Hydromet is a prescription cough medication that some veterinarians prescribe off-label to help dogs with their cough. It’s also known by another brand name called Hycodan. This medication combines hydrocodone (an opioid) and homatropine (an anticholinergic). It comes as a syrup or tablet and is given by mouth. The dosage for dogs depends on their weight and is usually given every 6 to 12 hours. Hydromet is a controlled substance, meaning it has a high risk of misuse and is tightly regulated.
Hydromet is a combination of two medications:
Hydrocodone is an opioid that works by calming the part of your dog’s brain that causes coughing.
Homatropine is an anticholinergic that’s added to help prevent misuse by people and make sure the medication is used safely.
Hydromet can cause some serious health issues. This risk might be even higher for certain pets. If this worries you, talk to your veterinarian about other options.
Risk factors: Taking Hydromet for a long time
Check with your veterinarian about how long your dog should take Hydromet. Dogs that take this medication for a long time can become dependent on it. If you stop giving it suddenly, your dog might have withdrawal symptoms such behavioral changes, shaking, diarrhea, or trouble moving. Your vet can help you safely stop Hydromet to lower the risk of these problems.
Risk factors: Older age | Lung problems | Taking Hydromet with other medications that slow breathing | High doses of Hydromet
Hydromet can slow down your dog’s breathing, which can be life threatening. The risk is higher in older dogs, dogs with lung problems, dogs taking other medications that slow breathing (like opioids or benzodiazepines), or when taking high doses. If you notice your dog’s breathing has slowed, contact a veterinarian right away or call a pet poison helpline.
Risk factors: High doses of Hydromet
Don’t give your dog more Hydromet than your veterinarian has prescribed. Too much hydrocodone from the medication can cause an overdose, which might lead to death. Signs of overdose include trouble breathing, extreme sleepiness, weakness, balance problems, trouble standing, or a blank stare. Contact a veterinarian or pet poison helpline right away if you think your dog has had too much of this medication.
Risk factors: Taking Hydromet for a long time | Diarrhea caused by a harmful substance
Hydromet can slow down your dog’s gut, which can lead to constipation. The risk is higher if your dog takes the medication for a long time. It’s also important not to give this medication to your dog if they have diarrhea caused by something harmful, like chocolate. That’s because this medication can keep the toxin in their body longer and cause more serious problems. Make sure your dog drinks plenty of fresh water and eats regularly to help prevent constipation. Talk to your vet if the constipation doesn’t go away or gets worse.
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur:
Less common
Bladder pain
bloating or swelling of the face, arms, hands, lower legs, or feet
bloody or cloudy urine
body aches or pain
chills
difficult or labored breathing
difficult, burning, or painful urination
ear congestion
fear or nervousness
frequent urge to urinate
headache
loss of voice
lower back or side pain
rapid weight gain
tightness in the chest
tingling of the hands or feet
unusual tiredness or weakness
unusual weight gain or loss
Incidence not known
Agitation
darkening of the skin
difficulty swallowing
fast heartbeat
loss of appetite
mental depression
overactive reflexes
poor coordination
puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
restlessness
shivering
talking or acting with excitement you cannot control
trembling or shaking
twitching
vomiting
Get emergency help immediately if any of the following symptoms of overdose occur:
Symptoms of overdose
Blue lips and fingernails
blurred vision
change in consciousness
chest pain or discomfort
cold and clammy skin
confusion
constricted pupil (black part of the eye)
coughing that sometimes produces a pink frothy sputum
decreased awareness or responsiveness
dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position
increased sweating
irregular, fast or slow, or shallow breathing
lightheadedness, dizziness, or fainting
pale skin
sleepiness or unusual drowsiness
slow or irregular heartbeat
weak muscle tone
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
More common
Difficulty having a bowel movement
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
Works within 1 to 2 hours
Can be given as needed for cough
Comes as a liquid and a tablet
Sleepiness is a common side effect
Doesn’t treat the cause of your dog’s cough
Is a controlled substance
You can give Hydromet to your dog with or without food. If your dog throws up or seems sick after taking it on an empty stomach, give the next dose with a small meal or treat.
If your dog is a service animal, they might not be able to take Hydromet. This medication can make your dog very sleepy, which could affect their ability to do their job.
Hydromet is a schedule II controlled substance, which means it can’t be refilled. You’ll need a new prescription from your vet every time your dog needs this medication. A photo ID, like a driver’s license, is required to pick it up at the pharmacy.
Hydromet is a human medication that’s prescribed off-label for dogs. People can misuse or become addicted to it, so it's important to keep the medication stored away and locked up.
More tips for the liquid form:
Don’t use household spoons to measure the dose of Hydromet because they can give the wrong amount. Use a medication syringe or dosing cup from the pharmacy to make sure your dog gets the right dose.
You can store liquid Hydromet at room temperature. Because it’s a controlled substance, keep it in a safe place.
Dosage | Quantity | Price as low as | Price per unit |
---|---|---|---|
5mg/1.5mg/5ml | 120 ml | $13.44 | $0.11 |
The dose is based on your dog’s weight.
The typical dose is 0.25 mg/kg of hydrocodone by mouth every 6 to 12 hours.
Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.
Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
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