{"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":"2025-10-06T15:31:15","modified_gmt":"2025-10-06T19:31:15","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\/dosage\"><span style=\"font-weight: 400;\">Phenobarbital<\/span><\/a><span style=\"font-weight: 400;\"> (brand name Luminal) is a barbiturate used in veterinary medicine to control or prevent seizures. Also known as an anticonvulsant, phenobarbital works as a central nervous system depressant, increasing an animal\u2019s seizure threshold to lessen the likelihood and severity of seizures. Dogs taking phenobarbital may experience mild short-term side effects or more serious long-term side effects, which is why regular blood testing is crucial to monitor liver enzyme function and blood counts.<\/span><\/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><span style=\"font-weight: 400;\">Anticonvulsant medications are used to treat seizures in humans and canines. One of the most commonly used anticonvulsant medications (also known as antiepileptic drugs) used by veterinarians is phenobarbital, a barbiturate. Barbiturates are depressant drugs chemically derived from barbituric acid and have been approved by the FDA to control seizures in dogs.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Barbiturates work by <\/span><a href=\"https:\/\/my.clevelandclinic.org\/health\/treatments\/23271-barbiturates\"><span style=\"font-weight: 400;\">increasing gamma-aminobutyric acid (GABA)<\/span><\/a><span style=\"font-weight: 400;\"> in the brain, slowing brain cell activity, and calming and reducing seizure activity. Phenobarbital is most commonly administered to dogs orally via phenobarbital tablets or intravenously, but it can also be made into a topical gel at a compounding pharmacy and applied on the skin.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A veterinarian will prescribe phenobarbital to your dog if they are experiencing seizures or epilepsy to reduce both the frequency and severity of seizures.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The dosage of phenobarbital used depends on your dog\u2019s condition. For severe situations, a higher dose is immediately administered. \u201cHigh-dose phenobarbital is used mainly when you are loading a patient,\u201d 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;\"> of <\/span><span style=\"font-weight: 400;\">South Florida<\/span><span style=\"font-weight: 400;\">. When loading a patient, a veterinarian aims to rapidly achieve therapeutic levels of the drug in the dog\u2019s bloodstream to quickly stop the simultaneous ongoing seizure activity. Once these therapeutic levels have been achieved, lower maintenance doses on an ongoing basis become the standard to maintain proper treatment levels.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Nita Vasudevan, DVM, a veterinarian of <\/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, states that phenobarbital can also be used alongside other drugs for specialized treatment. \u201cLow 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,\u201d she says. \u201cHigh 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.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Your veterinarian can provide guidance on the best dosing procedure for your pet to control seizure activity effectively.<\/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;\">While it is crucial to get your pet\u2019s seizures under control, phenobarbital can have a variety of short-term side effects for dogs. According to veterinary experts, common side effects of phenobarbital may include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sedation\u00a0<\/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 gate (ataxia)<\/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 occur due to the initial high dosage of phenobarbital and can be reduced by prescribing a lower dose. Pets that have transitioned to the maintenance dose stage may see side effects reduce or disappear completely. Pet owners concerned about their pet\u2019s side effects can also talk to their veterinarian about trying a different anticonvulsant medication to control their seizures.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Phenobarbital is generally well-tolerated by most dogs, and it is common for side effects to lessen or even go away completely as a dog\u2019s body gets used to the drug. You may notice that your dog is sleepier or clumsier than usual, as the drug targets the brain and nervous system, affecting their coordination and energy. However, this is not something to be concerned about unless your dog\u2019s symptoms become severe.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">With proper dosing, phenobarbital is safe for your dog to take and can help keep their seizures under control.<\/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;\">Your dog can safely stay on phenobarbital long-term with the right treatment plan. Dogs with epilepsy or chronic seizures typically require medication to keep their condition under control, and phenobarbital is often the first-line medication many veterinarians prescribe.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The most important thing for dogs taking phenobarbital long-term is to undergo regular blood and liver testing to ensure that their 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<p><span style=\"font-weight: 400;\">Dogs taking phenobarbital long-term are at risk for developing liver toxicity, which can lead to liver failure without an adjustment to the medication dosage. Dr. Horgan also notes that phenobarbital is a liver enzyme inducer. This means that exposure to the drug can make a dog\u2019s liver more efficient at metabolizing it, which can lower the blood levels of the drug and lead to recurring seizures, which is why regularly testing blood levels is so important.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This regular testing is the safest way to know if your dog is taking the correct dosage of phenobarbital or if the dosage or dosing schedule needs to be adjusted for better results.<\/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;\">It\u2019s important to monitor your dog long-term, as side effects may occur in pets taking phenobarbital for extended periods and can be life-threatening.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Veterinarian experts note that possible long-term side effects of phenobarbital to watch out for in dogs may 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;\">Sedation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Weight gain<\/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 start to notice any concerning side effects in your dog with long-term use of phenobarbital, please contact your vet immediately to discuss the possibility of lowering your dog\u2019s dosage or trying a different medication.<\/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 of epileptic dogs. While the drug does come with possible side effects, there are ways to mitigate adverse effects and reduce seizures.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Below are some tips to support your pet during their phenobarbital treatment:<\/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 ensure that dogs are receiving the <a href=\"https:\/\/www.singlecare.com\/prescription\/phenobarbital\/dosage\">proper dose of phenobarbital<\/a> for their needs. \u201cThe goal is to always find the lowest, most effective dose to be as safe as possible,\u201d Dr. Vasudevan says. Discovering the sweet spot of a dosage that is high enough to prevent seizures but low enough to prevent side effects can be tricky, but it is crucial to ensure a dog\u2019s overall health.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Try alternatives:<\/b> <a href=\"https:\/\/www.mayoclinic.org\/drugs-supplements\/levetiracetam-oral-route\/description\/drg-20068010\"><span style=\"font-weight: 400;\">Levetiracetam<\/span><\/a><span style=\"font-weight: 400;\"> (Keppra), potassium bromide, and zonisamide are a few popular seizure control medications that can be used individually or in combination to minimize seizures for dogs.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Be aware of drug interaction:<\/b><span style=\"font-weight: 400;\"> Certain antihistamines, antibiotics, and supplements may interact negatively with phenobarbital, so pet owners should consult their veterinarian to discuss any medications their dog is already taking. Additionally, dogs with liver disease should not take phenobarbital.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Determine dosing schedule: <\/b><span style=\"font-weight: 400;\">Pet owners should consult with their veterinarian to determine the best dosing schedule for their dog. Phenobarbital is generally taken two to three times per day, either with or without food.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Maintain a strict dosing schedule:<\/b><span style=\"font-weight: 400;\"> Pet owners should avoid missing doses as much as possible to ensure the medication maintains daily therapeutic levels for adequate seizure control.<\/span><\/li>\n<li><b>Get liver supplements: <\/b><span style=\"font-weight: 400;\">Dogs whose liver is affected by phenobarbital may take liver support medications, such as Denamarin.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The most important thing to remember is to maintain good communication with your veterinarian to ensure that your pet lives the best possible life.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Phenobarbital (brand name Luminal) is a barbiturate used in veterinary medicine to control or prevent seizures. Also known as an anticonvulsant, phenobarbital works as a central nervous system depressant, increasing an animal\u2019s seizure threshold to lessen the likelihood and severity of seizures. Dogs taking phenobarbital may experience mild short-term side effects or more serious long-term [&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 v27.4 (Yoast SEO v27.4) - 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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