Premeds without ACP ?

Re: Premeds without ACP ?

Claire Cameron — Sun, 06 Mar 2011 13:50:59 GMT

Our Calmivet pre-med dose is 0.01ml/kg

Our pre-med protocol is Calmivet/Methadone

Re: Premeds without ACP ?

Claire Cameron — Sun, 06 Mar 2011 13:50:48 GMT

Our Calmivet pre-med dose is 0.01ml/kg

Our pre-med protocol is Calmivet/Methadone

Re: Premeds without ACP ?

Claire Cameron — Sun, 06 Mar 2011 13:49:25 GMT

Using Calmivet diluted is off license use. Just a note of caution

Re: Premeds without ACP ?

Phrin Vernon RVN — Thu, 03 Mar 2011 21:55:20 GMT

Fortunatley, thanks to this forum I managed to stockpile a load of ACP

As far as diluting Calmivet goes - I don't think I'd be comfortable with that. If you use the 0.3ml graduated insulin syringes, you can draw up really accurate tiny doses of drugs, and I think that is what I'd prefer to do.

It does concern me that because you are using an insulin syringe, you can't change the needle before administration though

Re: Premeds without ACP ?

les punton — Wed, 02 Mar 2011 21:39:59 GMT

wev diluted ours into a vaccutainer (only small amts at a time), withno problems so far

Re: Premeds without ACP ?

bumble bee — Tue, 01 Mar 2011 17:16:28 GMT

We have been using it diluted with sterile water to 2mg for about 1 month with no problems.Vetoquinol should be able to supply dose charts if required.

Re: Premeds without ACP ?

dinkyd — Thu, 24 Feb 2011 08:47:30 GMT

Just to clarify as dont think i was very clear...we were advised not to dilute to a 2mg/ml concentration and store it but to draw up in a syringe and then dlitue it would be fine!

Re: Premeds without ACP ?

Nicola Smith — Thu, 24 Feb 2011 07:48:51 GMT

My concern with diluting would be sterility and also will it mix properly or will it separate out? We will be using it from the bottle but reviewing protocols for smallies and wil mean insulin syringes etc.

Does anyone know will 2mg/ml ever be coming back or are we stuck with this now?

Re: Premeds without ACP ?

dinkyd — Wed, 23 Feb 2011 20:47:08 GMT

Our Calmivet arrived today ......about 3 weeks late!We have been advised NOT to dilute it due to the preservative in Calmivet.Quite liked our new pre-med protocol to with dom!

Re: Premeds without ACP ?

Clair Crowley — Wed, 23 Feb 2011 08:59:33 GMT

10ml calmivet added to 15ml water for injections gives you 25ml of 2mg/ml solution - out vet has already worked it out for us :)

Re: Premeds without ACP ?

Clair Crowley — Wed, 23 Feb 2011 08:58:19 GMT

we are also on the last dregs of our acp and waiting for delivery of calmivet, We are diluting it down to 2mg/ml concentration so can use it as you would acp,

Re: Premeds without ACP ?

Charvana — Sun, 20 Feb 2011 16:03:17 GMT

This sounds like a good idea, could you let me know how you calculate it to change from 5mg/ml to 2ml/ml? My brain hurts if i try!! :)

Re: Premeds without ACP ?

Susan Jackson — Wed, 26 Jan 2011 19:29:37 GMT

I heard the ACP was temperary and will be back in about 6-9months time. Anyone heard anything differently? Sorry we stockpiled a load for this time.

Re: Premeds without ACP ?

Dove — Wed, 26 Jan 2011 16:23:36 GMT

We are going to use Calmivet and dilute the dose with sterile water so that we are still using a 2mg/ml solution.

Re: Premeds without ACP ?

Vicky RVN — Wed, 26 Jan 2011 10:50:22 GMT

[quote user="Nick BATFINK Shackleton Dip AVN(surg)VN"]

I've been told by a friend (vet anaesthetist) that medetomidine could be used, but at lot lower dose rates as used for sedation. this could be combined with an opiate

[/quote]

I've seen that used before and was very good.

Re: Premeds without ACP ?

Nikki Graef — Tue, 25 Jan 2011 21:42:51 GMT

We occasionally use Midazolam and Ketamine in fractious cats which does tend to work quite well, also having had Midazolam in hospital myself it has the benefit of an amnesia effect so the patient wont remember any of the things that happen. Bit freaky from my point of view when i couldnt remember anything but probably a good thing to stop them from any behavioural association from being in the vets

Re: Premeds without ACP ?

dinkyd — Tue, 25 Jan 2011 20:31:56 GMT

The benzodiazepines can be a bit unpredictable in healthy fit patients ie they can become quite exciteable and a bit stir crazy! They are excellent for very chilled out patients and the very sick but have to admit my experience was with quite an exciteable schnauzer combined with opioid and to be honest it wasnt great for this dog!

Re: Premeds without ACP ?

Goldilocks E — Tue, 25 Jan 2011 20:25:30 GMT

Our vet has decided to use Midazolam (a type of diazepam sedative) to be used in conjunction with vetergesic. Apparently he says it is better to use for all animals including older dogs and those with illness etc. Not sure how well it will work though because we have only ever used acp + vetergesic

Re: Premeds without ACP ?

dinkyd — Tue, 25 Jan 2011 20:24:07 GMT

I had a chat to an anaesthetist to and asked what she uses and her recommendation was if really small doses of the 5mg/ml is required then to dilute it for more accurate doses.

If healthy patients and no acp then suggested medetomidine combined with a opioid and in the sick patients benzodiazepine + opioid depending on how sick they are of course.

We are waiting on our 5mg/ml stock coming in and are just on the very last dregs of our 2mg/ml....we had no joy when trying to order it from our supplier and only sent us one bottle...appears suppliers didnt have much in stock either!

Re: Premeds without ACP ?

Laura James — Tue, 25 Jan 2011 19:32:07 GMT

[quote user="Nick BATFINK Shackleton Dip AVN(surg)VN"]

I've been told by a friend (vet anaesthetist) that medetomidine could be used, but at lot lower dose rates as used for sedation. this could be combined with an opiate

[/quote]

My practice had a chart given to us by a rep that had pre-med dose rates on for ACP and medetomidine for use with healthy and unwell cats - its fabulous and I've always found the patients have a really good (light) sedation with it. The chart also has dose rates for buprenorphine to use

Re: Premeds without ACP ?

Nick Shackleton — Tue, 25 Jan 2011 19:21:48 GMT

I've been told by a friend (vet anaesthetist) that medetomidine could be used, but at lot lower dose rates as used for sedation. this could be combined with an opiate

Re: Premeds without ACP ?

Laura James — Tue, 25 Jan 2011 19:17:01 GMT

I was wondering why our head nurse was stocking it up!

In cats we also use medetomidine if we think/know they'll be fractious, but we very rarely use in dogs

Re: Premeds without ACP ?

Nick Shackleton — Tue, 25 Jan 2011 18:37:51 GMT

Yeah totally agree....

Re: Premeds without ACP ?

Sam Crook — Tue, 25 Jan 2011 18:32:07 GMT

yeh we've found out about that one but agree gonna be a pain in small doses which is why i was thinking alternatives.

thanks

Re: Premeds without ACP ?

Vicky RVN — Tue, 25 Jan 2011 18:26:07 GMT

That's the one, thanks Nick! It's going to be a pain in the rear with low dose ACP animals!