1-800-PetMeds Pharmacy Blog

Tablet Splitting

2009-07-30T09:32:00.002-04:00

The economy being what it is, people are turning more and more to splitting tablets as a way to save money. This trend is not just for medicines that the pet owner may be using, but also for they way in which the pet owner is giving their dog or cat the medication prescribed by the veterinarian.

What is tablet splitting? Let's say the pet is taking 5 mg of a medication that is also available as a 10 mg tablet. Both tablets cost the same, so the client convinces the veterinarian to write for the 10 mg tablet to give 1/2 of a tablet to the pet. On the surface this can appear to be a money-saving strategy, but is it?

Recently, the U.S. Food and Drug Administration (FDA), the American Medical Association, and other medical organizations have begun to advise against this practice unless it's specified in the drug's labeling.

Why is tablet splitting not always a safe practice?

The medicine may not be evenly distributed in each half of the tablet. Even if the tablet has a score (a line that runs down the tablet), each half of the tablet, even if they look the same, may not contain equal amounts of medication. One half may contain more medication and the other half less medication.
Not all pills are safe to split. Capsules, time-release drugs (ER, XR, TD), and tablets with special coatings, such as enteric coated (EC) tablets should always be swallowed whole.
Some tablets, especially if they are too small, have an unusual shape, or are soft enough that they would crumble easily, should not be split.
There is a possibilty that the owner can forget to split the pill and give the full (double strength) dose to the pet.

The FDA has approved drugs where tablet splitting is part of the manufacturer's drug application. According to Mansoor Khan, Ph.D., Director of the Division of Product Quality Research in FDA's Office of Pharmaceutical Science, "FDA does not encourage the practice of tablet splitting unless it's specified in the drug's professional prescribing information. If a patient is considering splitting a tablet, FDA recommends that the patient get advice from his or her doctor or pharmacist to determine whether it is appropriate or not for a particular drug." Obviously, for medication we are giving our pets, we would check with the veterinarian or pharmacist.

For further information featuring the latest on all FDA-regulated proucts, check the FDA's Consumer Updates page.

FURminator

2009-07-29T12:41:00.005-04:00

1-800-PetMeds now stocks the FURminator deShedding tool for cats and dogs. This is an easy to use grooming tool that can be used on long haired or short haired breeds of cats and dogs.

FURminator deShedding tool is guaranteed to reduce shedding better than any brush, comb, or rake. Made with a stainless steel de-shedding edge, it will pick up the pet's hair before your vacuum or broom will have to.

Flea and Tick Products

2009-06-08T09:19:00.002-04:00

In response to the advisory from EPA regarding potential side effects from the use of flea and tick products on dogs and cats, the ASPCA released a statement on June 5th, 2009 supporting the continued use of these products with the advice to read and follow labeled directions especially when using these products on cats.

EPA Flea and Tick Information

2009-05-29T12:30:00.007-04:00

The U.S. Environmental Protection Agency (EPA) is currently evaluating spot-on pesticide products for flea and tick control due to recent increases in the number of reported adverse reactions in pets treated with these products.

The types of adverse reactions reported included mild effects such as skin irritation to more serious effects such as seizures, and in some cases, death of the pet.

Fleas and ticks can transmit disease, therefore use of a flea and tick preventative is appropriate for protecting the pet's and the family's health. Many people have used these products with no harm to the pet, yet pet owners should take certain precautions when using these products:

Consult your veterinarian:

Before use on weak, aged, medicated, sick, pregnant or nursing pets, or on pets that have previously shown signs of sensitivity to pesticide products, and
If your pet experiences an adverse effect.

If you use a spot-on product or any other pesticide on you pet, carefully read and follow the product label
Use flea and tick control products only on the animal specified by the product label. For example, dog products for dogs only and cat products for cats only.
Follow any label prohibitions against use on weak, aged, medicated, sick, pregnant or nursing pets, or on pets that have previously shown sensitivity to pesticide products.
Apply only the amount indicated for the size of the animal being treated.
Do not apply to kittens or puppies unless the product label specifically allows this treatment. Pay attention to age restrictions for puppies and kittens on the label.
Monitor your pet for side effects or signs of sensitivity after applying the product, particularly when using the product on your pet for the first time. Do not apply spot-ons to pets known to be sensitive to pesticide products.
If your pet experiences an adverse reaction, immediately bathe the pet with mild soap and rinse with large amounts of water.
Keep the package with the product container (such as individual applicator tubes). Also keep the package after treatment in case adverse effects occur. You will want to have the instructions at hand, as well as contact information for the manufacturer.

To report an adverse incident:

Keep the package with the product container (such as individual applicator tubes). Also keep the package after treatment in case adverse effects occur. The package contains the product label, which includes important information such as the EPA registration number and contact information for the manufacturer.

Report any adverse effects to the manufacturer, who is required by law to report it to EPA. Contact information can be found on the product label. In addition, you may report the incident to the National Pesticide Information Center (NPIC), 1-800-858-7378

Encourage your veterinarian to use NPIC’s Veterinary Pesticide Adverse Effects Reporting portal at http://npic.orst.edu/vet to report any incidents. This portal is not for use by the public.

For further information, the EPA has answers to some frequently asked questions.

New Treatment for Cushing's Disease

2009-05-19T15:01:00.002-04:00

Vetoryl (trilostane), which had been available only on the European market, is now FDA approved for use in the United States. I'm pleased to announce that Vetoryl is available, by prescription, at 1-800-PetMeds. Vetoryl is currently available as 30 mg and 60 mg capsules only.

Vetoryl is used in the treatment of pituitary dependent hyperadrencorticism (Cushing's disease of pituitary origin). Vetoryl is a unique approach to the treatment of Cushing's disease, in that the medication acts by blocking a specific enzyme which in turn causes a significant reduction in serum cortisol.

What is some important information to know about Vetoryl:

Vetoryl is for use in dogs only.
Vetoryl should be given once a day with food.
Do not split, open or divide the capsule.
Vetoryl should not be given to pregnant dogs, nursing dogs, or dogs intended for breeding.

National Pet Dental Health Month (continued)

2009-02-18T09:37:00.003-05:00

Stinky pet breath is a symptom that can be due to a number of possible causes including:

Bacteria and food particles stuck in the pet's mouth.
The pet's diet.
Eating disorders such as coprophagia (eating feces)
Kidney disease
Lung disease
Mouth tumors

Getting into a routine of regularly brushing the pet's teeth using a product such as C.E.T Toothpaste, specifically formulated for pets, is the first step in promoting a healthy mouth. Regular annual dental visits can spot any symptoms of disease early.

When beginning a regular brushing program use a tooth wipe or finger toothbrush for the first couple of weeks and then begin using a tooth brush once your pet is comfortable with the process.

PetHealth101 is an excellent resource for articles on how to brush your pet's teeth.

National Pet Dental Health Month

2009-02-12T15:52:00.003-05:00

February, 2009 is designated as National Pet Dental Health Month.

Why is our pet's dental health so important? Consider that without proper dental care, by the age of three, 80% of dogs and 70% of cats will have some form of dental disease. Regular annual veterinary visits are important to ensure that the pet's teeth and mouth are healthy and disease free.

To supplement annual visits to your veterinarian, it's a good idea to follow a 3 step dental health program:

Step 1 - regularly brush your pet's teeth.
Step 2 - use a dental rinse or add a dental solution to the pet's drinking water.
Step 3 - regularly provide dental treats especially if brushing cannot be done.

Make 1-800-PetMeds your source for quality pet dental care products.

Peanut Recall

2009-01-23T10:45:00.003-05:00

There's been a lot in the news lately regarding the recall of products containing Salmonella contaminated peanut butter supplied by Peanut Corporation of America from their Blakely, GA plant. Most of the recall involves human snack products such as cookies and crackers, but there has been a recall of a pet food product which is not sold by 1-800-PetMeds.

There are other manufacturers of peanut butter as well, but their products are not involved in this recall.

To keep you informed, to help you understand what's been going on with this recall, and to provide you with a way of finding out which products have been recalled, here is a link to the Food and Drug Administration (FDA) website

National Association of Pet Pharmacies

2008-12-17T16:41:00.005-05:00

I'm extremely pleased to report that 1-800-PetMeds pharmacy has been certified as an accredited pharmacy by the National Association of Pet Pharmacies (NAPP).

