitoes" months of the year, her husband withheld the medicine during those months one winter and, during her annual checkup the following year, it was determined that she had heartworms.  They authorized heartworm treatment, then got a call from the vet.  He had done some xrays prior to starting treatment and found that (most likely in jumping the fences) she had, in the distant past, ruptured her diaphragm.  Most of her stomach had migrated up through the rupture (thus the pain when she ate and the vomiting).  In her case it had been so long since the injury that the stomach had vascularized in the new position and was therefor inoperable.  The vet said she would likely not survive heartworm treatment and they had to make the terrible decision to put her to sleep.  
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Avatar_f_tn
I am so sorry your lost your dog. I have an 11 yr old standard poodle that started acting weird one morning and I took him to the vet immediately. His stomach had twisted (bloat) and he had emergency surgery. A friend of mine has a standard that also had a twisted stomach and her symptom was walking backward with a strange look. Once again I am so sorry.
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Avatar_f_tn
While Cerenia is a great drug for motion sicknesss or the occasional bout of vomiting (which we have experience with our Yorkie Lhas mix who often eats things he shouldn't and will vomit very easily) I would be very cautious about giving it every day long term.

Cerenia clearly says on their website "You can give your dog CERENIA once a day for up to 2 days in a row. Additional tablets may be given 2 days after the last dose given."   This tells me that this drug is not meant to be given daily long term.

It sounds like your dog is suffering from a gastric reflux.  I am very familiar with this condition because I have it myself and my little dog has been diagnosed with it as well.  In the case of the dog,  he will vomit if he eats his food too fast, doesn't chew it well, eats too much or eats people food.  The vet recommended giving him a Pepcid AC (OTC people medication for acid indigestion).  It can be given daily or as needed.  Our dog weighs 11 lbs and we were told to give him 1/2 tablet 1 to 2 times a day depending on how he seemed to be doing.  We find that once a day works for him and we don't have to use it every day.  He will actually burp when his stomach is acting up and that is when we give it.

The other thing recommended to us that makes a big difference is not to give him all his food at one time.  We used to just leave a bowl of dry food out and he would eat it all at one time around evening meal time.  Now we give him half his food in the morning and half at night.  If he doesn't eat the morning half, we don't give him any more and he will eventually eat it at night but he still doesn't get any more.  Large amounts of food in the stomach before going to bed is another thing that will trigger reflux and thus can cause the vomiting at night when the dog is lying down and still making it harder to digest food.  

Try these things and see how they work for your dog.  
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Avatar_m_tn
my dog has been doing that for about 6 years, since she was around 10 yrs old. The vets don;t know what it is.
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Avatar_m_tn
I have a two year old English Bulldog, who has been throwing up for nearly a year. He has had extensive blood work and fecal tests and everything is perfect.  The vet put him on Cerenia for three days then off for two, and repeat.  She told me however that it is only  a short term fix, and we need to find out why he is throwing up.  But nearly two weeks with no puke....I am a happy girl>
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Avatar_f_tn
I used to have a dog that vomited for no reason, and eventually I figured out that the reason was Heartgard.  After I switched her to Interceptor, she no longer vomited (unless there was a reason, like she was sick).  Too bad we can't get Interceptor anymore, but hopefully it will come back on the market.

If I had dog that vomited when it's stomach was empty, I would suspect that it was hypoglycemic.  I would try feeding it a high-protein diet and would feed small, frequent meals, and see if that helped.  
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