V.W.
May I ask what the "brutal" side effects are that you are referring to? When I did my research while trying to make decisions about our dog's treatment for sudden onset of cluster seizures I didn't find anything "brutal". The most common side effects (things like excessive urination, excessive thirst, hind end weakness, lethargy, etc) all are short term during the beginning weeks of treatment. There can be liver damage when used long term, but your vet should be taking blood serum levels on the liver enzyme periodically to watch for that. It doesn't happen in every case, and alot depends on how how of a dosage your dog requires to stop the seizure activity.
Our GSD would have been put down if we couldn't bring her out of her cluster seizures that she started out of the blue (she appeared to have a head trauma - one side was swollen, but we could never figure out from what... she is in inside dog and I am home most of the time with her). It was an awful awful week and a half. She started to recover somewhat (at one point she couldn't even sit up, let alone stand, and had stopped eating) and then started back with clusters of seizures. We found a different vet for a 2nd opinion and admitted her over the weekend for hospital treatment (IV's, steroids, antibiotics, diazepam to stop the seizing and blood work to try to figure it all out). She had low thyroid (which could be brought on by illness, disease, or seizures, and certain medications which she was now getting) but can also trigger seizures, so she started thyroid therapy along with pheno. When she started walking and eating by Monday, we brought her home. Over the next few weeks she slowly regained her strength and energy (her appetite was voracious due to the temporary steroids) and now, 5 months later, she is exactly like she was prior to anything of this happening, except she takes soloxine (thyroid med) and pheno twice daily. Both are the lowest dosages she can get by on for her weight.
She has more energy. Seems happier and more involved than ever before. And she doesn't shed nearly as much as she used to either (thyroid related). ALL of her temporary symptoms (hind end weakness, thirst, hunger, etc) were GONE within month. The worst was the thirst and excessive urination- but I think that was related to the steroids. Once she came off of that she quickly returned to her normal schedule (steroids made her go every 2 hours!! And she went a LOT, like 8 oz each time).
We spent $1500 for that weekend and the follow ups. Now we spend about $10/m for the pheno and about $8 ? a month for the thyroids. And it is worth every penny. We have our 6 year old dog (prime of life) back! She has had no long term side effects to date. And supposing that at some point in the future she has reduced liver function or something, (which she is monitored for periodically through blood tests) she will have had a long happy life during the interim.
The seizures are FAR FAR worse than taking pheno. And from what I have read and been told by our (new) vet, every seizure they have contributes to the likelihood that they will have another. Every seizure has the possibility of serious damage either internally, or from injuring herself during the attack (during our dog's attacks, she would get really stiff suddenly, stretch her neck up and back like you wouldn't think was even possible, and slam her body backwards/to the side and land on the tile floor/the chair legs/the wall/ the corner/ whatever with her head. Amazingly, after days of this, she is FINE.
If you can control the seizure activity with a small 2x daily dose of pheno, then it will be worth it. You might be able to have your best buddy back for a long time. If you can't control them, then you will have to considering putting her down... are you ready to do that before even trying to see if the pheno works. She could live happily for YEARS more!
Please please reconsider giving the pheno a try. It is SO worth it.
http://www.canine-epilepsy-guardian-angels.com/phenobarbi...