Dog Owner Information About ® Chewable Tablets (Carprofen)
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Pain Management in Companion Animals
CONTINUING EDUCATION TAP OUR APP Pain Management in Companion Animals Download “NCPA Mobile” Today! by Ann Philbrick, PharmD, BCPS Don’t be left out of the latest news affecting community pharmacy—download our new app, NCPA Mobile! Receive real-time updates, join the conversation on Twitter with a built-in feed, Jul. 1, 2015 (expires Jul. 1, 2018) and never miss out on breaking news affecting community pharmacy. Keep the Activity Type: Application-based app on your phone year-round for updates, news, alerts, and more from NCPA. To earn continuing education credit: ACPE Program 0207-0000-15-007-H01-P; 0207-0000-15-007-H01-T Upon successful completion of this article, the pharmacist should be able to: 1. Describe the process of pain in the dog and cat including identification of ways they express pain. 2. Describe the appropriate use, mechanism of action, and precautions for use of analgesics in the treatment of pain in dogs and cats. 3. Explain the key issues that impair the prevention of diversion in compan- ion animal owners. Upon successful completion of this article, the pharmacist should be able to: 1. Describe the process of pain in the dog and cat including identification of ways they express pain. To get the free NCPA Mobile app: 2. Describe the appropriate use, mechanism of action, and precautions for FREE ONLINE CE. To take advantage use of analgesics in the treatment of pain in dogs and cats. of free continuing pharmacy educa- iPhone and iPad users—search “NCPA 3. Explain the key issues that impair the prevention of diversion in compan- tion (CPE) for this program, pharma- ion animal owners. -
The Pathophysiology of Pain, Our Veterinary Patients, and You… What Can Or Should Be Done?
The Pathophysiology of Pain, Our Veterinary Patients, And you… What Can or Should Be Done? Andrew Claude DVM, Dipl ACVAA Michigan State University College of Veterinary Medicine [email protected] Objectives • Definitions. • Process of Nociception. • What is pain? • AVMA/ACVAA regarding pain. • Patient – client considerations • Pain management in medicine • Clinical signs of pain in dogs/cats • Preemptive analgesia options • Pain scores in dogs and cats (if time) Definitions • Anesthesia = analgesia = analgesic? Clinician's Brief • General anesthesia: General vs. local and regional anesthesia • Analgesia: the inability to feel pain • Analgesic: any member or group of drugs used to achieve analgesia or relief from pain. • Analgesia →Nociception • Acute vs. Chronic pain, neuropathic pain Process of nociception • Transduction • Aβ, Aδ, c-Fibers, silent • Transmission • Dorsal horn, CNS • Primary Modulation • Segmental reflexes • Projection • Perception • Conscious Pain • Autonomic (SNS) • Memory • Emotions • Central/peripheral • Humans/animals What is pain? • Definition: “an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage.” • Sensory component (nociception) • Affective component (experience) • Considered the 5th clinical sign • HR • RR • Temp • BP • Pain assessment What is pain? • Requires conscious perception of a noxious event • Do unconscious patients perceive pain? • Nociception: “the neurophysiological process whereby noxious mechanical, chemical, or thermal stimuli are transduced into electrical signals (action potentials) by high-threshold nociceptors.” These action potentials follow a series of pathways that ultimately end in the brain • The conscious result is “pain” AVMA • Pain in Animals • Animal pain is a clinically important condition that adversely affects an animal's quality of life. Drugs, techniques, or husbandry methods should be used to prevent, minimize, and relieve pain in animals experiencing or expected to experience pain. -
Download Product Insert (PDF)
