Sie sind auf Seite 1von 68

Table 6-24 Common Drug Indications and Dosages*

Drug Proprietary Names Action and Use Formulation Recommended Dosage


Acepromazine Many generic products Tranquilizer and 5-, 10-, and 25-mg tablets and Dog: 0.56-1.13 mg/kg IM, SQ, IV;
antiemetic 10-mg/mL injection 0.56-2.25 mg/kg PO q6-8h
Cat: 1.13-2.25 mg/kg IM, SQ, IV
Acetaminophen Tylenol and other NSAID; analgesia 120-, 160-, 325-, and 500-mg Dog: 15 mg/kg PO q8h
generic brands tablets Cat: Do not use
Acetaminophen Tylenol with codeine, NSAID + opioid; Oral solution and tablets Follow dosing recommendations for
with codeine other generic analgesia Many forms (e.g., 300 mg codeine
products acetaminophen plus 15, 30, or Dog: (analgesia) 0.5-1 mg/kg PO q6-8h
60 mg codeine) Cat: Do not use
Acetazolamide Diamox Diuretic; management of 125- and 250-mg tablets Glaucoma: 5-10 mg/kg PO q8-12h
glaucoma Diuretic: 4-8 mg/kg PO q8-12h
Acetylcysteine Mucomyst Antidote; acetaminophen 20% solution (200 mg/mL) Cat (acetaminophen toxicosis): 140 mg/kg
toxicosis in cats (initial loading dose); then 70 mg/kg PO
or IV q4h for five doses
ACTH gel See Corticotropin
CHARTS AND TABLES

Activated ActaChar, Charcodote, GI adsorbent Oral suspension 1-4 g/kg PO (granules)


charcoal ToxiBan, and generic 6-12 mL/kg (suspension)
Albendazole Valbazen Antiparasitic, especially 113.6-mg/mL suspension and General antiparasitic: 25-50 mg/kg PO
respiratory parasites and 300-mg/mL paste q12h for 35-days
Giardia species Respiratory parasites: 50 mg/kg, q24h PO
for 10-14 days
Giardia: 25 mg/kg q12h for 25-days;
2 to 5 puffs four times daily
Albuterol Proventil, Ventolin Bronchodilator 2-, 4-, and 5-mg tablets; 2 mg/5 20-50 mcg/kg four times per day; up to
mL syrup; aerosol (metered maximum of 100 mcg/kg four times per

TM
inhaler at 90 mcg/dose) day

PDF Editor
*Listings preceded by are for rapid reference and denote drug or dose used in the emergency or critical care setting.
669

Continued

6
6
670

Table 6-24 Common Drug Indications and DosagesCont'd

Drug Proprietary Names Action and Use Formulation Recommended Dosage

Allopurinol Lopurin, Zyloprim Antiinflammatory; 100- and 300-mg tablets Urolith prevention: 10 mg/kg q8h; then
adjunct therapy for reduce to 10 mg/kg q24h
leishmaniasis; urolith Leishmaniasis: 10 mg/kg q12h PO for 4
prevention months or more
Aluminum Basaljel Antacid, GI phosphate Capsules (equivalent to 500 mg 10-30 mg/kg PO q8h (with meals)
carbonate gel binder (uncommonly aluminum hydroxide)
used today)
Aluminum Amphojel Antacid, GI phosphate 64 mg/mL oral suspension; 10-90 mg/kg PO q8h (with meals)
6

hydroxide gel binder (uncommonly 600-mg tablet


used today)
Amikacin Amiglyde-V Antibacterial 50- and 250-mg/mL injection Dog: 15-30 mg/kg, IV, IM, SQ, q24h
(veterinary), Amikin Cat: 10-14 mg/kg, IV, IM, SQ, q24h
(human)
Aminophylline Many generic brands Bronchodilator; chronic 100- and 200-mg tablets; 25 mg/ Dog: 5-11 mg/kg PO, IM, IV q8-12h
bronchitis and asthma mL injection Cat: 6.6 mg/kg PO q12h
CHARTS AND TABLES

Amiodarone Cordarone Antiarrhythmic; 200-mg tablet and 50 mg/mL Dog: 10-15 mg/kg PO q12h, up to 1 wk;
life-threatening injection then 5-7.5 mg/kg PO q12h for 2 wk;
arrhythmias then 7.5 mg/kg q24h as maintenance
Cat: no dosage recommendation
Amitraz Mitaban Antiparasitic, especially 10.6 mL concentrated dip (19.9%) 10.6 mL per 7.5 L water (0.025% solution);
ectoparasites: Demodex apply three to six topical treatments
and Sarcoptes every 2 weeks for refractory cases; this
dose has been exceeded to produce
increased efficacy. Doses used have
included 0.025%, 0.05%, and 0.1%

TM

PDF Editor
concentration applied twice a week and
0.125% solution applied to one-half
body every day for 4 weeks to 5 months.
Amitriptyline Elavil Behavior modifier; 10-, 25-, 50-, 75-, 100-, and Dog: 1-2 mg/kg PO q12-24h (range 0.25-4
separation anxiety and 150-mg tablets; 10 mg/mL mg/kg q12-24h)
(in cats) chronic injection Cat: 0.5-2 mg/kg q12-24h or
idiopathic cystitis approximately 5-10 mg per cat per day
PO
Amlodipine Norvasc Calcium channel blocker, 2.5-, 5-, and 10-mg tablets Dog: 2.5 mg/dog or 0.1-0.4 mg/kg PO q12-24h
vasodilator for systemic Cat: 0.625 mg/cat/day PO initially; then
hypertension increase if needed to 1.25 mg/cat/day
(average is 0.18 mg/kg once daily)
Ammonium Generic Urinary acidifier; acidifies Available as crystals Dog: 200 mg/kg/day divided TID-QID
chloride urine and treats Cat: 800 mg/cat (approximately 13 to
1
metabolic alkalosis 4 tsp)
mixed with food daily
Amoxicillin Amoxi-Tabs, Broad-spectrum 50-, 100-, 200-, and 400-mg 6-20 mg/kg PO q8-12h
trihydrate Amoxi-Drops, antibacterial tablets; 50 mg/mL oral
Amoxil, others suspension
Amoxicillin- Clavamox Broad-spectrum 62.5-, 125-, 250-, and 375-mg Dog: 12.5-15 mg/kg PO q12h
clavulanate antibacterial tablets; 62.5 mg/mL suspension Cat: 62.5 mg/cat PO q12h; consider
administering these doses q8h for
CHARTS AND TABLES

gram-negative infections
Amphotericin B AmBisome (new Antifungal (liposomal 50-mg injectable vial 3-5 mg/kg/day IV administered over
formulation; less formulation); deep, 60-120 minutes for 3 days per week
toxic but expensive) systemic fungal infection (cumulative dose = 24-27 mg/kg)
and leishmaniasis
Fungizone (traditional Antifungal; deep systemic 50-mg injectable vial 0.5 mg/kg IV (slow infusion) q48h;
formulation) fungal infection and cumulative dose is 4-8 mg/kg
leishmaniasis Caution: Monitor renal function.
Ampicillin Omnipen, Principen, Broad-spectrum 250- and 500-mg capsules; 125-, 10-20 mg/kg IV, IM, SQ q6-8h (ampicillin
others antibacterial 250-, and 500-mg vials of sodium); 20-40 mg/kg PO q8h

TM

PDF Editor
ampicillin sodium

*Listings preceded by are for rapid reference and denote drug or dose used in the emergency or critical care setting.
671

Continued

6
6
672

Table 6-24 Common Drug Indications and DosagesCont'd

Drug Proprietary Names Action and Use Formulation Recommended Dosage

Ampicillin + Unasyn Broad-spectrum 1.5- and 3-g vials in 2:1 20-50 mg/kg (total combined) IV, IM q8h
sulbactam antibacterial combination for injection
Ampicillin Polyflex Broad-spectrum 10- and 25-mg vials for injection 6.5-22 mg/kg IM, SQ q12h
trihydrate antibacterial
Amprolium Amprol, Corid Thiamine analogue; 9.6% (9.6 g/dL) oral solution; 1.25 g of 20% amprolium powder to daily
treatment for coccidia soluble powder feed, or 30 mL of 9.6% amprolium
solution to 3.8 L of drinking water for
6

7 days
Antiserum, Antivenin Antivenin, concentrated 10-mL vials Dose varies from 10 to 50 mL (1 to 5 vials)
snakebite serum globulin from initially; additional doses may be
horses immunized with administered q2h after initial treatment
multiple types of venom
Apomorphine Generic Emetic (potent) 6-mg tablets 0.02-0.04 mg/kg IV, IM, 0.1 mg/kg SQ, or
instill 0.25 mg in conjunctiva of eye
CHARTS AND TABLES

(dissolve 6-mg tablet in 1-2 mL of


saline)
Ascorbic acid Vitamin C Vitamin supplement Various forms 100-500 mg/animal/day (diet supplement)
or 100 mg/animal q8h (urine
acidification)
l-Asparaginase Elspar Antineoplastic; lymphoid 10,000 units per vial for injection Dog: 10,000 to 20,000 international
malignancies units/m2 IV once weekly
Cat: 400 units/kg SQ or IM (as part of a
protocol)
Pretreatment with antihistamine

TM

PDF Editor
(diphenhydramine), 2 mg/kg (dog) and
1 mg/kg (cat) 30 minutes earlier is
recommended
Aspirin Many generic and NSAID; anticoagulant 81- and 325-mg tablets Dog:
brand name Mild analgesia: 10-25 mg/kg q8-12h
products (e.g., Antiinflammatory: 20-25 mg/kg q8-12h
Bufferin, Ascriptin) Antiplatelet: 5-10 mg/kg q24-48h
To prevent thromboembolism (IMHA):
0.5 mg/kg/day
Cat: 10-20 mg/kg q48h
Antiplatelet: 80 mg q48h
Atenolol Tenormin -blocker; hypertension 25-, 50-, and 100-mg tablets; Dog: 6.25-12.5 mg/dog q12h
and tachyarrhythmias 25 mg/mL oral suspension; (or 0.25-1.0 mg/kg q12-24h)
and 0.5 mg/mL ampule Cat: 6.25-12.5 mg/cat q12h
for injection (approximately 3 mg/kg)
Atipamezole Antisedan Treatment of amitraz 5.0 mg/mL, injection only 50 mcg/kg IM
toxicity
Atracurium Tracrium Neuromuscular blocking 10-mg/mL injection 0.2 mg/kg IV initially; then 0.15 mg/kg
agent; adjunct to general q30min (or intravenous infusion at 3-8
anesthesia for muscle mcg/kg/min)
relaxation
Atropine Many generic products Antimuscarinic- 400-, 500-, and 540 mcg/mL 0.02-0.04 mg/kg IV, IM, SQ q6-8h or
CHARTS AND TABLES

anticholinergic; injection; 15 mg/mL injection 0.2-0.5 mg/kg (as needed) for


preanesthetic agent, organophosphate and carbamate
treatment of some toxicosis
bradyarrhythmias
Auranofin Ridaura Gold compound; 3-mg capsule 0.1-0.2 mg/kg PO q12h
(triethylphos- immune-mediated skin
phine gold) disease

Listings preceded by are for rapid reference and denote drug or dose used in the emergency or critical care setting.
Continued

TM

PDF Editor
673

6
6
674

Table 6-24 Common Drug Indications and DosagesCont'd

Drug Proprietary Names Action and Use Formulation Recommended Dosage

Aurothioglucose Solganal Gold compound; 50 mg/mL injection Dog <10 kg: 1 mg IM 1st wk, 2 mg IM
immune-mediated skin 2nd wk, then 1 mg/kg/wk
disease maintenance; >10 kg: 5 mg IM 1st wk,
10 mg 2nd wk, and then 1 mg/kg/wk
maintenance
Cat: 0.5-1 mg/cat IM q7days
Azathioprine Imuran Purine antagonist; 50-mg tablet; 10 mg/mL injection Dog: 2 mg/kg PO q24h initially; then
immunosuppressive 0.5-1 mg/kg q48h
6

agent Cat (use cautiously): 1 mg/kg PO q48h


Monitoring patient CBC is indicated
during therapy.
Azithromycin Zithromax Antibacterial, broad- 250-mg capsule; 250- and 600-mg Dog: 5-10 mg/kg PO once daily for 3-5
spectrum activity with tablets; 20 mg/mL oral days or 5 mg/kg PO once daily for 2 days,
extended half-life in suspension then every 3-5 days for a total of 5 doses
tissue Cat: 5-10 mg/kg PO daily for 3-5 days
CHARTS AND TABLES

BAL See Dimercaprol


Benazepril Lotensin ACE inhibitor; chronic 5-, 10-, 20-, and 40-mg tablets Dog: Heart failure: 0.25-0.5 mg/kg PO q24h
heart failure, Hypertension: 0.25 mg/kg PO q12h
hypertension, first Cat:
choice in treating Heart failure: 0.25-0.5 mg/kg PO once or
protein-losing twice daily
nephropathies Hypertension: 0.25-1.0 mg/kg PO once or
twice daily
Betamethasone Celestone Potent glucocorticoid and 600-mcg (0.6-mg) tablet; 3 mg/ Dog and cat: Antiinflammatory: 0.1-0.2
antiinflammatory; mL sodium phosphate injection mg/kg PO q12-24h

TM

PDF Editor
immune-mediated disease Immunosuppressive: 0.2-0.5 mg/kg once
or twice daily
Bethanechol Urecholine Muscarinic-cholinergic; 5-, 10-, 25-, and 50-mg tablets; Dog: 5-15 mg/dog PO q8h
enhances urinary 5 mg/mL injection Cat: 1.25-5 mg/cat PO q8h
bladder contraction
Bisacodyl Dulcolax Stimulant laxative 5-mg tablet 5 mg/animal PO q8-24h
Bismuth Pepto-Bismol GI protectant; treatment Oral suspension; 262 mg/15 mL 0.25 mL/kg PO q4-6h up to 2mL/kg q6-8h
subsalicylate of simple or 525 mg/mL in extra-strength
(uncomplicated) formulation; 262-mg tablet
diarrhea
Bleomycin Blenoxane Antineoplastic; used in 15-unit vials for injection Dog: 10 units/m2 IV or SQ once daily for
multiple cancer 3 days; then 10 units/m2 weekly
protocols (maximum cumulative dose 200 units/m2)
Bromide See Potassium bromide
Bromocriptine Parlodel Dopamine agonist and 2.5-mg tablet and 5.0-mg capsule Pseudocyesis: 10-100 mcg/kg PO once
mesylate prolactin inhibitor; daily for 10 days, or 30 mcg/kg PO once
pregnancy termination daily for 16 days
or pseudopregnancy Pregnancy termination: 50-100 mcg/kg
(pseudocyesis) in dogs PO twice daily for 4-7 days; begin
treatment from day 35-45 after LH surge
Caution: Vomiting is a common side effect.
CHARTS AND TABLES

