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We are going to take my dog off Anipryl and keep him on Deremaxx once a day with supper and add the Tramadol in the morning and supper. We agree with our vet that it's more important to help his pain than his cognitive dysfunction, which isn't that bad. My vet said she can't find anything negative about using Anipryl and Tramadol together, but I said I'd rather not use them together until she's sure it's okay. (My dog is usually up 3-5 times during the night. Sleeps an hour, up a little while, sleeps and hour or hour and half, up a little while.

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We are going to take my dog off Anipryl and keep him on Deremaxx once a day with supper and add the Tramadol in the morning and supper. We agree with our vet that it's more important to help his pain than his cognitive dysfunction, which isn't that bad. My vet said she can't find anything negative about using Anipryl and Tramadol together, but I said I'd rather not use them together until she's sure it's okay. (My dog is usually up 3-5 times during the night. Sleeps an hour, up a little while, sleeps and hour or hour and half, up a little while.

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