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This is an archived Horseadvice.com Discussion. The parent article and menus are available on the navigation menu below:
HorseAdvice.com » Treatments and Medications for Horses » Anti-inflammatories (NSAID's, Steroids, Arthritis Rx) » Phenylbutazone (Bute) »
  Discussion on Reducing Post-Op Bute Dose
Author Message
Member:
sorscher

Posted on Saturday, Apr 12, 2008 - 11:30 pm:

Hi Dr O and all,

My gelding underwent front left annular ligament resection with tendon splitting (of basically the entire SDF) on March 5. His recovery has been pretty ideal - we're currently hand walking 25 minutes daily, working toward a goal of 30 minutes daily.

After being discharged he was on 2g Bute/day, reduced to 1 gram after the second week. My instructions were to try to wean him off of the Bute, but to bump him back to 1 gram if necessary.

I reduced his Bute to 0.5 grams daily 4 days ago. His level of soundness has not changed (he's sound at the walk is all I know for sure!) and he seems comfortable. It seems to me, though, there is more heat in his leg on this reduced dose. (The lower dose is the only change I can identify in his circumstances.)

Should I continue at 0.5g/day with the objective of his eventually being Bute-free or is the 1g/day a better regimen for now?

Thank you!
Moderator:
DrO

Posted on Sunday, Apr 13, 2008 - 10:35 am:

This is a question for your surgeon Natalie but from the information provided this would not be a sign to go back up to me. Increased swelling and/or lameness would be clearer indications.
DrO
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