Vet Blog

10/29/08

Study Lists the Top 10 Human Drugs that Poison Pets
Dr. Eric Barchas, DVM

prescription-bottle_rgb.jpgMany human medicines are poisonous to pets. For this reason, I strongly recommend against giving human drugs to cats or dogs. I have seen many pets suffer from grave illness after well-meaning people gave them human painkillers, allergy medicines or fever reducers.

A recent article on DVM Newsmagazine’s website has listed the human medicines that cause the most problems for cats and dogs.

Here is the list.

  • Non-steroidal anti-inflammatory medications such as ibuprofen (Advil) and naproxen (Aleve).
  • Antidepressants.
  • Acetaminophen (Tylenol).
  • Methylphenidate (Ritalin).
  • Flurorouracil (an anti-cancer medication).
  • Isoniazid (an antibiotic).
  • Pseudoephedrine (Sudafed).
  • Anti-diabetics.
  • Vitamin D derivatives.
  • Baclofen (used in certain neurological conditions).
  • Remember that this list is not comprehensive.

    And, remember that many cases of poisoning occur when pets chew on bottles of human medicine or find wayward pills on the floor. All human medicines should be stored in areas that are not accessible for pets.

    For more information on the drugs listed in this post, click here.

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    09/03/08

    Veterinary Pain Management Makes Great Strides
    Dr. Eric Barchas, DVM

    433px-injection_syringe_01.jpgWhen a person is in pain, he or she usually makes it clear that something is wrong. Humans can speak, and we can ask for more pain killers. It is generally accepted in human medicine that effective pain control not only makes patients more comfortable. It also helps them heal.

    Sadly, animals cannot give clear signals of pain, and they can’t ask for pain killers. But their need for pain management equals that of their human counterparts. This puts them, and the people who want to help them, at a disadvantage.

    Years ago, veterinarians questioned whether animals could even feel pain. That ridiculous debate has been put to rest. But later an equally nefarious philosophy evolved. Many veterinarians believed that pain was good for animals. Pain helped keep animals from walking on broken legs. It kept post-operative patients from being excessively active–or so the theory went.

    The idea that pain is good in any way has been completely discredited by modern veterinary medicine. All decent vets now agree that animals feel pain, and that pain is bad. It causes stress and interferes with healing. Pain hurts, and it causes suffering.

    Veterinary practitioners now recognize that pain management is critical to their patients’ comfort and healing. And we have an ever-widening array of pain management solutions at our disposal.

    Options include conventional painkillers such as opiods (related to morphine) and non-steroidal anti-inflammatory agents (NSAIDs). Local anesthetics are useful in some procedures. Rehabilitation and physical therapy are useful in other situations.

    Newer pharmaceuticals and nutritional supplements show promise in the treatment of acute and chronic pain. Lasers, stem cells, and extracorporeal shock wave therapy have the potential to help many animals.

    The moral of the story is this: advances in animal pain management are occurring at breakneck speed.

    If you suspect that your pet is at risk for pain–from dental disease, a surgical procedure, arthritis, trauma or any other sort of injury–talk to your vet. He or she should be willing to discuss a modern, comprehensive pain management protocol tailored specifically to your pet’s needs.

    Veterinarians have lots of options for managing pain in their patients. There is no excuse for your pet to suffer.

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    06/22/08

    Are Medicines from Online Pharmacies Safe?
    Dr. Eric Barchas, DVM

    My vet recently decided not to give out
    prescriptions for online pet med services. He
    claims they use “old” medications which can be
    harmful. I wonder if he is more interested in
    making a profit for himself off the meds than
    giving a break to his patients. How can an online
    supplier consciously sell old meds?

    S H
    Chicago, IL

    My vet says that ordering from a well-known internet pharmacy is a
    bad idea because you don’t know what you’re
    getting. Is it really a bad source to order from,
    or is the vet not wanting to lose money? Thanks so
    much!!

    Alison
    Muscatine, IA

    Veterinarians and online pharmacies have had a rocky relationship from the start.

    When online pharmacies first started selling medicines, many vets were worried that their already slim profit margins (even though vet care is expensive, most of what you pay your vet ends up going to his suppliers, his landlord, his employees, utility companies, the IRS, and regulatory agencies) would be reduced by the loss of income-generating drug sales.

    This concern has not panned out as expected. Well-managed veterinary hospitals do not derive much income from drug sales. In the hospitals where I have worked, medications were offered to clients more for their convenience than for our profit. And this makes sense. A veterinarian’s job is to manage the health of pets, not to sell drugs.

    So why is there a lingering animosity between vets and online pharmacies?

    To my knowledge, none of my patients has ever received an expired or ineffective medicine from an online pharmacy. But I have had conversations with representatives from drug manufacturing companies who assure me that this does happen. They also claim that some online pharmacies unwittingly distribute counterfeit medications that have no efficacy.

    In my opinion, if you order from a reputable online pharmacy the odds of receiving expired or counterfeit medicines are low. Most of the drugs that I have seen dispensed from these pharmacies are perfectly fine.

    However, I still have a bone or two to pick with many of the internet pharmacies. Working with them can be very frustrating.

    For instance, one internet pharmacy habitually refuses to write instructions on the drugs it dispenses. If I send a prescription to the pharmacy and indicate that the medicine should be taken twice daily, they will dispense the medicine with instructions to “take as instructed by veterinarian”. In the best case, this wastes my time–clients call me to ask how often the medicine should be given, when I have already provided that information to the pharmacy. In the worst case, it puts my patients at risk of overdose (for instance, if the client for some reason believes the medicine should be given four times daily).

    Another pharmacy routinely sends faxes to my office requesting authorization for prescriptions. I promptly fax back authorizations. The next day, I often receive faxes from the pharmacy, written in a somewhat threatening tone, stating that they have not received my authorization. This confusion on the part of the pharmacy is very annoying, and it also causes me to lose confidence in their business in general. If they can’t manage their fax system, how can I expect them to dispense drugs accurately?

    To give the internet pharmacies credit, I have been experiencing these sorts of problems less often over the last year. Nonetheless, I still find working with some online pharmacies to be quite inconvenient.

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