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Regarding gardenal
Hello doctor. I have a 6 years old lab, 37kgs, suffering from epilepsy since the age of 3, he is on gardenal 30mg daily along with liv 52 and neurobion forte. His episodes are once a month. He also takes calciulm and join tablets daily. I give cbd oil during the episode. He is on homemade diet including fish, chicken, rice veggies, curd etc. His ALP is 242 and is only increasing every year, what should I do to prevent liver damage from gardenal? Also some doctors suggested Levetiracetam instead of gardenal. Should we switch to it, if yes then how.. will it not affect the liver?
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Altering medicines over time is a good strategy for long term. Majority of medicines are metabolised (broken down) in the liver.  Since your pet has been on medicine for so long now, liver has been working overtime. Sit down with your vet to discuss all what may be supplemented so that liver damage is minimal.
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Liver damage can be decreased or managed by altering the medicines and Liver supplements. If your vet suggested alternative medicine for epilepsy then go for it. And request him some higher versions of Liver supplements.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.