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PetMeds® Heartworm Preventative Heartgard Plus

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Filed under Dr. Dym's Vet Blog

Along with monthly Interceptor, Heartgard Plus is among the most commonly prescribed monthly heartworm preventatives by veterinarians.  While both are very effective against protecting against heartworms, Heartgard seems slightly more effective in treating and preventing roundworms and hookworms, while Interceptor offers the protection against whipworms, which occur more sporadically across the United States.

Heartgard Plus heartworm preventative Puppies and/or kittens can be safely started on Heartgard typically at age 8-12 weeks, especially important during a time when roundworms and hookworm infestations are common.  Heartgard Plus does seem to have a long shelf life of 1-2 years. It comes in very convenient dosing package sizes of up to 25 pound dogs, 26 to 50 pound packaging/dosing, and 51-100 pound packaging and dosing.   It is quite safe to use the up to 25 pound size even in small breeds, as owners often wonder if splitting the pill is needed in toy breeds, which is not necessary.

Side effects are indeed rare, but on occasion pets can have rare digestive, dermatologic, and even more rare neurological side effects.  If any of these should occur, I would ask your veterinarian for a prescription for monthly interceptor as an alternative. It is safe to be on  Heartgard Plus if another dewormer is needed in a dog, such as Panacur C.

PetMeds® Tips for Traveling with Your Pet

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Filed under Dr. Dym's Vet Blog
If your pet gets nervous traveling, there are over the counter products that may help calm your pet's behavior.

Vacationing and/or traveling with one’s pet can be one of the most emotionally and physically stressful times for both animal guardian and their companions. There are many tips I can offer that can reduce these stresses on our beloved animal companions.  If you are going to travel by car or airplane, it is often helpful to do a test travel run first with your canine or feline family member. 

Even putting them in a crate or carrier or for short car rides can give you an idea whether a pet handles motion well or becomes so emotionally stressed leading to motion sickness, excessive panting or vocalizing. While veterinarians can often offer prescription sedatives like Xanax or Acepromazine to sedate emotionally distressed animals, there are many natural alternatives that can help as well. Be Serene and Composure Liquid are two natural products I have found helpful in some pets in reducing emotional stress during travel. In addition to their emotional health, it is important to reduce physical stressors as well on our pets during travel.  Remaining consistent with their diet/feeding schedule, as well as walks can help reduce unwanted digestive upsets and/or urinary tract infections.

A few emergency over the counter drugs are always helpful to have on hand, in case acute illness or trauma are encountered. Amongst these include Diphenhydramine (also generic Benadryl) in case of allergic reactions, children’s baby aspirin (not to be given to cats), and perhaps Imodium AD and Pepcid (which can be helpful in case of digestive upset). I find the stress of traveling also an important time to supplement for digestive tract health, including using probiotics and enzymes like Fast Balance and NaturVet Enzymes and Probiotics.

PetMeds® Diagnosing Eye Problems in Your Pet

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Filed under Dr. Dym's Vet Blog
Unlike skin or digestive issues, eye problems are more unique and require a thorough exam to be properly diagnosed

One of the most common on line questions I get is about various eye complaints that may be bothering a dog or cat. Many animal guardians will write or call to say their pet has squinty, itchy, red eyes, with often thick or runny eye discharges, and sometimes little growths around the eyes. While I can often more confidently make at home suggestions for other common problems like skin or digestive tract issues, it is often difficult to accurately suggest at home eye treatments for animal guardians without a proper veterinary exam and consultation first.

Corneal abrasions and/or ulcers are amongst the most common conditions seen, especially in the brachiocephalic breeds like Shih Tzus, Pugs, and Boston Terriers which can result in many of the common symptoms mentioned here. In cats, viral infections such as feline rhinotracheitis or feline herpes virus are commonly involved with eye symptoms, as well as upper respiratory symptoms such as sneezing and nose and eye discharge. Corneal ulcers need immediate and emergency veterinary care, as if not treated quickly and urgently, some ulcers will spread rapidly and even involve deeper structures of the eye, resulting in what is sometimes known as a melting corneal ulcer or descemetocele.

Early treatment for most corneal ulcers with topical antibiotics, antiviral medications, or topical antispasmodic medications such as Atropine can be resolved fairly easily. However, deeper ulcers and/or those that don’t respond well to early medical treatment sometimes need surgical therapy. Red eyes can also be the signs of glaucoma in a pet or even deeper middle eye or retinal problems, which if not treated quickly can result in blindness.  It is for these reasons that if any animal guardian writes or calls me with questions surrounding an eye problem in their pet, that I always recommend an immediate veterinary exam for proper diagnosis and the best possible treatment outcome.