Bunamidine Scolaban Antiparasitic; tape worms 400-mg tablet 20-50 mg/kg PO per treatment
Bupivacaine Marcaine and generic Local anesthetic 2.5- and 5-mg/mL solution for 1 mL of 0.5% solution/10 cm for an
(parenteral) injection epidural
Buprenorphine Buprenex Partial opiate agonist 0.3 mg/mL solution Dog: 0.005-0.02 mg/kg IV, IM, SQ q6-12h
analgesic Cat: 0.005-0.01 mg/kg IV, IM q6-12h
Buccal administration is well tolerated in
cats, and effect lasts approximately 6 hours.
Dog: 1mg/kg PO q8-12h (useful in social
and panic disorders)
Buspirone Buspar Nonbenzodiazepine 5- and 10-mg tablets Cat: 2.5-5 mg/cat PO daily (may be

TM

PDF Editor
anxiolytic; control of increased to twice daily for some cats)
urine spraying
675

Listings preceded by are for rapid reference and denote drug or dose used in the emergency or critical care setting.
Continued

6
6
676

Table 6-24 Common Drug Indications and DosagesCont'd

Drug Proprietary Names Action and Use Formulation Recommended Dosage

Busulfan Myleran Oral antineoplastic; 2-mg tablet 3-4 mg/m2 PO q24h


chronic granulocytic
leukemia
Butorphanol Torbutrol, Torbugesic Opioid analgesic; 1-, 5-, and 10-mg tablets; 0.5 or Dog: Antitussive: 0.055 mg/kg SQ q6-12h
perioperative analgesia 10 mg/mL injection or 0.55 mg/kg PO
Preanesthetic: 0.2-0.4 mg/kg IV, IM, SQ
(with acepromazine) Analgesic: 0.2-0.4
mg/kg IV, IM, SQ q2-4h or 0.55-1.1 mg/
6

kg PO q6-12h
Cat: Analgesic: 0.2-0.8 mg/kg IV, SQ
q2-6h or 1.5 mg/kg PO q4-8h
Calcitriol Rocaltrol, Calcijex Calcium supplement; Available as injection (Calcijex) Dog: 2.5-3.5 mg/kg PO once daily
increases calcium and capsules (Rocaltrol): 0.25- Cat: 1.65-3.63 mg/kg PO daily
absorption in the GI and 0.5-mcg capsules; 1- or
tract; used in 2-mcg/mL injection
CHARTS AND TABLES

management of
hypoparathyroidism
Calcium Generic and many Calcium supplement Many tablets or oral suspension 70-185 mg/kg/day PO in divided doses
carbonate brand name (e.g., 650-mg tablet contains For phosphate binder: 60-100 mg/kg/day
products (e.g., Tums) 260 mg calcium ion) PO in divided doses
Calcium Generic Calcium supplement (IV) 10% (100 mg/mL) solution 0.1-0.3 mL/kg IV (slowly)
chloride
Calcium citrate Citracal Calcium supplement 950-mg tablet (contains 200 mg Dog: 20 mg/kg/day PO (with meals)
(OTC) calcium ion) Cat: 10-30 mg/kg q8h PO (with meals)
Calcium Kalcinate and generic Calcium supplement (IV) 10% (100 mg/mL) injection 0.5-1.5 mL/kg IV (slowly)

TM

PDF Editor
gluconate
Calcium lactate Generic Calcium supplement Available as a powder and Dog: 0.5-2.0 g/dog/day PO (in divided
(OTC) various-sized tablets doses)
Cat: 0.2-0.5 g/cat/day PO (in divided doses)
Captopril Capoten ACE inhibitor 25-mg tablet Dog: 0.5-2 mg/kg PO q8-12h
(vasodilator); Cat: 3.12-6.25 mg/cat PO q8h
hypertension and
congestive heart failure
Carbenicillin Geopen, Pyopen Antibacterial 1-, 2-, 5-, 10-, and 30-g vials for No longer available in the US
injection
Carbenicillin Geocillin Antibacterial 500-mg tablet 22-33 mg/kg PO q8h for 7-10 days
indanyl sodium
Carboplatin Paraplatin Antineoplastic; multiple 50- and 150-mg vials for injection Dog: 300 mg/m2 IV q3-4 wk
tumor types Cat: 200 mg/m2 IV q4wk
Carprofen Rimadyl NSAID 25-, 75-, and 100-mg tablets Dog: 2.2 mg/kg PO or SQ q12h; or 4.4
50 mg/mL in 20-mL vials for mg/kg PO or SQ once daily
injection Cat: Not approved for use in cats
Cascara sagrada Many brand name Laxative 100- and 325-mg tablets Dog: 1-5 mg/kg/day PO
(OTC) products Cat: 1-2 mg/cat/day
Castor oil (OTC) Generic Laxative Oral liquid (100%) Dog: 8-30 mL/day PO
Cat: 4-10 mL/day PO
Cefaclor Ceclor Antibacterial 250- and 500-mg capsules and 25 7-13 mg/kg PO q8h for 14-21 days
mg/mL oral suspension
CHARTS AND TABLES

Cefadroxil Cefa-Tabs, Cefa-Drops Antibacterial 50 mg/mL oral suspension; 50-, Dog: 22-30 mg/kg PO q12h
100-, 200-, and 1000-mg tablets Cat: 22 mg/kg PO q24h
Cefepime Maxipime Antibacterial 500-mg, 1-g, and 2-g vials for 40 mg/kg IV q6h
injection
Cefixime Suprax Antibacterial 20 mg/mL oral suspension; 200- 10 mg/kg PO q12h
and 400-mg tablets For cystitis: 5 mg/kg PO q12-24h
Cefotaxime Claforan Antibacterial 500-mg and 1-, 2-, and 10-g vials Dog: 50 mg/kg IV, IM, SQ q12h
for injection Cat: 20-80 mg/kg IV, IM q6h
Cefotetan Cefotan Antibacterial 1-, 2-, and 10-g vials for injection 30 mg/kg IV, SQ q8h
Cefoxitin Mefoxin Antibacterial 1-, 2-, and 10-g vials for injection 30 mg/kg IV q6-8h

TM

PDF Editor
Listings preceded by are for rapid reference and denote drug or dose used in the emergency or critical care setting.
677

Continued

6
6
678

Table 6-24 Common Drug Indications and DosagesCont'd


Drug Proprietary Names Action and Use Formulation Recommended Dosage

Ceftazidime Fortaz, Ceptaz, Tazicef Antibacterial 0.5-, 1-, 2-, and 6-g vials Dog and cat: 30 mg/kg IV, IM q6h
reconstituted to 280 mg/mL CRI: Loading dose 1.2 mg/kg; then 1.56
mg/kg/hr with IV fluids
Ceftiofur Naxcel (ceftiofur Antibacterial 50 mg/mL injection Dog: 30 mg/kg, SQ, q4-6h
sodium), Excenel 2.2-4.4 mg/kg SQ q24h (for urinary tract
(ceftiofur infections)
6

hydrochloride)
Cephalexin Keflex and generic Antibacterial, especially 250- and 500-mg capsules; 250- 10-30 mg/kg PO q6-12h
skin, urinary, respiratory and 500-mg tablets; 100 mg/mL Pyoderma: 22-35 mg/kg PO q12h
tract infections or 125 and 250 mg/5 mL oral
suspension
Cephalothin Keflin Antibacterial 1- and 2-g vials for injection 10-30 mg/kg IV, IM q4-8h
sodium
CHARTS AND TABLES

Cephapirin Cefadyl Antibacterial 500-mg and 1-, 2-, and 4-g vials 10-30 mg/kg IV, IM q4-8h
for injection
Charcoal, Acta-Char, GI adsorbent Oral suspension 1-4 g/kg PO (granules) 6-12 mg/kg
activated Charcodote, (suspension)
Toxiban, and generic
Chlorambucil Leukeran Antineoplastic; has also 2-mg tablet Dog: 2-6 mg/m2 q24h initially; then q48h
been used to treat PO
eosinophilic granuloma Cat: 0.1-0.2 mg/kg q24h initially; then
complex in cats q48h PO
Chloramphenicol Chloromycetin and Antibacterial 30 mg/mL oral suspension Dog: 45-60 mg/kg PO q8h

TM

PDF Editor
and chloramphe- generic (palmitate); 250-mg capsule; Cat: 25-50 mg/kg PO q12h
nicol palmitate and 100-, 250-, and 500-mg
tablets
Chloramphenicol Chloromycetin and Antibacterial 100 mg/mL injection Dog: 40-50 mg/kg IV, IM q6-8h
sodium generic Cat: 12.5-20 mg/cat IV, IM q12h
succinate
Chlorothiazide Diuril Diuretic; also used as an 250- and 500-mg tablets; 50 20-40 mg/kg PO q12h
antihypertensive mg/mL oral suspension and
injection
Chlorpheniramine Chlor-Trimeton, Antihistamine 4- and 8-mg tablets Dog: 4-8 mg/dog PO q12h (up to
maleate (OTC) Phenetron, others (H1-blocker), weak maximum of 0.5 mg/kg q12h)
antipruritic agent Cat: 2 mg/cat PO q12h
in allergic animals
Chlorpromazine Thorazine Tranquilizer, antiemetic 25-mg/mL injection solution 0.5 mg/kg IM, SQ q6-8h
Before cancer chemotherapy: 2 mg/kg
SQ q3h
Chlortetracycline Generic Antibacterial Powdered feed additive 25 mg/kg PO q6-8h
Chorionic See Gonadotropin
gonadotropin
Cimetidine Tagamet (available Antihistamine (H2 100-, 150-, 200-, and 300-mg 10 mg/kg IV, IM, PO q6-8h
OTC and blocker); treatment and tablets; 60 mg/mL injection In renal failure: 2.5-5 mg/kg IV, PO q12h
prescription) prevention of gastric
CHARTS AND TABLES

ulcer
Ciprofloxacin Cipro (generic also Antibacterial 250-, 500-, and 750-mg tablets, 2 5-15 mg/kg PO, IV q12h
available) mg/mL injection
Cisapride Propulsid Prokinetic; stimulates GI 10-mg tablet Dog: 0.1-0.5 mg/kg PO q8-12h (doses as
tract motility high as 0.5-1.0 mg/kg have been used in
some dogs)
Cat: 2.5-5 mg/cat PO q8-12h (doses as high
as 1 mg/kg q8h have been used in cats)

Listings preceded by are for rapid reference and denote drug or dose used in the emergency or critical care setting.

TM
Continued

PDF Editor
679

6
6
680

Table 6-24 Common Drug Indications and DosagesCont'd

Drug Proprietary Names Action and Use Formulation Recommended Dosage

Cisplatin Platinol Antineoplastic; multiple 1-mg/mL injection; 50-mg vial Dog: 60-70 mg/m2 IV over 20 minutes after
tumor types a 4-hour IV saline diuresis, continue
diuresis after cisplatin infusion for 2 more
hours (repeat every 3-4 weeks)
Cat: Do not use
Clemastine Tavist, Contac 12 Antihistamine (H1-blocker), 1.34-mg tablet (OTC); 2.64-mg Dog: 0.05-0.1 mg/kg PO q12h
Hour, and generic antipruritic in allergic tablet (prescription); 0.134 mg/
dogs mL syrup
6

Clindamycin Antirobe, Cleocin Antibacterial, especially 25 mg/mL oral liquid; 25-, 75-, Dog: 11 mg/kg PO q12h or 22 mg/kg PO
gram-positive infections; and 150-mg capsules; and q24h
recommended for 150-mg/mL injection (Cleocin) Cat: 5.5 mg/kg q12h, or 11 mg/kg q24h
toxoplasmosis (staphylococcal infections); 11 mg/kg q12h
(controversial) or 22 mg/kg q24h (anaerobic infections) PO
Toxoplasmosis: 12.5 mg/kg PO q12h for 4 wk
Clofazimine Lamprene Antibacterial 50- and 100-mg capsules Cat: 1 mg/kg PO up to maximum of 4 mg/
CHARTS AND TABLES

kg/day
Clomipramine Anafranil (human); Tricyclic antidepressant; 10-, 25-, and 50-mg tablets Dog: 2-4 mg/kg PO once daily or divided
Clomicalm behavior modification (human); 5-, 20-, and 80-mg twice daily
(veterinary) tablets (veterinary) Cat: 0.5-1 mg/kg PO once daily
Clonazepam Klonopin Anticonvulsant; also used 0.5-, 1-, and 2-mg tablets 0.5 mg/kg PO q8-12h
to manage certain types
of behavior disorders
Clorazepate Tranxene Anticonvulsant; also used 3.75-, 7.5-, 11.25-, 15-, and 2 mg/kg PO q12h
to manage certain types 22.5-mg tablets
of behavior disorders

