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  • Eclampsia in dogs is an emergent condition of hypocalcemia that generally occurs one to four weeks after whelping but can also occur shortly before giving birth. Risk factors include a poor diet, small breed dogs, abnormal parathyroid gland, and calcium supplementation during pregnancy. Signs of eclampsia start as restlessness, panting, and stiffness and can progress to disorientation, tremors, inability to walk, and convulsions. Treatment includes intravenous fluids, careful intravenous calcium supplementation, and other supportive medications. This is followed by oral supplementation and weaning puppies as soon as possible or supplementing their diet with milk replacer.

  • Telehealth is a broad term that refers to the use of telecommunications to provide health-related services. Telehealth services can be delivered by a variety of methods including telephone, text messaging, internet chat, and videoconferencing. Teletriage is the act of performing triage remotely, via telephone or internet and helps determine the urgency of your pet’s medical concern. Telemedicine refers to the practice of medicine at a distance. In the context of veterinary medicine, telemedicine refers to a veterinarian formulating a diagnosis and treatment plan for your pet without an in-person examination. Telemedicine is typically only permitted within the context of an existing Veterinarian-Client-Patient Relationship. Given the current COVID-19 pandemic and social/physical distancing requirements however, some federal and local governments have relaxed the requirements surrounding telemedicine.

  • Mitotane is primarily used to treat Cushing's disease in dogs. It has also been used to treat adrenal gland tumors. Mitotane reduces the amount of cortisone-like hormones produced by the adrenal cortex. These steroids are important for various body functions; however excessive levels of these hormones can cause problems.

  • Cyclophosphamide is given by mouth or injection and is used off label to treat various cancers such as lymphoma, leukemia, carcinoma, and sarcoma. Common side effects include hair loss and hair coat changes. Do not use in pets that are allergic to it or that cannot be sufficiently monitored during treatment, are pregnant or lactating, have urinary obstruction, infection, bone marrow dysfunction, or have had an episode of blood in the urine that is not associated with a bladder infection. If a negative reaction occurs, please call your veterinary office.

  • Trilostane is a treatment for hyperadrenocorticism (Cushing’s Disease) and Alopecia X. It is given by mouth as a capsule, given with food. Common side effects include lethargy, vomiting, diarrhea, and anorexia. It is contraindicated in liver or kidney disease and pregnant animals. If an Addisonian crisis or any other negative reactions occur, call your veterinary office immediately.

  • Enoxaparin, also known as Low Molecular Weight Heparin or LMWH, is an anticoagulant (blood thinner) used to prevent or treat blood clots in cats, dogs, and horses. It may be used before surgery to prevent blood clot formation. It is used off label (extra label) in veterinary medicine. Enoxaparin comes in an injectable form given subcutaneously.

  • Midazolam is a benzodiazepine used for its sedative, anti-anxiety, and muscle relaxant properties. It is primarily used as a sedative before surgery and to stop seizures. It is used “off label” or “extra label” in animals. This medication is a controlled substance primarily given via injection by your veterinary team, though it may be prescribed to your pet for intranasal or intrarectal administration at home.

  • Meropenem is an antibiotic used to treat multi-drug-resistant bacterial infections in cats and dogs, particularly infections caused by extended-spectrum beta-lactamase-producing Enterobacterales or Pseudomonas aeruginosa. Its use in veterinary medicine is limited to susceptible infections with documented resistance to other antimicrobials. Its use is off label in veterinary medicine. Meropenem comes in an injectable form.

  • Cisplatin is a chemotherapy drug used to treat various forms of cancer and solid tumors in animals. It is prescribed off-label for use in dogs, horses, birds, and reptiles. It should not be used in cats due to potentially fatal side effects. Cisplatin is administered by injection, typically IV into the vein, by trained veterinary staff.

  • Psyllium combination supplements (e.g., DiaGel®) are used in cats and dogs to help control diarrhea and constipation. They contain psyllium seed husks and other natural products that help restore normal bowel movements. Psyllium combination supplements come in powder and liquid gel form (pre-measured syringes).