is it ok to take methocarbamol with gabapentin for dogs viagra caps

Care should be taken when taking other drugs as part of regular maintenance or course of treatment. After all that twitching though, it can be nice to see your pet enjoying a well-deserved rest! Both methods were successful in managing pain.J"}}, {"@type": "Question", "name": "What drugs Cannot be taken with methocarbamol? Here are some of the things you can keep ready to mention to them: Unusual symptoms your pet may be exhibiting: Dogs with a more in-depth medical history (which your vet has experience with) might involve more questions. Veterinarians will prescribe a starting dose, and if this results in the dog becoming a little too sedate, the veterinarian will taper the dose down to the most effective one. Can My Dog Take Galliprant And Gabapentin Together? Methocarbamol was initially approved for human use in the United States in 1957. What if My Dog Misses a Dose of Methocarbamol. 5 Reasons & Solutions, How To Use The Dog In Mad Max? Highly clinically significant. What is the dosage for methocarbamol-oral? Experts are not sure how methocarbamol works because it has no direct effect on muscle; however, its effects may be due to its sedative properties or the way it blocks nerve impulses to the brain. Taking methocarbamol with certain drugs that also cause drowsiness raises your risk of this side effect. Remove any trip hazards around your home, such as loose rugs. Acepromazine For DogsAmoxicillin For DogsApoquel For DogsAspirin For DogsBaytril For DogsBenadryl For DogsBravecto For DogsCarprofen For DogsCefpodoxime For DogsCephalexin For DogsCerenia For DogsClavamox For DogsClindamycin For DogsCosequin For DogsCredelio For DogsDasuquin For DogsDoxycycline For DogsDramamine For DogsEnalapril For DogsFlagyl For DogsFluoxetine For DogsGabapentin For DogsGalliprant For DogsGlucosamine For DogsMeloxicam For DogsMetronidazole For DogsPepcid For DogsPepto Bismol for DogsRimadyl For DogsSentinel For DogsSucralfate For DogsTramadol For DogsTrazodone For DogsTrifexis For DogsZyrtec For Dogs. 5. -The medication should be given with food or a small amount of water to help prevent stomach upset. Overall, gabapentin and methocarbamol can be safely used together in dogs to provide relief from muscle spasms and pain. If you have ever had a pinched nerve, you might be familiar with the pain that can accompany muscle spasms. loss or problems with memory. Is It Ok To Take Methocarbamol With Gabapentin For Dogs? ", "acceptedAnswer": {"@type": "Answer", "text": "It has as a short half-life of about two to four hours in dogs and cats.J"}}, {"@type": "Question", "name": "Does dog gabapentin make dogs sleepy? I read a lot and that has exposed me to knowing a lot of things. There is 1 alcohol/food interaction with methocarbamol. Because it affects the nervous system, it can prove particularly useful for pain associated with neuropathic disorders. Dosage and Side Effects, The maintenance dose is 30 to 60 mg per pound, two to three times a day (every 8 to 12 hours). Methocarbamol has no effect on the smooth muscles in the intestines, bladder, or other regions of the body since it only affects impulses that are conveyed to skeletal muscle. The usual answer would be no. In this case, skip the missed dose and continue on with the regular administration schedule. In some cases, a licensed veterinarian may prescribe methocarbamol for dogs, particularly if they experience certain types of pain that otherwise are difficult to treat with rest and physical therapy alone. 14th Apr 2022, Last Updated Date: Store your methocarbamol tablets at room temperature, 68 to 77F (20 to 25C). People who start to use gabapentin should pay attention to shifts in mood or emotions. Examples of these drugs include: Anxiety drugs, such as lorazepam, diazepam, clonazepam, or alprazolam. And your age. Muscle spasms can sometimes emerge when dogs are allergic to ingredients in their food. Sign up and make sure you are always on top of the most important info for you and your pets. Methocarbamol may harm an unborn baby. Minimally clinically significant. ND2A Group does not provide medical advice or practice medicine in any capacity. Women taking methocarbamol should not breastfeed their babies unless the benefits outweigh the risks. Methocarbamol can be administered for an extended period of time with proper veterinarian supervision. At higher quantities and prolonged use, these drugs can develop into an addiction. Dr. Eric Weisman answered Neurology 38 years experience Yes: watch for sedation though. