On a daily basis, the veterinarians at The Animal Medical Center prescribe pills, capsules and tablets to cure, control and prevent diseases. We have pockets full of prescribing information, access dosing online and carefully follow guidelines to use medications safely and wisely.
Correct prescribing by the veterinarian is critical to medication success, but the other half, administering medications as prescribed is equally important. Pet owners, upset by the illness of their pet often misunderstand directions or adjust medication dosing without consulting their pet’s veterinary healthcare team. If you think no one would do this, here is summary of this week’s medication conversations.
Poor Becky had major dental surgery this week, including eight extractions and resulting in a prescription for pain medications. Becky, a dachshund, belongs to an employee of The AMC and I stopped by her office the next day to check on the dog. It just happened to be medication time and Becky’s owner was worried Becky was painful (highly likely given eight extractions) and she though she would give only half the prescribed dose of pain medications. I reassured her the amount prescribed had been carefully calculated for Becky’s size and pain level and that the entire dose should be given.
Montana is getting chemotherapy and also some antinausea pills. When I reviewed his prescriptions, his owner reported she was giving half a pill twice daily rather than one pill once daily. She thought the antinausea effect would last longer if she gave the pill more often. The problem with this logic is the antinausea medicine stays around a long time, hence the once a day dosing recommended by the manufacturer. By giving half a dose, Montana may not have gotten a high enough level of antinausea medicine in the bloodstream to have a full effect.
Finally, there’s Harvey and his chemo pills. He started a new regimen and I called a couple days later to see how it was going. Harvey felt great. I should have listened to my inner doctor voice saying, “Hmm, seems too good to be true.” Turns out his owner made an honest mistake, misread the label and was giving only one pill instead of two. Now he is on the correct dosage and is feeling better than ever since his tumor is shrinking.
This may also be found in the “Tales from the Pet Clinic” blog on WebMD.com.
For over a century, The Animal Medical Center has been a national leader in animal health care, known for its expertise, innovation and success in providing routine, specialty and emergency medical care for companion animals. Thanks in part to the enduring generosity of donors, The AMC is also known for its outstanding teaching, research and compassionate community funds. Please help us to continue these efforts. Send your contribution to: The Animal Medical Center, 510 East 62nd Street, New York, NY 10065. For more information, visit www.amcny.org. To make an appointment, please call 212.838.7053.