PRODUCT INFORMATION Deracoxib Item No. 27371 CAS Registry No.: 169590-41-4 O H2N Formal Name: 4-[3-(difluoromethyl)-5-(3-fluoro- S O 4-methoxyphenyl)-1H-pyrazol-1- yl]-benzenesulfonamide F Synonym: SC-59046 O MF: C17H14F3N3O3S 397.4 FW: N Purity: ≥98% N UV/Vis.: λmax: 256 nm Supplied as: A solid Storage: -20°C F Stability: ≥2 years F Information represents the product specifications. Batch specific analytical results are provided on each certificate of analysis. Laboratory Procedures Deracoxib is supplied as a solid. A stock solution may be made by dissolving the deracoxib in the solvent of choice, which should be purged with an inert gas. Deracoxib is soluble in organic solvents such as ethanol, DMSO, and dimethyl formamide (DMF). The solubility of deracoxib in ethanol is approximately 3 mg/ml and approximately 10 mg/ml in DMSO and DMF. Deracoxib is sparingly soluble in aqueous buffers. For maximum solubility in aqueous buffers, deracoxib should first be dissolved in DMF and then diluted with the aqueous buffer of choice. Deracoxib has a solubility of approximately 0.1 mg/ml in a 1:8 solution of DMF:PBS (pH 7.2) using this method. We do not recommend storing the aqueous solution for more than one day. Description Deracoxib is a non-steroidal anti-inflammatory drug (NSAID) and selective inhibitor of COX-2 1 (IC50s = 0.63 and 23 μM for COX-2 and COX-1, respectively). In vivo, deracoxib (0.3-10 mg/kg) increases weight bearing and decreases lameness and joint effusion in a canine model of urate crystal-induced intraarticular synovitis.2 Deracoxib induces less lesion formation in the gastric mucosa of healthy canines than aspirin (Item No. -
Drug and Medication Classification Schedule
KENTUCKY HORSE RACING COMMISSION UNIFORM DRUG, MEDICATION, AND SUBSTANCE CLASSIFICATION SCHEDULE KHRC 8-020-1 (11/2018) Class A drugs, medications, and substances are those (1) that have the highest potential to influence performance in the equine athlete, regardless of their approval by the United States Food and Drug Administration, or (2) that lack approval by the United States Food and Drug Administration but have pharmacologic effects similar to certain Class B drugs, medications, or substances that are approved by the United States Food and Drug Administration. Acecarbromal Bolasterone Cimaterol Divalproex Fluanisone Acetophenazine Boldione Citalopram Dixyrazine Fludiazepam Adinazolam Brimondine Cllibucaine Donepezil Flunitrazepam Alcuronium Bromazepam Clobazam Dopamine Fluopromazine Alfentanil Bromfenac Clocapramine Doxacurium Fluoresone Almotriptan Bromisovalum Clomethiazole Doxapram Fluoxetine Alphaprodine Bromocriptine Clomipramine Doxazosin Flupenthixol Alpidem Bromperidol Clonazepam Doxefazepam Flupirtine Alprazolam Brotizolam Clorazepate Doxepin Flurazepam Alprenolol Bufexamac Clormecaine Droperidol Fluspirilene Althesin Bupivacaine Clostebol Duloxetine Flutoprazepam Aminorex Buprenorphine Clothiapine Eletriptan Fluvoxamine Amisulpride Buspirone Clotiazepam Enalapril Formebolone Amitriptyline Bupropion Cloxazolam Enciprazine Fosinopril Amobarbital Butabartital Clozapine Endorphins Furzabol Amoxapine Butacaine Cobratoxin Enkephalins Galantamine Amperozide Butalbital Cocaine Ephedrine Gallamine Amphetamine Butanilicaine Codeine -
Effects of Osteoarthritis and Chronic Pain Management for Companion Animals Rebecca A
Southern Illinois University Carbondale OpenSIUC Research Papers Graduate School 2014 Effects of Osteoarthritis and Chronic Pain Management for Companion Animals Rebecca A. Cason Southern Illinois University Carbondale, [email protected] Follow this and additional works at: http://opensiuc.lib.siu.edu/gs_rp Recommended Citation Cason, Rebecca A., "Effects of Osteoarthritis and Chronic Pain Management for Companion Animals" (2014). Research Papers. Paper 521. http://opensiuc.lib.siu.edu/gs_rp/521 This Article is brought to you for free and open access by the Graduate School at OpenSIUC. It has been accepted for inclusion in Research Papers by an authorized administrator of OpenSIUC. For more information, please contact [email protected]. EFFECTS OF OSTEOARTHRITIS AND CHRONIC PAIN MANAGEMENT FOR COMPANION ANIMALS By Rebecca A. Cason B.S., Southern Illinois University Carbondale, 2012 A Research Paper Submitted in Partial Fulfillment of the Requirements for the Master of Science. Department of Animal Science, Food and Nutrition In the Graduate School Southern Illinois University Carbondale May 2014 RESEARCH PAPER APPROVAL EFFECTS OF OSTEOARTHRITIS AND CHRONIC PAIN MANAGEMENT FOR COMPANION ANIMALS By Rebecca A. Cason A Research Paper Submitted in Partial Fulfillment of the Requirements for the Degree of Masters in Science in the field of Animal Science Approved by: Rebecca Atkinson, Chair Amer AbuGhazaleh Nancy Henry Graduate School Southern Illinois University Carbondale March 18, 2014 TABLE OF CONTENTS Page LIST OF FIGURES.……………………………………………………………………………....ii -