TM

PDF Editor
Clotrimazole Many generic Antifungal (topical only); 1% topical solution in 30 mL For nasal aspergillosis in dogs: Infuse 1%
products, including nasal aspergillosis solution in each nasal cavity for 1 h in
lotrimazole topical anesthetized dog. Note: Patient
solution, USP 1% preparation is required.
Cloxacillin Cloxapen, Orbenin, Antibacterial 250- and 500-mg capsules; 25 20-40 mg/kg PO q8h
Tegopen mg/mL oral solution
Codeine Generic Opioid analgesic 15-, 30-, and 60-mg tablets; 5 mg/ Analgesia: 0.5-2 mg/kg PO q6-8h
mL syrup; 3 mg/mL oral Antitussive: 0.1-0.3 mg/kg PO q6-8h
solution
Colchicine Generic Antiinflammatory; 500- and 600-mcg tablets; 500 0.01-0.03 mg/kg PO q24h
hepatic failure mcg/mL ampule injection
Colony- Filgrastim Hormone; stimulates 300 mcg/mL injection 5mcg/kg SQ q24h for 5 days at a time
stimulating granulocyte production (pulse therapy)
factor in bone marrow
Corticotropin H.P. Acthar Gel Hormone; diagnostic test 5 mL (multiple dose) 80 USP Response test: Collect pre-ACTH sample
(ACTH gel) (expensive) drug for the diagnosis of units/mL and inject 2.2 international units/kg IM;
hyperadrenocorticism and Dog: Collect post-ACTH sample in 2 hr
hypoadrenocorticism Cat: Collect post-ACTH samples at 1 and
2 hr
Cosyntropin Cortrosyn Hormone; diagnostic test 250 mcg per vial (can be stored in Response test: Dog: Collect presample and
drug for the diagnosis of freezer for 6 months) inject 5 mcg/kg IV
hyperadrenocorticism Cat: Collect presample and inject
and hypoadrenocorticism 0.125 mg IV
CHARTS AND TABLES

Dog and cat: Collect postsample 1 hr


postadministration
Cyanocobalamin See Vitamin B12
Cyclophosphamide Cytoxan, Neosar Antineoplastic; multiple 25 mg/mL injection; 25- and Anticancer: 50 mg/m2 PO once daily
tumor types, and 50-mg tablets 4 days/wk or 150-300 mg/m2 IV and
adjunctive in immune- repeat in 21 days
mediated disorders Immunosuppressive therapy: 50 mg/m2
(approx 2.2 mg/kg) PO q48h or 2.2 mg/
kg once daily for 4 days/wk
Cat: 6.25-12.5 mg/cat once daily 4 days/wk

TM

PDF Editor
Listings preceded by are for rapid reference and denote drug or dose used in the emergency or critical care setting.
Continued
681

6
6
682

Table 6-24 Common Drug Indications and DosagesCont'd

Drug Proprietary Names Action and Use Formulation Recommended Dosage

Cyclosporine Neoral, Sandimmune, Immunosuppressant Neoral: 25-mg and 100-mg Dog: 3-7 mg/kg PO q12-24h (adjust dose
(cyclosporin A) Optimmune (CMI); multiple uses microemulsion capsules; based on condition being treated and by
(ophthalmic) ranging from atopic 100-mg/mL oral solution (for monitoring blood levels)
dermatitis to hemolytic microemulsion) Hemolytic anemia: Up to 10 mg/kg PO
anemia to perianal Sandimmune: 100-mg/mL oral q12h (as adjunctive therapy)
fistulas. Consult solution; 25- and 100-mg Cat: 4-6 mg/kg PO q12h
additional references capsules Note: Multiple products are available but
before prescribing Optimmune: 0.2% ointment all are not bioequivalent.
6

Cyproheptadine Periactin Antihistamine; appetite 4-mg tablet; 2 mg/5 mL syrup Antihistamine: 1.1 mg/kg PO q8-12h
stimulant in cats Appetite stimulant: 2 mg/cat PO
Cytarabine Cytosar-U Antineoplastic; lymphoma 100-mg vial Dog (lymphoma): 100 mg/m2 IV, SQ once
(cytosine and leukemia daily or twice daily for 4 days
arabinoside) Cat: 100 mg/m2 once daily for 2 days
Dacarbazine DTIC Antineoplastic; 200-mg vial for injection 200 mg/m2 IV for 5 days q3wk; or
lymphoreticular 800-1000 mg/m2 IV q3wk
CHARTS AND TABLES

neoplasms and soft


tissue sarcomas
Dalteparin Fragmin Lowmolecular-weight Multiple injectable preparations Prophylaxis: 70 units/kg SQ q24h
heparin; management of Treatment:
thromboembolic disease Dog: 100-150 units/kg SQ q24h
Cat: 180 units/kg SQ q24h
Danazol Danocrine Anabolic steroid; adjunctive 50-, 100-, and 200-mg capsules 5-10 mg/kg PO q12h
therapy for immune-
mediated disease
Dantrolene Dantrium Muscle relaxant; urethral 100-mg capsules; 0.33 mg/mL Malignant hyperthermia: 2-3 mg/kg IV

TM

PDF Editor
obstruction, and injection Muscle relaxation:
prevention of malignant Dog: 1-5 mg/kg PO q8h
hyperthermia Cat: 0.5-2 mg/kg PO q12h
Dapsone Generic Antibacterial; 25- and 100-mg tablets 1.1 mg/kg PO q8-12h
Mycobacterium species
Deferoxamine Desferal Antidote, iron toxicosis 500-mg vial for injection 10 mg/kg IV, IM q2h for two doses; then
10 mg/kg q8h for 24 hr
Deprenyl See Selegiline
(l-deprenyl)
Desmopressin DDAVP Hormone; used in the 100 mcg/mL injection and DI: 1-4 drops q12-24h in the conjunctival
acetate clinical management of desmopressin acetate nasal sac or 2-5 mcg SQ q12-24h animal oral
patients with DI and solution (0.01% metered spray); dose not established, but dose
patients with von 0.1- and 0.2-mg tablets extrapolated from humans is 0.05 mg/
Willebrand disease animal q12h PO with increase to 0.1 or
0.2 mg/animal as needed von Willebrand
disease: 1 mcg/kg SQ, IV diluted in
20 mL saline administered over 10 min
Desoxycorticost- Percorten-V, DOCP, Mineralocorticoid; 25 mg/mL suspension for 1.5-2.2 mg/kg IM q25days
erone pivalate DOCA pivalate hypoadrenocorticism injection
Dexamethasone Azium solution in Glucocorticoid; multiple Azium solution, 2 mg/mL; Antiinflammatory: Dog: 0.5-1 mg IV or
(dexamethasone polyethylene glycol; uses as sodium phosphate forms are IM q24h for 3-5 days or 0.25-1.25 mg
solution and sodium phosphate antiinflammatory and 3.33 mg/mL; 0.25-, 0.5-, 1-, PO q24h
CHARTS AND TABLES

dexamethasone forms include immunosuppressive 1.5-, 2-, 4-, and 6-mg tablets. Cat: 0.125-0.5 mg IV or IM for 3-5 days
sodium DexaJect SP, Dexavet, agent; also used in the or 0.125-0.5 mg PO q24h
phosphate) and Dexasone; tablets diagnosis of For shock, spinal injury: 2.2-4.4 mg/kg IV
include Decadron and hyperadrenocorticism (of sodium phosphate form) For
generic diagnostic testing: See Dexamethasone
Suppression Test in Section 5
Dextromethorphan Benylin and others Antitussive, weak cough Available in syrup, capsule, and 0.5-2 mg/kg PO q6-8h
suppressant tablet; many OTC products
Dextrose D5W Replacement fluid Fluid solution for IV 40-50 mL/kg IV q24h
solution 5% in administration

TM

PDF Editor
water

Listings preceded by are for rapid reference and denote drug or dose used in the emergency or critical care setting.
683

Continued

6
6
684

Table 6-24 Common Drug Indications and DosagesCont'd


Drug Proprietary Names Action and Use Formulation Recommended Dosage

Diazepam Valium and generic Anticonvulsant; multiple 2- and 5-mg tablets; 5 mg/mL Preanesthetic: 0.1 mg/kg IV slowly
neurotropic effects solution for injection Status epilepticus: 0.5 mg/kg IV, 1.0 mg/kg
ranging from behavior rectal; repeat if necessary
disorders to seizure Appetite stimulant (cat): 0.05-0.4 mg/kg IV,
control IM or PO
Dichlorphe- Daranide Diuretic; management of 50-mg tablet 3-5 mg/kg PO q8-12h
6

namide glaucoma
Dichlorvos Task Antiparasitic; 10- and 25-mg tablets Dog: 26.4-33 mg/kg PO
roundworms, Cat: 11 mg/kg PO
hookworms, whipworms
Dicloxacillin Dynapen Antibacterial 125-, 250-, and 500-mg capsules; 25 mg/kg PO q6h
12.5 mg/mL oral suspension Oral doses not absorbed
Diethylcarba- Caricide, Filaribits Antiparasitic; prevention Chewable tablets; 50-, 60-, 180-, Heartworm prophylaxis: 6.6 mg/kg PO
CHARTS AND TABLES

mazine (DEC) of heartworm disease in 200-, and 400-mg tablets q24h


dogs; treatment of Cat (for ascarids): 55-110 mg/kg PO once
ascarids in cats
Diethylstilbestrol Limited availability; Hormone; estrogen Tablets (prepared through Dog: 0.1-1.0 mg/dog PO q24h for 5 days,
(DES) compounding replacement and urinary compounding pharmacies) then 1 mg PO once weekly
required incontinence; induces Cat: 0.1-1 mg/cat PO q24h for 5 days, then
abortion in dogs 1 mg PO once weekly
Difloxacin Dicural Antibacterial 11.4-, 45.4-, and 136-mg tablets 5-10 mg/kg/day PO
Digitoxin Crystodigin Cardiac inotrope; 0.05- and 0.1-mg tablets 0.02-0.03 mg/kg PO q8h
congestive heart failure

TM

PDF Editor
and management of
various
tachyarrhythmias
Digoxin Lanoxin, Cardoxin Cardiac inotrope; 0.0625-, 0.125-, 0.25-mg tablets; Dog: <20 kg, 0.01 mg/kg q12h; >20 kg,
congestive heart failure 0.05 and 0.15 mg/mL elixir 0.22 mg/m2 PO q12h (subtract 10% for
and management of elixir)
various Dog (rapid digitalization): 0.0055-0.011
tachyarrhythmias mg/kg
IV q1h to effect
Cat: 0.008-0.01 mg/kg PO q48h
(approximately 14 of a 0.125-mg
tablet/cat)
Dihydrota- See Vitamin D
chysterol analogue
(DHT)
Diltiazem Cardizem, Dilacor Calcium channel blocker; 30-, 60-, 90-, and 120-mg tablets; Dog: 0.5-1.5 mg/kg PO q8h; 0.25 mg/kg
hypertension; also 50 mg/mL injection over 2 min IV (repeat if necessary)
supraventricular Cat: 1.75-2.4 mg/kg PO q8h; for Dilacor
tachycardia and XR or Cardizem CD, dose is 10 mg/kg
hypertrophic PO once daily
cardiomyopathy
Dimenhy- Dramamine Antihistamine; prevention 50-mg tablets; 50 mg/mL Dog: 4-8 mg/kg PO, IM, IV q8h
CHARTS AND TABLES

drinate of motion sickness injection Cat: 12.5 mg/cat IV, IM, PO q8h
Dimercaprol BAL in oil Chelating agent; binds 100 mg/mL injection 2.5-5 mg/kg IM q4h for 2 days, then q8h
(BAL) heavy metals (lead, for 1 day, then q12h for next 10 days
mercury) and arsenicals
Dinoprost See Prostaglandin
tromethamine F2-alpha
Dioctyl calcium See Docusate calcium
sulfosuccinate
Dioctyl sodium See Docusate sodium
sulfosuccinate

TM

PDF Editor
Listings preceded by are for rapid reference and denote drug or dose used in the emergency or critical care setting.
Continued
685

6
6
686

Table 6-24 Common Drug Indications and DosagesCont'd

Drug Proprietary Names Action and Use Formulation Recommended Dosage

Diphenhy- Benadryl Antihistamine; weak Available OTC: 2.5 mg/mL elixir; 2-4 mg/kg PO q6-8h or 1 mg/kg IM, IV
dramine sedative, prevents 25- and 50-mg capsules and (for dogs, administer 25-50 mg/dog IV,
motion sickness tablets; 50 mg/mL injection IM, PO q8h)
Diphenoxylate Lomotil Meperidine congener; 2.5-mg tablet Dog: 0.1-0.2 mg/kg PO q8-12h
treatment of diarrhea
Diphenylhy- See Phenytoin
dantoin
Diphosphonate See Etidronate
6

disodium disodium
etidronate
Dipyridamole Persantine Anticoagulant; prevention 25-, 50-, 75-mg tablets; 5 mg/mL 4-10 mg/kg PO q24h
of thromboembolism injection
Disopyramide Norpace Antiarrhythmic in dogs; 100- and 150-mg capsules Dog: 11-22 mg/kg, PO, q8h
oral treatment or
prevention of ventricular
CHARTS AND TABLES

arrhythmias (dog only)


Divalproex See Valproic acid
sodium
Dobutamine Dobutrex Rapid acting cardiac 250 mg/20 mL vial for injection Dog: 5-20 mcg/kg/min intravenous infusion
inotrope (-agonist); (12.5 mg/mL) Cat: 0.5-2 mcg/kg/min intravenous infusion
short-term treatment of Warning: may induce arrhythmias, facial
heart failure twitching, or seizure (cats)
Docusate Surfak, Doxidan Stool softener 60-mg tablet (and many others) Dog: 50-100 mg/dog PO q12-24h
calcium Cat: 50 mg/cat PO q12-24h
Docusate sodium Colace, Doxan, Doss, Stool softener 50- and 100-mg capsules; Dog: 50-200 mg/dog PO q8-12h

TM

PDF Editor
many OTC products 10 mg/mL liquid Cat: 50 mg/cat PO q12-24h
Dolasetron Anzemet 5-HT3 receptor antagonist, 50- and 100-mg tablets; Prevention: 0.6 mg/kg PO or IV q24h
antiemetic 20 mg/mL injection Treatment: 1 mg/kg PO or IV q24h
l-Dopa See Levodopa
Dopamine Intropin Cardiac inotrope 40-, 80-, or 160-mg/mL injection 2-10 mcg/kg/min by intravenous infusion;
(-agonist); vasodilation treatment limited to the critical care
(lower doses); adjunctive setting
treatment of acute heart
failure and oliguric renal
failure
Doxapram Dopram CNS stimulant; stimulates 20-mg/mL injection 5-10 mg/kg IV
respiration, especially in Neonate: 1-5 mg SQ, sublingually, or via
neonates umbilical vein
Doxepin Sinequan Tricyclic antidepressant; Various capsules; 10 mg/mL oral Dog: 3-5 mg/kg PO q12h (especially lick
psychogenic dermatoses solution granuloma)
Cat: 0.5-1 mg/kg PO q12h
Doxorubicin Adriamycin Antineoplastic 2 mg/mL injection 30 mg/m2 IV q21days; or >20 kg,
(antibiotic); used in 30 mg/m2; <20 kg, 1 mg/kg
treatment protocols for Cat: 1 mg/kg IV q3wk
multiple tumor types
Doxycycline Vibramycin and Antibacterial 10 mg/mL oral suspension; 3-5 mg/kg PO, IV q12h; or 10 mg/kg PO
generic 100-mg tablet; 100-mg injection q24h
CHARTS AND TABLES

vial For Rickettsia in dogs: 5 mg/kg q12h


Edrophonium Tensilon, others Short-acting cholinergic; 10 mg/mL injection Dog: 0.11-0.22 mg/kg IV
administered as a test Cat: 0.25-0.5 mg/cat IV
agent for myasthenia
gravis
EDTA (edetate Calcium disodium Chelates heavy metals; 20 mg/mL injection 25 mg/kg SQ, IM, IV q6h for 2-5 days
calcium versenate treatment of lead or zinc
disodium) toxicosis