NAPP is "an independent and impartial organization established with the mission of ensuring the validity of pet pharmacies selling medications in the United States".

Similar to VIPPS, NAPP has certified that 1-800-PetMeds is licensed or authorized to dispense in all states that require licensure. Their website provides a list of the 1-800-PetMeds license numbers in those states, as well as a link to the regulatory agency for pharmacies in those states. In addition, the NAPP certifies the the products dispensed are EPA- or FDA-approved for sale in the United States.

November is National Diabetes Awareness Month

2008-11-12T11:01:00.004-05:00

My apologies for not contributing since June. However, a discussion regarding Diabetes mellitus (Diabetes) and Diabetes awareness is a great way for me to begin writing again.

We hear and read time after time about the increased prevalence of Diabetes in the human population. Some causes can be attributed to a sedentary lifestyle, lack of exercise, diets full of carbs and starches as well as larger portions, all leading to an obese population.

This blog is really about pets, and in the dog and cat population, Diabetes is one of the most common endocrine disorders. Symptoms of Diabetes include increased thirst, hunger and urination, weight loss, and lethargy. In dogs, untreated Diabetes can cause rapid cataract formation. In cats, undiagnosed Diabetes can lead to diabetic neuropathy which is evidenced by the cat walking on it's hock (plantigrade posture). The incidence of Diabetes in the dog population has grown from 19 in 10,000 dogs 30 years ago to 58 per 10,000 as of 1999. In the cat population, the incidence of Diabetes can range from 1 in 50 to over 1 in 400 depending on the population studied.

Diabetes is easily diagnosed through a simple blood test and is most commonly categorized as Type I and Type II. Type I occurs mostly in dogs and is treatable with insulin. Type II occurs mostly in cats and is treatable with oral medication, although some cats are treated with insulin.

1-800-PetMeds carries a full line of products necessary for the treatment of Diabetes, as well as
a monitor to measure how effective treatment is. Here is a list of the products that we carry:

PZI Vet Insulin has been discontinued by the manufacturer, and will no longer be carried once supplies have run out.

PZI-VET and Vetsulin Insulin

2008-08-01T12:00:00.004-04:00

On April 8, 2008 IDEXX Pharmaceuticals, Inc. announced that they were discontinuing production of PZI-VET. PZI-VET a brand of U-40 Protamine Zinc Insulin was FDA approved for use in cats. There are still supplies at the retail level. However, once those supplies run out, PZI-VET will no longer be available. That's the bad news.

The good news is that Vetsulin, manufactured by Intervet/Schering-Plough, which was previously approved for use in dogs only, has received FDA approval for use in both dogs and cats.

PZI-VET and Vetsulin are not the exact same insulin. PZI-VET is protamine zinc insulin, whereas Vetsulin is porcine zinc insulin suspension.

As cats are moved from PZI-Vet to Vetsulin, the dose of Vetsulin will need to be adjusted and monitored by the veterinarian.

Keep Pets Safe From Fleas and Ticks

2008-06-12T16:44:00.002-04:00

On March 19, 2008, 1-800-PetMeds issued a press release providing specific recommendations for pet owners to prevent flea and tick infestation on their pets.

In this article, Dr. Michael Dym, 1-800-PetMeds veterinarian, discusses the types of diseases caused by fleas and ticks.

The advantages of using products such as Frontline Plus and K9 Advantix as a means of preventing flea and tick infestations is discussed in this press release.

Disaster Plans for Your Pets

2008-06-09T09:27:00.002-04:00

I live in southeastern Florida and June 1 marked the start of hurricane season. A few years ago, my wife and I were directly impacted by hurricane Wilma. In 1995, I was a pharmacist first responder when hurricane Andrew devasted the Homestead, Florida area. As a result of these hurricanes, my wife and I make it a point to review our disaster plan. We make sure our property is secure and that extra food, water and other necessary supplies are on hand prior to June 1.

I'm sure we've all read about the disasters affecting the mid-west. Torrential downpours, flooding, and tornadoes have been causing havoc to so many families.

My question to those of you that have not been affected by these disasters is; if an emergency such as flood, fire, tornado, or hurricane were to happen, how prepared are you? If you are not prepared, now is the time to mke sure you have a disaster plan in place and make sure your pets have been included in this plan.

In preparing a disaster plan, you need to consider what needs to be done before, during, and after a disaster. Let's look at these considerations:

Before a disaster strikes:

If you must evacuate, take your pet with you, if possible. However, if you are going to a public shelter, know beforehand if the shelter is pet friendly. Not all shelters allow pets. You need to plan in advance for shelter needs for you and your pets.
Is the pet current on vaccines? Pet friendly shelters may require proof of vaccination.
Have a current picture of your pet.
Make sure you have a collar, identification tag, and a leash on hand.
Have a pet carrier for each pet large enough for the pet to stand in and turn around in.
Don't forget to include your pet when creating your disaster plan.

During a disaster:

If the shelter allows pets, bring along the collar with ID and rabies tags, leash, and pet carrier.
Bring an ample supply of food, water, and food bowls.
Bring any necessary medications and any specific care instructions.
Bring newspapers or trash bags for clean up.

After A disaster:

Pets may need to be reoriented to their home and should be kept on a leash since familiar scents and landmarks may be altered. In addition, pets can be easily confused and become lost.
Have a picture of your pet with you in case your pet cannot be found after a disaster. Check with local authorities such as animal control to see where animals can be recovered.
Be aware of behavior changes in the pet as a result of the disaster. Your pet may become aggresive or defensive.

Additional information on a disaster plan for dogs and a disaster plan for cats can be found on www.PetHealth101.com

China Earthquake Relief

2008-05-20T11:03:00.007-04:00

This morning, I read an article in my local newspaper that mentioned pharmacy students at Nova Southeastern University College of Pharmacy have started a relief fund for victims of the recent earthquake in China. These students are raising money for food, medicine, potable water, blankets and temporary shelter for those who have been affected by the quake. These students will be working with Beijing University of Chinese Medicine to coordinate the relief efforts.

Doctor of Pharmacy students at Nova Southeastern University College of Pharmacy are required to perform 8 clinical rotations during the last year of their six year education. Four of these rotations are required and four are elective. 1-800-PetMeds serves as one of the elective sites and offers a rotation in Veterinary Pharmacy. I am a preceptor for those students wishing to take this elective rotation, and as such, serve as Clinical Affiliate Faculty at NSU College of Pharmacy.

I am proud to be affiliated with this university and equally proud of these students efforts. I know these future pharmacists will be assets to the profession.

1-800-PetMeds Supports Jacksonville, Florida "Fur Ball Gala"

2008-05-15T12:31:00.004-04:00

On May 3, 2008, 1-800-PetMeds issued a press release that it will be supporting the Ninth Annual "Fur Ball Gala" in association with the Jacksonville, Florida Humane Society.

The gala event scheduled for May 31 at the University Center Ballroom will host 350 people and their more than 150 pets.

Angels' Eyes Tear Stain Remover at 1-800-PetMeds

2008-05-14T10:23:00.004-04:00

1-800-PetMeds has recently added Angels' Eyes tear stain remover to the list of products offered for sale by the company. An eye care product composed of pure beef liver with Tylosin Tartrate as a preservative, Angels' Eyes is a unique product that helps eliminate tear stains from the inside out. As the stained fur around the eyes is trimmed, the newly grown coat will be totally clear.

Angels' Eyes is given as a dose based on the weight of the pet every day for the first 3 months. After 3 months the product is given 4 times a week, and after 6 months Angels' Eyes is given twice a week.

Angels' Eyes should be given to dogs 8 weeks of age or older. When giving Angels' Eyes, shake the powder container first, then sprinkle the dose onto an amount of food the pet will totally eat. In rare cases, where the pet does not like changes to their food, Angels' Eyes can be put into their drinking water. When mixing, always add water to the Angels' Eyes, do not pour the powder into the water.

ProMeris at 1-800-PetMeds

2008-05-08T11:58:00.002-04:00

Fort Dodge Animal Health has introduced a new over-the-counter (OTC) product called ProMeris. This product is available as Promeris For Cats, for flea prevention in cats 8 weeks of age or older, and ProMeris For Dogs, for flea and tick prevention in dogs 8 weeks of age or older.