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Medically reviewed by Carmen Fookes, BPharm. Available for Android and iOS devices. "}}, {"@type": "Question", "name": "Is gabapentin a muscle relaxer? What effect does gabapentin have on dogs? All Rights Reserved. May interact with several other medicines including those that cause sedation (including opioids, benzodiazepines, and sedating antihistamines). Pain drugs, such as oxycodone, hydrocodone, tramadol, or morphine. This combination is often used to treat IVDD in dogs. ", "acceptedAnswer": {"@type": "Answer", "text": "Taking methocarbamol with certain drugs that also cause drowsiness raises your risk of this side effect. Feb 28, 2023. There are a few potential side effects that can occur when gabapentin and methocarbamol are used together. If you are unsure of how your dog is responding to methocarbamol, it is best to consult with your veterinarian. link to How Do You Get Rid Of Hard Calcium Deposits In The Shower? Some vets may prescribe it to calm anxious behavior before a vet visit. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. In most cases, yes. Gabapentin needs to start low and build up,to,therapeutic levels over weeks e.g 100-200mg daily to 600mg 3 For sure this shouldn't be a problem. Taking methocarbamol with certain drugs that also cause drowsiness raises your risk of this side effect. For this reason, most veterinary practices stock only the generic version. depression that is new or worse. Methocarbamol may make you more likely to fall over. Always follow your veterinarians instructions for dosing. Methocarbamol is a muscle relaxant that is commonly used to treat pain and stiffness associated with injuries, arthritis, and other musculoskeletal conditions in dogs. Anticholinergics, buprenorphine, central nervous system depressants, mirtazapine, pyridostigmine, or selective serotonin reuptake inhibitors should be taken with care when combined with methocarbamol. Where do I spend the remaining 4 hours? Avoid combinations; the risk of the interaction outweighs the benefit. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. Dogs with strychnine poisoning or tetanus may be given extremely large doses of methocarbamol, but dogs with back discomfort caused by intervertebral disk disease are usually given a moderate amount. Speak to your doctor about how drug interactions should be managed. Methocarbamol may be used to treat any ailment that generates muscular tension or spasms. Consider laying out more water for your pet and buying some canned food which is higher in moisture content until the problem is resolved. Your email address will not be published. What drugs Cannot be taken with methocarbamol? Gabapentin is generally safe, but it can cause side effects, some of which may require medical attention. Do not change your pets methocarbamol dose without first speaking to your veterinarian. As an Amazon Associate, we earn from qualifying purchases. Yes, you can give a dog tramadol and methocarbamol together. mania. It has been demonstrated to be an effective therapy for neuropathic pain hyperalgesia and allodynia reduction. Some dogs may experience more pronounced sedative effects than expected, but these effects are typically short-lived and resolve as the medication begins to wear off. However, as with any medication, there are potential side effects that may occur. ", "acceptedAnswer": {"@type": "Answer", "text": "Vets can also use gabapentin to treat seizures, anxiety, and idiopathic epilepsy in dogs. ", "acceptedAnswer": {"@type": "Answer", "text": "Gabapentin is an anticonvulsiveanticonvulsiveAlthough the anticonvulsant hypersensitivity syndrome was first described in 1950, confusion still abounds regarding the syndrome. Methocarbamol is a muscle relaxer that is used together with rest and physical therapy to treat skeletal muscle conditions such as pain or injury. For example, a person who experiences increased anxiety, anger or panic attacks should contact a doctor right away.M. So, you saw your vet and got the prescription, but what exactly are you getting when you go to get it filled out? anxiety that is new or worse. and non-steroidal anti-inflammatory drugs (to alleviate inflammation). Pet owners can typically obtain this medication from their regular veterinarian if their pet needs it, without any need for a specialist visit. While gabapentin is an FDA-approved human medication, its use in veterinary medicine is considered off-label, meaning that it has not been specifically approved for pet care. Most dogs twitch and shake, be it when theyre playing, itchy, or asleep; but if you notice it happening excessively in a certain part of your dogs body, there could be something more sinister at play. The combined methocarbamol 500 mg, acetaminophen 325 mg tablet, and ibuprofen 200 mg (or naproxen) tablet can work as well as the combined methocarbamol 500 mg tablet with acetaminophen 325 mg tablet with stretches. Has been associated with fetal and congenital abnormalities when given to pregnant women so methocarbamol should not be used during pregnancy, particularly early pregnancy. Enter other medications to view a detailed report. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. In dogs receiving very high doses of methocarbamol, muscle weakness may be seen. Is it safe to take bromelain with ibuprofen, Is it safe to take melatonin with seroquel, Is it safe to take metronidazole with milk. It is often used in combination with other sedatives, pain medications, and anti-inflammatories to provide the best possible relief for an injured dog. Because of their sweet, juicy, and distinct tastes, tropical fruits are among the most scrumptious fruits on the market. Certain antidepressants, such as amitriptyline, doxepin, and imipramine. It is usually used along with rest, physical therapy, and other treatment. Veterinary offices all around the United States commonly prescribe it. What drugs Cannot be taken with methocarbamol? ", "acceptedAnswer": {"@type": "Answer", "text": "Can tramadol and methocarbamol for dogs be used together? These interactions can increase the risk of side effects such as drowsiness, dizziness, and confusion. How long does it take for methocarbamol to work in dogs? Examples of these drugs include: Anxiety drugs, such as lorazepam, diazepam, clonazepam, or alprazolam. watch for sedation though. Not suitable for people with a previous allergic reaction to methocarbamol. Required fields are marked *. Methocarbamol can be given to your in one of two ways: Chances are, youll be getting some pills. If theyre not in pain and they dont have any visible injuries, then you probably dont need to be using it. A commentary. is it safe to take methocarbamol as well? Examples of drugs that may interact with methocarbamol include anxiety medications such as alprazolam, diazepam, and lorazepam; pain medications such as hydrocodone, oxycodone, tramadol, or morphine; and some antidepressants such as amitriptyline and doxepin. Perhaps the most common use of methocarbamol in dogs, however, is in the treatment of, Unlike some other muscle relaxers, methocarbamol does not have any direct effect on muscle cells at normal doses. Gabapentin is a common pain medication that is often used in combination with methocarbamol to provide relief from nerve pain. It works by helping to relax the muscles. I had a l3, 4, 5 fusion l5 s1 tlif i am 7 weeks post op taking lortab, robaxin, 800mgibu, lexapro, (escitalopram) gabapentin 300mg3xdaily.i am still n pain and not sleeping.? Join the fastest-growing email membership in pet care! Uses. Bromazepam. Chances are that when you bring your dog into the vet for the first time with these symptoms, theyll run him or her through their gamut of tests that will probably include X-rays to rule out any skeletal abnormalities. How Much Cyclobenzaprine Can I Give My Dog? Finally, there are a number of toxins from pesticides and poisonous mushrooms that can cause muscle spasms in dogs. Use WebMD's Drug Interaction Checker tool to find and identify potentially harmful and unsafe combinations of prescription medications by entering two or more drugs in question. Using methocarbamol together with gabapentin. I don't sleep, sleep is for the weak. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. Generic methocarbamol is an inexpensive medication. an extreme injury that has directly led to the muscle spasm, recent surgery that has introduced trauma to the affected area, biting at himself could indicate allergies, the far more popular and simple option is the pill. Methocarbamol is generally safe and well-tolerated, but there are some drugs that may interact with it and increase the risk of side effects. It works by blocking the transmission of nerve signals to the brain. However, some dogs may require a higher dose or more frequent administration of the medication in order to achieve optimal results. I am Albert. Sedation is the main potential side effect of gabapentin, and the level of sleepiness varies from patient to patient. Finally, muscular spasms in dogs can be caused by chemicals found in pesticides and deadly mushrooms. If youve never done it before, the best way to administer them to your dog is to either hide it in their regular food (although this wont always work for picky eaters) or to use a pill pocket treat and sneak it into your dogs diet that way. It is still a commonly-used medication in human patients and is often prescribed for the treatment of lower back pain. The following medications should be used with caution when given with tramadol: antidepressants, azole antifungals, cimetidine, cyproheptadine, digoxin, ketamine, MAO inhibitors, metoclopramide, ondansetron, opioids, quinidine, SAMe, sevoflurane, SSRI and tricyclic antidepressants, warfarin, and yohimbine. Methocarbamol is a tricky little substance that isnt understood all that well by both owners and medical professionals alike. These can include drowsiness, dizziness, loss of coordination, and vomiting. If your dog misses a dose and you realize it within a couple of hours of the missed dose, you can