PetMeds® K9 Advantix: Flea Medication for Dogs

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Filed under Dr. Dym's Vet Blog

K9 Advantix is one of the most common used once monthly topical pesticides used for external skin parasite control, covering fleas, ticks and mosquitoes. One of the nicer benefits is that it will still be effective even after washing and bathing (wait 24 hours after applying), and has additional benefits of not only quickly killing mature and immature fleas and ticks, but in also repelling these parasites from biting as well. It comes in very convenient dosing packaging for dogs up to 10 pounds, dogs from 11-20 pounds, dogs from 21-55 pounds, and dogs over 55 pounds.

If your pet is on the border of these dosage cut offs, you can always start with the lower dose of K9 Advantix, however, if effective pest control is not seen, than giving the higher dose is certainly safe in most pets. It is not necessary to separate dogs after dosing them topically with this product, however, if dogs are actively playful and/or licking one another, it may be best to have them apart for a few hours, until the product has had a chance to dry.

A few years ago, it was recommended not to purchase this product if an animal guardian also had cats due to their sensitivity to the permethrin insecticide in this product. However, that labeling has now changed and it is ok to use in households with cats, as long as animal guardians wait until the product is completely dry on the dog before exposing them to household cats. K9 Advantix is a flea medication for dogs only. Always wait until product is thoroughly dry before letting your dog be around cats.

I have not heard of its use in other species, although an animal guardian of exotic pets can certainly contact Bayer to find out if this is possible. Side effects are rare, but may include (in sensitive pets):

-          Contact irritation/allergy causing hair loss at site of application

-          Digestive upset

-          Neurological reactions such as seizures (rarer cases)

If this should occur, changing to a different topical pesticide like Frontline Plus or trying a natural alternative may be helpful. I never recommend using two topical pesticides at the same time such as Frontline Plus or K9 Advantix. However, if one is not working for an animal guardian, make sure one is treating the home adequately for fleas, as well as one could change from one product to another. It is typically not harmful to humans unless the product is swallowed or gets in one’s eyes. But I have heard of isolated reports of skin numbness following contact with the product, thus animal guardians should always wear gloves when applying this or any topical pesticide in my opinion.

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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.

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PetMeds® Uses for Pet Medication Rimadyl

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Filed under Dr. Dym's Vet Blog

Rimadyl is one of the most widely prescribed non-steroidal anti inflammatory drugs (NSAIDs) for dogs, being prescribed for either short term pain/inflammation relief, and in some cases long term pain and inflammation. It is most commonly prescribed for musculoskeletal joint (arthritis) or back problems, but is commonly prescribed to dogs for post operative pain, especially  as pain relief is being increasingly recognized and accepted as a standard of care in veterinary medicine.

The typical dose of Rimadyl is 1 mg per pound twice daily but it can also be given as a single dose of 2 mg per pound once daily. It is not for use in cats. It is often important to have blood work and/or urine done before using this drug, especially in older pets to make sure there are no pre-existing liver, kidney or blood disorders that may contraindicate its use. Rimadyl is often prescribed to help reduce pain and stiffness caused by arthritis

When dogs are prescribed it long term, it is also important to monitor blood and urine every 3-6 months. While rare side effects of liver failure have been reported and got much overdone press several years back, most dogs tolerate Rimadyl fairly well, and I find that giving it with food tends to cut down on any upset stomachs.

Occasional side effects include:

  • loss of appetite
  • nausea
  • vomiting with digestive tract bleeding
  • rare liver/kidney side effects

It should not be given with aspirin or related products such as other non-steroidal anti inflammatory prescription drugs like Metacam or Previcox.  However, it is safe to use with certain other pain medications such as the recently increasing use of the safe mild opioid derivatives Tramadol.

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PetMeds® Pet Ear Antibiotic Mometamax

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Filed under Dr. Dym's Vet Blog

In this post I will address some of the common questions asked about using the commonly prescribed topical ear antibiotic and antifungal product Mometamax.  Given that most dogs with ear infections often have a combination of bacteria and/or yeast, this product is one of the most versatile products available in the veterinary pharmacy and available by prescription from 1800PetMeds. The combination of ingredients not only decreases the underlying allergic reaction, but the overgrowth of various bacteria and yeast involved in the majority of canine or feline ear infections.

Treating your pet's ear infection with an antibiotic like Zymox or Mometamax may be prescribed by your vet Although it is not labeled for use in cats, (as with many drugs used off label in our pets), many veterinarians have prescribed this product widely to cats without any ill side effects. While it won’t kill ear mites, this product can also be used topically for yeast, local ringworm or bacterial infections. One of the biggest advantages over its nearly identical sister product Otomax, is that Mometamax can be used only once daily, thus increasing client compliance.  My two favorite topical ear medicines in our pets include Mometamax and Zymox.

