Skip to main content

Educational Articles

Medications & Supplements

  • NPH (Neutral Protamine Hagedron) insulin is an injectable medication used in cats, dogs, birds, ferrets, and horses with diabetes mellitus. It is used to lower blood sugar levels and for long-term maintenance therapy of diabetes mellitus. Monitor closely for signs of low blood sugar (weakness, lack of energy, lethargy, stumbling or difficulty walking, behavior changes, muscle twitching, seizures, and/or unresponsiveness).

  • Protamine zinc (PZI) insulin (brand name Prozinc®) is an injectable medication approved for use in cats and dogs with diabetes mellitus. It is used to lower blood sugar levels and for long-term maintenance therapy of diabetes mellitus. This medication may be used “off label” or “extra label” in other species. Monitor closely for signs of low blood sugar (weakness, lack of energy, lethargy, stumbling or difficulty walking, behavior changes, muscle twitching, seizures, and/or unresponsiveness).

  • Isoflupredone combinations topical are combination medications containing isoflupredone (a corticosteroid) and other medications. Isoflupredone may be compounded with an antibiotic, a local anesthetic, or other medications to treat surface skin conditions where use of a steroid combination product is indicated. Its use may off label (extra label) depending on the species, condition(s) being treated, and formulation. Isoflupredone combinations topical come in powder and ointment forms, often specially compounded.

  • Isoxsuprine is a vasodilator that relaxes blood vessel walls outside of major organs. It has been used to help treat frostbite in birds and in certain conditions in dogs. It is used “off label” or “extra label” in animals. Isoxsuprine comes in tablet and powder forms. Avoid use in animals who have recently given birth or have bleeding.

  • Ivermectin + pyrantel is a heartworm disease preventive that treats and controls hookworms and roundworms in dogs. Ivermectin + pyrantel is given by mouth as a flavored chew tablet. At prescribed doses, ivermectin + pyrantel is well-tolerated. Some dog breeds (e.g., collies, sheepdogs, and collie- or sheepdog-cross breeds) are more sensitive to ivermectin than others; your veterinarian will advise you on the safety of using this medication in your dog. If you suspect an overdose or an adverse reaction to the medication, call your veterinary office immediately.

  • Ivermectin + pyrantel + praziquantel is a combination of anti-parasitic medications used to prevent heartworms and control roundworm, hookworm, and tapeworm in dogs. It is given by mouth as a flavored chew tablet. At prescribed doses, this product is generally well-tolerated but some dogs may experience decreased appetite, vomiting, diarrhea, or burping. Certain drugs may interact with those in this combination product; it is extremely important to let your veterinarian know about any medications or supplements that your pet is taking. If your dog has an adverse reaction to this product, call your veterinary office immediately.

  • Ketoconazole otic is an antifungal used in the treatment of external ear infections (otitis externa) caused by yeast in cats, dogs, and other animals. Ketoconazole otic comes in ointment or liquid drop suspension forms that may be specially compounded and/or combined into a formulation with other medications.

  • Ketoconazole topical is an antifungal used in the treatment of skin infections caused by fungal organisms in cats, dogs, and other animals. It comes in a variety of forms that may be specially compounded and/or be combined with other medications.

  • Lactated Ringer’s solution (also known as LRS, Ringer’s Lactate) is a fluid and electrolyte (salts) replacement solution used to correct fluid and electrolyte imbalances in cats, dogs, birds, pocket pets (small mammals), and other animals. Lactated Ringer’s solution comes in injectable form, usually given subcutaneously for at home administration.

  • Leflunomide is an immunomodulating agent used to treat certain immune-mediated conditions in cats and dogs. It is used off label (extra label) in veterinary medicine. Leflunomide comes in a tablet form that may be specially compounded into a liquid. Wear gloves when handling and do not handle if pregnant or nursing.