Listings preceded by are for rapid reference and denote drug or dose used in the emergency or critical care setting.
Continued

TM

PDF Editor
687

6
6
688

Table 6-24 Common Drug Indications and DosagesCont'd

Drug Proprietary Names Action and Use Formulation Recommended Dosage

Enalapril Enacard ACE inhibitor; 2.5-, 5-, 10-, and 20-mg tablets Dog: 0.5 mg/kg PO q12-24h
vasodilator used in the Cat: 0.25-0.5 mg/kg PO q12-24h
treatment of heart
failure and/or
6

hypertension; also used


in the treatment of
patients with protein-
losing nephropathies
and chronic renal failure
Enflurane Ethane Inhalation anesthetic Available as solution for Induction: 2%-3%
inhalation Maintenance: 1.5%-3%
CHARTS AND TABLES

Enilconazole Imaverol, Antifungal (topical only); 10% or 13.8% emulsifiable Nasal aspergillosis: 10 mg/kg q12h
Clinafarm-EC infusion for treatment of concentrate instilled into nasal sinus via surgically
nasal aspergillosis and implanted tubes for 14 days (10%
topical uses in certain solution diluted 50/50 with water)this
dermatophytoses is nasty!
Note: Generally replaced by clotrimazole
soak (see Clotrimazole)
Dermatophytes: Dilute 10% solution to
0.2% and wash lesion with solution
four times at 3- to 4-day intervals

TM

PDF Editor
Enoxaparin Lovenox Lowmolecular-weight Multiple preparations Dog: 0.8 mg/kg SQ q12h
heparin; Cat: 0.5-1 mg/kg SQ q6h
thromboembolic disease
Enrofloxacin Baytril Antibacterial 68-, 22.7-mg, and 5.7-mg tablets; Dog: 5-20 mg/kg PO or IM once daily or
Taste Tabs are 22.7 and 68 mg; divided twice daily
22.7 mg/mL injection Cat: 2.5-5 mg/kg PO, SQ, IM once to twice
daily
Parenteral solution for intramuscular use
has been administered by the
intravenous routeadminister slowly if
indicated.
Warning: Doses of 10 mg/kg and higher
are not recommended in cats because of
risk of drug-induced retinal damage and
blindness.
Ephedrine Ephedrine sulfate Sympathomimetic; 25-mg capsules and 50 mg/mL in Urinary incontinence:
primarily for urinary 1-mL ampules for injection Dog: 4 mg/kg, or 12.5-50 mg/dog (total)
incontinence PO q8-12h; Also, 1-2 mg/kg PO q8h, or
Emergency use: 5 to 15 mg/dog (total) q8h
Hypotension associated Cat: 2-4 mg/kg, PO q8-12h
with anesthesia Hypotension: 0.03-0.1 mg/kg intravenous
bolus
CHARTS AND TABLES

Note: Dilute 5 mg in 10 mL saline; give the


lower dose first; may repeat in 5 minutes
after first dose if hypotension does not
improve.
Epinephrine Adrenalin and generic - and -Adrenergic 1 mg/mL (1:1,000) injection Cardiac arrest: 10-20 mcg/kg IV or 200
products agonist; anaphylaxis and solution mcg/kg intratracheal (may be diluted in
(adrenaline) cardiac arrest saline)
Anaphylaxis: 2.5-5 mcg/kg IV or
50 mcg/kg intratracheal (may be diluted
in saline)

TM

PDF Editor
Epsiprantel Cestex Oral cesticide; tapeworms Coated tablet Dog: 5.5 mg/kg PO given once
Cat: 2.75 mg/kg PO given once
689

Listings preceded by are for rapid reference and denote drug or dose used in the emergency or critical care setting.
Continued

6
6
690

Table 6-24 Common Drug Indications and DosagesCont'd

Drug Proprietary Names Action and Use Formulation Recommended Dosage

Ergocalciferol See Vitamin D2


Erythromycin Many brand name and Antibacterial; also used as 250-mg capsule or tablet Antibacterial dose: 10-20 mg/kg PO
generic products a prokinetic (increases q8-12h
gastric emptying in dogs Prokinetic dose: 0.5-1.0 mg/kg PO q8h
and cats)
Erythropoietin, Epogen, Eprex, Procrit Hormone; induction of Various preparation as units per Doses range from 35 or 50 units/kg three
human erythropoiesis in anemia milliliter in single-dose and times per week to 400 units/kg/wk IV,
recombinant associated with chronic multidose vials for injection SQ (adjust dose to hematocrit of
6

(rHuEPO); renal failure 0.30-0.34)


also, EPO
Esmolol Brevibloc Ultra-short-acting 1 10 mg/mL injection 500 mcg/kg IV, which may be given as
blocker; short-term 0.05-0.1 mg/kg slowly every 5 minutes
treatment of cardiac or 50-200 mcg/kg/min infusion
arrhythmias, especially
supraventricular
CHARTS AND TABLES

tachycardia
Estradiol DEPO-Estradiol, Hormone; previously used 2 mg/mL injection Pregnancy avoidance:
cypionate generic to prevent pregnancy Dog: 22-44 mcg/kg IM (total dose not to
(ECP) after an unplanned exceed 1.0 mg)
breeding Cat: 250 mcg/cat IM between 40 hr and 5
Warning: Not recommended days of mating
for use as an abortifacient Warning: May cause bone marrow
in dogs or cats suppression; in some cases, may cause
aplastic anemia
Etidronate Didronel Bisphosphonate; reduced 200- and 400-mg tablets; Dog: 5 mg/kg/day PO

TM

PDF Editor
calcium resorption from 50 mg/mL injection Cat: 10 mg/kg/day PO
bone in hypercalcemic
patients
Etodolac EtoGesic Oral NSAID; pain 150- and 300-mg tablets Dog: 10-15 mg/kg PO once daily
management in dogs Cat: Do not use
Famotidine Pepcid H2-receptor antagonist; 10-mg tablet; 10 mg/mL injection 0.5 mg/kg IM, SQ, IV, or PO q12-24h
reduces gastric acid Warning: May cause intravascular
production, used to treat hemolysis when given IV to cats
or prevent gastric ulcer
Felbamate Felbatol Dicarbamate 400- and 600-mg tablets; Dog: Start with 15 mg/kg PO q8h and
anticonvulsant; 120 mg/mL flavored oral increase gradually to maximum of 65
management of seizures suspension mg/kg q8h
in dog only
Fenbendazole Safe-Guard, Panacur Anthelmintic; effective Panacur granules 22.2% 25 to 50 mg/kg/day PO for 3 days (Note:
against a variety of (222 mg/kg); 100 mg/mL liquid For some parasites, recommended
internal parasites treatment duration may be longer.)
Fentanyl Sublimaze, generic Analgesic (opiate); 250 mg/5 mL injection 0.02-0.04 mg/kg IV, IM, SQ q2h; or 0.01
parenteral pain control mg/kg IV, IM, SQ (with acetylpromazine
or diazepam)
For analgesia: 0.01 mg/kg IV, IM, SQ q2h
Fentanyl Duragesic Analgesic (opiate); 25-, 50-, 75-, and 100-mcg/hr Dog: 10-20 kg, 50 mcg/hr patch q72h
transdermal transdermal pain patches Cat: 25 mcg/hr patch every 3 days
CHARTS AND TABLES

control Note: When fentanyl is administered by


the transdermal route, dosage regimens
can vary among patients; consult
individual sources to match patient size
with patch size and patch placement. Do
not cut the patch to achieve lower doses.
Ferrous sulfate Generic Oral iron supplement; Many oral preparations available Dog: 100-300 mg/dog PO q24h
(OTC) iron deficiency anemia Cat: 50-100 mg/cat PO q24h
Finasteride Proscar 5-reductase inhibitor; 5-mg tablet Dog: 0.1 mg/kg PO q24h or 5 mg/10- to
benign prostatic 50-kg dog PO q24h

TM

PDF Editor
hyperplasia in dogs

Listings preceded by are for rapid reference and denote drug or dose used in the emergency or critical care setting.
691

Continued

6
6
692

Table 6-24 Common Drug Indications and DosagesCont'd

Drug Proprietary Names Action and Use Formulation Recommended Dosage

Fipronil Frontline GABA-regulated chloride Topical solution only Applied topically once each month as
channel inhibitor; recommended by the manufacturer;
topical control of ticks approved for use in both dogs and cats
and fleas
Firocoxib Previcox NSAID; management of 57-mg and 227-mg chewable Dogs: 5 mg/kg, PO, once daily
inflammation and pain tablets Cats: 1.5 mg/kg administered as a single
associated with dose
osteoarthritis in dogs Long-term safety has not been established
6

in cats.
Florfenicol Nuflor Antibacterial (primarily 300 mg/mL (available only as a Dog: 25-50 mg/kg q8h SQ or IM
used in cattle) cattle preparation) Cat: 25-50 mg/kg q12h SQ or IM
Fluconazole Diflucan Antifungal, oral (dog and 50-, 100-, 150-, and 200-mg Dog: 2.5-5.0 mg/kg once daily PO or IV
cat) or parenteral (dog tablets; 10 or 40 mg/mL oral Cat: 2.5-10 mg/cat PO q12h; or 25 mg/cat/
only); treatment for suspension; 2 mg/mL day PO
systemic deep mycoses intravenous injection
CHARTS AND TABLES

or nasal fungal infection


Flucytosine Ancobon Antifungal; treatment of 250-mg capsule; 75 mg/mL oral 25-50 mg/kg PO q6-8h (up to a maximum
systemic mycoses suspension dose of 100 mg/kg PO q12h)
Fludrocortisone Florinef Mineralocorticoid; 100-mcg (0.1-mg) tablet Dog: 0.2-0.8 mg/dog or 0.02 mg/kg PO
treatment of q24h (13-23 mcg/kg)
hypoadrenocorticism Cat: 0.1-0.2 mg/cat PO q24h
Flumazenil Romazicon Benzodiazepine 100 mcg/mL (0.1 mg/mL) 0.01-0.02 mg (total dose) IV as needed
antagonist; antidote to injection Caution: May cause significant
reverse therapeutic hypotension
effects or overdose

TM

PDF Editor
Flumethasone Flucort Oral glucocorticoid; 0.5 mg/mL injection Dog: 0.0625-0.25 mg/day in divided doses
antiinflammatory IV, IM, SQ
Cat: 0.03-0.125 mg/day IV, IM, SQ
Flunixin Banamine NSAID; pain management 250-mg packet granules; 10 and PO 3 days/wk
meglumine 50 mg/mL injection Ophthalmic: 0.5 mg/kg IV once
5-Fluorouracil Fluorouracil Antineoplastic; used in 50-mg/mL vial Dog: 150 mg/m2 IV once/week
(5-FU) treatment protocols for Cat: Do not use
multiple tumor types
Fluoxetine Prozac SSRI; treatment of 10- and 20-mg capsules; 4 mg/mL Dog: 0.5 mg/kg day initially PO; then
behavior disorders oral solution increase to 1 mg/kg/day PO
(10-20 mg/dog)
Cat: 0.5-4 mg/cat PO q24h
Fluvoxamine Luvox SSRI; treatment and 25-, 50-, and 100-mg tables Dog: 0.5-2.0 mg/kg, PO, bid
diagnosis of behavior Cat: 0.25-0.5 mg/kg PO once daily
disorders
Fomepizole Antizol-Vet Antidote; ethylene glycol 1.5-mL single-use vial; 20 mg/kg IV initially within 8 hr of
(4-methylpy- poisoning reconstitute in 30 mL of 0.9% ingestion; then 15 mg/kg IV at 12- and
razole; 4-MP) NaCl for a 5% solution 24-hr intervals; then 5 mg/kg IV at 36 hr
(50 mg/mL) Note: Cats require 7 the dose used in
dogs; agent is effective only if
administered within 3 hr after ingestion
of ethylene glycol.
CHARTS AND TABLES

Furazolidone Furoxone Antibacterial and 100-mg tablet 4 mg/kg PO q12h for 7-10 days
antiprotozoal; generally
a second-choice drug
Furosemide Lasix, generic Diuretic; multiple uses; 12.5-, 20-, and 50-mg tablets; Dog: 2-6 mg/kg IV, IM, SQ, PO q8-12h (or
commonly used to treat 10 mg/mL oral solution; as needed); 0.6-1.0 mg/kg/h IV
congestive heart failure 50 mg/mL injection Cat: 1-4 mg/kg IV, IM, SQ, PO q8-24h
and pulmonary edema

Listings preceded by are for rapid reference and denote drug or dose used in the emergency or critical care setting.
Continued

TM

PDF Editor
693

6
6
694

Table 6-24 Common Drug Indications and DosagesCont'd

Drug Proprietary Names Action and Use Formulation Recommended Dosage

Gemfibrozil Lopid Antilipemic; treatment of 300-mg capsule; 600-mg tablet 7.5 mg/kg PO q12h
hypertriglyceridemia in
patients that do not
respond to dietary fat
restriction
Gentamicin Gentocin Antibacterial 50 and 100 mg/mL solution for Dog: 2-4 mg/kg q6-8h or 6-10 mg/kg IV,
(aminoglycoside) injection IM, SQ q24h
Cat: 3 mg/kg q8h or 9 mg/kg IV, IM,
6

