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Cats

  • Darbepoetin alfa is prescribed off label to treat low red blood cell levels (anemia) caused by progressing kidney disease in dogs and cats. It is administered by injections under the skin.

  • Carvedilol is a heart medication that may be prescribed off label in dogs, cats, guinea pigs, and turkeys for the treatment of heart conditions including abnormal heart beat frequencies (arrhythmias) and heart failure due to dilated cardiomyopathy (DCM).

  • Nystatin combinations (brand names Panalog®, Cortalone®, Animax®, Derma-vet®, Quadritop®, Dermalog®, Dermalone®, EnteDerm®, Resortin®) are applied topically to the skin and are used on and off label to treat skin lesions in cats, dogs, and other mammals.

  • Methionine (brand name Methio-Form) is a nutritional supplement used to make urine more acidic in cats and dogs. Urine acidifiers help manage certain types of urolithiasis (urinary stones). Methionine comes in gel, chewable, powder, and tablet forms. Monitor urine pH and seek immediate veterinary care if signs of Heinz-body anemia appear in cats (pale gums, red-brown urine, weakness).

  • Enzymatic toothpaste (brand name C.E.T., others) is a product used at home by pet owners to aid in tooth brushing that minimizes plaque and tartar formation on the exterior of the tooth (the crown), and also assists in the maintenance of good oral hygiene. It can be used on both dogs and cats.

  • Diabetes is an inability of the body to regulate blood sugar caused by an abnormality of the pancreas. It is the second-most common endocrine disease in cats. It causes increased thirst, urination, appetite, and weight loss. Cats most commonly have type 2 diabetes, caused by decreased insulin production or insulin resistance, and it is often associated with obesity. Diabetes is diagnosed by measuring increased levels of glucose in the urine and blood. Diabetes treatment includes insulin injections and dietary changes. Changes in blood sugar must be monitored regularly.

  • Sulfadiazine/trimethoprim is given by mouth in the form of a liquid suspension or is given by injection in the hospital. It is commonly used to treat bacterial and parasitic infections, sometimes off label, in dogs, cats, small mammals and other exotics. Common side effects include a decreased appetite, vomiting, and diarrhea, although more serious side effects are possible, such as dry eye, or liver, blood, or urinary problems. Do not use in pets that have severe liver damage, blood cell problems, dehydration, or sulfa allergies. If a negative reaction occurs, please call your veterinary office.

  • Voriconazole is given by mouth or injection and is used off label to treat fungal infections. Side effects are not well-known but may include vomiting, diarrhea, or decreased appetite. Do not use in pets that are allergic to it or in cats unless absolutely necessary. If a negative reaction occurs, please call your veterinary office.

  • Ponazuril is given by mouth and is used on and off label to treat protozoal parasites in a variety of animal species. Side effects are uncommon but may include soft stools. Do not use in pets that are allergic to it. Ponazuril should be used cautiously in pregnant or lactating pets, and dogs with/susceptible to dry eye (keratoconjunctivitis sicca/KCS).

  • Bromfenac ophthalmic is a topical eye NSAID (Non Steroidal Anti-Inflammatory Drug) used off-label in in a variety of animal species to treat inflammation of the eye. It is often used post-operatively in animals who have undergone cataract surgery. It may also be used to treat allergic eye conditions such as conjunctivitis.