My dog was neutered today and was sent home with carafate (surcarfate). I never known that to be used for “pain”, I was told by one doctor I could give him Tylenol 8mg per pound but I’ve also always been told to never give a dog Tylenol so is it safe? Or is there anything I can give him?

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You are correct - sucralfate is not a pain medication, it is a medication that coats the esophagus and stomach when there is concern for stomach ulceration, irritation or reflux. The published dose for Tylenol is 10 mg/kg or about 4.5 mg per pound, but it can affect the liver or cause problems if used with other drugs so I would recommend contacting your vet before giving this medication. There is nothing over the counter that I'd recommend - unfortunately if Miko wasn't prescribed any pain medication it might be safest to see an emergency vet for a safe pain medication if Miko is in significant pain.

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