PetMeds® Choosing a Veterinarian for Your Dog or Cat

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Filed under Dr. Dym's Vet Blog

When choosing a veterinarian, there are several factors that prospective clients may place more weight on than others. These typically include price, personal referral, and proximity to one’s home.  However, I will briefly go over what I consider to be key things to look for when choosing a veterinarian. The most important characteristic I feel in choosing a veterinarian is to look for someone who not only is experienced in general clinical medicine and surgery with an established and caring support staff, but also a veterinarian who is willing to actually tell a client “I don’t know” when presented with a question they do not know the answer to. Or at the very least the vet should refer cases onto veterinarians who practice in various specialty areas of veterinary medicine. Because our field is becoming as specialized as human medicine, it is nearly impossible for a veterinarian to be proficient and an expert in all areas of veterinary medicine.

In as much as it the same that veterinarians can treat all species of animals, even though we do all still currently receive the same basic 4 year core veterinary education school coursework.  And while that will likely be changing soon, where small animal veterinarians branch out from those interested in large animal medicine midway through veterinary school  training, it is still the common practice that all veterinarians receive basically the same core education during their four years of veterinary school. If your pet has a specific condition, you may want to seek the help of a specialist instead of your routine vet

If a person developed a specialized skin or digestive condition, that individual would be promptly referred on to a human dermatologist or gastroenterologist. The same type of specialization and referral system exists in veterinary medicine and should be utilized by a general veterinary practitioner when appropriate. There are too many clients who spend thousands of dollars on symptomatic treatments for their animals, often without any diagnosis, before sometimes finally being referred to specialists, often having little discretionary income or money left to spend to properly treat their pets. In my opinion, these referrals need to occur much earlier in many cases. Whether it be internal medicine, ophthalmology, dermatology, orthopedics, or oncology (cancer medicine), referrals are critical for optimal care of our animal companions. Another important aspect of veterinary care is the availability or access/referral to 24 hour emergency care. As with us, illness can strike our pets any time of day or night, as well as on weekends or holidays. It is important that your general practitioner have either access to or provide 24 hour veterinary care.

Finally, I consider how much time a veterinarian devotes to a basic wellness exam important as well.  The old standard of practice was for veterinarians to see 4 to 5 patients an hour. However, with increasing information and education of the animal guardian needed in today’s world, I don’t see how a veterinarian can do a truly thorough job without allowing at least 20 minutes for even a wellness exam. I also consider it critical that today’s veterinarian be familiar with current vaccination protocols, and not over vaccinate dogs and cats, given our knowledge of the role over vaccination can play in autoimmune diseases, allergies and even certain cancers.

Most core viral vaccinations do not need to be given more than once every 3 years in most cases, and in many aging and chronically ill pets, vaccinations should be given with caution, if at all.  Each pet should be treated as an individual when it comes to which and how many vaccinations should be given, rather than a one shot fits all approach. Lastly, word of mouth referrals still provide a very important source of information for referrals from friends or relatives. Distance and price would be the least important criteria I would consider. I know that for the right practitioner for my own animal or human family, distance and price would play the least important role in my choice of a health care practitioner.

Happy Holidays from PetMeds

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Filed under 1800petmeds

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From all of us at 1-800-PetMeds we’d like to wish everyone and their pets a happy and safe holiday season.

1800PetMeds Pet Photo Contest

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Filed under 1800petmeds

We hope you’ve been enjoying the blog posts from Dr. Michael Dym, VMD and our Pharmacy Services Director, Gary Koesten. We’d just like to take a moment to inform you of a new series of pet photo contests we are running over the next few months here at 1800PetMeds.

PetMeds Pet Photo Contest - WIN $1000!

Each contest will include a centralized theme (Cutest, Funniest, Look alike, and Ugliest) with voting open from the beginning to the end of each month. All contests will conclude with three winners. The top 3 vote earners with the highest scores will be awarded as follows:

First place – $1000
Second place - $150
Third place – $50

Our first contest for “Cutest Pet Photo” ended a few days ago and you can view the winners page to see who took home the grand prize of $1000! Our current contest is up and running, so if you think your pet has what it takes to land you the first prize, submit your pet’s photo now!

Thanks to all those who participate and good luck from the staff at 1800PetMeds!