pets

Botox for Pets?

Pet Connection by by Dr. Marty Becker, Kim Campbell Thornton and Mikkel Becker
by Dr. Marty Becker, Kim Campbell Thornton and Mikkel Becker
Pet Connection | January 16th, 2012

When you pick up a prescription from your veterinarian, do you know that it's likely a "people med" your pet is getting? It's true! Aside from flea- and tick-control products and some non-steroidal anti-inflammatories, most of the medications your pets receive are crossovers from human medicine.

And when I say "most," I mean "almost all." Some 80 to 90 percent of the drugs used in veterinary medicine come from human medicine. This so-called "off-label" use of human drugs allows veterinarians to treat medical conditions (and species) that aren't always priorities for drug companies when it comes to developing and selling medications.

Some of the medications may be used for different health conditions in animals than in people. For years I'd get raised eyebrows when talking about dogs prescribed Viagra (in dogs, it can be used to treat a heart condition) or Botox (used to treat problems caused by deep skin folds in some dogs). More routinely (and less surprisingly) prescribed are "human" antibiotics, anti-anxiety medications and many other drugs that pretty much treat the same issues in both people and pets.

The practice of veterinary medicine is challenging, that's for sure. We have to work with multiple species, none of whom can say, "It hurts here, Doc!" And we have to know more about pharmacology than our physician counterparts. After all, in human medicine, all drugs are FDA-approved, meaning that they have undergone significant scrutiny for safety and efficacy -- but only in one species: ours. The guidelines for use are fairly clear.

But when a veterinarian believes a particular human medication can help an animal, she'll prescribe based on information that's often not quite as regulated with regard to its use in animals. This has been the case for decades, of course, but the practice has only really been legal since 1994, when Congress passed the Animal Medicinal Drug Use Clarification Act (AMDUCA) regulating the conditions under which "off-label" use is acceptable.

Even before the legislation was in place, however, there was a working system for prescribing human drugs to pets. Veterinarians relied on peer-reviewed studies, clinical trials and published formularies that included suggestions for safe uses and dosages of human medications given to companion animals.

Today, with the legal issues cleared up, veterinarians and their patients have more options and better access to medications. Veterinarians have always been glad to provide in-house pharmaceutical services, and general pharmacists, too, have usually been willing to fill prescriptions written by vets. But recently, online retailers and specialty pharmacists have recognized that pets are an expansion market. These developments open the door to even more changes, including discussions on generic meds and walking out of your veterinarian's practice with a prescription instead of a pill bottle.

Chances are you won't be taking a prescription for Viagra or Botox with you the next time you go to the veterinarian's office, but you should still talk with the doctor about your pet's treatment options. A good veterinarian will discuss what medications your pet will need, tell you what screening tests may be required for safety beforehand, what side effects to look for after you get home and answer all your questions before you go. Your veterinarian should also encourage you to call with questions or concerns.

Good communication, after all, is as important a part of good medicine as, well, medicine.

Online bonus: Dr. Becker reveals the 30 best pet-care products of 2011 (vetstreet.com/dr-marty-beckers-top-30-pet-products-of-2011).

Q&A

How to stop

a chewing cat

Q: My cat has developed this really weird habit of sucking on fabric. She seems to be in some kind of a state while she's doing it, almost like she's on a drug. The throw at the end of our bed seems to attract the most attention, and it has three places where there are "sucked-up" areas that are pretty much ruined. Before I replace it, I'd like to cure her of the habit. Should I use that nasty stuff to stop pets from chewing on the areas? -- via email

A: The behavior you've described is generally called "wool-chewing," and it's not uncommon, especially in the so-called "Oriental" breeds such as the Siamese. While the target is often a soft fabric such as wool, some cats prefer other objects, perhaps plastic grocery bags. No one's really sure what causes the behavior, but since it is more common in some breeds than in others, it is suspected to have a genetic component.

People have long believed that wool chewing was a result of a kitten who was separated from the mother too soon (probably because the behavior looks like nursing) but that's no longer believed to be the case. Best guess: It's one of those habits that relieves stress and brings comfort.

Unfortunately, there is no 100 percent effective cure for it. Things to try:

-- Put away the heirlooms and cashmere. If your cat prefers soft wool, put your finest away and keep the drawers closed. Keep bedroom doors closed to protect your good blankets.

-- Use deterrents. Set out some "decoy" blankets (along with the already ruined one), and apply Bitter Apple, Tabasco, hot pepper oil or a similar product. Spraying fabrics lightly with perfume is also a common recommendation.

-- More exercise. Daily play with your cat may also help -- and it certainly won't hurt. In addition to interactive play, bring in food puzzles to keep your cat busy and entertained. -- Gina Spadafori

(Do you have a pet question? Send it to petconnection@gmail.com.)