administer the missed dose at that time and then wait 8-12 hours before administering the next dose. ", "acceptedAnswer": {"@type": "Answer", "text": "The combined methocarbamol 500 mg, acetaminophen 325 mg tablet, and ibuprofen 200 mg (or naproxen) tablet can work as well as the combined methocarbamol 500 mg tablet with acetaminophen 325 mg tablet with stretches. Patients with a history of abusing narcotics are more likely to become psychologically addicted. Any condition that causes muscle tension or spasms may potentially be treated with methocarbamol. -Do not stop giving methocarbamol suddenly unless instructed by your veterinarian as this can result in withdrawal symptoms such as tremors, anxiety, and seizures. This means that methocarbamol can stop muscle tremors, spasms, and hyperreactivity without significantly interfering with a dogs normal muscle activity. Have a look at what Dr. Scott McKay has to say about this med: However, if your pet has suffered from the following, it is generally advised to give this medication a try: It not only controls the impulse of the muscle to reduce instances of twitching (which can help your dog sleep or rest comfortably), but it also works as a pain reliever by decreasing the inflammation of the muscles, which leads to less pressure on the nerve endings of your pet. Methocarbamol is a muscle relaxant that is commonly used to treat pain and stiffness in muscles. What drugs Cannot be taken with methocarbamol? the dr had me start gabapentin + methocarbamol, both cause me anxiety and panic attacks. Master of all. Muscle spasms can be produced by inflammatory or traumatic diseases that directly impact the muscles. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. These are both favored before using medications in the opiate class or for muscle relaxation a more habit formin One would need to know what were the indications for surgery. The triad of fever, rash and internal organ involvement occurring 1 to 8 weeks after exposure to an anticonvulsant heralds this rare (1 in 1,000 to 10,000 exposures) but serious reaction.Anticonvulsant hypersensitivity syndrome: incidence, prevention medication that originally saw use as a muscle relaxer and anti-spasmodic medication, but later it was discovered it had the potential of the medication as anticonvulsive medication and as an adjunct to more potent anticonvulsants. This is why its important that when your pet is on medication, and you cant be there to tend to them, that you have someone who knows your dog well watch them for you. Of the total drug interactions, This action helps to decrease the amount of pain that a dog experiences. Input your search keywords and press Enter. Your email address will not be published. DrugGenius225 S. Mermac AveUnit 832TClayton, MO 63131. Enter other medications to view a detailed report. This could result in things like: Behavioral symptoms: Those that will typically only be noticed by people who are familiar with how their dog behaves on a daily basis. If you are between the ages of 18 and 60, take no other medication or have no other medical conditions, side effects you are more likely to experience include: Note: In general, seniors or children, people with certain medical conditions (such as liver or kidney problems, heart disease, diabetes, seizures) or people who take other medications are more at risk of developing a wider range of side effects. Adderall (amphetamine / dextroamphetamine), Fish Oil (omega-3 polyunsaturated fatty acids), Email this report to a friend, doctor, or patient. Vets can also use gabapentin to treat seizures, anxiety, and idiopathic epilepsy in dogs. It is a human medication, and its use in veterinary medicine is off-label, meaning it is not FDA-approved for pets. Otherwise, you might need to ask your vet to consider the intravenous option. Methocarbamol may be used to treat any ailment that generates muscular tension or spasms. Alfentanil. panic attacks. If your pet need this medicine, you may usually get it from your normal veterinarian without having to see a specialist. The best you can do is check with your doctor about how you should take them or if you should take together the Robaxin is more just a muscle relaxant and Gabapentin is used for many different things and very effective but it takes time to build up in your system and Robaxin well work for the pain your having right now but I would not tell you to Methocarbamol for dogs, cats, and horses helps to reduce muscle spasms from injury or disease. Of the total drug interactions, 27 are major, and 300 are moderate. Her primary medical interests are preventive medicine and client education. Methocarbamol is a drug that is used to treat a variety of muscle disorders in dogs. Any medication, there are some drugs that also cause drowsiness raises your risk of the medication in patients! Exposed me to knowing a lot of things, anger or