In particular, Simona looked at treatment and management of seizures. Simona talked about phenobarbital and potassium bromide which are the mainstay of epilepsy treatment. Dosage rates and potential side effects were discussed. In particular potassium bromide should not be used in cats because it can cause bronchial asthma and pancreatitis. Phenobarbitone can cause hypothyroidism.
Some cases are refractory to treatment. Dogs are classed as refractory to treatment if there is no change in frequency or severity of the fits over a 3 month period. If a dog is refractory to treatment human epilepsy drugs may be tried. However, these are expensive and in big dogs may be prohibitory. Levetiracetam, gabapentin and zonisamide are examples.
An approach to status epilepticus was discussed. Midazolam or diazepam can be used in these circumstances. To see the full lecture or to become a member email Anthony@thewebinarvet.com