Advice
My 6 year old, 112lbs Great Pyrenees mix has had seizures for a little over two years now. Her current meds are: six 500mg keppra XR tablets, 1 and a half tablets of 60mg phenobarbital plus 1 tablet of 15mg phenobarbital, and 750mg potassium bromide. These are all twice a day. This is 19 pills a day total. She sees her primary vet as well as her neurologist. She is averaging about one seizure every two weeks give or take. When she has a seizure I will also give her the midalozam so she doesn’t cluster.
We upped her keppra at her most recent appointment but she is maxed out on the phenobarbital and bromide. They also mentioned if upping the keppra doesn’t work then add another med. I’m curious as to when enough is enough. Is anyone else’s dog on this many meds with no success? Her quality of life is still good at this point in my opinion. 19 pills a day seems extreme with no improvement so adding another med seems excessive. Anyone else have a similar situation? Thanks in advance.