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.
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.