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  • 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).

  • Interdigital cysts are a painful condition of swellings between the toes. They are commonly allergic in origin; however, many cases can be multifactorial. Diagnostic testing and treatments are recommended. Prognosis is generally good if the underlying disease can be well managed.

  • An intussusception is a condition where part of the intestine slides into another part of the gastrointestinal tract. It causes signs similar to intestinal obstruction, including poor appetite and vomiting. Some cases can be life-threatening. Although some non-surgical techniques may correct the problem, most cases require surgery and intensive care for a good outcome.

  • 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.

  • 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.

  • 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.

  • Lotilaner is used to treat and prevent flea infestations and treat and control tick infestations in dogs and cats. After being administered to a pet, lotilaner is distributed throughout the body. When fleas or ticks bite the dog or cat, they are exposed to the drug and killed during their blood meal.

  • Once a pet has lost some weight, the new goal is to make sure that excess weight stays off. Pet parents who partner with their veterinary health care team for support and who focus on changing their behaviors often have the most success. Examples of some changes include using a different food or a different feeding method, focusing more on portion control, and incorporating some movement or activity time into each day. This article addresses several commonly asked questions about how to help a pet during the maintenance phase (after the weight has been lost).