SQ q24h
Warning: Do not administer to patients
that are dehydrated or acidotic; can
cause acute renal failure.
Glipizide Glucotrol Oral hypoglycemic; 5- and 10-mg tablets 2.5-7.5 mg/cat PO q12h; usual dose is 2.5
variably effective control mg/cat initially; then increase to 5 mg/
of type 2 diabetes in cats cat q12h
CHARTS AND TABLES

Glucagon Glucagon Emergency Parenteral hyperglycemic; 1 mg (1.0 unit) per vial Dilute 1 mg glucagon in 1 L of 0.9% sterile
Kit (Lilly), GlucaGen treatment of acute saline. Resulting concentration:
(products are rDNA hypoglycemia and/or 1000 mg/mL
origin) insulin overdose Administer 50 mg/kg (or 0.05 mL/kg of
diluted solution) by intravenous bolus,
then 10 to 15 mg/kg/min IV by CRI as
needed to correct hypoglycemia.
Glucosamine + Cosequin and other Neutraceutical; adjunctive Regular-strength (RS) and Dog: 1 or 2 RS capsules per day (2-4
chondroitin brands treatment of nonseptic double-strength (DS) capsules capsules of DS for large dogs)
sulfate arthritis; may be useful Cat: 1 RS capsule daily

TM

PDF Editor
in treating cats with
lower urinary tract
disease (FLUTD)
Glyburide Diabeta, Micronase, Oral hypoglycemic; 1.25-, 2.5-, and 5-mg tablets 0.625 mg per cat once daily (represents
Glynase variably effective control one half of 1.25-mg tablet)
of type 2 diabetes in cats
Glycerin (OTC) Generic Oral osmotic; reduces Oral solution 1-2 mL/kg PO q8h
intraocular (and CSF)
pressure
Glycopyrrolate Robinul-V Antimuscarinic; multiple 0.2 mg/mL injection 0.005-0.011 mg/kg IV, IM, SQ
usespreanesthetic
medication, antidote
Gold sodium Myochrysine Gold salt; treatment of Injection 1-5 mg IM first wk, then 2-10 mg IM
thiomalate immune-mediated skin second wk, then 1 mg/kg IM once/wk
disorders maintenance
Gold therapy See Aurothioglucose
GoLYTELY See Polyethylene glycol
electrolyte solution
Gonadorelin Factrel Hormone; diagnosis and 50 mcg/mL injection Therapeutic doses:
(GnRH, treatment of various Dog: 50-100 mcg/dog SQ, IV, IM
LHRH) reproductive disorders q24-48h 2 doses
Cat: 25 mcg/cat IM once
CHARTS AND TABLES

Gonadotropin, Profasi, Pregnyl, APL, Hormone; induces 5000-, 10,000-, and 20,000-unit Dog: 22 units/kg IM q24-48h or 44 units
human and generic luteinization injection IM once
chorionic Cat: 250 units/cat IM once
(hCG) Warning: Do not use in pregnant animals.
Gonadotropin- See Gonadorelin
releasing
hormone
Granisetron Kytril Antiemetic; prevents 1 mg/mL injection; 1-mg tablet 0.01 mg/kg (10 mcg/kg) IV
emesis associated with
chemotherapy

TM

PDF Editor
Listings preceded by are for rapid reference and denote drug or dose used in the emergency or critical care setting.
Continued
695

6
6
696

Table 6-24 Common Drug Indications and DosagesCont'd

Drug Proprietary Names Action and Use Formulation Recommended Dosage

Griseofulvin Fulvicin U/F Antifungal (fungistatic 125-, 250-, and 500-mg tablets; 25 50 mg/kg PO q24h (up to a maximum
(microsize) antibiotic); treatment of mg/mL oral suspension; 125 dose of 110-132 mg/kg/day in divided
dermatophytes mg/mL oral syrup treatments)
(especially Microsporum
canis)
Growth Humatrope, Nutropin, Hormone; replacement 5- and 10-mg vials 0.1 unit/kg SQ, IM three times per week
hormone Protropin, Somatotropin, hormone in patients for 4-6 wk Warning: Is diabetogenic
6

(hGH) Somatrem with confirmed


deficiency
Halothane Fluothane Inhalation anesthetic 250-mL liquid Induction: 3%
Maintenance: 0.5%-1.5%
Heparin Liquaemin Anticoagulant; treatment 1000 and 10,000 units/mL 100-200 units/kg IV loading dose, then
sodium of DIC, treatment and injection 100-300 units/kg SQ q6-8h
prevention of Low-dose prophylaxis (dog and cat): 70
CHARTS AND TABLES

thromboembolic disease units/kg SQ q8-12h


Hydralazine Apresoline Vasodilator; hypertension 10-mg tablet; 20 mg/mL injection Dog: 0.5 mg/kg (initial dose); titrate to
and adjunctive 0.5-2 mg/kg PO q12h
treatment of heart Cat: 2.5 mg/cat PO q12-24h
failure
Hydrochloro- HydroDIURIL, Diuretic; hypertension, 10 and 100 mg/mL oral solution; 2-4 mg/kg PO q12h
thiazide generic congestive heart failure, 25-, 50-, and 100-mg tablets
and nephrogenic
(ADH-resistant) DI
Hydrocodone Hycodan (contains Analgesic (opiate); pain 5-mg tablet Dog: 0.22 mg/kg PO q4-8h

TM

PDF Editor
bitartrate atropine) management Cat: no dose available
Hydrocortisone Cortef and generic Glucocorticoid; 5-, 10-, and 20-mg tablets Replacement therapy: 0.2-0.5 mg/kg PO
antiinflammatory and q24h
replacement therapy in Antiinflammatory: 1.5-5 mg/kg PO q12h
adrenal insufficient
conditions
Hydrocortisone Solu-Cortef and shock Glucocorticoid; Various size vials for Shock: 50-150 mg/kg IV
sodium treatment antiinflammatory antiinflammatory: 5 mg/kg IV
succinate injection q12h
Hydromor- Dilaudid Analgesic (opiate); pain Tablets, oral solution, and Dog: 0.22 mg/kg, IM, SQ, q4-6h as needed
phone management and restraint injectable forms available for pain
Hetastarch, Hespan, Hextend Volume expander; used Injection 10-20 mL/kg IV to effect, 20-30 mL/kg/
Hydroxyethyl when colloidal therapy day
starch (HES) is indicated
Hydroxyurea Hydrea Antineoplastic; 500-mg capsule Dog: 50 mg/kg PO once daily, 3 days/wk
polycythemia vera, Cat: 25 mg/kg PO once daily, 3 days/wk
mastocytoma, leukemias
Hydroxyzine Atarax Antihistamine; 10-, 25-, and 50-mg tablets; Dog: 1-2 mg/kg q6-8h IM, PO
antipruritic and sedative 2 mg/mL oral solution Cat: 5-10 mg/cat PO q8-12h
effects, especially in
CHARTS AND TABLES

atopic patients
Ifosfamide Ifex Antineoplastic; 1 g powder for intravenous Dogs and cats: Dose ranges from 300 to
lymphomas and other infusion in single-dose vials 500 mg/m2 IV
sarcomas Caution: Consult treatment protocol
before administering.
Imidacloprid Advantage Topical flea treatment for Topical solution Apply topically once monthly as directed by
dogs and cats the manufacturer for the treatment of fleas.
Imidacloprid + K9 Advantix Topical flea treatment Topical solution Apply topically once monthly as directed by
permethrin and tick repellent for the manufacturer for the treatment of fleas.
dogs only Cat: Do not use; contains permethrin.

TM

PDF Editor
Listings preceded by are for rapid reference and denote drug or dose used in the emergency or critical care setting.
Continued
697

6
6
698

Table 6-24 Common Drug Indications and DosagesCont'd

Drug Proprietary Names Action and Use Formulation Recommended Dosage

Imidocarb Imizol Antiprotozoal; treatment of Parenteral solution for injection Dog: 5 mg/kg IM or SQ once; repeat
dipropionate babesiosis, ehrlichiosis IM or SQ; 120 mg/mL in 10-mL in 2 wk
(not regarded as effective), multidose vial For babesiosis: 6.6 mg/kg IM or SQ once;
Cytauxzoon felis, and repeat in 2 wk
related infections Cat: (cytauxzoonosis) 5 mg/kg IM q2wk
as needed
Imipenem + Primaxin Antibacterial 250- and 500-mg vials for 5-10 mg/kg IV, IM q6-8h; has been
6

cilastatin injection administered to dogs at 10 mg/kg q8h SQ


Imipramine Tofranil Tricyclic antidepressant; 10-, 25-, and 50-mg tablets 2-4 mg/kg PO q12-24h
treatment of behavior
disorders
Indomethacin Indocin Safe dose has not been established.
Interferon Roferon Cytokine; 3 millionunit pre-filled syringe Cat: 30 units/cat/day PO or high dose:
(interferon immunomodulation in 10,000-1,000,000 units/cat SQ q24h
CHARTS AND TABLES

alfa-2a, cats with FeLV and/or IM or SQ once daily for 7 days and
HuIFN-alpha) FIV infection (clinical repeated every other wk
value of treatment is not
established)
Ipecac syrup Ipecac Oral emetic No longer recommended: can cause fatal
(OTC) arrhythmias
Ipodate Bilivist, Oragrafin Organic iodine; treatment 500-mg capsule (should be Dog: 15 mg/kg PO q12h
of hyperthyroidism formulated for cats as 50-mg Cat: 100-200 mg (total dose)/cat once
(especially in cats) ampule) daily; dose may be reduced if the 2-wk
response is judged satisfactory

TM

PDF Editor
Iron See Ferrous sulfate
Isoflurane Isoflurane, Forane, Inhalation anesthetic 100-mL bottle Induction: 5%
Aerrane, others Maintenance: 1.5%-2.5%
Isoproterenol Isuprel -Agonist; uncommonly 0.2 mg/mL ampule for injection 10 mcg/kg IM, SQ q6h; or dilute 1 mg in
used to treat acute 500 mL of 5% dextrose or Ringer's
bronchoconstriction and solution and infuse IV 0.5-1 mL/min
certain cardiac arrhythmias (1-2 mcg/min) or to effect
Isosorbide Isordil, Isorbid, Vasodilator; congestive 2.5-, 5-, 10-, 20-, 30-, and 40-mg 2.5-5 mg/animal PO q12h (or 0.22- 1.1
dinitrate Sorbitrate heart failure tablets; 40-mg capsules mg/kg PO q12h)
Isosorbide Monoket Vasodilator; congestive 10- and 20-mg tablets 5 mg/dog PO, two doses/day 7 hr apart
mononitrate heart failure
Isotretinoin Accutane Synthetic retinoid; 10-, 20-, and 40-mg capsules 1-3 mg/kg/day (up to maximum
treatment of recommended dose of 3-4 mg/kg/
dermatologic diseases day PO)
associated with epithelial
cell proliferation (e.g.,
ichthyosis, cutaneous
lymphoma)
Itraconazole Sporanox Antifungal; treatment of 100-mg capsule Dog: 2.5 mg/kg PO q12h or 5 mg/kg PO q24h
systemic mycoses Cat: 1.5-3.0 mg/kg PO up to 10 mg/kg PO q24h
Ivermectin Heartgard, Ivomec, Antiparasiticide; multiple 1% (10 mg/mL) injectable Heartworm preventative :
Eqvalan liquid applications solution; 10 mg/mL oral Dog: 6 mcg/kg (range: 3 to 12 mcg/kg) PO
CHARTS AND TABLES

solution; 18.7 mg/mL oral q30days


paste; 68-, 136-, and 272-mcg Cat: 24 mcg/kg PO q30days
tablets Microfilaricide: 50 mcg/kg PO 2 wk after
adulticide therapy
Ectoparasite therapy (dog and cat):
200-300 mcg/kg IM, SQ, PO
Endoparasites (dog and cat): 200-400
mcg/kg SQ, PO weekly
Demodex therapy: start at 100 mcg/kg/day
PO q24h, increase by 100 mcg/kg

TM

PDF Editor
increments weekly to biweekly until
target of 600 mcg/kg is reached
699

Listings preceded by are for rapid reference and denote drug or dose used in the emergency or critical care setting.
Continued

6
6
Table 6-24 Common Drug Indications and DosagesCont'd
700

Drug Proprietary Names Action and Use Formulation Recommended Dosage

Kanamycin Kantrim Antibacterial 200 and 500mg/mL injection 10 mg/kg IV, IM, SQ q6-8h
Kaopectate Kaopectate GI adsorbent; 12-oz oral suspension 1-2 mL/kg PO q2-6h
(kaolin + management of acute,
pectin) (OTC) simple diarrheal
disorders, especially
result of dietary
indiscretion
Ketamine Ketalar, Ketavet, Dissociative anesthetic 100 mg/mL injection solution Dog: 5.5-22 mg/kg IV, IM (recommend
6

Vetalar adjunctive sedative or tranquilizer


treatment)
Cat: 2-25 mg/kg IV, IM (recommend
adjunctive sedative or tranquilizer
treatment)
Ketoconazole Nizoral Antifungal; systemic 200-mg tablet; 100 mg/mL oral Dog: 10-15 mg/kg PO q8-12h
mycoses, Malassezia suspension (available only in Malassezia canis: 10 mg/kg PO q24h or
canis infection; limited Canada) 5 mg/kg PO q12h)
CHARTS AND TABLES

application in the Cat: 5-10 mg/kg PO q8-12h


treatment of canine Hyperadrenocorticism: Dog: 15 mg/kg
hyperadrenocorticism PO q12h
Ketoprofen Orudis KT (OTC), NSAID; pain management 12.5-mg tablet (OTC); 100 Dog and cat: 1 mg/kg PO q24h for up to
Ketofen mg/mL injection 5 days or 2.0 mg/kg IV, IM, SQ for one
dose
Ketorolac Toradol NSAID; pain management 10-mg tablet; 15 and 30 mg/mL Dog: 0.5 mg/kg PO, IM, IV q12h for not
tromethamine injection in 10% alcohol more than two doses
Cat: 0.25 mg/kg IM q8-12h for 1-2 doses
Lactated Generic Fluid replacement 250-, 500-, and 1000-mL bags Maintenance: 40-50 mL/kg/day IV