Cyclooxygenase Inhibitors, Aspirin and Ibuprofen, Inhibit MHC-Restricted Antigen Presentation in Dendritic Cells
DOI 10.4110/in.2010.10.3.92 ORIGINAL ARTICLE pISSN 1598-2629 eISSN 2092-6685 Cyclooxygenase Inhibitors, Aspirin and Ibuprofen, Inhibit MHC-restricted Antigen Presentation in Dendritic Cells Hyun-Jin Kim1, Young-Hee Lee1, Sun-A Im1, Kyungjae Kim2 and Chong-Kil Lee1* 1College of Pharmacy, Chungbuk National University, Cheongju 361-763, Korea, 2College of Pharmacy, SahmYook University, Seoul 139-742, Korea Background: Nonsteroidal anti-inflammatory drugs (NSAIDs) INTRODUCTION are widely used to relieve pain, reduce fever and inhibit inflammation. NSAIDs function mainly through inhibition of Nonsteroidal anti-inflammatory drugs (NSAIDs) inhibit cyclo- cyclooxygenase (COX). Growing evidence suggests that oxygenase (COX), the rate-limiting enzyme for the synthesis NSAIDs also have immunomodulatory effects on T and B of prostaglandins (1,2). Two COX isoforms have been identi- cells. Here we examined the effects of NSAIDs on the anti- fied in eukaryotic cells, COX-1 and COX-2. COX-1 is con- gen presenting function of dendritic cells (DCs). Methods: stitutively expressed in most cells, while COX-2 is inducibly DCs were cultured in the presence of aspirin or ibuprofen, expressed in a more limited array of cells at inflammatory and then allowed to phagocytose biodegradable micro- spheres containing ovalbumin (OVA). After washing and fix- sites (3,4). Thus, the ability of NSAIDs to inhibit COX-2 activ- ing, the efficacy of OVA peptide presentation by DCs was ity may explain their therapeutic effects as anti-inflammatory evaluated using OVA-specific CD8 and CD4 T cells. Results: drugs (2-5). Most of the NSAIDs that are currently in clinical Aspirin and ibuprofen at high concentrations inhibited both use inhibit both COX-1 and COX-2, although some inhibit one MHC class I and class II-restricted presentation of OVA in isosome to a greater extent than the other (6). -
Nonsteroidal Anti-Inflammatory Drugs for Dysmenorrhoea (Review)
Cochrane Database of Systematic Reviews Nonsteroidal anti-inflammatory drugs for dysmenorrhoea (Review) Marjoribanks J, Ayeleke RO, Farquhar C, Proctor M Marjoribanks J, Ayeleke RO, Farquhar C, Proctor M. Nonsteroidal anti-inflammatory drugs for dysmenorrhoea. Cochrane Database of Systematic Reviews 2015, Issue 7. Art. No.: CD001751. DOI: 10.1002/14651858.CD001751.pub3. www.cochranelibrary.com Nonsteroidal anti-inflammatory drugs for dysmenorrhoea (Review) Copyright © 2015 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. TABLE OF CONTENTS HEADER....................................... 1 ABSTRACT ...................................... 1 PLAINLANGUAGESUMMARY . 2 SUMMARY OF FINDINGS FOR THE MAIN COMPARISON . ..... 4 BACKGROUND .................................... 5 OBJECTIVES ..................................... 6 METHODS ...................................... 6 Figure1. ..................................... 8 Figure2. ..................................... 10 Figure3. ..................................... 12 RESULTS....................................... 14 Figure4. ..................................... 16 Figure5. ..................................... 18 Figure6. ..................................... 24 ADDITIONALSUMMARYOFFINDINGS . 25 DISCUSSION ..................................... 26 AUTHORS’CONCLUSIONS . 27 ACKNOWLEDGEMENTS . 27 REFERENCES ..................................... 28 CHARACTERISTICSOFSTUDIES . 40 DATAANDANALYSES. 130 Analysis 1.1. Comparison 1 NSAIDs vs placebo, Outcome 1 Pain relief dichotomous data. 136 -
Non Commercial Use Only