ProMeris For Cats and ProMeris For Dogs both contain the chemical metaflumizone. Metaflumizone blocks nerve impulses in the flea by targeting voltage dependent sodium channels on both sides of the nerve synapse. This new approach to flea control acts by blocking the influx of sodium which is required to allow nerve impulses to occur.

ProMeris For Dogs also contains the chemical amitraz to control ticks. Amitraz is classified as a monoamine oxidase inhibitor (MAOi). The manufacturer states that ProMeris For Dogs "contains a patent-protected formulation, which is designed to prevent absorption through the skin, It should not be compared with other amitraz formulations". Be that as it may, if your dog is using an MAOi such as Anipryl, selegiline, Mitaban Dip, or Preventic Collar, you should first consult your veterinarian before applying ProMeris For Dogs. People taking MAOi's (such as Parnate, Nardil, Eldepryl, and selegiline) should use particular care when applying this product and until the product is completely dry.

Tapeworms

2008-04-28T10:12:00.002-04:00

This being the end of April, it's safe to assume that even the "colder" states are now beginning to warm up. This means that pets that were not treated with flea prevention products during the winter months should now be treated monthly. Flea prevention products that should be used include Advantage, Frontline and Program.

Why is flea prevention necessary? Fleas can transmit tapeworms which can cause symptoms in animals that include intense itching around the anus, causing dogs to "scoot" along the floor. They can also cause weight loss due to robbing nutrients from the intestinal tract, and they can also enter the stomach from the intestines causing stomach irritation. Fleas can also cause tapeworms in humans. Therefore, keeping our pets flea free and maintaining good hygiene, is necessary to prevent human contamination.

There are a number of interesting links I suggest you follow for more information. These include:
1. A tapeworms press release issued by 1-800 PetMeds on April 8, 2008

2. Articles on flea prevention including flea FAQ's and

flea control FAQ's

National Pet Dental Health Month

2008-02-22T15:30:00.000-05:00

Of all the wonderful things we do for our pets, the one thing many of us do not do is take proper care of our pets teeth. It's not that we are lazy, or uncaring, it's just that it's not the most convenient, or easiest thing to do. After all, brushing or rinsing your pets teeth does take work.

However, dental care is not just about brushing. It's also about regular veterinarian visits to check on the dental health of our pet. It's about using products such as C.E.T. Chews, C.E.T. Toothpaste, and C.E.T. Rinse in a three stp process that is vital to the dental health of our pets.

This is National Pet Dental Health Month. Let's remind ourselvesthat it's just as important to take care of our pets teeth, as it is to give them their monthly heartworm preventative.

For more information regarding National Pet Dental Health Month please read our Press Release

Visit 1-800-PetMeds for more information regarding Dental Products

After I give the medication, then what?

2008-01-28T11:58:00.000-05:00

How a medication works and how it is excreted from the body is a complicated topic. However, I believe consumers need to be informed and, therefore, I'm going to try and explain the process as simply as I can.

Medications undergo a process called biotransformation. For example:

An active drug such as phenobarbital is converted, prior to excretion, to an inactive metabolite: hydroxyphenobarbital.

An active drug such as primidone is converted, prior to excretion, to an active metabolite: phenobarbital.

An inactive drug such as codeine is converted, prior to excretion, to an active metabolite: morphine.

It is either the active drug, or the active metabolite of the drug, that actually does the job it was intended to do, in the body.

Drugs eventually need to leave the body and the majority do so through the kidneys in urine. However, other drugs are excreted by the liver in bile .

Water soluble drugs are excreted through the kidneys either unchanged (ampicillin), or having been changed in the liver first (Rimadyl, Novox).

Other drugs pass through the liver and are excreted from the liver in bile. Bile enters the digestive tract and the drugs are eliminated via the feces. Examples are: ketoconazole (Nizoral).

As you can see the liver and kidneys play a major role. That's why it's important to make sure that these organs are functioning properly. In some cases, blood tests need to be performed before beginning drug therapy, and depending on the drug, during therapy to make sure there is no damage being done to the liver or kidney. When giving the pet more than one medication, kidney and liver health becomes even more important.

I'll try and expand on this subject in future entries.

Understanding Pharmacy Terms

2008-01-23T15:03:00.000-05:00

There are times when medications are available in different dosage forms but the differences are not really understood. So here are the definitions of certain terms commonly used in pharmacy.

Chewable tablet (Chew tab) - a tablet that should be chewed, not swallowed whole.

Tablet - a medicine taken by mouth that is swallowed whole.

Caplet - a tablet that must be swallowed whole, but it's oblong shaped for ease of swallowing.

Softgel -a gelatin capsule usually containing a liquid.

Sprinkle Capsule - a capsule that is meant to be opened and sprinkled on food.

Scored - the tablet (or chew tab) can be split in half.

Double scored - the tablet can be split into quarters.

Suspension - a liquid that must be shaken well prior to use.

E.R. (ER) - Extended Release

Otic - for the EAR

Ophthalmic (Ophth.) - for the EYE

Topical - applied to the skin

Let me know if I can help with any other terms.

Setting the record straight

2007-12-27T10:29:00.000-05:00

PetMed Express, Inc., d/b/a 1-800-PetMeds (PetMeds) is a mail order pharmacy licensed or authorized to dispense prescription medications to all 50 states and the District of Columbia. Like many retailers, PetMeds maintains a web site (http://www.1800petmeds.com/) which allows consumers the opportunity to order products from the convenience of their home and have the order shipped directly to them, which is especially convenient in this time of rising gas prices.

PetMeds sells two types of product:
1. Over-the-counter (OTC) which requires no prescription from a veterinarian, and
2. Prescription medication (Rx) that does require a prescription from a veterinarian.

OTC items include, but are not limited to Frontline and Frontline Plus, Advantage, K-9 Advantix, Cosequin, Synovi, and GlycoFlex.

Prescription medications include, but are not limited to Heartgard Plus, Interceptor, Iverhart Plus, Advantage Multi, Rimadyl, and Deramaxx.

Prescription medications will only be sent to a consumer if PetMeds receives a prescription from a veterinarian with whom there is a Veterinarian-Client-Patient relationship (typically meaning the pet has been examined within the previous year). Our pharmacists can get this prescription by calling the veterinarians office, by the veterinarian faxing a prescription to PetMeds, or by having the client mail the written prescription received from their veterinarian to us.

PetMeds has a 100% satisfaction product guarantee and all of our products are the same exact medications sold by veterinarians.

Pet Nutrition

2007-11-21T15:20:00.000-05:00

The results of a recent survey by Nestle Purina PetCare Co. were published in the magazine, PetAge.

According to this survey, 90% of pet owners always try to purchase foods with the most health benefits for themselves. 82% look for foods with the most wholesome ingredients for their pets.
Antioxidants and omega-3 fatty acids are the leading nutrients pet owners want for themselves and for their pets.

To quote the article:

High Quality Protein. While 83% of respondents buy foods with high quality protein for themselves, 91% rank protein as the most important nutrient to consider when buying pet food.
Omega-3 fatty acids. More than 80 percent believe omega-3 fatty acids are among the most essential nutrients in food for themselves and their pets.
Antioxidants. Ninety percent always look for foods rich in antioxidants for themselves and their pets.
Vitamin A. A total of 79% said Vitamin A, which promotes good vision, is an important nutrient in their food, and 74% said it was important in their pets' food.

Some additional data from the article includes:

More than 75% of respondents consider natural ingredients important in their food, and more than 65% search for natural ingredients in pet food.
Thirty-one percent said natural ingredients dictate what they buy for their families, and 38% said the same for the food they buy their pets.

1-800-PetMeds has a food called 1-800-PetMeds Eat Great. Be Well. Dog Food. How does this product measure up to what these consumers want in a pet food?:

High Quality Protein: The main ingredient in 1-800-PetMeds Eat Great. Be Well. Dog Food is chicken.
Omega-3 fatty acids: Natural ingredients as a source of Glucosamine and Omega-3 fatty acids.
Antioxidants: Natural ingredients including Vitamin E.
Vitamin A: Contains Vitamin A

1-800-PetMeds Eat Great. Be Well. Dog Food is 100% nutritious with no artifical ingredients or fillers. It is NOT made from wheat or corn. 1-800-PetMeds Eat Great. Be Well. Dog food is formulated to meet the nutritional levels established by the AAFCO dog food nutrient profiles for all life stages.

