Background: My dog is a 11yr old German shepherd with bad hips. As a result he daily takes 75mg Deramaxx, 2 Glucosamine tablets, 50mg Tramadol, and 100mg Atopica (cyclosporine) with 200mg ketoconazole for an anal fistula problem. He had a yearly checkup 3 weeks ago. Bloodtest, wellness testing, vaccines, nails trimmed. They trimmed one nail too short, it bled alot, but they put a clotting agent on it. All blood levels were fine.