Veterinary Science Development 2017; volume 7:6245 Effects of licofelone, matory mediators in inflammation, injury, and pain settings.1 Although COX-2 specific drugs Correspondence: Correspondence: Aidin Shojaee a novel 5-LOX inhibitor, such as COXIBs (celecoxib, deracoxib, rofacox- Tabrizi, Department of Clinical Sciences, Faculty in comparison to celecoxib ib) have less gastric side effects than non- of Veterinary Medicine, Shiraz University, Shiraz, on gastric mucosa of dogs selective ones. Reports show that they are not Iran. as safe as they are expected to be.2 Tel.: +98.9171046274. Fax: +98.7132284950. E-mail: [email protected] Aidin Shojaee Tabrizi,1 Arachidonic acid (AA) is a substance that is converted to PGs and leulotriens (LTs) by COX Mohammad Azizzadeh,2 Aidin Esfandiari1 Key words: Licofelone; celecoxib; gastric lesions; and 5-lipoxygenase (LOX) enzymes, respec- dog. 1Faculty of Veterinary Medicine, Shiraz tively. LTs are responsible for inflammations University, Shiraz; 2Faculty of Veterinary and NSAIDs-induced gastrointestinal dam- Acknowledgments: the authors wish to thank the medicine, Ferdowsi University of ages. Studies showed that diminishing Research Council of the Veterinary Medicine Mashhad, Mashhad Iran leukotriene B4 levels in gastric mucosa will School of Shiraz University for their Financial result in gastroprotection against NSAIDs- Support. induced gastropathy.3 The inhibition of COX Abstract enzyme may lead to a shunt of AA metabolism Contributions: MA, AE, substantial contributions towards 5-LOX pathway, and therefore, treat- to conception and design, acquisition of data; ment with NSAIDs increase the formation of AST, substantial contributions to conception and Despite the extensive application of non- LTs possibly leading to gastric damage.4 Thus, design, acquisition of data, drafting the article or steroidal anti-inflammatory drugs (NSAIDs), revising it critically for important intellectual the idea of dual inhibition i.e. -
Anesthetic Emergencies, Crises, and High-Risk Cases Ralph Harvey, DVM, MS, DACVAA University of Tennessee Knoxville, TN
Anesthetic Emergencies, Crises, and High-Risk Cases Ralph Harvey, DVM, MS, DACVAA University of Tennessee Knoxville, TN Supportive care is based on recognition of patients needs Focused monitoring and patient evaluation leads to individualized care. Appropriate patient evaluation provides for the recognition of anesthetic risks and anesthetic concerns for that specific patient and procedure. “Problem-based” anesthetic management is the framework for individualized patient care. What “anesthetic concerns” have you identified for this patient? “100 things are missed due to not looking for every 1 thing missed due to not knowing”. Preanesthetic physical examination and laboratory analyses - individualized o “minimum data base” based on risk o diagnostic imaging o radiographs, contrast studies, CT, MRI, o ultrasonography, scintigraphy, etc. o other directed testing ASA physical status categories 0. American Society of Anesthesiologists (ASA) 1. ASA I - excellent anesthetic risk 2. ASA II - good anesthetic risk 3. ASA III - fair anesthetic risk 4. ASA IV - poor anesthetic risk 5. ASA V - guarded anesthetic risk additional “Emergency” designation (x)-E Ventilatory complications Airway obstruction Inadequate Delivery of Oxygen Hypoventilation Inadequate Ventilation, Apnea Hyperventilation: Tachypnea or panting Irregular patterns of ventilation All anesthetics are respiratory depressants! Anesthetic overdose: Relative or Absolute Direct depression of central respiratory centers Secondary to circulatory depression Specific drug actions Hypoventilation requires patient support Endotracheal intubation, ventilatory support by IPPV manual or mechanical ventilation based on patient monitoring, evaluate and address the underlying problem. Hyperventilation and/or panting are less common, but may reflect hyperthermia, pain, or occur as a side-effect of specific drugs. Control of body temperature, management of pain, and control of ventilation may be necessary. -
Nonsteroidal Anti-Inflammatory Drug Toxicosis Petra A
Nonsteroidal Anti-Inflammatory Drug Toxicosis Petra A. Volmer, DVM, MS, DABVT, DABT BASIC INFORMATION (passage of a flexible fiberoptic viewing scope) of the stomach Description may reveal ulcers. Identification of the actual NSAID ingested Nonsteroidal anti-inflammatory drugs (NSAIDs) act against pain, may be possible through an outside laboratory; however, the anal- fever, and inflammation. A number of prescription and over- ysis is not usually available in time to be of much benefit. Other the-counter NSAIDs are available for human use. The following tests may be recommended to rule out other diseases and toxins NSAIDs are approved for use in dogs under the direction of a vet- that can cause similar signs. erinarian: carprofen (Rimadyl ), meloxicam ( Metacam ), deracoxib (Deramaxx ), tepoxalin (Zubrin ), etodolac (EtoGesic ), ketoprofen TREATMENT AND FOLLOW-UP (Anafen ). Only Metacam is approved for use in cats in the United Treatment Options States. Causes and Toxicity Your veterinarian may recommend induction of vomiting if the NSAIDs reduce prostaglandin synthesis by inhibiting the cyclo- ingestion was recent and the animal is not showing any clinical oxygenase enzymes known as COX-1 and COX-2. The COX-1 signs. Vomiting should be induced only under the direction of a enzyme regulates a number of important functions of the gut, plate- veterinarian. Activated charcoal may be administered to bind with lets, and kidneys. The COX-2 enzyme regulates inflammation, pain, the material in the gut and prevent its absorption into the body. and fever. Many of the NSAIDs currently available are selective for Hospitalization may be recommended in some cases for COX-2 and therefore produce less adverse effects on the stomach administration of intravenous fluids to rehydrate and improve kid- and kidneys. -
Non-Steroidal Anti-Inflammatory Drugs (Nsaids)
Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) NSAIDs are pain medications. The first drug in this class of medication was aspirin. Aspirin in the Stop NSAID therapy and notify your form of willow bark was known by American Indians to be an effective pain medication but it was veterinarian if your not until 1973 that the mechanism of action was discovered. Since this time, more potent forms pet experiences: of aspirin have been developed that are safer for the stomach and kidneys. Examples of the newer • Decrease in appetite forms of aspirin in people include celebrex and ibuprofen. There have been NSAIDS specifically or vomiting designed for dogs that are safe and effective pain medications (see below). • Dark or NSAIDs are thought in people to have the best pain fighting characteristics relative to side effects bloody diarrhea and addiction potential. A BVNS doctor would prescribe an NSAID anytime a patient is thought to • Increased drinking be painful. We often use pain modulators as well which are not as effective but are safer. Examples or urination would include gabapentin, tramadol and amitriptyline. • Lethargy, yellowing of NSAIDs can cause stomach and intestinal problems, damage the kidneys and less commonly gums, skin, or whites of the liver and bone marrow. These problems are uncommon to rare, especially with the eyes (jaundice) appropriate monitoring. • Bleeding under the skin None of the following medications should be given together: NSAIDs Steroids Aspirin Cortisone Rimadyl/Carprofen Dexamethasone Etogesic/Etodolac Medrol/Methylprednisolone Deramaxx/Deracoxib Prednisone Metacam/Meloxicam Triamcinolone Previcox/Firocoxib Zubrin/Tepoxalin To learn more about neurologic diseases, treatments, medications and our practice, please visit www.bvns.net. -
Carprovet® (Carprofen)
® Post-Approval Experience: Although not all adverse reactions are reported, the following adverse reactions are based on voluntary post-approval Carprovet (carprofen) adverse drug experience reporting. The categories of adverse reactions are listed in decreasing order of frequency by Flavored Tablets body system. Gastrointestinal: Vomiting, diarrhea, constipation, inappetence, melena, hematemesis, gastrointestinal ulceration, Non-steroidal anti-inammatory drug gastrointestinal bleeding, pancreatitis. For oral use in dogs only Hepatic: Inappetence, vomiting, jaundice, acute hepatic toxicity, hepatic enzyme elevation, abnormal liver function test(s), hyperbilirubinemia, bilirubinuria, hypoalbuminemia. Approximately one-fourth of hepatic reports were in CAUTION: Federal law restricts this drug to use by or on the order of a licensed veterinarian. Labrador Retrievers. DESCRIPTION: Carprovet (carprofen) is a non-steroidal anti-inammatory drug (NSAID) of the propionic acid class that Neurologic: Ataxia, paresis, paralysis, seizures, vestibular signs, disorientation. includes ibuprofen, naproxen, and ketoprofen. Carprofen is the nonproprietary designation for a substituted carbazole, Urinary: Hematuria, polyuria, polydipsia, urinary incontinence, urinary tract infection, azotemia, acute renal failure, 6-chloro-α-methyl-9H-carbazole-2-acetic acid. The empirical formula is C15H12ClNO2 and the molecular weight 273.72. tubular abnormalities including acute tubular necrosis, renal tubular acidosis, glucosuria. The chemical structure of carprofen