TM

PDF Editor
Ringer's Shock therapy:
solution Dog: 90 mL/kg IV
Cat: 60-70 mL/kg IV
Lactulose Chronulac, generic Disaccharide laxative; 10 g/15 mL Constipation: 1 mL/4.5 kg PO q8h
limits bowel absorption (to effect)
of protein and facilitates Hepatic encephalopathy:
lowering of blood Dog: 0.5 mL/kg PO q8h
ammonia levels in Cat: 2.5-5 mL/kg PO q8h
patients with hepatic
encephalopathy
Leucovorin Wellcovorin, generic Antidote; folic acid 5-, 10-, 15-, and 25-mg tablets; 3 With methotrexate administration:
(folinic acid) antagonism; application and 5 mg/mL injection 3 mg/m2 IV, IM, PO
in dogs and cats is not Antidote for pyrimethamine toxicosis:
established 1 mg/kg PO q24h
Levamisole Levasole, Tramisol Antiparasitic; treatment of 0.184-g bolus; 11.7-g/13-g packet; Dog:
injectable nematode infection; also 50-mg tablet Hookworms: 5-8 mg/kg PO once (up to
proposed to be a 10 mg/kg PO for 2 days)
nonspecific Microfilaricide: 10 mg/kg PO q24h for
immunostimulant 6-10 days
Immunostimulant: 0.5-2 mg/kg PO 3 times/wk
Cat: 4.4 mg/kg once PO (for lungworms:
20-40 mg/kg PO q48h for five treatments)
CHARTS AND TABLES

Levetiracetam Keppra Oral anticonvulsant 250-, 500-, and 750-mg tablets Dog: initially 20 mg/kg PO q8h, then
gradually increase as needed to control
seizures
Cat: 30 mg/kg PO q12h (look for an
underlying cause of seizure activity)
L-dopa, Larodopa, (multiple Dopamine agonist; 100-, 250-, and 500-mg tablets or Hepatic encephalopathy: 6.8 mg/kg
Levodopa products available) hepatic encephalopathy capsules initially, then 1.4 mg/kg q6h
Levothyroxine Soloxine, Thyro-Tabs, Hormone; 0.1- to 0.8-mg tablets (in 0.1-mg Dog: 18-22 mcg/kg PO q12h (adjust dose
sodium (T4) Synthoid hypothyroidism increments) via monitoring T4 levels)
Cat: 10-20 mcg/kg/day, PO (adjust dose

TM

PDF Editor
via monitoring T4 levels)

Listings preceded by are for rapid reference and denote drug or dose used in the emergency or critical care setting.
701

Continued

6
6
702

Table 6-24 Common Drug Indications and DosagesCont'd

Drug Proprietary Names Action and Use Formulation Recommended Dosage

Lidocaine Xylocaine, generic Anesthetic and 5, 10, 15, and 20 mg/mL injection Dog (antiarrhythmic): 2-4 mg/kg IV (to a
(without antiarrhythmic; maximum dose of 8 mg/kg over 10-min
epinephrine) ventricular arrhythmias; period); 25-75 mcg/kg/min intravenous
also local and regional infusion
anesthetic; has been Cat (antiarrhythmic): 0.25-0.75 mg/kg
used systemically for IV slowly
pain For epidural (dog and cat): 4.4 mg of 2%
6

solution per kilogram


Lincomycin Lincocin Antibacterial 100-, 200-, and 500-mg tablets 15-25 mg/kg PO q12h
For pyoderma: Doses as low as 10 mg/kg
q12h have been used
Liothyronine (T3) Cytomel Hormone (active form of 60-mcg tablet 4.4 mcg/kg PO q8h
T3); replacement therapy For T3 suppression test (cats): Collect
in patients with presample for T4 and T3; administer 25
CHARTS AND TABLES

hypothyroidism that fail mcg q8h for 7 doses; then collect


to respond to T4 postsamples for T3 and T4 after last dose
Lisinopril Prinivil, Zestril ACE inhibitor; vasodilator 2.5-, 5-, 10-, 20-, and 40-mg Dog: 0.5 mg/kg PO q24h
for treatment of tablets Cat: 0.25-0.5 mg/kg PO q24h
hypertension or heart
failure
Lithium Lithotabs Nonspecific 150-, 300-, and 600-mg capsules; Dog: 10 mg/kg PO q12h
carbonate immunostimulant; 300-mg tablet; 300 mg/5 mL Cat: Not recommended
adjunctive treatment to syrup
increase neutrophil

TM

PDF Editor
counts in patients with
chemotherapy-induced
neutropenia
Loperamide Imodium, generic Analgesic (opiate); 2-mg tablet; 0.2 mg/mL oral Dog: 0.1 mg/kg PO q8-12h
nonspecific liquid Cat: 0.08-0.16 mg/kg PO q12h
management of diarrhea
Lufenuron Program Antiparasitic; flea control 45-, 90-, 135-, 204.9-, and Dog: 10/mg/kg PO q30days
409.8-mg tablets; 135- and Cat: 30 mg/kg PO q30days; 10 mg/kg
270-mg suspension per unit pack SQ q6mo
Lufenuron + Sentinel tablets, Flavor Antiparasitic; flea control Milbemycin-lufenuron ratio is as Dog: Administer 1 tablet q30days as
milbemycin Tabs plus heartworm follows: 2.3/46 mg, Sentinel recommended by manufacturer (each
oxime preventative effective tablets; 5.75/115, 11.5/230, and tablet formulated for size of dog)
against certain intestinal 23/460 mg, Flavor Tabs Cat: Do not use
parasites
Luteinizing See Gonadorelin
hormone
l-Lysine (OTC) Multiple preparations Amino acid; prevention of 250- 500-mg capsules Cat (empiric dose): Mix 250 to 500 mg
feline herpesvirus-1 with food once daily. Kittens receive
recrudescence approximately 250 mg daily, with food.
Note: Efficacy studies have not been
performed; agent has no known effect
on feline calicivirus carrier cats.
CHARTS AND TABLES

Magnesium Generic Elemental salt; ventricular 200 mg/mL in 50-mL vials for 0.15-0.3 mEq/kg IV over 2-10 min; or 0.75
chloride dysrhythmias, refractory injection mEq/kg/day IV by CRI
hypokalemia, and
ventricular fibrillation
Magnesium Citroma, Citro-Nesia Laxative Oral solution 2-4 mL/kg PO
citrate (Citro-Mag in
Canada)
Magnesium Multiple products Laxative Oral liquid Antacid: 5-10 mL/kg PO q4-6h
hydroxide available Cathartic:
(OTC) Dog: 15-50 mL/kg PO

TM

PDF Editor
Cat: 2-6 mL/cat PO q24h

Listings preceded by are for rapid reference and denote drug or dose used in the emergency or critical care setting.
703

Continued

6
6
704

Table 6-24 Common Drug Indications and DosagesCont'd

Drug Proprietary Names Action and Use Formulation Recommended Dosage

Magnesium Multiple products Laxative; also used for oral Crystals; many generic Dog: 8-25 g/dog PO q24h
sulfate (OTC) available magnesium preparations Cat: 2-5 g/cat PO q24h
supplementation
Mannitol Osmitrol Diuretic (osmotic); 5%-25% solution for injection Diuretic: 1 g/kg 5%-25% solution IV to
management of anuric maintain urine flow
and/or oliguric renal Glaucoma or CNS edema: 0.25-2 g/kg
failure; applications in 15%-25% solution IV over 30-60 min
management of
6

glaucoma (repeat in 6 hr
if necessary) and
cerebral edema
Marbofloxacin Zeniquin Antibacterial 25-, 50-, 100-, 200-mg tablets Dog: 2.75-5.55 mg/kg PO q24h
Cat: Dose not established
Maropitant Cerenia Antiemetic (parenteral 10 mg/mL solution for injection; Dog: 1 mg/kg SQ once daily for up to 5
and oral); oral 16-, 24-, 60-, and 160-mg days; 2 mg/kg PO once daily for up to 5
CHARTS AND TABLES

administration to tablets days


prevent motion sickness For motion sickness: 8 mg/kg PO once
in dogs daily for up to 2 days
Cat: Dose not established
MCT (medium Multiple OTC Medium-chain Oral liquid 1-2 mL/kg/day in food
chain products available triglyceride; lipid
triglyceride) supplement used in
oil patients with GI
absorptive disorders
Mebendazole Telmintic Antiparasitic; multiple 40 mg/powder 22 mg/kg (with food) q24h for 3 days

TM

PDF Editor
applications for
treatment of
endoparasites
Meclizine Antivert, generic Antihistamine, 12.5-, 25-, and 50-mg tablets Dog: 25 mg PO q24h (for motion sickness,
antiemetic, especially administer 1 hr before traveling)
when nausea is Cat: 12.5 mg PO q24h
associated with vertigo
Meclofenamate Arquel, Meclomen NSAID; pain management 50- and 100-mg capsules Dog: 1 mg/kg/day PO for up to 5 days
Medetomidine Domitor Analgesic (parenteral); 1.0 mg/mL injection 750 mcg/m2 IV or 1000 mcg/m2 IM
adjunct for anesthesia,
restraint
Medium-chain See MCT oil
triglycerides
Medroxypro- Depo-Provera Hormone; management of 150 and 400 mg/mL suspension 1.1-2.2 mg/kg IM q7days
gesterone acetate (injection), Provera certain dermatologic and injection; 2.5-, 5-, and 10-mg Behavior disorders: 10-20 mg/kg SQ or IM
(tablets) behavior disorders, tablets q3 months (dogs and cats)
including urine spraying Prostatic hyperplasia: 3-5 mg/kg SQ, IM
in cats; benign prostatic
hyperplasia
Megestrol Ovaban, Megace Hormone; management of 5-mg tablet Dog:Proestrus: 2 mg/kg PO q24h for
acetate certain dermatologic 8 days
and behavior disorders, Anestrus: 0.5 mg/kg PO q24h for 30 days
CHARTS AND TABLES

including urine spraying Behavior disorders: 2-4 mg/kg q24h for 8


in cats days (reduce dose for maintenance)
Cat (Note: Any use in cats is extra- label):
Dermatologic therapy or urine spraying:
2.5-5 mg/cat PO q24h for 1 wk, then
reduce to 5 mg once or twice
per week
Estrus suppression: 5 mg/cat/day for 3
days, then 2.5-5 mg once/wk for
10 wk

TM

PDF Editor
Listings preceded by are for rapid reference and denote drug or dose used in the emergency or critical care setting.
Continued
705

6
6
706

Table 6-24 Common Drug Indications and DosagesCont'd

Drug Proprietary Names Action and Use Formulation Recommended Dosage

Melarsomine Immiticide Antiparasitic (arsenical); 25 mg/mL injection; after Administer via deep intramuscular injection
treatment of canine reconstitution, retains potency Class 1-2 dogs: 2.5 mg/kg/day for 2
heartworm disease for 24 hr consecutive days
Class 3 dogs: 2.5 mg/kg once, then in 1 mo
two additional doses 24 hr apart
Cat: Do not use
Meloxicam Metacam NSAID; pain management 1.5 mg/mL oral solution 0.2 mg/kg PO initial loading dose; then
6

0.1 mg/kg PO q12h


Melphalan Alkeran Antineoplastic; used in 2-mg tablet 1.5 mg/m2 or 0.1-0.2 mg/kg PO q24h for
treatment protocols for 7-10 days; repeat every 3 wk
multiple tumor types
Meperidine Demerol Analgesic (opiate); pain 50- and 100-mg tablets; 10 mg/ Dog: 5-10 mg/kg IV, IM as often as q2-3h
management mL syrup; 25, 50, 75, and 100 (or as needed)
mg/mL injection Cat: 3-5 mg/kg IV, IM q2-4h (or as
CHARTS AND TABLES

needed)
Mepivacaine Carbocaine-V Local anesthetic 2% (20 mg/mL) injection Variable dose for local infiltration
For epidural, 0.5 mg of 2% solution q30sec
until reflexes are absent
6-Mercaptopurine Purinethol Antineoplastic; used in 50-mg tablet 50 mg/m2 PO q24h
treatment protocols for Caution: Consult treatment protocol
multiple tumor types before administering.
Meropenem Merrem Antibacterial; especially in 500 mg in 20-mL vial, or 1 g in 20 mg/kg IV q8h
treating resistant 30-mL vial for injection For meningitis: 40 mg/kg IV q8h
infections caused by

TM

PDF Editor
Pseudomonas,
Escherichia coli, and
Klebsiella
Metaproterenol Alupent, Metaprel -Agonist; bronchodilator 10- and 20-mg tablets; 5 mg/mL 0.325-0.65 mg/kg PO q4-6h
therapy syrup; inhalers
Metformin Glucophage Oral hypoglycemic; 500- and 800-mg tablets Cats: 2 mg/kg PO q12h
management of type
2 diabetes in cats
Methazolamide Neptazane Carbonic anhydrase 25- and 50-mg tablets 2-4 mg/kg (up to maximum dose of 4-6
inhibitor; treatment of mg/kg) PO q8-12h
open-angle glaucoma
Methenamine Hiprex, Urex Urinary antiseptic (of 1-g tablet Dog: 500 mg/dog PO q12h
hippurate questionable value) Cat: 250 mg/cat PO q12h
Methenamine Mandelamine, generic Urinary antiseptic (of 1-g tablet; granules for oral 10-20 mg/kg PO q8-12h
mandelate questionable value) solution; 50 and 100 mg/mL
oral suspension
Methimazole Tapazole Antithyroidal; 5- and 10-mg tablets Cat: 2.5 mg/cat q12h PO for 7-14 days;
management of feline then 5-10 mg/cat PO q12h and adjust by
hyperthyroidism monitoring T4
Methionine (dl) Uroeze; dl-methionine Urinary acidifier 500-mg tablets and powders Dog: 150-300 mg/kg/day PO
powder added to animal's food; 75 mg/ Cat: 1-1.5 g/cat PO (added to food each
5 mL pediatric oral solution; day)
CHARTS AND TABLES

200-mg capsule
Methionine See SAMe
(S-adenosyl)
Methocarbamol Robaxin-V Muscle relaxant; adjunctive 500- and 750-mg tablets; 100 44 mg/kg PO q8h on the first day; then
therapy for trauma, acute mg/mL injection 22-44 mg/kg PO q8h
inflammation of skeletal
muscle, and/or
tremorgenic toxins
Methohexital Brevital Ultra-short-acting 0.5-, 2.5-, and 5-g vials for 3-6 mg/kg IV (give slowly to effect)
barbiturate; anesthetic injection

TM

PDF Editor
induction

Listings preceded by are for rapid reference and denote drug or dose used in the emergency or critical care setting.
707

Continued

6
6
708

Table 6-24 Common Drug Indications and DosagesCont'd

Drug Proprietary Names Action and Use Formulation Recommended Dosage

Methotrexate MTX, Mexate, Folex, Antineoplastic; used in 2.5-mg tablet; 2.5 or 25 mg/mL 2.5-5 mg/m2 PO q48h (dose depends on
Rheumatrex, generic treatment protocols for injection specific protocol) or:
multiple tumor types, Dog: 0.3-0.5 mg/kg IV once/wk
especially lymphomas Cat: 0.8 mg/kg IV q2-3wk
Methoxamine Vasoxyl Vasopressor; used in 20 mg/mL injection 200-250 mcg/kg IM or 40-80 mcg/kg IV
critical care setting to
6

increase blood pressure


Methylene blue Generic; also called Antidote; emergency 1% solution (10 mg/mL) 1.5 mg/kg IV slowly; use once
0.1% new methylene blue treatment of
methemoglobinemia
Methylpredni- Medrol Glucocorticoid; 1-, 2-, 4-, 8-, 18-, and 32-mg In cats, use with caution: 0.22-0.44 mg/kg
solone antiinflammatory and tablets PO q12-24h
immunosuppressive Note: Methylprednisolone is 1.25 times
CHARTS AND TABLES

more potent than prednisolone.


