Now here’s a funny thing.
We know that epilepsy and seizures in pets are a big worry for pet owners, because we see what you are looking for when you visit our site at Vetscriptions.co.uk, we send out the information sheets as you request them and dispense the medicines that you order to treat your pets who have seizures.
Anyway, I was reading an article on epilepsy recently( as if I had nothing better to do at the end of a hard day).
I waded through the information on the various causes and their diagnosis. I then steeled myself for the section on treatment. These pieces have a tendency to be a pretty riveting read, as you might imagine. And I bravely circled the paragraphs on phenobarbitone (the veterinary formulation is Epiphen) on Potassium bromide (Epilease, KBr etc), their side effects and how to monitor dosage and any complications.
Our scribe talked about some of the new and hideously expensive medicines available for the 20-40% of cases that do not respond to the above.
He then moved onto the ‘alternative therapies’: hypoallergenic diets and raw food feeding, acupuncture, vagal nerve stimulation (a fascinating treatment option if it really works) and finally….the placebo effect.
The placebo effect is where the patient feels there to have been an improvement in their symptoms when they have been given an otherwise ineffective treatment, such as a sugar pill instead of the appropriate medication. In human medicine it is well recognised but poorly understood, and is generally assumed to be down to the effect of the patients’ belief that they will get better when they take a medicine.
Now get this: a paper published recently in the Journal of Veterinary Internal Medicine has shown that a decrease in seizure activity was seen in more than half of the dogs given a placebo when compared with the pre-trial seizure frequency.
Almost 30% of these dogs underwent a 50% or greater reduction in seizure frequency when instead of anti-epileptic medication, they were given an ‘ineffective’ placebo.
Now I know that some of us like to imagine fondly that we might have healing hands, but does anyone have any suggestions as to what is going on here?