For information about the products 1-800-PetMeds carries, visit the 1-800-PetMeds website. Follow this link for a complete list of ingredients, for 1-800-PetMeds Eat Great. Be Well. Dog Food.

Newly Released Medications - 2

2007-10-24T12:46:00.000-04:00

In my previous blog regarding new products, I discussed a product called Reconcile and today I want to discuss another new medication called Vetmedin.

Vetmedin (pimobendan) is a medication that is used in dogs for the management of the signs of mild, moderate or severe congestive heart failure due to conditions called atrioventricular valvular insufficiency and dilated cardiomyopathy. Vetmedin treats these conditions by increasing the heart's ability to pump blood. Vetmedin works by opening the blood vessels that take blood away from the heart thereby reducing the work the heart does to pump blood. Vetmedin also opens the blood vessels that return blood to the heart thereby reducing pressure on the heart.

Vetmedin is available in 1.25 and 5mg scored chewable tablets and is FDA approved for use only in dogs 6 months of age or older. It should not be used in humans. The total daily dose should be divided into two portions. The portions should be given 12 hours apart.

Vetmedin does have the potential for side effects such as: loss of appetite, tiredness, diarrhea, labored breathing, weakness, and incoordination. In some cases the pet may develop an allergic reaction with symptoms including facial swelling, hives, scratching, sudden onset of diarrhea, vomiting, shock or seizures. If an allergic reaction should occur, contact your veterinarian immediately.

Vetmedin does interract with other medications and you should consult your veterinarian before using Vetmedin with verapamil, propranolol, theophylline and pentoxyfiline.

There is more information regarding Vetmedin on the 1-800-PetMeds website and the pharmacists on staff areavailable to answer questions as well.

Why Do I Need a Prescription for My Pet's Medication?

2007-10-23T12:06:00.000-04:00

Like any other pharmacy, 1-800-PetMeds sells pet supplies and medications that can be either over the counter (OTC), where NO prescription is required or prescription (Rx) where a prescription from the veterinarian IS required.

Examples of OTC medications include flea and tick products such as K-9 Advantix, Frontline TopSpot, Frontline Plus, and Advantage.

Examples of medications that require a prescription include heartworm medications such as Heartgard Plus, Iverhart Plus, Revolution, Interceptor and Sentinel, pain relievers such as Rimadyl, Deramaxx, Previcox and Metacam and medications such as Soloxine, methimazole and antibiotics.

I'm often asked the question - "Why do I need a prescription if my vet gives it to me without a prescription?" That's an excellent question and is best answered by comparing the situation to human medications.

When we need to see a doctor, and the doctor determines that we need a medication, a prescription is given to us. We then go to our local drug store and the pharmacist fills the prescription for us. Or, we use a mail order pharmacy, so we mail the prescription away to the mail order pharmacy and a pharmacist fills the prescription and mails it to us.

However, there are doctors that sell prescription medications in their offices. They are allowed to do so because their doctors license allows them to. So instead of giving you a piece of paper (the prescription), you get the medication itself.

The same situation exists in veterinarians offices with the exception that while doctors are used to giving prescriptions to patients to be filled at the drug store, veterinarians are used to having their customers buy from them.

When a vet examines a pet and makes the determination that a prescription medication is necessary to either prevent a disease (such as heartworm medication), treat a condition (such as thyroid medication) or cure a disease (such as antibiotics), the pet owner has the right to fill that prescription at the pharmacy of their choice. They do not have to buy the medication from the veterinarian.

What is meant by "the prescription"? Prescriptions can be written on paper. Prescriptions can be given over the telephone from the vets office to the pharmacy and prescriptions can be transmitted by fax from the vets office to the pharmacy. So when I say the vet should give you a prescription, it can be by either of those means. If you are at the vets office, ask for a written prescription. You can then mail it to us and our pharmacists will process it. Otherwise, we will gladly call or fax your vet in order to fill your prescription need.

Newly Released Medications - 1

2007-09-21T10:57:00.000-04:00

The FDA has recently approved two new prescription medications for use in dogs. These products are Reconcile (fluoxetine) and Vetmedin (pimobendan). Let me discuss Reconcile today and I'll discuss Vetmedin next time.

Reconcile is the first SSRI (selective serotonin reuptake inhibitor) approved by the FDA for the treatment of separation anxiety in dogs in conjunction with a behavior modification program. Reconcile is a chewable, flavored tablet that is given once a day and is available in four tablet sizes (8, 16, 32, and 64mg) for convenient dosing. Data show that 42% of dogs receiving Reconcile and behavior modification showed improvement within 1 week. Within 8 weeks, 73% of dogs showed significant improvement when combined with behavior modification.

Symptoms of separation anxiety often go unnoticed by the pet owner, or may be misunderstood as bad behavior. Separation anxiety causes distress for the pet as well as the pet owner. Symptoms that may be associated with separation anxiety include: destruction, inappropriate elimination, vocalization (both loud and/or soft), licking, salivation, anorexia, pacing, and withdrawal.

Factors that are associated with an increased risk of separation anxiety include: traumatic separation, previous inexperience with isolation, excessive greetings or prolonged owner departures, abrupt changes to the owner's routines, relocation to a new home, exposure to a new pet sitter, and death in the family.

Reconcile reduces inappropriate behaviors, minimizes the pet's distress and increases receptiveness of the at home behavior modification program. Because the medication is given once a day, treating the pet is easier, less time consuming, and increases patient compliance.

The most common side effects include calmness or lethargy, reduced appetite, vomiting, shaking, diarrhea, restlessness, excessive vocalization, aggression and in infrequent cases, seizures.

If your veterinarinarian prescribes Reconcile, make sure you discuss with your veterinarian or pharmacist any other medications your pet may be taking before starting your pet on this medication.

Tick Borne Diseases (4)

2007-08-22T14:57:00.000-04:00

My last three entries have been related to zoonotic disease. In this entry, I want to discuss Lyme disease, the last of the four major diseases that can be spread from animal to man with the tick as the vector.

Lyme disease, also known as borreliosis, is transmitted to animals by the common deer tick on the east coast of the United States, and by a closely related tick on the west coast. Ticks become infected by feeding on an animal already infected with the disease causing organism (Borrelia) and when these ticks become attached to a non-infected pet and feed, the disease is passed into that animal. Humans cannot get Lyme disease directly from their pet. However, if the pet develops the disease a tick can feed on and then pass the disease from the pet to the human if the human gets a tick bite.

Symptoms that can occur in dogs that may be indicative of Lyme disease include: fever, lameness, swelling in the joints, lethargy, and loss of appetite. Unlike in humans, the appearance of a rash or circular ring of redness around the tick bite does not occur in dogs. It should be said that it can take from 2 to 5 months from the time a pet is bitten by an infected tick for symptoms of Lyme disease to show. In untreated pets, or pets who did not respond well to treatment, symptoms of arthritis can occur, and in rare instances, kidney disease and/or failure can occur. Blood tests are available to aid in the diagnosis of Lyme disease but the presence of clinical signs and a rapid response to antibiotic therapy is usually diagnostic of Lyme disease.

Lyme disease is treated most often with the antibiotics doxycycline or amoxicillin. These medications are usually given for at least 14 days, but 30 days is the recommended treatment duration and in some instances a longer duration may be needed. Pets that do not respond to antibiotic therapy within 48 hours should be brought back to the veterinarian for further diagnosis, since response to antibiotic treatment of Lyme disease is rapid.

Using a product such as K9-Advantix or Frontline Plus will help kill ticks, and even if the tick should attach to the pet, the tick will die within approximately 12 hours. In order for a tick to pass on Lyme disease, it must be attached to the pet for at least 48 hours. These products should be applied once a month. There are also vaccines available for preventing Lyme disease. However, veterinarians are divided as to whether these vaccines are or are not effective. If you live in a heavily tick infested area you can discuss this option with your veterinarian.

For the health of your pet, the pharmacy staff at 1-800-PetMeds recommends apply a flea and tick preventative once a month. Because ticks can survive indoors even in the winter, these products should be used year round.

For further information of tick borne disease visit the Tick FAQs site on PetHealth101

Tick Borne Diseases (3)

2007-08-17T14:00:00.000-04:00

Over the last few days, I've been discussing four major zoonotic diseases that can be spread from animal to man with the tick as a vector. I've already discussed ehrlichiosis and Rocky Mountain spotted fever. In this entry I want to discuss Tularemia, and I'll finish up next week with a discussion on Lyme disease.

