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Over The Counter Medications - Dog friendly?!

9/16/2016

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This graphic is making the rounds on social media and there are more than a few inaccuracies here!  I thought I'd go through drug by drug and clarify some things.  Not enough time to read the whole post?  The summary is: Call us before giving your pet any medication!

1.  Benadryl​ - We do use Benadryl for allergies or vaccine reactions, sometimes.  However, some dogs shouldn't take Benadryl for other health reasons or because of other medications they are on. 

2.  Buffered Aspirin - ​NEVER give aspirin without calling your Vet first.  Aspirin has dangerous interactions with some commonly used Veterinary medications (Rimadyl, Metacam, prednisone) and can change what medications we can use in your pet after you bring them in.  For instance, even a single dose of aspirin can take 10 full days before the effects are cleared from the dog's system.  We may tell you to give an aspirin in an emergency situation, but please, always call us before you do it. 

​Related Drugs - NEVER, EVER, give your dog or cat human anti-inflammatories
​ (Ibprofen/Motrin, Advil, Tylenol)

​3. Dramamine -
​We will sometimes use this drug in a pinch for motion sickness, but we have better tools to control motion sickness in our pets.  These tools are more effective and safer.  Call us if your pet has issues with car rides - we can help!

​4. Pepto Bismol - ​This drug can change how an x-rays looks if we're looking for a foreign body (it shows up bright white and blocks our view of everything else).  It also can be metabolized similar to aspirin.  Never give Pepto without checking with a Vet first, and always tell your Vet you gave Pepto before x-rays are taken. 

5. Hydrogen Peroxide​ - we do use this drug to induce vomiting sometimes, but the dose is weight-dependent.  Too much hydrogen peroxide can cause ulceration of the stomach and even perforation!  Also, there are some toxins that should NOT be vomited. Always check with your Veterinarian before inducing vomiting.

6. Hydrocortisone - ​Applying this drug to a skin infection won't help heal an infection and may actually make things worse!  We recommend you check with your Vet before applying anything topically to your pet.

​7. Gas-X - ​This medication is of limited value in our furry friends.  Gas in our pets typically has an underlying cause - sometimes a food allergy or bacterial imbalance.  It's better to have your pet checked out if he/she has excessive gas than to throw a medication at it that may mask the symptoms of an underlying problem.

​8.  Immodium AD - ​This drug is DANGEROUS to breeds with a certain genetic trait (MDR1) that changes their metabolism of drugs.  This is most commonly seen in collies and other herding breeds but can be seen in any dog.  If given to a dog with the genetic change, Immodium can cause seizures, coma or death.

9. Pepcid AC/Zantec - ​We use these medications quite commonly in our patients, but again, the dose varies by size.  This ad doesn't even specify what mg tablet size they are recommending!  Pepcid AC comes in a 10 mg or 20 mg tablet.  Always check with your Vet before giving your dog or cat Pepcid AC or Zantec.  We will give you an appropriate dose, or help you decide whether Pepcid AC is likely to help your pet or not.

10.  Robitussin-DM - ​Though this drug is safe for use in dogs, coughing is not a symptom that should ever be ignored.  Coughing can be due to heart disease, heart failure, airway disease, asthma, heart worm disease, upper airway disease or cancer.  Giving Robitussin DM could mask the symptoms (ie - slow the cough down) and thereby delay the pet from being seen by a Vet.  By the time the pet gets seen, it could be a serious emergency situation.  If your pet is coughing, please see a Veterinarian to find the underlying cause!
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The hardest day...

9/9/2016

1 Comment

 
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​​You may notice this candle in our lobby on a visit.   This candle is lit with respect on the hardest day of pet ownership - the day we have to say goodbye.  There is nothing more difficult than making this last, and possibly most important, decision.  Before I get into this blog, I want to stress ​that ​we are here to help guide you through making this decision.  ​Please, call us to talk about your concerns - we can help!

​So, how do you decide when "it's time?"

​I'm not a believer in the "You'll just know" method.  This hurts.  Sometimes, you won't just know; sometimes you'll know, but don't trust yourself.  Sometimes, an older dog is eating and wags his tail, but can't hardly walk around even with a lot of pain medication - is that time?  Sometimes, an older cat is eating but can't keep anything down - is that time?  Sometimes, a seemingly healthy dog can't control his urine or bowels - is that time?

Most people worry about taking away good time.  I worry about that too.  That said, I've never had anyone (myself included) regret making the difficult decision to euthanize "too soon."  I have had many pet families regret waiting "too long."

​Remember, euthanasia literately means, "A Good Death."

​There are several methods out there to evaluate quality of life and help people make the decision.  The first and most important thing to remember is that quality of life is about your pet AND your family.  We have to maintain everyone's quality of life.

​The two scales I use most commonly to help guide families are described below.

​Option One - The "Good Day/Bad Day" Calendar
​Put up a calendar on the refrigerator.  At the end of the day, go with your gut - was today a "good day" or a "bad day?"  Don't overanalyze it - trust your gut.  Mark a G or B on your calendar. At the end of every week, look at the week before - do the good days still outnumber the bad days, or are they starting to equal each other? I usually recommend that we relieve a pet's pain when the good days equal the bad days.

​Option Two - The "What Makes Fluffy, Fluffy"
​Think of 5 things that make your pet who they are.  Does Fluffy run to greet you when you get home each day from work?  Does Fluffy ALWAYS pick out the green kibbles first?  Does Fluffy always lay on the blue couch to watch TV?  Does Fluffy always use the scratching post by the door several times a day? Does Fluffy always bark four times at the UPS man?  Select 5 things that define who your dog or cat is, and watch those things.  When your pet is no longer able to do 3 of those things, it may be "time."

​Part of the difficulty in deciding it's time is saying "goodbye" to a dear friend.  Part of the difficulty also stems from fear of the unknown.  The next section of this post will describe the euthanasia process.  Skip on if you'd rather not know.

​To begin with, a BAH Veterinarian will meet with you, your family and your pet.  If arrangements are made ahead of time, we can sometimes do this in the pet's favorite car or in the local park.  We will talk about euthanasia, the process and what you can expect to see with your pet, given their specific health issues.  Then, a pre-medication is given.  This medication is a strong pain reliever and also a strong sedative.  Our goal is that your pet passes peacefully, without fear and without pain.  I want your pet's last memory to be of his loving family, with no pain.  The actual euthanasia solution is an overdose of an anesthetic drug. We will never give this drug until you tell us that you are ready.  Once given, the solution typically works very quickly and the pet drifts out.  We try very hard to live up to the name "euthanasia" - a good death.

​In final thoughts... I hear all the time, "I don't know how you can do this every day! I could never do it."  The truth is, it's very hard. It's hard to say goodbye to pets we've seen since puppyhood. It's hard to see our clients in so much pain.  And, as pet parents ourselves, it's hard to re-live the memories of our previous furry family members.  The way we get through it is by remembering that ​we are giving the gift of a good death.  ​We are relieving suffering and allowing pets to pass with dignity, in the arms of the family who love them. 

​Euthanasia is always a difficult topic to discuss, and even harder to experience.  As always, if you are concerned about your pet's quality of life, please call us.  We are here to help.

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