PetMeds® An Approach to Holistic Veterinary Medicine

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Filed under Dr. Dym's Vet Blog
Holistic veterinary medicine focuses on strengthening your pet's healing abilities, instead of just using drugs and popular medications One of the most rapidly growing areas of interest in both human and veterinary medicine is the option of complimentary veterinary medical treatment options.  These options have been called different names from integrative veterinary medicine to alternative veterinary medicine to holistic veterinary medicine.  Most of these treatment options tend to look at the body as being sick as a single whole organism, rather than the more mechanical and reductionistic way that conventional medicine views illness as our animals being sick only in affected parts that are the presenting complaint.

For example, in conventional veterinary medicine an asthmatic animal would be viewed as having just a sick airway with allergic inflammation and constriction of the airways.  The rest of the patient would be viewed separately and not considered involved in the illness of the airways.  Drug therapies would be the same for every pet, focused only on blocking that inflammation of the airways and relieving the constriction, while ignoring the rest of the body. Sometimes long term use of these drugs can have unwanted side effects on the rest of the body.

If this same asthmatic animal was treated by a holistic veterinarian skilled in traditional Chinese medicine (known as TCM) and acupuncture, or in homeopathy, the diseased airways would be viewed as only one symptom of the whole patient. However, the other individualizing symptoms of the patient in the rest of the body would be equally as important in coming up with an individualized medical treatment plan. The goal of treatment would be in making the pet overall healthier, less susceptible to future asthmatic attacks as well as other health problems as well. One big distinction between the two medical models of illness and treatment is that the conventional medical approach will offer much quicker relief and suppression of symptoms, while with most of the holistic modalities, more patience and time commitment would be needed in treating a patient with such a chronic disease.

There are however circumstances in veterinary medicine such as in acute trauma, as well as acute spinal and joint problems, where holistic medicines like acupuncture, chiropractic and homeopathy can act even quicker, more safely, and more effectively than conventional drugs. And in managing chronic back and joint problems, many veterinarians will often utilize an integrative medical approach, using both conventional medicine, as well as other complimentary therapies such as nutritional supplements, chiropractic, osteopathy, acupuncture and physical therapy.

I would encourage animal guardians interested in an integrative or even purely holistic veterinary approach to find veterinarians with adequate skills and who have undergone ongoing training in these complimentary areas. Some excellent resources of information include the American Holistic Veterinary Medical Association in Bel Aire, Maryland www.AHVMA.org as well as the Academy of Veterinary Homeopathy www.TheAVH.org.  Both websites also have links to other holistic resources of information and veterinarians as well.

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PetMeds® Can Dogs or Cats Be Fed a Vegetarian Diet?

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Filed under Dr. Dym's Vet Blog

As more and more clients are exploring vegetarian life styles, the exploration of vegetarian recipes is becoming more common in both canine and feline guardians. While I’ve seen a few diets out there that can supply all of the nutrients a cat needs in vegetarian format, I certainly question the validity and safety of such diets, as cats are obligate carnivores, meaning that they require meat and certain animal derived amino acids like Taurine in their diets.

True vegan recipes for cats are almost impossible to make even by researchers, as well as being extremely costly. While dogs are more omnivorous, it is possible for a vegetarian food to reasonably be used. Some excellent home made recipes can be found in the Complete Guide to Natural Health for Dogs and Cats by Richard Pitcairn, DVM, PhD. Few vegetarian diets provide the essential nutrients and vitamins needed to maintain your pet's health

There are a few vegetarian commercially available pet foods for dogs such as PetGuard, which comes from a very reputable company. If clients insist on following homemade recipes found on the internet for vegetarian recipes, a board certified veterinary nutritionist should be consulted (i.e. www.balanceit.com) to ensure adequate level of nutrients.

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PetMeds® Supplementing Dog’s or Cat’s Diet with Vitamin C

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Filed under Dr. Dym's Vet Blog
Like humans, dogs and cats can also benefit by including vitamin C in their diet One of the most common vitamin supplements I recommend to many of my feline and canine guardians is vitamin C added to meals. Unlike humans, guinea pigs, and certain primates who don’t make their own vitamin C and need it supplemented to their diets, dogs and cats do manufacture their own vitamin C. However, because of immune stress and in many diseases, many canine and feline patients can benefit from some of the effects of supplemental vitamin C.