While Mometamax is a prescription topical antifungal and antibacterial, Zymox is a nonprescription topical which in my experience and opinion is as equally effective through a different mechanism in killing yeast and bacteria in the canine or feline ear canal. Side effects of Mometamax are rare, with the most serious being rare deafness in pets whose ear drum is not intact (this is best determined by veterinary exam of the ear canal before starting this medication), allergic reaction consisting of increased redness, discomfort and ear itching, and even more rare facial swelling.

When used appropriately this product can be used for most common ear infections in our pets, and its long shelf life of at least a year in most cases, makes it a valuable part of the medicine cabinet in those pets with recurrent ear inflammations or infections.

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PetMeds® Common Health Problems in Toy Breed Dogs

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Filed under Dr. Dym's Vet Blog

Amongst the most popular breeds today include the toy breeds.  Such breeds like the Maltese and Poodle, to name two popular breeds, are not only highly intelligent, but very loyal and wonderful family pets.  Compared to larger breed dogs, most of the toy breeds have a significant longer lifespan than larger or giant breed dogs.

As veterinarians we are often asked what are the common health problems seen in certain breeds. With the toy breeds, there are several conditions that come to mind.  Given their small size and often immune and genetic sensitivity, these are the breeds that are the ones I see more reactions to various chemicals, drugs and vaccinations.  That is why I will often stress the most natural lifestyle possible for these little tikes, including feeding less processed foods and more natural diets such as Eat Great. Be Well., and giving the least number of vaccinations possible.

Common health problems in toy breeds include luxating patellas, degenerative disc disease and dental diseases

Immunity to core viruses like parvo and distemper can last 5-10 years, and rabies should not be given more frequently than every 3 years. I also recommend that one never gives multiple vaccinations at once to these toy breeds, separating vaccinations out by at least 3 weeks, so as to avoid the increased risk of immune reactions.  Common health issues that can come up include certain musculoskelatal conditions or back issues like trick knees, known as patella luxations, as well as occasional genetic problems of the hips, known as Legg-Perthes Disease. There are also some breeds that may be predisposed to degenerative disc disease.

Cardiovascular issues can include narrowed or inflamed airways such as collapsing trachea syndrome, chronic obstructive or pulmonary airway disease, known as COPD, and degenerative heart disease of the mitral valves called mitral regurgitation. Because of their immune sensitivity, many toy breeds are prone to skin allergies, often secondary to inhalant/contact allergens, food allergens, or flea bite allergies. Dental disease appears to be fairly common as well, especially as they get older, stressing the importance of regular at home dental care with excellent products like C.E.T. toothpaste and C.E.T. rinse. Endocrine or hormonal issues can also be seen, including low thyroid known as hypothyroidism, as well as an overactive adrenal gland, known as Cushing’s disease.

Toy breeds also seem to be prone to urinary tract issues, both behavioral urine problems at times due to their emotional sensitivity, as well as urinary tract infections, including the occasional formation of bladder stones. However, with good diet and regular routine veterinary exams and evaluations many of these problems can be avoided or detected early. Toy breeds are for the most part wonderful canine companions, and I would highly recommend them to any canine lover.

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PetMeds® Your Pet’s Pharmacy Profile

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Filed under Pharmacy Blog

1-800-PetMeds is first and foremost a pharmacy. What makes us different from the pharmacy you use for your medications is that we specialize in dispensing medicines for your pet instead of for you.

Because we care about the health and welfare of your pets, we have recently made some important adjustments to the pet information we need from you.

When you look at our “Pet Medical History” page, you will see that we are asking for, and need,  some basic information regarding your pet(s). This includes (for each pet):

  • The name of the pet – this goes on the prescription label so you can be sure you’re giving the correct medication to the correct pet.
  • The type of pet – is it a dog or a cat. This allows us to catch species errors when medications are ordered. For example, was the order for a medication that can only be given to a dog but our records indicate you have a cat.
  • Breed – Some breeds are more susceptible to certain diseases.
  • Gender – Some pet medications are intended for use in females only. Some medications should be used cautiously if given to pregnant females, or not given to pregnant females at all.
  • Pet Age – Older pets that may have age related kidney or liver conditions may need to have their medication dosage adjusted.
  • Weight – We want to make sure the medication we send is correct for the weight of your pet.
  • Medical Conditions – These help us understand the medication your pet has been given and helps us prevent giving you a medication your pet should not have.
  • Allergies – Tell us what your pet is allergic to. For example, does he/she have flea bite allergies?
  • Medications my pet is allergic to – By asking for any drug allergies, we can prevent giving your pet a medication they should not be taking. You can chose up to 4 medications (if your pet is allergic to more than one medication).
  • Medications my pet is taking (not purchased through us) – This is important since the medication we are sending you may interact with the medication you’ve gotten somewhere else.

We are hopeful that you will see these questions, and your need to answer them, as a benefit to your pets health.