Tularemia, also known as rabbit fever is a disease that while rare, is found throughout the northern hemisphere. The disease is transmitted typically from animal to animal by the Lone Star tick as well as the ticks that can spread Rocky Mountain spotted fever. Ticks become infected by feeding on an animal already infected with the disease causing organism (Francisella) and when these ticks become attached to a non-infected animal and feed, the disease is passed into that animal. Humans cannot get Tularemia directly from their pet. However, if the pet develops the disease a tick can feed on and then pass the disease from the pet to the human if the human gets a tick bite. Tularemia is also transmitted by fleas and dogs and cats can become infected by eating rabbits or rodents already infected.

Symptoms that can occur that may be indicative of Tularemia in dogs include: loss of appetite, listlessness and low grade fever. In cats symptoms may include: high fever and swollen lymph nodes. If Tularemia is suspected, the pet should be examined by a veterinarian. A blood test to measure antibody levels can be performed. The disease can also be diagnosed by culturing the bacterium from tissue from the animal. In humans a lesion at the site of the tick bite usually develops followed by enlarged lymph nodes. Humans can also get the disease from eating contaminated, undercooked rabbit and symptoms can include intestinal pain, vomiting, and diarrhea.

Tularemia is treated with antibiotics. In pets, enrofloxacin (Baytril) or ciprofloxacin (Cipro) can be used. For humans, the antibiotics gentamicin and streptomycin are used.

Because this disease is spread to animals by ticks and fleas, the 1-800-PetMeds pharmacy staff recommends applying a monthly flea and tick preventative on your pet. These products should be used year round because fleas and ticks can survive indoors even in the winter.

For further information on tick borne disease visit the Tick FAQ's site on PetHealth101. You can also visit the fleas FAQ's site as well.

Tick Borne Diseases (2)

2007-08-16T11:47:00.000-04:00

In my previous entry, I mentioned four major zoonotic diseases that can be spread from animal to man with the tick as the vector. These diseases are: ehrlichiosis, Rocky Mountain spotted fever, Tularemia and Lyme disease. In this entry I want to discuss Rocky Mountain spotted fever.

Rocky Mountain spotted fever is transmitted to animals by the American dog tick and the Rocky Mountain spotted fever tick. These ticks are most prevalent in the east coast, midwest and plains regions. Ticks become infected by feeding on an animal already infected with the disease causing organism (Rickettsia) and when these ticks become attached to a non-infected pet and feed, the disease is passed into that animal. Humans cannot get Rocky Mountain spotted fever directly from their pet. However, if the pet develops the disease a tick can feed on and then pass the disease from the pet to the human if the human gets a tick bite.

Symptoms that can occur that may be indicative of Rocky Mountain spotted fever include: loss of appetite, fever, depression, pain in muscles and joints, swollen lymph nodes, and edema of the face and legs. Some animals will have vomiting and diarrhea. Some animals will have dizziness, seizures and depression. If Rocky Mountain spotted fever is suspected, the pet should be examined by a veterinarian. Blood tests can be used to measure antibody levels and are usually given twice, two weeks apart to measure any increase. In addition, a skin test to measure antigens can be performed as well. Symptoms that can occur in huymans include: rash, fever, chills, headache, muscle ache, nausea, abdominal pain and swollen lymph nodes.

Rocky Mountain spotted fever is treated using antibiotics such as tetracycline, doxycycline and enrofloxacin (Baytril).

Tick season usually extends from April to September and that is the period of time where the incidence of Rocky Mountain spotted fever is highest. For the health of your pet, the pharmacy staff at 1-800-PetMeds recommends applying a monthly flea and tick preventative. However, since ticks can survive indoors, even in the winter, it is also recommended that these products are used year round.

For further information on tick borne disease visit the Tick FAQ's site on PetHealth101.

Tick Borne Diseases

2007-08-13T10:05:00.000-04:00

Visiting my brother in Kansas this weekend I noticed an article in the local section of The Kansas City Star regarding the rise of tick borne diseases in Missouri. While the article was meant to inform the local population, disease spread by ticks is an important subject for pet owners regardless of where they live, especially in the warm, summer months.

Zoonosis is a term for disease that can be spread from animals to humans and the tick borne illnesses I'm going to mention are zoonotic diseases. In the case of tick borne diseases, ticks are the vector by which these diseases can get transmitted from animals to humans. Four major diseases that can be transmitted by ticks include: ehrlichiosis, Rocky Mountain Spotted Fever, Tularemia and Lyme disease. I'm going to discuss these diseases one at a time, beginning with ehrlichiosis.

Ehrlichiosis, now also sometimes referred to as anaplasmosis, is a disease transmitted by the Brown Dog tick and the Lone Star tick and can occur anywhere in the United States that these ticks are found. Ticks become infected by feeding on an animal already infected with Ehrlicia and when these infected ticks become attached to a non-infected pet and feed, Ehrlichia is passed into that animal. Humans cannot get ehrlichiosis directly from their pet . However, if the pet develops ehrlichiosis a tick can feed on and then pass, in some instances, the disease from the pet to the human if the human gets a tick bite.

Symptoms to look for that could possibly indicate ehrlichiosis in a dog include: Anemia, fever, depession, lethargy, loss of appetite, shortness of breath, joint pain amd bruising. If ehrlichiosis is suspected you should have your pet examined by a veterinrian who can run tests to determine the presence of the Ehrlichia organism itself or the presence of antibodies to Ehrlichia. Symptoms in humans may include: fever, chills, headache, muscle ache, nausea, loss of appetite, weight loss, abdominal pain, cough, and diarrhea

Ehrlichiosis is treated most often with the antibiotics tetracycline or doxycycline.

For the health of your pet, the 1-800-PetMeds pharmacy staff recommends applying a monthly flea and tick preventative. It is also recommended that you use these products year round because ticks can survive indoors even in the winter.

For further information on tick borne disease visit the Tick FAQs site on PetHealth101.

My Pet Was Sprayed by a Skunk

2007-08-06T11:35:00.000-04:00

One of my pharmacists, Harvi, received a phone call from a pet owner in Oregon. It appears that her dog, Rusty, was sprayed by a skunk and none of the methods she tried to rid the pet of skunk smell worked.

Harvi did some research and found a formula that she believed would work.

It did!!

Every day the pharmacists on staff at 1-800-PetMeds answer questions our clients have. Some questions are routine, others, such as Harvi's are more complex. I am proud of the efforts of each and every one of my pharmacists.

Here's the formula Harvi found that proved effective in removing skunk odor from the pet:

Into 1 quart of 3% Hydrogen Peroxide (the first aid strength, NOT the hair product) add and mix in:
1/4 cup baking soda
1 teaspoon hand detergent (dish soap)

Apply the solution to the pets fur and leave on for 5 minutes (do not get in pet's eyes, ears or mouth). Rinse thoroughly with plain water. It may be necessary to repeat this treatment one time.

It is possible for this solution to temporarily discolor black fur.

Flea and Tick Prevention (continued)

2007-07-26T12:58:00.000-04:00

Last time I wrote why using flea and tick prevention, especially at this time of year, is important.

I would urge those of you who read my blog, to check out some very informative articles regarding flea and tick product on the www.PetHealth101.com website.

Articles pertaining to treating the pet that should be read include how to apply flea and tick products and what to do when medications fail.

Because it is so important to also treat the house and grounds when a flea infestation does occur, articles that pertain to flea and tick control for the indoors and flea and tick control for the outdoors are also available.

Flea and Tick Prevention

2007-07-18T14:19:00.000-04:00

Many veterinarians have begun to recommend that flea and tick prevention products be used every month year round. There are two major reasons for this: Firstly, flea larva and ticks can survive indoors even when the weather is cold outside. Secondly, by getting used to using the preventative, pet owners increase compliance and more easily remember that the product needs to be used every month.

Why is using a flea and tick product so important? The short answer is it keeps the pet healthy. Fleas can cause flea allergy dermatitis, hot spots, skin infections, and tapeworm. Ticks can cause Lyme disease, Ehrlichia, and Rocky Mountain Spotted Fever.

