{"id":631911,"date":"2025-04-10T18:49:11","date_gmt":"2025-04-10T22:49:11","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=631911"},"modified":"2026-05-04T18:51:57","modified_gmt":"2026-05-04T22:51:57","slug":"side-effects-of-phenobarbital-in-dogs","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/side-effects-of-phenobarbital-in-dogs\/","title":{"rendered":"What are the side effects of phenobarbital in dogs?"},"content":{"rendered":"<p><a href=\"https:\/\/www.singlecare.com\/prescription\/phenobarbital\/\"><span style=\"font-weight: 400;\">Phenobarbital<\/span><\/a><span style=\"font-weight: 400;\"> is a long-acting<\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/barbiturates\"> <span style=\"font-weight: 400;\">barbiturate<\/span><\/a><span style=\"font-weight: 400;\"> (a class of depressant drugs) used in veterinary medicine to control or prevent seizures in dogs. It works by increasing the seizure threshold in the brain, reducing the likelihood and severity of seizures. Dogs taking phenobarbital may experience mild short-term side effects, and more serious side effects are possible with long-term use, which is why regular blood testing is important to monitor liver function and blood counts.<\/span><\/p>\n\t\t<div id=\"coupon-cta\" class=\"coupon-cta master-template\">\n\t\t\t<p id=\"headline\">Save up to 80% on  Phenobarbital with SingleCare<\/p>\n\t\t\t<p id=\"subheadline\">Different pharmacies offer different prices for the same medication. SingleCare helps find the best price for you.<\/p>\n\t\t\t<div class=\"details-wrap\">\n\t\t\t\t<div class=\"details\">\n\t\t\t\t\t Phenobarbital 64.8 mg (60 Tablets)\t\t\t\t<\/div>\n\t\t\t\t<div class=\"address\">\n\t\t\t\t\t23666 - Hampton, VA\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"api-response\">\n\t\t\t\t\t\t<div class=\"coupon\">\n\t\t\t<div class=\"logo\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/images.singlecare.com\/content\/images\/pharmacy\/logo-color-kroger.svg\" alt=\"Kroger Pharmacy\" \/>\t\t\t<\/div>\n\t\t\t<div class=\"price\">\n\t\t\t\t<div class=\"price-number\">\n\t\t\t\t\t$27.89<br\/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"price-signup\">\n\t\t\t\t\t<span class=\"info-icon\">i<\/span>\n\t\t\t\t\tPrice with <a href=\"https:\/\/www.singlecare.com\/prescription\/phenobarbital#blog-cta\">signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"couponbtn\">\n\t\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/phenobarbital#blog-cta\">Get free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"coupon\">\n\t\t\t<div class=\"logo\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/images.singlecare.com\/content\/images\/pharmacy\/logo-color-harristeeter.svg\" alt=\"Harris Teeter Pharmacy\" \/>\t\t\t<\/div>\n\t\t\t<div class=\"price\">\n\t\t\t\t<div class=\"price-number\">\n\t\t\t\t\t$27.89<br\/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"price-signup\">\n\t\t\t\t\t<span class=\"info-icon\">i<\/span>\n\t\t\t\t\tPrice with <a href=\"https:\/\/www.singlecare.com\/prescription\/phenobarbital#blog-cta\">signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"couponbtn\">\n\t\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/phenobarbital#blog-cta\">Get free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/phenobarbital#blog-cta\" class=\"coupon-see-all-btn\">See  Phenobarbital prices at all pharmacies<\/a>\n\t\t<\/div>\n\n\t\t\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/resources\/epilepsy\"><b>Epilepsy resources &amp; coupons<\/b><\/a><\/p>\n<h2 id=\"what-is-phenobarbital-used-for-in-dogs\"><span style=\"font-weight: 400;\">What is phenobarbital used for in dogs?<\/span><\/h2>\n<p><a href=\"https:\/\/www.singlecare.com\/drug-classes\/anticonvulsants\"><span style=\"font-weight: 400;\">Anticonvulsant medications<\/span><\/a><span style=\"font-weight: 400;\"> (also called antiepileptic drugs) are commonly used to treat seizures and epilepsy in dogs. Phenobarbital is one of the most widely prescribed, and Fidoquel CA-1, a brand of phenobarbital labeled for dogs, has been<\/span><a href=\"https:\/\/www.fda.gov\/animal-veterinary\/cvm-updates\/fda-conditionally-approves-phenobarbital-tablets-control-seizures-dogs-idiopathic-epilepsy\"><span style=\"font-weight: 400;\"> conditionally <\/span><span style=\"font-weight: 400;\">approved by the FDA<\/span><\/a><span style=\"font-weight: 400;\"> to control seizures in dogs.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Barbiturates work by<\/span><a href=\"https:\/\/veterinarypartner.vin.com\/default.aspx?pid=19239&amp;id=4951404\"> <span style=\"font-weight: 400;\">increasing gamma-aminobutyric acid (GABA)<\/span><\/a><span style=\"font-weight: 400;\">, a neurotransmitter that slows nerve activity and reduces seizures. Phenobarbital is most commonly given orally as tablets or intravenously, but it can also be compounded into a topical gel applied to the skin.<\/span><\/p>\n<h3 id=\"how-is-phenobarbital-dosed-in-dogs\"><span style=\"font-weight: 400;\">How is phenobarbital dosed in dogs?