THE BUZZ

Secondhand smoke

can be pet killer

-- Need help with a New Year's resolution to stop smoking? Do it for your pet. Three separate studies at three different veterinary colleges showed that dogs and cats whose owners smoke are more likely to develop health problems from secondhand smoke, including cancers of the nose, lung and lymphatic system. If you do quit for your pet you'll not be alone in doing so: Another study suggests people are more likely to quit for a pet than for a spouse.

-- As deer populations continue to grow, so do the numbers of ticks and cases of tick-borne illness. Of concern to both physicians and veterinarians is the discovery of a new tick-borne bacterium causing ehrlichiosis that has been discovered in Wisconsin and Minnesota. According to DVM360.com, researchers at the Mayo Clinic, the U.S. Centers for Disease Control and the universities of Minnesota and Wisconsin, more than two dozen people have contracted the disease. So far, despite the testing of thousands of ticks, this particular strain has not been found outside of the two states yet.

-- Animal bites should never be taken lightly, even if they seem minor at first. Even "minor" cat bites are like a hypodermic needle jamming bacteria deep into the flesh, and they can become a severe medical crisis. Pet rodents could also be carrying deadly disease. If bitten by an animal, immediately head to the sink for a lot of soap and water, and keep the lather and rinsing coming for about three minutes. Then call your doctor for treatment advice -- you may need antibiotics. -- Mikkel Becker and Dr. Marty Becker

ABOUT PET CONNECTION

Pet Connection is produced by a team of pet care experts headed by "Good Morning America" and "The Dr. Oz Show" veterinarian Dr. Marty Becker and award-winning journalist Gina Spadafori. The two are affiliated with Vetstreet.com and also the authors of many best-selling pet care books. Dr. Becker can also be found at Facebook.com/DrMartyBecker or on Twitter at DrMartyBecker.

pets

Botox for Pets?

Pet Connection by by Dr. Marty Becker, Kim Campbell Thornton and Mikkel Becker
by Dr. Marty Becker, Kim Campbell Thornton and Mikkel Becker
Pet Connection | January 16th, 2012

When you pick up a prescription from your veterinarian, do you know that it's likely a "people med" your pet is getting? It's true! Aside from flea- and tick-control products and some non-steroidal anti-inflammatories, most of the medications your pets receive are crossovers from human medicine.

And when I say "most," I mean "almost all." Some 80 to 90 percent of the drugs used in veterinary medicine come from human medicine. This so-called "off-label" use of human drugs allows veterinarians to treat medical conditions (and species) that aren't always priorities for drug companies when it comes to developing and selling medications.

Some of the medications may be used for different health conditions in animals than in people. For years I'd get raised eyebrows when talking about dogs prescribed Viagra (in dogs, it can be used to treat a heart condition) or Botox (used to treat problems caused by deep skin folds in some dogs). More routinely (and less surprisingly) prescribed are "human" antibiotics, anti-anxiety medications and many other drugs that pretty much treat the same issues in both people and pets.

The practice of veterinary medicine is challenging, that's for sure. We have to work with multiple species, none of whom can say, "It hurts here, Doc!" And we have to know more about pharmacology than our physician counterparts. After all, in human medicine, all drugs are FDA-approved, meaning that they have undergone significant scrutiny for safety and efficacy -- but only in one species: ours. The guidelines for use are fairly clear.

But when a veterinarian believes a particular human medication can help an animal, she'll prescribe based on information that's often not quite as regulated with regard to its use in animals. This has been the case for decades, of course, but the practice has only really been legal since 1994, when Congress passed the Animal Medicinal Drug Use Clarification Act (AMDUCA) regulating the conditions under which "off-label" use is acceptable.

Even before the legislation was in place, however, there was a working system for prescribing human drugs to pets. Veterinarians relied on peer-reviewed studies, clinical trials and published formularies that included suggestions for safe uses and dosages of human medications given to companion animals.

Today, with the legal issues cleared up, veterinarians and their patients have more options and better access to medications. Veterinarians have always been glad to provide in-house pharmaceutical services, and general pharmacists, too, have usually been willing to fill prescriptions written by vets. But recently, online retailers and specialty pharmacists have recognized that pets are an expansion market. These developments open the door to even more changes, including discussions on generic meds and walking out of your veterinarian's practice with a prescription instead of a pill bottle.

Chances are you won't be taking a prescription for Viagra or Botox with you the next time you go to the veterinarian's office, but you should still talk with the doctor about your pet's treatment options. A good veterinarian will discuss what medications your pet will need, tell you what screening tests may be required for safety beforehand, what side effects to look for after you get home and answer all your questions before you go. Your veterinarian should also encourage you to call with questions or concerns.

