Today I get the joy of being something I hate. An annoying family member of a patient.
Proud Plat Snoop Dogg the Puppy has major nail clipping anxiety (he doesn't bite people or anything, just screams and flails) and we bring him to the vet to get it done every month and a half or so.
Snoopy takes trazodone and acepromazine to help. He has seen one of the vets at this practice since he was a potbelly puppy. However, we had worrisome poops about 6 months ago (ended up resolving with some antibiotics) and had to make an emergency vet appointment. We saw another vet who, before even discussing GI treatment/worms etc, realized he was too crazy to properly assess and told me to look into the Baskerville muzzle. I said well usually we take meds before vet visits but with the nature of this one, we obviously couldn't. So then she said well you could also feed him f***ing hemp infused food. I said I'm not here for his nerves, I'm here for diarrhea. She gave me flagyl and I left satisfied but annoyed.
Fast forward to our last nail trim. It's been probably 4-5 mail appointments since we met this vet who immediately told me to muzzle one of my dogs. She decides she's going to take it upon herself to increase BOTH doses of trazodone by almost dounle and acepromazine by TRIPLE. These are medications that you titrate to effectiveness, not triple the doses of. These meds already, at the "prior" doses, make him stumble and sleepy at home (obviously vet adrenaline kicks in when we get there).
So today I get to tell the nurses I didn't follow Dr. Muzzle's instructions, and instead titrated the meds as viewed appropriately by Dr. DancingPanther, PharmD, because if this happened in the hospital I'd page about it. She added a higher-than-starting dose of acepromazine, increased his other dose, and increased both doses of trazodone. I'm not going to watch my dog go into respiratory failure because of this cavalier doctor.
I also plan on telling them I'd like to discuss this therapy plan with Snoop's usual doctor who knows him well. We see her in a week and a half for routine wellness and shots for Brutus.