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/phenobarbital\/dosage\"> <span style=\"font-weight: 400;\">phenobarbital dosage<\/span><\/a><span style=\"font-weight: 400;\"> depends on the dog&#8217;s condition. For severe cases, a higher dose is given immediately. &#8220;High-dose phenobarbital is used mainly when you are loading a patient,&#8221; says Jason Horgan, DVM, of<\/span><a href=\"https:\/\/leadervet.com\/\"> <span style=\"font-weight: 400;\">LeadER Animal Specialty Hospital<\/span><\/a><span style=\"font-weight: 400;\"> in South Florida. Loading refers to rapidly building up therapeutic drug levels in the bloodstream to stop ongoing seizure activity quickly. Once those levels are reached, lower maintenance doses become the standard.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Phenobarbital can also be used alongside other medications. &#8220;Low doses of this medication are used for the management of pets who have rare or inconsistent seizures, [and sometimes a low dose is used] along with a combination of anti-seizure medications to obtain adequate seizure control,&#8221; says Nita Vasudevan, DVM, a veterinarian at<\/span><a href=\"https:\/\/www.embracepetinsurance.com\/\"> <span style=\"font-weight: 400;\">Embrace Pet Insurance<\/span><\/a><span style=\"font-weight: 400;\"> in Orlando, Florida. &#8220;High doses are used in pets who have more severe or cluster seizures, or some pets who are still refractory, even with a combination of seizure medications.&#8221;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Your veterinarian can advise on the best dosing approach for your dog.<\/span><\/p>\n<h2 id=\"what-are-the-side-effects-of-phenobarbital-in-dogs\"><span style=\"font-weight: 400;\">What are the side effects of phenobarbital in dogs?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Phenobarbital can cause a variety of short-term side effects in dogs. Common side effects of phenobarbital in dogs include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sedation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Agitation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Excessive drowsiness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Wobbling gait (ataxia, or loss of coordination)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Increased thirst<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Increased hunger<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Increased urination<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Many of these side effects are linked to the initial high loading dose and may reduce or disappear once a dog transitions to a lower maintenance dose. If side effects persist, a veterinarian may consider adjusting the dosage or switching to a different anticonvulsant medication to better manage your dog&#8217;s<\/span><a href=\"https:\/\/www.singlecare.com\/blog\/dog-seizures\/\"> <span style=\"font-weight: 400;\">seizures<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You may notice your dog is sleepier or clumsier than usual. This is generally not a cause for concern unless symptoms become severe. Phenobarbital is well-tolerated by most dogs and, with proper dosing, can effectively keep seizures under control.<\/span><\/p>\n<h3 id=\"long-term-side-effects-of-phenobarbital-in-dogs\"><span style=\"font-weight: 400;\">Long-term side effects of phenobarbital in dogs<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Dogs on phenobarbital long-term may experience side effects that, in some cases, can be life-threatening.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Possible long-term side effects to watch for include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Profound Sedation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lack of Appetite<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Frequent vomiting<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Yellow coloring of the skin or gums (jaundice)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Weakness<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Possible long-term adverse effects of phenobarbital include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Decreased liver function<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Liver damage<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reduced blood cell counts (in rare cases)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If you notice any concerning side effects, contact your veterinarian right away to discuss adjusting the dosage or trying a different medication.<\/span><\/p>\n<h2 id=\"how-long-can-a-dog-stay-on-phenobarbital\"><span style=\"font-weight: 400;\">How long can a dog stay on phenobarbital?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Dogs with epilepsy or chronic seizures typically require long-term medication, and phenobarbital is often the<\/span><a href=\"https:\/\/veterinarypartner.vin.com\/default.aspx?pid=19239&amp;id=4951404\"><span style=\"font-weight: 400;\"> first-line treatment <\/span><\/a><span style=\"font-weight: 400;\">veterinarians prescribe. With the right treatment plan, dogs can safely stay on phenobarbital long-term.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The most important thing for dogs on phenobarbital long-term is regular blood testing to adjust the dosage, monitor for serious side effects, and ensure the body is metabolizing the medication well.