Good communication, after all, is as important a part of good medicine as, well, medicine.

Online bonus: Dr. Becker reveals the 30 best pet-care products of 2011 (vetstreet.com/dr-marty-beckers-top-30-pet-products-of-2011).

Q&A

How to stop

a chewing cat

Q: My cat has developed this really weird habit of sucking on fabric. She seems to be in some kind of a state while she's doing it, almost like she's on a drug. The throw at the end of our bed seems to attract the most attention, and it has three places where there are "sucked-up" areas that are pretty much ruined. Before I replace it, I'd like to cure her of the habit. Should I use that nasty stuff to stop pets from chewing on the areas? -- via email

A: The behavior you've described is generally called "wool-chewing," and it's not uncommon, especially in the so-called "Oriental" breeds such as the Siamese. While the target is often a soft fabric such as wool, some cats prefer other objects, perhaps plastic grocery bags. No one's really sure what causes the behavior, but since it is more common in some breeds than in others, it is suspected to have a genetic component.

People have long believed that wool chewing was a result of a kitten who was separated from the mother too soon (probably because the behavior looks like nursing) but that's no longer believed to be the case. Best guess: It's one of those habits that relieves stress and brings comfort.

Unfortunately, there is no 100 percent effective cure for it. Things to try:

-- Put away the heirlooms and cashmere. If your cat prefers soft wool, put your finest away and keep the drawers closed. Keep bedroom doors closed to protect your good blankets.

-- Use deterrents. Set out some "decoy" blankets (along with the already ruined one), and apply Bitter Apple, Tabasco, hot pepper oil or a similar product. Spraying fabrics lightly with perfume is also a common recommendation.

-- More exercise. Daily play with your cat may also help -- and it certainly won't hurt. In addition to interactive play, bring in food puzzles to keep your cat busy and entertained. -- Gina Spadafori

(Do you have a pet question? Send it to petconnection@gmail.com.)

THE BUZZ

Secondhand smoke

can be pet killer

-- Need help with a New Year's resolution to stop smoking? Do it for your pet. Three separate studies at three different veterinary colleges showed that dogs and cats whose owners smoke are more likely to develop health problems from secondhand smoke, including cancers of the nose, lung and lymphatic system. If you do quit for your pet you'll not be alone in doing so: Another study suggests people are more likely to quit for a pet than for a spouse.

-- As deer populations continue to grow, so do the numbers of ticks and cases of tick-borne illness. Of concern to both physicians and veterinarians is the discovery of a new tick-borne bacterium causing ehrlichiosis that has been discovered in Wisconsin and Minnesota. According to DVM360.com, researchers at the Mayo Clinic, the U.S. Centers for Disease Control and the universities of Minnesota and Wisconsin, more than two dozen people have contracted the disease. So far, despite the testing of thousands of ticks, this particular strain has not been found outside of the two states yet.

-- Animal bites should never be taken lightly, even if they seem minor at first. Even "minor" cat bites are like a hypodermic needle jamming bacteria deep into the flesh, and they can become a severe medical crisis. Pet rodents could also be carrying deadly disease. If bitten by an animal, immediately head to the sink for a lot of soap and water, and keep the lather and rinsing coming for about three minutes. Then call your doctor for treatment advice -- you may need antibiotics. -- Mikkel Becker and Dr. Marty Becker

ABOUT PET CONNECTION

Pet Connection is produced by a team of pet care experts headed by "Good Morning America" and "The Dr. Oz Show" veterinarian Dr. Marty Becker and award-winning journalist Gina Spadafori. The two are affiliated with Vetstreet.com and also the authors of many best-selling pet care books. Dr. Becker can also be found at Facebook.com/DrMartyBecker or on Twitter at DrMartyBecker.

pets

Better Vet Visits

Pet Connection by by Dr. Marty Becker, Kim Campbell Thornton and Mikkel Becker
by Dr. Marty Becker, Kim Campbell Thornton and Mikkel Becker
Pet Connection | January 9th, 2012

Let me tell you an insider secret from the world of veterinary medicine. There are certain people we can't wait to see come in with their pets. While as health professionals we certainly don't offer them better medical care than people we don't like as much, I do admit that these folks are shown the red carpet.

What makes these clients VIPs, how do you become one, and what will you receive in return for your efforts? The more items you tick off this list, the higher your ranking as a veterinary VIP:

-- You're a tiny bit early for your appointment.

-- You treat the entire staff with respect, warmth and good humor.

