Contact Details Methocarbamol Case Details Submission Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Contact Details Vet Name *FirstLastClinic Name *Best Contact Number *Email *Patient Details Age (Years) *Sex *Male NeuteredMale IntactFemale SpayedFemale IntactBreed *Weight (kg) *Case (toxicosis) type (e.g. metaldehyde, methiocarb, chocolate, etc) *Symptoms (e.g. tremors, hypersalivation, seizures, etc) *Date / Time Methocarbamol first administered? *DateTimeMethocarbamol dose rate (DAY 1) 1st dose2nd dose3rd dose1st dose Dosage UnitsmLmL/kgmg/kg2nd dose Dosage UnitsmLmL/kgmg/kg3rd dose Dosage UnitsmLmL/kgmg/kg1st dose route of admin2nd dose route of admin3rd dose route of adminMethocarbamol dose rate (DAY 2) 1st dose2nd dose1st dose Dosage UnitsmLmL/kgmg/kg2nd dose Dosage UnitsmLmL/kgmg/kg1st dose route of admin2nd dose route of adminMethocarbamol dose rate (DAY 3) 1st dose2nd dose1st dose Dosage UnitsmLmL/kgmg/kg2nd dose Dosage UnitsmLmL/kgmg/kg1st dose route of admin2nd dose route of adminOther medications administered Drug name 1Drug name 2Drug name 3Drug name 4Drug name 5Drug dose 1Drug dose 2Drug dose 3Drug dose 4Drug dose 5Dosage Units 1mLmL/kgmg/kgDosage Units 2mLmL/kgmg/kgDosage Units 3mLmL/kgmg/kgDosage Units 4mLmL/kgmg/kgDosage Units 5mLmL/kgmg/kgFrequency 1 (e.g once, BID)Frequency 2 (e.g once, BID)Frequency 3 (e.g once, BID)Frequency 4 (e.g once, BID)Frequency 5 (e.g once, BID)Adverse reactions (if any e.g. CNS depression, etc)Outcome (Recovered/Euthanised/Died/Discharged home, etc)Time to recovery (e.g. Within 12h)Submit