There are many types of flea and tick products. The choice of which product to use can be difficult but we can help overcome this difficulty if you use the comparison chart available on the 1-800-PetMeds website. Our customer care and pharmacy department staff is available to answer your questions as well.

If you live in an area where ticks are prevalent, you should use a flea and tick preventative such as K9-Advantix or Frontline Plus as opposed to a strictly flea preventative such as Advantage or Frontline Top Spot. You may also want to consider trimming your pets fur or maybe even giving the pet a "puppy cut". These products are over the counter (OTC) and DO NOT require a prescription.

For the health of your pet and to keep your home flea and tick free, I highly recommend you use a flea and tick preventative on your pet.

Car safety

2007-07-13T16:32:00.000-04:00

I was driving home the other day and came behind a car in which the driver had her window open, her dog on her lap and the dog's head was sticking out the window feeling the breeze and smelling the smells that dogs do.

I wanted to say something to this lady but really never had the opportunity, and then, with the way some people are on the road these days, I probably would have come out the bad guy.

What were my concerns? Here they are:
1. I was concerned as to how a driver could safely operate a vehicle with an animal sitting on the owner/drivers lap?
2. I was concerned that if the car were involved in an accident, aside from potential injury to the driver, the poor dog would almost be guaranteed being injured because the pet was not secured.
3. I was concerned that because this was a fidgety toy poodle the dog could easily have squirmed out of the drivers hands and out of the window.
4. I was concerned that if this had happened, that the driver would have taken her car directly to the scene of an accident in trying to grab her dog as it was squirming out of the window.

I know we all love our pets and want to hold them and hug them. But we need to respect the fact that when we exercise the privilege of driving we need to be considerate of the other drivers on the road as well. For our safety and that of our pets I would suggest:
1. When we drive, lets not keep pets on our laps. As much as we love them, they are a distraction.
2. When we drive, let's use a harness to keep the pet safely in his/her own seat.

Have a safe summer.

Summer Care Tips for Pets - Part 3

2007-06-22T08:41:00.000-04:00

Continuing with the Humane Society of the United States' tips for caring of pets during the summer, here is the last of their suggestions:

"Another summertime threat is fleas and ticks. Use only flea and tick treatments recommended by your veterinarian. Some over-the-counter flea and tick products can be toxic, even when used according to instructions." 1-800-PetMeds has a range of safe and effective (when used as directed) flea and tick products. You can look at comparison charts and read additional information regarding these products.

"Pets can get sunburned too, and your pet may require sunscreen on his or her nose and ear tips. Pets with light-colored noses or light-colored fur on their ears are particularly vulnerable to sunburn and skin cancer."

"Don't take your pets to crowded summer events such as concerts or fairs. The loud noises and crowds, combined with the heat, can be stressful and dangerous for pets. For your pet's well being, leave her at home. Be especially aware of these threats during holidays, such as the Fourth of July."

"In summer heat your pet can suffer from heat exhaustion and heat stroke. These conditions are very serious and could cause your pet to die. You should be aware of the signs of heat stress, which could include heavy panting, glazed eyes, a rapid pulse, unsteadiness, a staggering gait, vomiting, or a deep red or purple tongue. If your pet does become overheated, you need to immediately lower his body temperature. Move your pet into the shade and apply cool (not cold) water over his body to gradually lower his core body temperature. Apply cold towels or ice packs to your pet's head, neck, and chest only. Let your pet drink small amounts of water or lick ice cubes. Most importantly, get him to a veterinarian immediately."

Summer Care Tips for Pets - Part 2

2007-06-21T12:11:00.000-04:00

As I mentioned yesterday, The Humane Society of the United States has posted some excellent tips on how to protect our pets in the summer months. Here are some more valuable tips:

"Summer is often a time when people fertilize their lawns and work in their gardens. But beware: Plant food, fertilizer, and insecticides can be fatal if your pet ingests them. In addition, more than 700 plants can produce physiologically active or toxic substances in sufficient amounts to cause harmful effects in animals." Another excellent resource for plant poisonings is PetHealth101.

"With people and dogs spending more time outside, dog bites are likely to increase in the summer months. Spaying or neutering your dog reduces the likelihood that he will bite and provides many other health benefits." PetHealth101 has a wonderful comparison chart of prescription and non-prescription (OTC) products used for various types of behavior issues.

"Make sure your pet is always wearing a collar and identification tag. If you are separated from your pet, an ID tag may very well be his or her ticket home."

"Check with your veterinarian to see if your pets should be taking heartworm prevention medication. Heartworm disease, which is transmitted by mosquitoes, can be fatal in both dogs and cats." Many veterinarians are now recommending that heartworm prevention be used year round. You should consider 1-800-PetMeds for all your prescription heartworm prevention medication needs.

"Pets and pools can equal disaster. Prevent free access to pools and always supervise a pet in a pool."

"Provide plenty of water and shade for your pets while they're enjoying the great outdoors so they can stay cool." Have you seen the selection bowls at 1-800-PetMeds?

"If you plan on traveling with your pet during the summer, take the time to prepare for your furry friends in advance. Many airlines have summer pet embargoes, and most trains and ships do not allow pets other than service animals. The HSUS has information on traveling with your pet that may make the difference between a pleasant trip and a vacation nightmare." 1-800-PetMeds has a variety of products that can be used in order to make travelling with your anxious pet easier.

"Pets need exercise even when it is hot, but extra care needs to be taken with older dogs, short-nosed dogs, and those with thick coats. On very hot days, limit exercise to early morning or evening hours. Keep in mind that asphalt gets very hot and can burn your pet's paws."

Summer Care Tips for Pets

2007-06-20T10:57:00.000-04:00

Thursday, June 21, 2007, is the summer solstice, the longest day of the year, marking the official start of summer.

Those of us who live in Florida are prepared for warm (hot) weather. We wear cooler clothing, drink lots of water, wear hats, apply sunscreen, etc. With the arrival of summer the rest of the country has to enter "living in hot weather" mode.

We don't want to forget some important summertime tips for pets and The Humane Society of the United States offers tips for pet owners on how to keep their pets safe during the summer. Over the next few days, I'll provide you with their suggestions. Here's the first:

"In nice weather you may be tempted to take your pet with you in the car while you travel or do errands. But during warm weather, the inside of your car can reach 120° in a matter of minutes, even if you're parked in the shade. This can mean real trouble for your companion animals left in the car. Dogs and cats can't perspire and can only dispel heat by panting and through the pads of their feet. Pets who are left in hot cars even briefly can suffer from heat exhaustion, heat stroke, brain damage, and can even die. Don't think that just because you'll be gone "just a minute" that your pet will be safe while you're gone; even an air conditioned car with the motor off isn't healthy for your pet. To avoid any chance that your pet will succumb to the heat of a car this summer, be sure to play it safe by leaving your pet cool and refreshed at home while you're on the road. And if you do happen to see a pet in a car alone during the hot summer months, alert the management of the store where the car is parked. If the owner does not return promptly, call local animal control or the police department immediately. For more information, check out our page on pets and hot cars. "

"It is very dangerous, and in some states illegal, to drive with a dog in the back of a pick-up truck. Not only can flying debris cause serious injury, but a dog may be unintentionally thrown into traffic if the driver suddenly hits the brakes, swerves, or is hit by another car. Dogs should ride either in the cab (in a crate or wearing a seat belt harness designed for dogs) or in a secured crate in the bed of the truck."

Overweight Dogs

2007-06-15T11:31:00.000-04:00

According to data from the American Veterinary Medical Association, about 40% of dogs in the United States are overweight (5-20% over ideal weight) or obese (20% or more over ideal weight).

While over the counter (OTC) weight reduction products such as Vetri-Lean Plus Chewable Tablets have been on the market for a while, earlier this year, the Food and Drug Administration (FDA) approved Slentrol (dirlotapide) manufactured by Pfizer Animal Health. Slentrol is the first, and only, veterinary approved obesity drug for use in dogs in the United States. Slentrol is available as a 5mg/ml solution intended to be given to dogs once a day as part of an overall weight management program that includes proper diet and physical exercise. Slentrol reduces a dog's appetite and therefore causes the dog to eat less. How it reduces the dog's appetite is not fully known but it's proposed that the reduction of fat absorption in the gut signals the dog that it's not hungry. Slentrol should not be used in dogs undergoing corticosteroid therapy or those with liver disease. The most common side effects in dogs are vomiting, diarrhea, drowsiness, and anorexia. While these symptoms usually disappear within two days the veterinarian should be contacted if these symptoms continue.

