For those who do not subscribe to Today Veterinary Practice, this is a very useful resource. It contains many interesting articles that are readily applied to clinical practice. The attached article by Drs Duncan X. Lascelles and Mark E. Epstein cover scientific evidence around Tramadol use in cats & dogs, and the use of NSAIDs in renal failure cats and dogs with elevated liver enzymes or renal disease.
Tramadol has been used for some time as an analgesic in dogs. It is one of those mysterious drugs that is little understood and if in fact, it actually does work?