Several decades ago, a veterinary colleague named Wendell Belfield, DVM, studied and used vitamin C in quite high doses in treating many pets with chronic infections, as well as various inflammatory and joint disorders. He found that by first using high dose IV vitamin C therapy and then oral therapy, that he was able to treat many difficult cases. Most people are also aware of Nobel Peace Prize-winning scientist named Linus Pauling, who also recommended high doses of vitamin C for people. And while I don’t personally recommend doses that high for dogs or cats, I do find that supplemental vitamin C in form of sodium or calcium ascorbate powder added to meals or dissolved in water, can boost the immune system of pets, as well as act as a mild natural antihistamine.

Vitamin C is also beneficial in helping strengthen collagen synthesis in pets, which is the glue that makes up the connective tissue of the joints and ligaments of the body. In pets suffering from urinary tract infections or certain types of urinary tract crystals or stones, vitamin C can help acidify the urine and has a mild antibacterial property. It is important for animal guardians to check with their veterinarian on a proper dose for their pet, as well as to make sure their pet does not have a pre-existing condition such as calcium oxalate urinary crystals or stones, in which case one would not want to add supplemental vitamin C to the diet. However, in the majority of cases, pets can indeed benefit from the addition of this antioxidant nutrient in my opinion and experience.

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PetMeds® Zymox Otic Antibiotic Ear Medication

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Filed under Dr. Dym's Vet Blog

As a veterinarian I am always looking for natural alternatives and years ago I was drawn to Zymox, especially given the concern of overuse of antibiotics and the development of bacterial resistance to commonly prescribed oral and topical medications. Most ear infections may usually be a secondary manifestation of underlying allergies. And given how common ear infections are in our dogs and cats today, the cost involved in needing a prescription for topical antibiotics can be expensive. That’s why I find products such as Zymox Otic and Zymox Otic HC to be a wonderful and economical nonprescription alternative for our animal companions with frustrating ear issues.

Making use of the fact that certain enzymes derived from milk have the ability to kill bacteria, fungi, and viruses, this product literally digests pus, wax, and discharge in the ear canals.  The product is best used NOT at the time of using other ear cleaners or topical antibiotics, because these other products like Otomax or Mometamax will often inactivate the effective bacteria and yeast killing enzymes in the Zymox Otic products. Zymox Otic is not for use in the eyes or topically on the skin as a topical antibiotic for skin infections.  Both Zymox Otic products can indeed be used as preventatives for ear problems in both dogs and cats. Zymox can be used as a preventative against possible future ear infections
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PetMeds® Vetsulin – Additional Information

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Filed under Pharmacy Blog

Intervet/Schering-Plough Animal Health, the manufacturer of Vetsulin (porcine insulin zinc suspension) recently sent another letter to veterinarians as a follow up to the Vetsulin Alert/Importance of Diabetic Pet Transition letter that was sent to veterinarians last November. This letter is reminding veterinarians of the dwindling supply of Vetsulin and encourages them to transition their diabetic patients to other insulin products including protamine zinc insulin for cats (ProZinc).

*As a reminder to all PetMeds clients with a diabetic pet, do not switch from one type of insulin product to another unless under the directions of a veterinarian. Changing from one insulin to another may require an adjustment in the dose and/or the use of a different insulin syringe.

I want to make sure everyone currently using Vetsulin to control their pet’s diabetes understands the issue that is impacting them.

As you may know, the FDA’s Center for Veterinary Medicine and Intervet/Schering-Plough Animal Health (the maker of Vetsulin) issued a “Product Alert” on Vetsulin late last year. The issue is with the long-term stability of the product over time. The company is presently working to determine whether there is any significant loss of potency or a delayed onset or extended duration of action. At this time, the company does not believe the efficacy and safety of Vetsulin is affected.