Slentrol should not be used in cats.

Slentrol should never be taken by humans.

Dog owners giving Slentrol to their pet will need to have regular evaluations of their pets progress by the veterinarian.

Emergency Preparedness

2007-05-31T08:45:00.000-04:00

If an emergency such as flood, fire, tornado or hurricane were to happen today, how prepared would you be to survive? Have you planned ahead in the event one of these emergencies should occur. Did you include your pets when you made these plans? If not, now is the time, before an emergency situation occurs, to make sure you have a disaster plan in place and that your pets have been included in this plan.

I live in southeastern Florida and I am painfully aware of the effects of a hurricane. I saw first hand, as a pharmacist disaster responder, the devastation caused by hurricane Andrew. Two years ago I lived through the effects of hurricane Wilma. I know that hurricane season begins June 1, and I make sure that my property is secure and that I have extra food, water and other necessary supplies on hand PRIOR to June 1.

What considerations are necessary before a disaster strikes:

If you must evacuate, take your pet with you, if possible. However, if going to a public shelter know before hand if it is pet friendly. Not all shelters allow pets. You need to plan in advance for shelter needs for you and your pets.
Is the pet current on vaccines? Pet friendly shelters may require proof of vaccination.
Have a current picture of your pet.
Make sure you have a collar, identification tag and a leash on hand.
Have a pet carrier for each animal large enough for the pet to stand and turn around in.
When you create your evacuation plan, don't forget to include your pet in the plan.

What considerations are necessary during the disaster:

If the shelter allows pets, bring along the; collar with ID and rabies tags, leash and pet carrier.
Bring an ample supply of food, water and food bowls
Bring any necessary medications and any specific care instructions.
Bring newspapers or trash bags for clean up.

What about after the disaster:

Pets may need to be re-oriented to their home and should be kept on a leash since familiar scents and landmarks may be altered. In addition, pets can be easily confused and become lost.
Have a picture of your pet with you in case your pet cannot be found after the disaster. Check with local authorities such as animal control to see where animals can be recovered.
Be aware of behavior changes in the pet as a result of the disaster. Your pet may become aggresive or defensive.

Use these links to Pethealth101 for additional information on a pet disaster plan for dogs and a pet disaster plan for cats.

Prescriptions and the Internet

2007-05-23T14:46:00.001-04:00

When I graduated from the Brooklyn College of Pharmacy in 1968 and began to practice, the only way a consumer could get a prescription filled was by going to the local, corner drugstore. Since that time, there have been some major changes to the way consumers are able to get prescriptions filled.

The first change to occur was the advent of pharmacy chains whose names we are very familiar with today. The growth of these companies enabled consumers to get prescriptions filled without having to travel great distances to find a pharmacy.

The next change to occur was prescription coverage by insurance companies. Consumers were now able to get their medications (usually a one month supply) at their local pharmacy or, if they wanted to, they could phone in or mail away an order to the insurance company's "mail order pharmacy" to get a larger quantity (usually a three month supply) of medication.

The third change to occur was the advent and proliferation of computers and the creation of the "web". The insurance companies recognized the convenience factor and value of the web and they created web sites for their mail order pharmacies so that their clients, still having the choice to phone or mail in their prescription order, could now go on-line and from the comfort of their home order a refill or a new prescription. It wasn't too long before the major chains created their own internet web sites. Consumers now had a way to buy, by mail order, those items that were carried in the "brick and mortar" store, including their prescriptions, once again, from the convenience of their home. Consumers now had a choice. Go to the store or order on-line.

About 6 or 7 years ago, or so, another change occured. Unfortunately, it was a negative change and it was announced to the public by the introduction of a new type of email called spam. Spam is still with us today. Many of these spam emails had, and still have, links to web sites where you can get practically any type of prescription medication including narcotics and Viagra, without a prescription, simply by filling out a questionnaire on the web site. This type of business, known as an "internet pharmacy" , is for the most part located outside the United States. These businesses are not licensed as pharmacies anywhere in the United States and, therefore, are practicing illegally which has been causing major concern at the FDA and with the various state boards of pharmacy. There's a saying that "if it sounds too good to be true it probably is". These internet pharmacies sound too good to be true in that they offer prescription medications, with no prescription required. However, there's another saying that goes "caveat emptor" meaning let the buyer beware. Why? Because it turns out that the "pills" the consumer receives from these companies often contain none, or at least very little, of the medication they expect. In addition, the "pills" are sent from countries such as Belize or Ghana and often arrive in a plastic baggie with no pharmacy label. Consumers are taking a big risk by purchasing prescription medications from these companies. An internet pharmacy, where prescription medications can be purchased without a prescription, is an illegal entity in the United States.

Some veterinarians have been telling their clients that 1-800-PetMeds is an "internet pharmacy" using that term in the most derogatory way to mean we are not licensed and we carry foreign product.

Lets clear up these misconceptions:

1-800-PetMeds is a mail order pharmacy and is licensed and authorized as a pharmacy in all 50 states. Customers can place orders by calling 1-800-PetMeds or by mailing in their order. 1-800-PetMeds also has an internet site where customers are able to place orders from the convenience of their homes.
1-800-PetMeds only sells FDA/EPA approved medication. 1-800-PetMeds does not sell foreign medications.
1-800-PetMeds will require a prescription from your veterinarian for any medication that requires one.
1-800-PetMeds understands the need for a veterinarian-client-patient relationship to exist in order for a veterinarian to write a prescription.
1-800-PetMeds does not "solicit" prescriptions from your veterinarian.
As a licensed pharmacy, 1-800-PetMeds pharmacy staff will gladly call your veterinarian for your prescription. This is not soliciting. This is a professional part of any pharmacy practice just like the pharmacy staff at your pharmacy would call your physician for your medications.
1-800-PetMeds pharmacy staff includes licensed pharmacists and a support staff of pharmacy technicians. A tour of 1-800-PetMeds is available on our web site.
Unlike an "internet pharmacy" our pharmacy staff is available to answer questions regarding your pets medications.

Insulin and Syringes

2007-05-18T11:47:00.000-04:00

My dog Sandy, a cute little Lhasa Apso, was diabetic. She also had Cushing's disease (which probably caused her diabetes), hypothyroidism, arthritis, allergies and cataracts (caused, most likely, by her diabetes). Unfortunately, Sandy passed away 2 years ago at the age of 13. Sandy had been diagnosed with diabetes and Cushing's disease about 5 years earlier.

I attribute the fact that she lived those 5 years to: a) my pharmacist background and training which taught me the importance of patient compliance which meant giving each dose of medication when it was due, b) being able to recognize changes in her behavior that were signals to me that the insulin dose needed to be adjusted and, c) taking Sandy to the veterinarian as often as her conditions required a visit.
Sandy's diabetes required twice a day dosing with insulin and I want to share these considerations which are necessary when using insulin:

Insulin such as Vetsulin for dogs and PZI Vet for cats are suspensions and need to be shaken prior to use. HOWEVER, you do not "shake" insulin by pumping your arm up and down. You "Shake" insulin by gently rolling it between your hands.
Vetsulin and PZI Vet should be stored in an upright position in the refrigerator.
Vetsulin and PZI Vet are U-40 insulins. This means there are 40 units of insulin in each 1 ml of product. The "human" insulins (Humulin-N, Humulin-R, etc.) are U-100 insulins. This means there are 100 units of insulin in each 1 ml of product.
It is critical that the correct insulin syringe is used for the type of insulin being used.
Specifically, use U-40 insulin syringes for Vetsulin and PZI Vet and use U-100 insulin syringes for Humulin-N, Humulin-R and other "human" insulins.

For those of you with diabetic dogs, here's what I want you to remember:

For the health of your pet, you MUST be compliant as an owner which means giving your pet the insulin shot every day. Some dogs are given one injection a day, others are given two (or more). Follow your veterinarian's instructions carefully.
Roll the vial don't shake it.
Use U-40 insulin syringes for U-40 insulin and use U-100 insulin syringes for U-100 insulin.
Needles, syringes and lancets are known as "sharps". They are called sharps because that's what they are. The best way to dispose of sharps is to use a sharps container.
A sharps container is a single-use container that is filled with used syringes, needles and lancets. When filled to capacity the sharps container can be disposed of safely. Your veterinarian should be able to tell you where these filled sharps containers can be safely dropped off.
One brand of U-40 insulin syringes is now packaged in a sharps container. You remove the unused syringe from one part of the container and after use place it back into the used syringe section of the container. When all syringes have been used, the container can be disposed of safely.
Insulin syringes should be used one time only. You should not reuse syringes.