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cTesting is crucial for this medication, typically every 6-12 months,\u201d Dr. Vasudevan says. \u201cTypically, as veterinarians, we will also want to test the liver enzyme functionality along with phenobarbital. It is possible that blood work has to be done more frequently initially while we are figuring out regulation for the pet.\u201d<\/span><\/p>\n<h3 id=\"liver-toxicity-and-enzyme-induction\"><span style=\"font-weight: 400;\">Liver toxicity and enzyme induction<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Dogs on phenobarbital long-term are at risk for liver toxicity, which can lead to liver failure if the dosage isn&#8217;t adjusted. Dr. Horgan notes that<\/span><a href=\"https:\/\/www.merckvetmanual.com\/pharmacology\/systemic-pharmacotherapeutics-of-the-nervous-system\/anticonvulsants-for-treatment-of-animals\"> <span style=\"font-weight: 400;\">phenobarbital is a liver enzyme inducer<\/span><\/a><span style=\"font-weight: 400;\">, meaning the drug causes the liver to become more efficient at breaking it down over time. As a result, blood levels of the drug can drop, potentially leading to recurring seizures. This is why<\/span><a href=\"https:\/\/www.cliniciansbrief.com\/article\/phenobarbital\"> <span style=\"font-weight: 400;\">regular blood level monitoring<\/span><\/a><span style=\"font-weight: 400;\"> is so important.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In rare cases, phenobarbital can also cause low blood cell counts, so blood counts are included in routine testing.<\/span><\/p>\n<h2 id=\"tips-for-dogs-on-phenobarbital\"><span style=\"font-weight: 400;\">Tips for dogs on phenobarbital<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">With proper dosage and care, phenobarbital can greatly improve the quality of life for dogs with epilepsy. Here are some ways to support your dog during treatment and minimize side effects.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Get regular testing:<\/b><span style=\"font-weight: 400;\"> Regular testing is key to ensuring dogs receive the right dose of phenobarbital. &#8220;The goal is to always find the lowest, most effective dose to be as safe as possible,&#8221; Dr. Vasudevan says. Finding a dosage high enough to prevent seizures but low enough to avoid side effects can be tricky, but it is crucial to your dog&#8217;s overall health.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Try alternatives:<\/b><a href=\"https:\/\/www.singlecare.com\/blog\/levetiracetam-for-dogs\/\"> <span style=\"font-weight: 400;\">Levetiracetam<\/span><\/a><span style=\"font-weight: 400;\"> (Keppra),<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/potassium-bromide\"> <span style=\"font-weight: 400;\">potassium bromide<\/span><\/a><span style=\"font-weight: 400;\">, and<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/zonisamide\"> <span style=\"font-weight: 400;\">zonisamide<\/span><\/a><span style=\"font-weight: 400;\"> are seizure control medications that can be used individually or in combination with phenobarbital.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Be aware of drug interactions:<\/b><span style=\"font-weight: 400;\"> Certain antihistamines, antibiotics, and supplements may interact negatively with phenobarbital. Always tell your veterinarian about any medications your dog is already taking. Dogs with liver disease should not take phenobarbital.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Follow a consistent dosing schedule:<\/b><a href=\"https:\/\/veterinarypartner.vin.com\/default.aspx?pid=19239&amp;id=4951404\"> <span style=\"font-weight: 400;\">Phenobarbital is generally taken two to three times per day<\/span><\/a><span style=\"font-weight: 400;\">, with or without food. Avoid missing doses to maintain therapeutic drug levels for adequate seizure control.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Consider liver supplements:<\/b><span style=\"font-weight: 400;\"> Dogs whose liver is affected by phenobarbital may benefit from liver support medications such as Denamarin, a supplement commonly recommended by veterinarians to support liver health.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Maintaining open communication with your veterinarian is the best way to ensure your dog stays healthy and their treatment remains on track.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Phenobarbital is a long-acting barbiturate (a class of depressant drugs) used in veterinary medicine to control or prevent seizures in dogs. It works by increasing the seizure threshold in the brain, reducing the likelihood and severity of seizures. Dogs taking phenobarbital may experience mild short-term side effects, and more serious side effects are possible with [&hellip;]<\/p>\n","protected":false},"author":137,"featured_media":631912,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[7956],"tags":[7969],"coauthors":[20975],"class_list":["post-631911","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-pets","tag-dogs","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.8 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Side effects of phenobarbital in dogs: What to know<\/title>\n<meta name=\"description\" content=\"Side effects of phenobarbital in dogs sedation, drowsiness, ataxia, low blood pressure, and increased thirst and hunger. 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