-- You come armed with a full history of your pet's current medical problem, the more detailed the better -- e.g., vomited three times yesterday; it was slimy, yellow and contained bits of cardboard packaging.

-- You've trained your pet to welcome, not fear, a veterinary visit, and you've gone through gentling techniques with your pet, so we can easily examine everything.

-- You accept our recommendations after an honest, open discussion.

-- You pay your bills.

-- If we exceed your expectations, you recommend us to others with enthusiasm and frequency.

-- On occasion, for any or no reason, you bring us a plate of brownies or cookies to feed a tired crew.

In return you get:

-- Staffers who fight to take your call and veterinarians who fight to keep you as their client.

-- A veterinary team that lights up even brighter when you walk through the door.

-- Somehow we find a spot on an overbooked schedule for you or find a place to board your pet over a holiday, even though we've been booked full for months.

-- We don't watch the clock as closely when it's your turn in the exam room.

-- Perhaps most important, you can call us after hours for help (VIPs often have their veterinarian's personal cell number!), and we'll either pick up the phone to talk you through it, race to the practice to meet you, or refer you to someone else and tell them to take extra-special care of you.

Little things mean a lot, and they all add up. With respect and a positive attitude on both sides, your relationship with your veterinarian will mean the best experience possible for all.

Video bonus: Watch Pet Connection's Mikkel Becker teach a dog how to sit for the food dish (vetstreet.com/teach-your-dog-to-wait-for-the-food-bowl).

Q&A

Hide the trash

to protect pet

Q: My son brought his dog home for Christmas, and things went pretty well. The only exception: The dog wouldn't stay out of the kitchen trash bin. My son says it's a problem at home, too. Punishment hasn't helped. What will? -- via email

A: Pets who rummage in bathroom or kitchen wastebaskets are engaging in a habit that's very rewarding, which makes the behavior more difficult to change. After all, the goodies from the kitchen trash (food!) and bathroom trash ("used" paper products) are just about as appealing as can be imagined to a foraging pet.

But aside from the annoyance of cleaning up after garbage raids, this habit can have serious health implications. The cat who ingests string from a roast or ribbon from gift wrapping may need surgery to remove the item. And dogs can end up with blockages that also need to be surgically removed, or with deadly bouts of pancreatitis or peritonitis. And even if the worst never happens, you'll bound to be dealing with the extremely nasty after-effects of a garbage run -- vomiting and diarrhea.

So, yes, this is one habit that needs to be broken.

While you can booby-trap garbage cans -- for example, by putting a pyramid of empty soda cans with pennies in them -- it's really more effective to retrain yourself instead. Put garbage cans behind closed doors: under the sink in the bathroom, and behind a pantry door in the kitchen.

What about lidded cans? I've used a pair of them (one for recycling, one for garbage) in my kitchen for years with great success. That is, until one day my youngest dog stepped on the pedal, possibly by accident, and the resulting "light bulb moment" meant lidded cans were no longer safe! -- Gina Spadafori

(Do you have a pet question? Send it to petconnection@gmail.com.)

THE BUZZ

Too few vets choose

to treat large animals

-- The continued boom in pet ownership is having ill effects down on the farm, as veterinarians are increasingly drawn to practices that care for dogs and cats. Only 10 percent of students entering U.S. veterinary schools pursue large-animal practice, says the American Veterinary Medical Association. Treating pets generally means better working conditions, shorter commutes and fewer on-call nights. Fewer large-animal veterinarians is seen as a concern not only for the animals who need care, but also for issues of public health, since veterinarians help to keep the food supply safer. 

-- Cats are notorious for not drinking enough water, and their near-chronic state of dehydration contributes to kidney and bladder problems. Getting cats to drink more can be a key to better health, but you may not need to offer purified water (as is sometimes suggested) to do so. A clinician's brief put out by the North American Veterinary Conference suggests that cats like tap water just fine, in fact, choosing it over purified water in a small study.

-- Parrots are attracted to the sound of their own voice, or at least one similar. A study found that female budgerigars prefer mates who sound like themselves. Although the parrots have an ability to imitate other voices, the study shows that female parrots are most attracted to the male if he naturally sounds like her at their first meeting, before any imitation is done. The findings also highlighted the greater help males will give to nesting females if her sound is similar to his. -- Mikkel Becker and Dr. Marty Becker

ABOUT PET CONNECTION

Pet Connection is produced by a team of pet care experts headed by "Good Morning America" and "The Dr. Oz Show" veterinarian Dr. Marty Becker and award-winning journalist Gina Spadafori. The two are affiliated with Vetstreet.com and also the authors of many best-selling pet care books. Dr. Becker can also be found at Facebook.com/DrMartyBecker or on Twitter at DrMartyBecker.

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