However, all veterinarians have been asked to alert their clients to:

  • Monitor their pets on Vetsulin for any unusual signs; and
  • Transition their pet to an alternative product as soon as posible

Transitioning your pet as soon as possible is important because Vetsulin will no longer be available in the very near future and all supplies in the U.S. will be depleted while Intervet/Schering-Plough Animal Health works with the FDA to resolve this issue. Therefore you should make an appointment with your veterinarian immediately so that the veterinarian can initiate this transition process.



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PetMeds® Topical Flea and Heartworm Medicine: Revolution

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Filed under Dr. Dym's Vet Blog
american-pitbull-terrier Topical Revolution is a simple monthly topical parasiticide for many external and internal parasites (fleas and heartworms), and has been increasing in use in recent years because of its many possible potential applications. Unlike many of its competitors like Frontline or Advantage, topical Revolution does require a written prescription from a veterinarian. I have found it most useful in controlling fleas, ticks and ear mites in dogs and cats.

Veterinary dermatologists often are now frequently using it off label every 2 weeks for a total of 3 treatments in many itchy dogs to treat any possible hidden scabies mange mites, which are often difficult to find on even multiple skin scrapings at the vet office. Topical use in cats has also helped in protecting cats from the intestinal parasites roundworms and hookworms. While it’s labeled for efficacy against heartworms, in my opinion I still stick with the tried and tested prescription monthly heartworm preventative medications such as Interceptor and Heartgard. This is because in my experience over the years I have seen a few rare pets test positive for heartworms when relying exclusively on Revolution for heartworm prevention. I often get questions about safety issues around people, but as long as you allow the product to completely dry, which occurs up to 2 hours after applying, there seems to be no risk to humans. Also, animal guardians can be free to bathe their pets anytime after this two hour mark, as this product is labeled as water proof. While supposedly being safe to use in pregnant animals, I personally never like or recommend applying topical pesticides to pregnant animals.

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PetMeds® Controlling Fleas with Program Tablets and Program Oral Suspension

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Filed under Dr. Dym's Vet Blog

Program is normally a safe and effective non-pesticidal alternative for flea control on cats and dogs. The best way to describe Program is as a birth control pill for fleas. While not killing adult fleas or larvae, it prevents the development of flea eggs inside the adult fleas after they take a blood meal, thus interrupting the flea life cycle at that point.  It is the tremendous proliferation of flea eggs by one adult flea, which often leads to problems, and why program is often so effective at preventing flea infestations from worsening.   Most pets will readily take this medication in the beef flavored tablets, which does not have any soy or a lot of other additives. Some years back there was an injectable program available, but because of poor demand, it is hard to find the injectable product anymore.

When people are having difficulty with total flea control with using the common topical flea medications like Advantage, Frontline or Revolution, it is perfectly fine to add Program Oral Suspension as an additional flea control measure. Many clients will often combine use of Program Oral Suspension with Capstar by the same company, the latter product readily killing adult fleas. Some years back veterinarians looked at the potential role program may have in helping treat fungal ringworm in dogs and cats, but it was found not to be effective for this use. Program flea medication can help protect your pets from a flea infestation

An effective and convenient formulation when combined with monthly Interceptor is often used by animal guardians in helping in their heartworm control and flea control with one convenient pill once monthly. (Sentinel is a product that protects against both fleas and heartworms as well). Program is best and most effectively administered at meal times in dogs and cats, and I have only seen rare side effects, mostly consisting of occasional digestive upsets.

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PetMeds® Supplementing Your Pet’s Diet with Super Joint Enhancer

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Filed under Dr. Dym's Vet Blog
Super Joint Enhancer is one of the more versatile and economic nonprescription joint supplements on the market. I have found it to be often as effective as some of the more expensive supplements often prescribed by veterinarians such as Cosequin. With its combination of glucosamine, chondroitin and MSM, this wonderful synergistic combination of nutrients is often quite helpful in managing inflamed and diseased joints. Super Joint Enhancer is an easy (and delicious) way to help your pet maintain its joint health

Most pets will take this tasty beef and pork chewable tablet. And for those finicky pets and even cats, this product also comes in a soft chew.  It is safe to use in any aged pet, and while there is no data on using glucosamine/chondroitin/MSM supplements in a preventative fashion, there are rarely any side effects to using this product as part of a good nutritional program.  Being a nutritional supplement, it is not regulated by the FDA, however, it is safe to use with many prescription drugs given by veterinarians such as Metacam, Rimadyl, Deramaxx and Tramadol. I find the use of nutritional supplements like Super Joint Enhancer most effective when combined with other supplements such as the antioxidant Proanthozone, and essential fatty acids such as Nordic Natural Omega 3 fatty acids.