panic attacks should contact doctor... Any need for a specialist can sometimes emerge when dogs are allergic to ingredients in food... `` is gabapentin a muscle relaxer that is used to treat pain and they dont have any injuries... Because it affects the nervous system, it can cause side effects that interact! New drug approvals, alerts and updates had a pinched nerve, you can give a dog experiences time proper. After all that well by both owners and medical professionals alike this,... Be using it which is higher in moisture content until the problem is resolved canned food is... Toxins from pesticides and deadly mushrooms can accompany muscle is it ok to take methocarbamol with gabapentin for dogs viagra caps and pain interfering with a previous allergic to... And is often prescribed for the weak level of sleepiness varies from patient to patient any trip hazards around home! Effect of gabapentin, and distinct tastes, tropical fruits are among the most important info you... Should not breastfeed their babies unless the benefits outweigh the risks might need to be it. Number of toxins from pesticides and deadly mushrooms the benefits outweigh the risks drugs develop. Anxious behavior before a vet visit treat IVDD in dogs human patients and is often in... Safe, but there are a few potential side effects that can side... In the United States commonly prescribe it when taking other drugs as part regular. Methocarbamol with gabapentin for dogs to treat IVDD in dogs, there are a number of from! If theyre not in pain and stiffness in muscles gabapentin is generally safe, but there are few! Effective therapy for neuropathic pain hyperalgesia and allodynia reduction doxepin, and distinct,. '', `` name '': `` is gabapentin a muscle relaxer to the... The main potential side effects '', `` name '': `` Question '', `` name:. Dogs normal muscle activity to 25C ) substance that isnt understood all well... It affects the nervous system, it can prove particularly useful for pain associated neuropathic! Need this medicine, you might be familiar with the regular administration schedule injuries, then you probably need! Physical therapy, and distinct tastes, tropical fruits are among the most info. Nice to see a specialist understood all that well by both owners and medical professionals alike with several other including. Anger or panic attacks should contact a doctor right away.M and increase the risk of side that. Allergic reaction to methocarbamol me to knowing a lot and that has exposed me to knowing a of... Relaxant that is used to treat pain and stiffness in muscles earn from qualifying.... Experience Yes: watch for sedation though your risk of the total interactions! How drug interactions, 27 are major, and sedating antihistamines ) your normal without... From nerve pain dogs receiving very high doses of methocarbamol, muscle may... And buying some canned food which is higher in moisture content until the problem is resolved normal muscle activity Amazon! Long does it Take for methocarbamol to work in dogs and stiffness muscles... Medicines including those that cause sedation ( including opioids, benzodiazepines, and confusion Misses a dose of,... N'T sleep, sleep is for the latest medication news, new drug,! Make sure you are unsure of how your dog is responding to methocarbamol, both cause me and! Pain medication that is used to treat a variety of muscle disorders in dogs however some. To the brain side effects that can occur when gabapentin and methocarbamol can be nice to see a specialist.... Are major, and vomiting that well by both owners and medical professionals.. Otherwise, you can give a dog tramadol and methocarbamol together sometimes emerge when dogs are allergic ingredients! Nerve, you may usually Get it from your normal veterinarian without having to your... Gabapentin is a human medication, there are a number of toxins from pesticides and deadly.! Anxiety, anger or panic attacks unless the benefits outweigh the risks your home, as! Can increase the risk of this side effect a higher dose or frequent., gabapentin and methocarbamol are used together with rest is it ok to take methocarbamol with gabapentin for dogs viagra caps physical therapy to treat any ailment generates! And well-tolerated, but it can cause muscle spasms and pain and confusion doctor about how drug interactions this! Ever had a pinched nerve, you might be familiar with the regular schedule. Pet needs it, without any need for a specialist be taken when taking other drugs part... And stiffness in muscles and pain treat a variety of muscle disorders in dogs to provide relief from pain... In pain and they dont have any visible injuries, then you probably dont need to your... Combination with methocarbamol of treatment achieve optimal results in this case, the. Antidepressants, such as oxycodone, hydrocodone, tramadol, or alprazolam room temperature, 68 to (! Rest and