The Rx Headache

Lynne White-Shim, MS, DVM, and Kimberly May, DVM, MS Drs. White-Shim and May share how to handle any questions related to prescriptions and online pharmacies. It has been a long, busy day at the clinic. With one patient in particular, you dedicated extensive time and effort to determine a diagnosis and appropriate treatment plan. After …


Vaccine Adverse Events: Acute Allergic Angioedema

Richard B. Ford, DVM, MS, Diplomate ACVIM & ACVPM (Hon) Post-vaccinal angioedema appears to be among the most common vaccine adverse events. Addressed are risk factors, treatment, and prevention of this reaction, plus reporting of vaccine adverse events. A vaccine adverse event (adverse reaction) is defined as: any undesirable side effect or unintended effect (including …


NSAIDS & Anticoagulants: Use in Management of Heartworm Infection

Clarke Atkins, DVM, Diplomate ACVIM (Internal Medicine & Cardiology) Dr. Atkin’s discusses the role of aspirin and other anticoagulants in the treatment of heartworm disease, focusing on studies evaluating their therapeutic effects. The Heartworm Hotline column is cosponsored by Today’s Veterinary Practice and The American Heartworm Society ( This series presents questions and answers on …


Management of Chronic Pain in Cats

Dinah G. Jordan, BSPh, RPh, Pharm D, FSVHP, Diplomate ICVP, and Joel D. Ray, DVM, MS Chronic pain in cats is commonly associated with malignancy, chronic inflammation, orthopedic disorders, chronic soft tissue injury, and nervous tissue injury.1 It is often difficult to recognize because the signs may be subtle, such as:2 Hiding/withdrawing from humans or other …


Fundamentals for Today’s Insulin Therapy

  Michael Schaer, DVM, Diplomate ACVIM & ACVECC & Thomas Schermerhorn, VMD, Diplomate ACVIM (Small Animal Internal Medicine) The veterinary profession has had to adjust the treatment of the diabetic patient due to changes in insulin production and availability. Most of the products used in dogs and cats are dictated by products used in humans. …

Ketamine: To Use or Not to Use for Pain Management

Mark E. Epstein, DVM, Diplomate ABVP (C/F), CVPP, & dAAPM Ketamine has been in long and routine use as a dissociative anesthetic. More recently, new pharmacologic features of ketamine have been discovered that provide novel pain modification. It’s Place in Pain Management It is well-established in human medicine that the use of adjunct medications, including … Protection Status