Hmm, my name arose a couple of times in this.
In terms of painmeds, I too am certain that Tramadol is not available here in that name, but it may be available under another name. I know for sure there are stronger pain meds, but I am not sure what they are, sorry. I just got back from my vets and had I seen this earlier, I could have asked
It may be a different type of painmed might work, not any in the Metacam 'family'. NSAIDs? Is that what Metacam is?
In terms of Fibreplex, I highly recommend it. It is not oily, it is very gritty (but apparently tasty). It has a high/long (?) fibre content and can help the gut keep moving, it is also the best probiotic I have found over here so far. I have not, however, ever used it in a bun in a similar situation as Dotty. I have used it with small poos, but a lively, eating bunny, and I also used it in Tilly when she wa son her Convenia and she got slightly smushy poos, and it sorted that, and also when Summer had her tape worm and got an upset tummy, and again, it sorted that. We can't get Bene-Bac over here I don't think because I've looked really hard for it. There may be something under a similar name though.
Having said all that, I did not know about the probiotics that were in there and whether or not they are present. It just worked better for me than anything else I have tried, pro-biotic wise. One to think about though, for sure.