Methylpred- Depo-Medrol Repository glucocorticoid; 20 and 40 mg/mL suspension for Dog: 1 mg/kg (or 20-40 mg/dog) IM
nisolone acetate antiinflammatory injection q1-3wk
(extended duration of Cat: 10-20 mg/cat IM q1-3wk
activity) Note: Actual dose may vary, depending on
use and effect.
Methylpred- Solu-Medrol Glucocorticoid; adjunctive 1- and 2-g and 125- and 500-mg For emergency use: 30 mg/kg IV; repeat at
nisolone sodium treatment for patients in vials for injection 15 mg/kg IV in 2-6 hr
succinate shock or with spinal For replacement therapy or
cord trauma or swelling antiinflammatory therapy; see also

TM

PDF Editor
Prednisolone
4-Methylpyrazole See Fomepizole
(4-MP)
Methyltestosterone Android, generic Hormone; replacement 10- and 25-mg tablets Dog: 5-25 mg/dog PO q24-48h
therapy; also an anabolic Cat: 2.5-5 mg/cat PO q24-48h
agent used to induce
erythropoiesis
Metoclopramide Reglan, Maxolon, Antiemetic, especially in 5- and 10-mg tablets; 1 mg/mL 0.2-0.5 mg/kg IV, IM, PO q6-8h; or 1-2
others patients with vomiting oral solution; 5 mg/mL mg/kg/day IV by CRI (approximately
associated with injection 0.01-0.02 mg/kg/hr)
gastroparesis
Metoprolol Lopressor -Blocker; management of 50- and 100-mg tablets; 1 mg/mL Dog: 5-50 mg/dog (0.5-1.0 mg/kg) PO q8h
tachycardia injection Cat: 2-15 mg/cat PO q8h
Metronidazole Flagyl, generic Antiparasitic and 250- and 500-mg tablets; 50 Anaerobic infection:
antibacterial; effective mg/mL suspension; 5 mg/mL Dog: 15 mg/kg PO q12h or 12 mg/kg q8h
against anaerobic injection Cat: 10-25 mg/kg PO q12h
bacteria; somewhat Giardia: Dog: 12-15 mg/kg PO q12h for 8
effective against Giardia days
(fenbendazole is Cat: 25 mg/kg q12h for 8 days
preferred)
Mexiletine Mexitil Antiarrhythmic; 150-, 200-, and 250-mg capsules Dog: 5-8 mg/kg PO q8-12h (Use cautiously.)
ventricular arrhythmias Cat: No dose established
CHARTS AND TABLES

Mibolerone Cheque Drops Hormone (androgenic); 55 mcg/mL oral solution Dog: 0.45-11.3 kg, 30 mcg; 11.8-22.7 kg,
suppression of estrus 60 mcg; 23-43.3 kg, 120 mcg; >45.8 kg,
and treatment of false 180 mcg; or approximately 2.6-5 mcg/
pregnancy kg/day PO
(pseudocyesis) Cat: Do not use
Warning: Multiple adverse effects are
possible when used in prepubertal
females.
Midazolam Versed Benzodiazepine; 5 mg/mL injection 0.1-0.25 mg/kg IV, IM (or 0.1-0.3 mg/kg/
preanesthetic medication hr intravenous infusion)

TM

PDF Editor
Note: May cause excitement in cats
709

Listings preceded by are for rapid reference and denote drug or dose used in the emergency or critical care setting.
Continued

6
6
710

Table 6-24 Common Drug Indications and DosagesCont'd

Drug Proprietary Names Action and Use Formulation Recommended Dosage

Milbemycin Interceptor; Interceptor GABA inhibitor; 23-, 11.5-, 5.75-, and 2.3-mg Dog:
oxime Flavor Tabs prevention of canine tablets Microfilaricide: 0.5 mg/kg
heartworm disease, Demodex: 2 mg/kg PO q24h for 60-120
microfilaricide; also days
used to treat Heartworm prevention: 0.5-0.99 mg/kg
demodicosis PO q30 days
Milk of See Magnesium
6

magnesia hydroxide
(OTC)
Mineral oil Generic Laxative (lubricant) Oral liquid Dog: 10-50 mL/dog PO q12h
(OTC) Cat: 10-25 mL/cat PO q12h
Minocycline Minocin Antibacterial 50- and 100-mg tablets; 10 5-12.5 mg/kg PO q12h
mg/mL oral suspension
Misoprostol Cytotec Prostaglandin E1 0.1-mg (100-mcg) and 0.2-mg Dog: 2-5 mcg/kg PO q6-8h
CHARTS AND TABLES

analogue; treatment of (200-mcg) tablets Cat: Dose not established


gastric ulcers, especially
those associated with
NSAID use
Mitotane Lysodren Cytotoxic agent; treatment 500-mg tablet Dog: Pituitary-dependent
(o,p-DDD) of hyperadrenocorticism hyperadrenocorticism: 50 mg/kg/day (in
associated with adrenal divided doses) PO for 7-10 days, then 25
hyperplasia; less mg/kg/wk PO
effective if treating Adrenal neoplasia: 50-75 mg/kg PO q12h
adrenal gland neoplasia for 10 days, then 75-100 mg/kg PO

TM

PDF Editor
divided doses q12h
Mitoxantrone Novantrone Antineoplastic; used in 2 mg/mL injection Dog: 6 mg/m2 IV q21days
treatment protocols for Cat: 6.5 mg/m2 IV q21days
multiple tumor types
Morphine Generic Analgesic (opiate); pain 1 and 15 mg/mL injection; Dog: 0.1-1 mg/kg IV, IM, SQ (dose is
management 30- and 60-mg delayed-release escalated as needed for pain relief)
tablets q4-6h Epidural: 0.1 mg/kg
Cat: 0.1 mg/kg q3-6h IM, SQ (or as
needed)
Naloxone Narcan Opiate antagonist; opiate 20 and 400 mcg/mL injection 0.01-0.04 mg/kg IV, IM, SQ as needed to
reversal reverse opiate
Naltrexone Trexan Opiate antagonist; 50-mg tablet Dog: 2.2 mg/kg PO q12h
management of certain
behavioral disorders
(e.g., tail chasing,
self-mutilation)
Nandrolone Deca-Durabolin Anabolic steroid; appetite 50, 100, and 200 mg/mL injection Dog: 1-1.5 mg/kg/wk IM
decanoate stimulant; also used to Cat: 10-20 mg/cat/wk IM
stimulate erythropoiesis
Naproxen Naprosyn, Naxen, NSAID; pain management 220-mg tablet (OTC); 25 mg/mL Dog: 5 mg initially, then 2 mg/kg q48h
Aleve (naproxen suspension liquid; 250-, 375-, and
sodium) 500-mg tablets (prescription)
Neomycin Biosol Antibacterial; 500-mg bolus; 200 mg/mL oral 10-20 mg/kg PO q6-12h
CHARTS AND TABLES

management of hepatic liquid


encephalopathy (gut
sterilization)
Neostigmine Prostigmin, Stiglyn Anticholinesterase; 15-mg tablet (neostigmine Injection: antimyasthenic: 4 mcg/kg IM, SQ,
bromide and diagnosis of myasthenia bromide); 0.25 and 0.5 mg/mL as needed; antidote for nondepolarizing
neostigmine gravis; antidote for injection (neostigmine neuromuscular block: 10 mcg/kg IM, SQ;
methylsulfate anticholinergic methylsulfate) diagnostic aid for myasthenia gravis: 40
intoxication and massive mcg/kg IM or 20 mcg/kg IV
ivermectin overdose in
cats

TM

PDF Editor
Listings preceded by are for rapid reference and denote drug or dose used in the emergency or critical care setting.
Continued
711

6
6
712

Table 6-24 Common Drug Indications and DosagesCont'd

Drug Proprietary Names Action and Use Formulation Recommended Dosage

Nitrofurantoin Macrodantin, Furalan, Antibacterial, especially in Macrodantin and generic: 25-, Susceptible UTI = 4 mg/kg PO every 6
Furatoin, susceptible urinary tract 50-, and 100-mg capsules hours
Furadantin, and infections Furalan, Furatoin, and generic: Prophylactic dose = 3-4 mg/kg PO q24
generic 50- and 100-mg tablets hours (at night immediately before
Furadantin: 5 mg/mL oral bedtime)
suspension
Nitroprusside Nitropress Vascular and smooth 50-mg vial for injection Hypertensive crisis: initiate dose at 1-2 mcg/
muscle relaxant; acute kg/min IV, increase dose incrementally
6

hypertension, acute every 3-5-min until target BP is attained


heart failure secondary Adjunctive rx for heart failure: 0.5-10 mcg/ kg/
to mitral regurgitation min IV at a low fluid rate (< = 2mL/kg/hr)
Nizatidine Axid H2-receptor antagonist; 150- and 300-mg capsules 2.5-5.0 mg/kg PO once daily
reduction of gastric acid
production and prevention
of gastric ulcers
CHARTS AND TABLES

Norfloxacin Noroxin Antibacterial 400-mg tablet 22 mg/kg PO q12h


Olsalazine Dipentum Antidiarrheal; alternative 500-mg tablet Dosage in animals is not established.
drug to sulfasalazine for Dog: 5-10 mg/kg PO q8h is recommended
management of colitis in
dogs (expensive)
Omeprazole Prilosec (formerly Proton pump inhibitor; 20-mg capsule Dog: 20 mg PO once daily (if <20 kg use
Losec), Gastrogard gastric ulceration and 0.7 mg/kg q24h)
(equine paste) erosion Cat: 0.7 mg/kg PO once daily
Ondansetron Zofran 5-HT3 receptor antagonist; 4- and 8-mg tablets; 2 mg/mL 0.1-1.0 mg/kg PO 30 min before cancer
antiemetic for patients injection chemotherapy

TM

PDF Editor
with severe vomiting For intractable vomiting: 0.11 to 0.176
Note: Is well tolerated mg/kg IV, slow push
in dogs
Orbifloxacin Orbax Antibacterial 5.7-, 22.7-, and 68-mg tablets 2.5 to 7.5 mg/kg PO once daily
Ormetoprim + Primor Antibacterial Combination tablet: 120-, 250-, Initially 55 mg/kg (combined drug) PO on
sulfadimethoxine 600-, and 1200-mg tablets the first day of therapy, then 27.5 mg/kg
PO once daily for at least 2 days after
remission of clinical signs (not approved
for treatment >21 days)
Oxacillin Prostaphlin, generic Antibacterial 250- and 500-mg capsules; 50 22-40 mg/kg PO q8h
mg/mL oral solution
Oxazepam Serax Benzodiazepine; appetite 15-mg tablet Cat: Appetite stimulant: 2.5 mg/cat PO
stimulant
Oxtriphylline Choledyl SA Bronchodilator; chronic 400- and 600-mg tablets (oral Dog: 47 mg/kg (equivalent to 30 mg of
bronchitis (feline solutions and syrup available in theophylline per kilogram) PO q12h
asthma?) Canada but not United States) Cat: Dose not available
Oxybutynin Ditropan Urinary antispasmodic; 5-mg tablet Dog: 0.2 mg/kg PO q8-12h (or 1.25-3.75
adjunctive treatment of mg/dog q12h)
detrusor hyperreflexia Cat: 0.5-1.0 mg/kg (total dose) PO q8-12h
(includes FeLV-positive
cats)
Oxymetholone Anadrol Hormone (anabolic 50-mg tablet 1-5 mg/kg/day PO
CHARTS AND TABLES

steroid); may stimulate


erythropoiesis
Oxymorphone Numorphan Analgesic (opiate); pain 1.5 and 1 mg/mL injection Analgesia: 0.1-0.2 mg/kg IV, SQ, IM (as
management needed); re-treat with 0.05-0.1 mg/kg
q1-2h. Preanesthetic: 0.025-0.05 mg/kg
IM, SQ
Oxytetracycline Terramycin Antibacterial 250-mg tablets; 100 and 200 mg/ 7.5-10 mg/kg IV q12h; 20 mg/kg PO q12h
mL injection
Oxytocin Pitocin, Syntocinon Hormone; induction of 10 and 20 units/mL injection; 40 Dog: 5-20 units/dog SQ, IM (repeat every
(nasal solution), labor or parturition units/mL nasal solution 30 min for primary inertia)

TM

PDF Editor
generic Cat: 0.25-1 units SC or IM every 30-60 min

Listings preceded by are for rapid reference and denote drug or dose used in the emergency or critical care setting.
713