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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.

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PetMeds® Things to Consider When Buying a Pet

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Filed under Dr. Dym's Vet Blog

The first thing to consider when buying a pet is where one is going to purchase or adopt their animal companion. While one can spend thousands of dollars at local pet stores or from breeders, I would highly recommend adopting many of the homeless pets available from shelters, breed rescue groups, or humane societies.  Whenever one purchases or adopts an animal, I always find it helpful for the potential future animal guardians to spend time alone with their prospective feline or canine companions. Often within a short period of time, a guardian will know if the “chemistry” is right between animal and human.

If purchasing a pure breed dog, it may be helpful to see the parents and/or siblings, as well as inquire about any genetic or developmental problems seen in the breeding lines.  Whether adopted or purchased, many pets will come with some sort of warranty against the development of genetic or developmental diseases the first year or two of purchase. Many of these laws protecting the consumer will vary by state and location. Your prospective animal companion should be bright eyed with a shiny coat free of dander or oily film. If you fall in love with a puppy or kitten with an upper respiratory infection or kennel cough type syndrome, it is best you wait until the condition is completely resolved with medication before taking that cute puppy or kitty home.

If your desired pet happens to be sick, it is best to have the condition taken care of before by the current caregivers before bringing the dog or cat into your home

Many pets up for adoption or sale will usually already have been vaccinated, wormed and/or spayed/neutered. But if not, you can inquire about low cost spay/neuter and vaccination programs in your area. Usually most states will offer consumers a few week period after adoption or purchase, where a veterinary exam is recommended in order to pick up any potential genetic diseases of the knees, hips, and for detecting any possible future problems such as the finding of a heart murmur, hernias or other congential abnormalities, as well as any infectious diseases such as kennel cough, parasites or ear mites.

If such abnormalities are detected, than most states often protect the consumer in terms of covering the cost of treatment up to the price paid for the pet, as well as the option of returning the pet if desired. By paying attention to some of these issues, as well as getting a prompt veterinary exam within a few weeks of adopting or purchasing a pet, animal guardians can increase the likelihood of having companions who will live long and healthy lives.

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PetMeds® Euthanizing A Beloved Pet

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Filed under Dr. Dym's Vet Blog
Euthanizing a beloved pet is one of the hardest decisions a pet lover can make One of the most difficult decisions that almost any animal guardian at some point must make is when they must wish their canine or feline companion a compassionate goodbye,  by choosing humane euthanasia for a chronically ill, untreatable,  or suffering elder pet.   As in human medicine, animals are living longer and longer in recent years, and with age come many chronic degenerative diseases. Organ failure including liver or kidney failure, degenerative joint or spinal disease, declining cognitive dysfunction, and cancer of any organ system all top the list of chronic diseases in aging pets.

And while there have been many medical and surgical advances in helping palliate many of these conditions, there does come a time when an animal guardian must make a decision on continuing management of these and other conditions versus the difficult decision of humane euthanasia when quality of life of most days is very poor. Certainly having a long term relationship with a trusting and kind small animal veterinarian who knows you and your companion best,  and who can help you sort through treatment options is an essential part of caring for an ill pet,  who may be approaching a transitional period of life, and/or where treatment is no longer helping.

While many animal guardians would prefer their pets pass peacefully in their sleep and/or at home, many dogs and cats can linger for weeks or months in states of suffering, that often only the trusted family veterinarian can assess in an objective, nonjudgmental fashion.  While there are some veterinarians who utilize homeopathic medicines in assisting the transitional process, most of the time chemical euthanasia, through the painless injection of an anesthetic, offers the best option for most animal guardians.   This difficult decision is one that can only be made after careful consideration, thought and discussion with your family veterinarian.

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PetMeds® Pre-anesthetic Blood Work and Your Pet

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Filed under Dr. Dym's Vet Blog
One of the most common concerns of animal guardians posed to small animal veterinarians involves the risks of putting their pets under general anesthesia for various surgical procedures. From common procedures performed on young pets (such as castration, spays and feline declaws) to dental cleanings, tumor removals, and other surgical procedures of older pets, one of the most important services a veterinarian can provide is through blood testing before such surgical procedures are undertaken. schnauzer-puppy

Not only can organ problems of the liver and/or kidneys be detected, but also rare clotting disorders that can increase bleeding tendencies during surgery.  While in past decades such blood screening was considered optional for our animal companions, recent standards of practice in most states include offering, if not requiring preanesthetic blood work before most surgical procedures. Even if there are not obvious abnormalities detected, many veterinarians will use preoperative blood screens in determining which anesthetic protocols are most appropriate for their patients. Along with a preoperative EKG and placement of intravenous catheter and IV fluid therapy during the surgical procedure, both animal guardians and veterinarians are taking all of the necessary precautions they can to minimize anesthetic and surgical risk in their patients.

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