I have only seen rare digestive side effects such as excessive gas or diarrhea, but most pets tolerate this product just fine.  If you are considering using it in a diabetic on insulin, first check with your veterinarian, as in occasional situations, using glucosamine products can sometimes make sugar regulation more difficult.

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PetMeds® Pet Pharmacy Certified by LegitScript

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Filed under Pharmacy Blog

LegitScript is the leading internet pharmacy verification service in the United States. LegitScript is identified by the National Association of Boards of Pharmacy (NABP) as the only internet pharmacy verification service that adheres to the NABP’s standards.

I am very happy to announce that 1-800-PetMeds has been certified by LegitScript and we are proudly displaying the LegitScript seal on our online pet pharmacy homepage.

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PetMeds® What is Feline Infectious Peritonitis (FIP)

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Filed under Dr. Dym's Vet Blog
FIP disease seems to be more prevalent in cats under one year old While many feline guardians are familiar with the viruses Feline Leukemia Virus (known as FeLV) and Feline Immune Deficiency Virus (known as FIV or Feline AIDS), a very elusive, yet fairly common virus known as Feline Infectious Peritonitis (FIP) can also dramatically affect the health of infected cats leading to serious illness and often death.

Unlike the more common FeLV and FIV infections where testing is fairly straightforward, with FIP there still remains a lack of definitive diagnostic tests in detecting this infection, despite years of research. While many cats with what is called the “wet form,” will often present abdominal fluid/distention or chest fluid and difficulty breathing which has a characteristic straw-colored appearance and can be tested for by most laboratories for virulent FIP virus to confirm the diagnosis.  However, with the other common form known as the “dry form” of FIP, diagnosis is much more difficult.

Symptoms of the dry form of FIP are very general and nonspecific and can include just about any chronic sign of illness, especially general symptoms of weight loss, fever and inappetence. The fever is not typically responsive to antibiotics, given the viral cause. If the digestive tract is affected, thickened bowel loops as well as periodic or chronic vomiting or diarrhea can occur, as well as localized symptoms of the nervous system and eyes. FIP is a type of virus known as a corona virus in cats, of which there are many types, most of them often not causing any illness or disease.

Despite decades of research, the blood testing for antibodies to the corona virus FIP is not specific for the dangerous variant of this corona virus, and many tests can show up as false positives or negatives. The only way of definitively diagnosing this disease (when no fluid is present in the chest or abdomen) is for a biopsy to be completed of the affected tissues. There is also recent thinking that the many types of corona viruses that cats may carry may change or mutate into the more virulent disease causing FIP to form when under certain conditions of emotional or physical stress. It is believed to also form following simple surgical procedures like spaying or neutering, and in situations of crowding, giving shots or vaccinations and poor nutrition. The disease is highest in pure breed cats, although any breed can be affected.

The active disease seems to be most common in cats under one year of age, although there is also a spike in incidence in older cats, whose immune systems are more delicate.  Many cats can be hidden carriers of all sorts of corona viruses, including the FIP strain. However, there is no way of predicting which cats will become clinically affected in the future.  Treatments to date have yielded very poor results. Vaccination developed back in the 1990s has not performed well in the field in my opinion, and there is some evidence that vaccinating cats may in fact predispose them to worse symptoms of disease, if they should later contract the actual FIP corona virus.

Feline Infectious Peritonitis (FIP) is one virus that needs to always be on our differential list of causes of chronic disease symptoms mentioned above. However, there remains much research to be done by the veterinary profession, both in terms of accurately diagnosing this viral disease, as well as in treating it; which to date has been very unrewarding.

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