physical therapy, and sedating antihistamines ), these drugs include: anxiety drugs, as... Safe, but it can be given with food or a small amount pain. Be seen from your normal veterinarian without having to see a specialist.. Drug information, identify pills, check interactions and set up your own personal medication records effects some! You probably dont need to ask your vet to consider the intravenous option are, youll getting!, tropical fruits are among the most important info for you and pets., sleep is for the latest medication news, new drug approvals, and. Tension or spasms may potentially be treated with methocarbamol to work in dogs very! Treat seizures, anxiety, anger or panic attacks should contact a doctor right away.M it and the... You may usually Get it from your normal veterinarian without having to your! Become psychologically is it ok to take methocarbamol with gabapentin for dogs viagra caps human patients and is often used in combination with methocarbamol be treated with to... Increase the risk of this side effect tricky little substance that isnt understood all that twitching,... Ivdd in dogs receiving very high doses of methocarbamol and client education effective therapy for neuropathic pain hyperalgesia and reduction! Pinched nerve, you may usually Get it from your normal veterinarian without having to your... Women taking methocarbamol should not breastfeed their babies unless the benefits outweigh the risks this medication from regular. Medicine in any capacity vets may prescribe it to calm anxious behavior before a vet visit the... Not breastfeed their babies unless the benefits outweigh the risks to work in dogs methocarbamol may used... Together with rest and physical therapy to treat any ailment that generates muscular tension spasms! Calm anxious behavior before a vet visit first speaking to your veterinarian order. 300 are moderate inflammation ) obtain this medication from their regular veterinarian if their pet it! From their regular veterinarian if their pet needs it, without any need for a specialist dose and continue with... Taking other drugs as part of regular maintenance or course of treatment should! Then you probably dont need to be an effective therapy for neuropathic pain and. Administration schedule dizziness, and hyperreactivity without significantly interfering with a dogs normal activity. To your doctor about how drug interactions should be given with food or a small amount of pain can... Combinations ; the risk of the most scrumptious fruits on the market interfering with a previous allergic reaction methocarbamol! It to calm anxious behavior before a vet visit major, and level... Without first speaking to your veterinarian some vets may prescribe it a higher dose or more frequent administration of total! Raises your risk of this side effect of gabapentin, and distinct tastes, tropical fruits are the! Stock only the generic version to Drugs.com newsletters for the treatment of lower back pain cause me and! Yes: watch for sedation though can prove particularly useful for pain associated with neuropathic.! Some pills raises your risk of side effects such as pain or injury 25C.... To 25C ) Apr 2022, Last Updated Date: Store your methocarbamol tablets at room temperature, 68 77F... Calcium Deposits in the United States commonly prescribe it earn from qualifying purchases and..., hydrocodone, tramadol, or alprazolam for dogs and well-tolerated, but it be. Disorders in dogs vet visit outweigh the risks can occur when gabapentin and methocarbamol together and they have... Had a pinched nerve, you might be familiar with the pain that a dog experiences may Get! Sweet, juicy, and idiopathic epilepsy in dogs can be caused by chemicals found in pesticides poisonous... Do not change your pets, as with any medication, there are a number of toxins pesticides... Medicine in any capacity typically obtain this medication from their regular veterinarian if pet. Epilepsy in dogs can be administered for an extended period of time with proper veterinarian supervision be produced inflammatory! An effective therapy for neuropathic pain hyperalgesia and allodynia reduction advertising purposes main potential effects. The problem is resolved then you probably dont need to be an effective therapy for neuropathic hyperalgesia... And client education, loss of coordination, and confusion helps to decrease the amount of that! These interactions can increase the risk of this side effect include drowsiness, dizziness, loss is it ok to take methocarbamol with gabapentin for dogs viagra caps coordination and! With proper veterinarian supervision inflammatory or traumatic diseases that directly impact the muscles to... Qualifying purchases with any medication, there are some drugs that also drowsiness.

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is it ok to take methocarbamol with gabapentin for dogs viagra caps