Please remember that the pharmacists at 1-800-PetMeds are available to answer any questions you may have regarding the use of insulin and insulin syringes.

Grapes and Raisins

2007-05-15T11:11:00.000-04:00

Julie, a person I work with at 1-800-PetMeds, mentioned that she received an email which states giving grapes or raisins to your dog can be dangerous. Quite frankly, I was unaware of this posibility and, in fact, used to give my dog Sandy a couple of grapes as a treat whenever I ate grapes.

It turns out, that this is not an urban legend. It is reality. Grapes and raisins can be poisonous to dogs. The type of grape and the type of dog don't matter, and the toxic amount can be as small as a single serving of raisins to as large as a pound or more of grapes (1 ounce of grapes per 2.2 lbs of body weight).

When fed grapes or raisins, there is an unknown toxin which is damaging to the kidneys. Initially, pets fed grapes or raisins will exhibit gastrointestinal signs such as vomiting and diarrhea. Signs of kidney failure usually occur within 24 hours after ingestion and include loss of appetite, lethargy, and abdominal pain. The dog may stop drinking and urinating.

Key points to remember:

Since the amount of grapes or raisins that can cause toxicity can vary, it's best not to give your dog grapes or raisins at all.
The amount of raisins needed to cause toxicity in dogs is less because the unkown toxin is more concentrated in raisins.
Do not leave grapes or raisins where your dog can get at them easily.
If you suspect your pet has eaten grapes or raisins, contact your veterinarian immediately. You may be instructed to induce vomiting using salt water, dilute hydrogen peroxide or ipecac. Your veterinarian will tell you which to use.
For more information regarding grape and raisin toxicity log onto:
http://vetmedicine.about.com/od/toxicology/f/grape_raisin.htm

Log onto www.PetHealth101.com for additional information regarding pet health and poisons in general.

Client-Patient-Veterinarian relationship

2007-05-14T15:16:00.000-04:00

A client-patient-veterinarian (CPV) relationship occurs when a veterinarian has physically examined a pet for the purpose of diagnosing any medical condition that may be present. Having performed this examination, the veterinarian is able to prescribe medication to treat the condition. Having a CPV is required for a veterinarian to prescribe heartworm prevention medication such as Heartgard Plus, Interceptor and Sentinel to healthy pets as well.

Having a CPV in order to prescribe medications for a pet is a requirement in every state. In order to establish a CPV, the pet must be examined at least once a year.

Even though a CPV is required to prescribe heartworm preventatives, there is no regulation that prevents the veterinarian from prescribing two years of heartworm preventative therapy at the time a prescription is written. Choosing to authorize the dispensing of a prescription for one year or two years is a practice guideline the veterinarian establishes himself or herself. What has to be taken into consideration, other than the pet being healthy and heartworm free, is the veterinarian's confidence in the compliance of the owner in giving a dose of preventative medication once a month, every month, year round without fail.

What are important points to remember:

A CPV can only occur from a physical examination of the pet by a veterinarian, not by answering an on-line questionaire.
Having had this physical exam, your veterinarian may prescribe two years of heartworm prevention meds. This is up to the veterinarian.
A physical exam may be necessary more often than once a year if the pet is being treated for a physical condition that requires periodic monitoring and/or testing, or, if the pet has been started on a new medication and tests are required to make sure the medication is doing no harm or is acting as expected.

1-800-PetMeds wants to be the pharmacy for your pets prescription and non-prescription needs. If your veterinarian is going to put your pet on a medication, remember to ask for a prescription while at the vets office so you can mail it into our pharmacy, or, ask your veterinarian to fax a prescription from his office to the 1-800-PetMeds pharmacy. Of course the 1-800-PetMeds pharmacy team is available to call your veterinarian for the prescription as well.

How do I dispose of unused medications?

2007-05-09T09:04:00.000-04:00

According to the Pharmaceutical Research and Manufacturers of America (PhRMA), about three to seven percent of prescribed medicines are unused. It used to be the recommendation that these drugs, rather than being left at home, should be flushed down the toilet to prevent harm to children and pets. Unfortunately, the U.S. Fish and Wildlife Service has found that these medications, when flushed down the toilet or thrown directly into the garbage, can and do find their way into waterways causing reproductive problems in fish and making some bacteria more resistant to certain drugs.

Following the release of guidelines issued by the American Pharmacists Association (APhA) , the U.S. Fish and Wildlife Service has developed a joint educational campaign with APhA called SMARxT Disposal in order to better inform the public regarding disposal of unused medicines through municipal hazardous waste collection programs or, at least, in the trash:

APhA and the U.S. Fish and Wildlife Service say just three small steps can make a huge difference:

1. DO NOT FLUSH unused medications. Consumers were once advised to flush their expired or unused medications; however, recent environmental impact studies report that this could be having an adverse impact on the environment. While the rule of thumb is not to flush, the Food and Drug Administration (FDA) has determined that certain medications should be flushed due to their abuse potential. Read the instructions on your medication and talk to your pharmacist.

2. When tossing unused medications, protect children and pets from the potentially negative effects. APhA recommends that consumers:
- Crush solid medications or dissolve them in water (this applies for liquid medications as well) and mix with kitty litter or sawdust (or any material that absorbs the dissolved medication and makes it less appealing for pets or children to eat), then place in a sealed plastic bag BEFORE tossing in the trash.
- Remove and destroy ALL identifying personal information (prescription label) from the medication container.
- Check for approved state and local collection programs or with area hazardous waste facilities. In certain states, you may be able to take your unused medications to your community pharmacy.

3. Talk To Your Pharmacist. Research shows that pharmacists are one of the most accessible healthcare professionals. As the medication experts on the healthcare team, pharmacists are available to guide you on how to properly dispose of your unused medications.
Following these simple steps can help protect your family and community, minimize a potential negative impact on the environment, and prevent the illegal diversion of unused medications.

OTC and Rx. What's the difference?

2007-05-07T13:44:00.000-04:00

In veterinary medicine, as in human medicine, medications can be over-the-counter (OTC) or prescription.

OTC medications, which are obtained without a prescription, are drugs that can be used to treat conditions that don't necessarily require a vets care and have been proven to have high safety standards when used in the treatment of these conditions. Examples of OTC products include (but are not limited to):

Frontline Plus or K9 Advantix
Glucosamine and Chondroitin supplements
Vitamins
Most shampoos

OTC products may be federally regulated by FDA if there is a labled claim to the cure, prevention, mitigation or treatment of a disease (such as diphenhydramine for allergies), EPA (if product is an insecticide as used in flea and tick products) or not federally regulated if there is no medical claim (nutritional supplements).

Prescription medications, which require a prescription prior to dispensing by a pharmacist, are sometimes called legend drugs because they carry a warning (legend) that says "Rx only" or "Caution: Federal (U.S.A.) law restricts this drug to use by or on the order of a licensed veterinarian". What's the difference? "Rx Only" medications are drugs FDA approved for use in humans. However, it is a common practice for vets to use these medicines in animals as well. An example would be Tapazole (methimazole) used in both humans and cats for hyperthyroid disease.

Drugs that have the warning "Caution: Federal (U.S.A.) law restricts this drug to use by or on the order of a licensed veterinarian", are drugs FDA approved for use in animals and can only be used in animals and can only be prescribed by a veterinarian. An example would be Deramaxx (deracoxib).

Flea and Tick Season is upon us

2007-05-03T11:10:00.000-04:00

Those of us living in the south are used to using flea or flea and tick preventative products such as Frontline Top Spot or Frontline Plus year round. Those of us who live in cooler climates may tend to use Frontline Top Spot or Frontline Plus only during the warm months such as April through September or May through October based on the belief that fleas and ticks don't survive in cold weather. The only problem is that fleas and ticks can survive indoors in the winter so a good rule of thumb is to treat your pet with flea or flea and tick preventative year round. The added benefit is compliance. If we are used to applying a dose each month, we are less likely to forget to apply a dose and therefore we are protecting our pets better.