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  • Aluminum hydroxide is commonly used off label to treat high phosphate levels in pets with kidney disease. It is given by mouth, with meals, in the form of a liquid gel, powder, or a compounded capsule. The most common side effect is constipation, and therefore it should be used with caution in pets with a gastrointestinal obstruction or pets prone to constipation. If a negative reaction occurs, please call your veterinary office.

  • Amantadine is an antiviral medication given by mouth in the form of a tablet, capsule, or liquid, that is mainly used off label for its pain control effects in pets. Common side effects include agitation and gastrointestinal effects. It should not be used in pets that are allergic to it, or that have untreated glaucoma. It should be used with caution in pets with liver, kidney, or heart disease, or in pets with eczema or seizures. If a negative reaction occurs, please call your veterinary office.

  • Calcium acetate is given off label and by mouth to treat elevated blood phosphorus levels, especially due to kidney disease. Side effects may include nausea or stomach upset. This medication should not be used in pets that are allergic to it or have high blood calcium levels. If a negative reaction occurs, please call your veterinary office.

  • Chlorhexidine + ketoconazole topical is used to treat superficial skin infections or overgrowth in dogs and cats. When given as directed, side effects are rarely noted, but could include skin irritation. If you suspect an overdose or accidental ingestion, call your veterinary office immediately.

  • Mycophenolate is an immune suppressing medication given by mouth or as an injection and is mainly used off-label to treat autoimmune disease in dogs. Common side effects include gastrointestinal upset and bone marrow suppression. This medication should not be used in pets that are allergic to mycophenolate, are pregnant, or nursing. It should be used with caution in pets with liver or kidney disease. If a negative reaction occurs, call your veterinary office.

  • Capromorelin is an appetite stimulant used to encourage appetite in dogs and help manage weight loss in cats with chronic kidney disease. It is a liquid solution given by mouth. Side effects include vomiting, diarrhea, increased drinking and urination, and intestinal sounds. This medication should not be used in pets allergic to it and be used with caution in those with liver and kidney disease. If a negative reaction occurs, call your veterinary office.

  • Acetazolamide is a diuretic used off label and given by mouth to treat glaucoma or alkalosis. The most common side effect is stomach upset, but other side effects of the central nervous system, blood, kidneys, electrolytes, blood sugar levels, liver, or skin are possible. Do not use this medication in pets with liver or kidney disease, or low sodium or potassium blood levels. Use with caution in pets with acidosis, diabetes, pregnancy or lactation. If a negative reaction occurs, please call your veterinary office.

  • Buspirone is given by mouth and is used off label to treat behavior disorders in dogs and cats. Common side effects include increased friendliness or aggression, sleepiness, decreased appetite, nausea, or a slower heart rate. Do not use in pets that are allergic to it or have recently worn a flea/tick collar. If a negative reaction occurs, please call your veterinary office.

  • Budesonide is a glucocorticoid (steroid) most often given by mouth in the form of a capsule to treat inflammatory bowel disease off label in dogs and cats. Common side effects include increased appetite, thirst, or urination, as well as lack of energy, weakness, panting, skin and haircoat changes, and weight gain. Do not use this medication in pets allergic to it, and use with caution in pets with gastrointestinal ulcers, diabetes, infection, or cataracts. If a negative reaction occurs, call your veterinary office.

  • Acepromazine is a sedative/tranquilizer used primarily in cats and dogs as a pre-medication for anesthesia or for chemical restraint. It is given by injection in the clinic or by mouth in the form of a tablet. The most common side effect is low blood pressure. Acepromazine should not be used in conjunction with certain toxicities, or in pets with heart disease or low blood pressure. It should be used cautiously in pets with mild liver or heart disease, clotting problems, or in pregnant, debilitated, or young animals. If a negative reaction occurs, call your veterinary office.