Continued

6
6
714

Table 6-24 Common Drug Indications and DosagesCont'd

Drug Proprietary Names Action and Use Formulation Recommended Dosage

2-PAM See Pralidoxime chloride


Pancreatic Viokase Digestive enzymes; 16,800 units lipase, 70,000 units Mix 2 tsp powder with food per 20 kg;
enzymes management of exocrine protease, and 70,000 units amylase body weight or 1-3 tsp/0.45 kg of food
insufficiency per 0.7 g; also capsules and tablets 20 min before feeding
Pancuronium Pavulon Neuromuscular blocker; 1 and 2 mg/mL injection 0.1 mg/kg IV, or start with 0.01 mg/kg and
bromide muscle relaxation as an additional doses of 0.01 mg/kg q30min
adjunct to anesthesia
6

Paregoric Corrective mixture Antidiarrheal; 2 mg morphine per 5 mL 0.05-0.06 mg/kg PO q12h


management of simple paregoric
diarrhea
Paromomycin Humatin Antiparasitic; 250-mg capsule Cat: 125-165 mg/kg PO q12h for 7 days.
cryptosporidiosis in cats Warning: Toxicity and renal damage have
been reported at these doses.
Paroxetine Paxil SSRI; management of 10-, 20-, 30-, and 40-mg tablets Dog: 1 mg/kg up to 3 mg/kg
CHARTS AND TABLES

behavior disorders PO once daily


Cat: 2.5-5 mg total dose PO once daily
d-Penicillamine Cuprimine, Depen Chelating agent; treatment 125- and 250-mg capsules and 10-15 mg/kg PO q12h
of lead poisoning; also 250-mg tablet Note: Take on an empty stomach and
for cystine urolithiasis without other medicines
Penicillin G Benza-Pen, others Antibacterial 150,000 units/mL, combined with 40,000 IU/kg IM q5 days
benzathine 150,000 units/mL procaine,
penicillin G
Penicillin G Multiple Antibacterial 5 million to 20 millionunit 20,000-40,000 units/kg IV, IM q6-8h
potassium; vials

TM

PDF Editor
penicillin G
sodium
Penicillin G Generic Antibacterial 300,000 units/mL suspension 20,000-40,000 units/kg SC, IM q12-24h
procaine
Penicillin V Pen-Vee Antibacterial 250- and 500-mg tablets 10 mg/kg PO q8h
Pentazocine Talwin-V Analgesic (opiate); pain 30 mg/mL injection Dog: 1.65-3.3 mg/kg IM q4h
management Cat: 2.2-3.3 mg/kg IV, IM, SQ q4h (due to
dysphoria, pentazocine is not
recommended in cats)
Pentobarbital Nembutal, generic Anesthetic; sedative or 50 mg/mL Note: This formulation Anesthesia: 10-30 mg/kg IV to effect
injectable anesthetic is not to be used for euthanasia.
Pentoxifylline Trental Antiinflammatory effects; 400-mg tablet Dog: For use in canine dermatology and
has been used to treat for systemic or regional vasculitis, 10
immune-mediated skin mg/kg PO q12h
disorders (e.g., associated
with vasculitis) in dogs
Phenobarbital Luminal and generic Barbiturate; sedation and 15-, 30-, 60-, and 100-mg tablets; Dog: 2-8 mg/kg PO q12h
anticonvulsant 30, 60, 65, and 130 mg/mL Cat: 2-4 mg kg PO q12h
injection; 4 mg/mL oral elixir Dog and cat: Adjust dose by monitoring
solution plasma concentration
Status epilepticus: administer in
CHARTS AND TABLES

increments of 10-20 mg/kg IV to effect


Phenoxybenzamine Dibenzyline -Adrenergic blocker; 10-mg capsule Dog:
reduces internal urethral Urinary: 0.25 mg/kg PO 12-24h or 0.5
sphincter tone associated mg/kg q24h
with detrusor areflexia; Hypertension: 0.2-1.5 mg/kg, PO bid for
also hypertension 10-14 days before surgery Cat: 2.5 mg/cat
associated with q8-12h or 0.5 mg/cat PO q12h
pheochromocytoma Note: In cats, doses as high as 0.5 mg/kg
IV have been used to relax urethral smooth
muscle

TM

PDF Editor
Phentolamine Regitine Vasodilator; hypertension 5-mg vial for injection 0.02-0.1 mg/kg IV

Listings preceded by are for rapid reference and denote drug or dose used in the emergency or critical care setting.
715

Continued

6
6
716

Table 6-24 Common Drug Indications and DosagesCont'd

Drug Proprietary Names Action and Use Formulation Recommended Dosage

Phenylbutazone Butazolidin, generic NSAID 100-, 200-, 400-mg and 1-g Not recommended for use in dogs and cats
tablets; 200 mg/mL injection (better drugs are available)
Phenylephrine Neo-Synephrine -Adrenergic; treatment 10 mg/mL injection; 1% nasal Dog and cat: 1-3 mcg/kg/min CRI in 0.9%
of hypotension in the solution saline or D5W; 0.1 mg/kg IM, SQ
critical care setting; also q15min
used topically Topical: 3-5 drops intranasally to effect to
intranasally before induce local vasoconstriction
rhinoscopy
6

Phenylpropanol- Dexatrim, Propagest, Adrenergic agonist; 15-, 25-, 30-, and 50-mg tablets Dog: 12.5-50 mg (total) PO q8h or 1.5-2
amine others urinary incontinence mg/kg PO q12h
associated with urethral Cat: 12.5 mg (total) PO q8h or 1.5 mg/kg
sphincter hypotonus PO q8h
Phenytoin Dilantin Anticonvulsant; not 30 and 1250 mg/mL oral Antiepileptic (dog): 20-34 mg/kg q8h
generally recommended; suspension; 30- and 100-mg Digoxin-induced antiarrhythmia:
limited application in capsules; 50 mg/mL injection 30 mg/kg PO q8h or 10 mg/kg IV over
CHARTS AND TABLES

digoxin-induced 5 min
arrhythmias
Phenytoin + Beuthanasia-D Euthanasia solution 100-mL multiple-dose vials 1 mL/10 lb body weight IV. Note:
pentobarbital Special, Euthasol Alternative routes (at the same dosage)
for sodium administration can be used
in profoundly debilitated patients (e.g.,
intraperitoneal, intracardiac).
Physostigmine Antilirium Cholinesterase inhibitor/ 1 mg/mL injection 0.02 mg/kg IV q12h
limited application; may
be of use in promoting

TM

PDF Editor
micturition in patients
with urinary retention
(postoperatively)
Phytomenadione See Vitamin K1
Phytonadione See Vitamin K1
Piperacillin Pipracil Antibacterial 2-, 3-, 4-, and 40-g vials for 40 mg/kg IV or IM q6h
injection
Piperazine Many Antiparasitic; 860 mg powder; 140-mg capsule, 44-66 mg/kg PO administered once
roundworms 170, 340, and 800 mg/mL oral
solution
Piroxicam Feldene, generic NSAID; has antitumor 10-mg capsule Dog: 0.3 mg/kg PO once daily
effects (indirect) in Cat: 0.3 mg/kg PO q24-72h
patients with transitional (Administer with food)
cell carcinoma (palliative
treatment)
Pitressin (ADH) See Vasopressin and
Desmopressin acetate
Plicamycin Mithracin Antineoplastic; adjunctive 2.5 mg/mL injection Dog: Antineoplastic: 25-30 mcg/kg/day IV
(formerly treatment in carcinoma (slow infusion) for 8-10 days
mithramycin) protocols; also used to Antihypercalcemic: 25 mcg/kg/day IV
decrease calcium levels (slow infusion) over 4 hr
in hypercalcemic cancer Cat: Not recommended
CHARTS AND TABLES

patients
Polyethylene GoLYTELY Laxative Oral solution 25 mL/kg PO; repeat in 2-4 hr
glycol electrolyte
solution
Polysulfated Adequan Canine Antiarthritic; long-term 100 mg/mL injection in 5-mL vial 4.4 mg/kg IM twice weekly for up to 4 wk
glycosamino- management of (250 mg/mL vials for horses)
glycan (PSGAG) osteoarthritis

Listings preceded by are for rapid reference and denote drug or dose used in the emergency or critical care setting.
Continued

TM

PDF Editor
717

6
6
718

Table 6-24 Common Drug Indications and DosagesCont'd

Drug Proprietary Names Action and Use Formulation Recommended Dosage

Potassium No commercial Anticonvulsant; long-term Usually prepared as oral solution Dog and Cat: 30-40 mg/kg PO q24h
bromide (KBr) formulation antiepileptic therapy Note: If administered without
phenobarbital, higher doses of up to 40-50
mg/kg may be needed; adjust doses by
monitoring plasma concentrations;
loading doses of 400 mg/kg divided over 3
days have been administered.
Potassium Generic Potassium salt; Various concentrations for 0.5 mEq potassium/kg/day; or supplement
6

chloride (KCl) replacement therapy injection (usually 2 mEq/mL); 10-40 mEq/500 mL of fluids, depending
oral suspension and oral solution on serum potassium
Potassium citrate Urocit-K and generic Potassium salt; 5-mEq tablet; some forms are in 2.2 mEq/100 kcal of energy/day PO; or 0.5
replacement therapy combination with potassium mEq/kg per day PO
chloride
Potassium Kaon; Tumil-K; Potassium source; 2-mEq tablet; 500-mg tablet; Kaon Dog: 0.5 mEq/kg PO 12-24h
gluconate generic replacement therapy elixir is 20 mg/15 mL elixir Cat: 2-8 mEq/day PO divided twice daily
CHARTS AND TABLES

Pralidoxime Protopam Chloride Cholinesterase reactivator; 50 mg/mL injection 20 mg/kg q8-12h (initial dose) IV slowly
chloride adjunctive treatment in or IM
(2-PAM) patients with
organophosphate toxicosis
Praziquantel Droncit Antiparasitic; treatment of 23- and 34-mg tablets; 56.8 Dog IM/SC dosing: 5 lbs, 17 mg IM/SC;
cestodes (tapeworms) mg/mL injection 6-10 lbs, 28.4 mg IM/SC; 11-25 lbs, 56.8
mg IM/SC
Dog PO dosing: 5 lbs, 17 mg PO; 6-10 lbs, 34
mg PO; 11-15 lbs, 51 mg PO; 16-30 lbs, 68 mg
PO; 31-45 lbs, 102 mg PO; 46-60 lbs, 136 mg

TM

PDF Editor
PO; 60 lbs, 170 mg
Cats IM/SC dosing: 5 lbs, 11.4 mg IM/SC; 5-10
lbs, 22.7 mg IM/SC; 11 lbs, 34.1 mg IM/SC
Cats PO dosing: 4 lbs, 11.5 mg PO; 5-11
lbs, 23 mg PO; 11 lbs, 34.5 mg PO
for Paragonimus: 23-25 mg/kg PO q8h for
3 days
Prazosin Minipress 1-Blocker; adjunctive 1-, 2-, and 5-mg capsules 0.5- and 2-mg/animal (1 mg/15 kg)
treatment of congestive PO q8-12h
heart failure; also
hypertension and
pulmonary hypertension
(e.g., heartworm
disease)
Prednisolone Delta-Cortef; many Glucocorticoid; 5- and 20-mg tablets Dog (cat often requires 2 dog dose):
others antiinflammatory and Antiinflammatory: 0.5-1 mg/kg IV, IM,
immunosuppressive PO q12-24h initially, then taper to q48h
Immunosuppressive: 2.2-6.6 mg/kg/day
IV, IM, PO initially, then taper to
2-4 mg/kg q48h
Replacement therapy: 0.2-0.3 mg/kg/day PO
Shock, spinal trauma: See Prednisolone
sodium succinate
Prednisolone Solu-Delta-Cortef Glucocorticoid; adjunctive 100- and 200-mg vials for Shock: 5.5-11 mg/kg IV (repeat in 1, 3, 6,
sodium therapy for endotoxic or injection (10 and 50 mg/mL) or 10 hr)
succinate septic shock CNS trauma: 15-30 mg/kg IV, then taper
CHARTS AND TABLES

to 1-2 mg/kg q12h


Prednisone Deltasone and generic; Glucocorticoid; 1-, 2.5-, 5-, 10-, 20-, 25-, and Same as for prednisolone
Meticorten for antiinflammatory and 50-mg tablets; 1 mg/mL syrup
injection immunosuppressive (Liquid-Pred in 5% alcohol); 1
mg/mL oral solution (in 5%
alcohol); 10 and 40 mg/mL
prednisone suspension for
injection

Listings preceded by are for rapid reference and denote drug or dose used in the emergency or critical care setting.
Continued

TM

PDF Editor
719

6
6
720

Table 6-24 Common Drug Indications and DosagesCont'd

Drug Proprietary Names Action and Use Formulation Recommended Dosage

Primidone Mylepsin; Neurosyn Anticonvulsant; idiopathic 50- and 250-mg tablets 8-10 mg/kg PO q8-12h as initial dose,
epilepsy (not generally then adjust via monitoring to
recommended) 10-15 mg/kg q8h
Warning: May cause irreversible liver
disease with prolonged administration
Procainamide Pronestyl and generic Antiarrhythmic; 250, 375, 500 mg/mL injection Dog: 10-30 mg/kg PO q6h (up to
6

ventricular premature maximum dose of 40 mg/kg);


contractions (e.g., 8-20 mg/kg IV, IM; 25-50 mcg/kg/min
ventricular tachycardia) IV infusion
Cat: 3-8 mg/kg IM, PO q6-8h
Procarbazine Matulane, Natulan, Antineoplastic; 50-mg capsule Used in combination with
Natulanar component drug used in mechlorethamine and prednisolone;
lymphoma protocols consult latest information on protocols
CHARTS AND TABLES

for precise dose


Prochlorperazine Compazine Phenothiazine; antiemetic 5-, 10-, and 25-mg tablets 0.1-0.5 mg/kg IM, SQ q6-8h
(maleate); 5 mg/mL injection
(edisylate)
Progesterone, See
repositol Medroxyprogesterone
acetate
Promethazine Phenergan Phenothiazine; antiemetic 6.25 and 25 mg/5 mL syrup; Antiemetic: 2 mg/kg IM/PO once daily
12.5-, 25-, and 50-mg tablets; 25 Antihistamine: 0.2-0.4 mg/kg IV/IM/PO
and 50 mg/mL injection q6-8h (up to max dose of 1 mg/kg)

TM

PDF Editor
Propantheline Pro-Banthine Antimuscarinic, 7.5- and 15-mg tablets Dog: Urge incontinence: 0.2 mg/kg PO
antidiarrheal; also used q6-8h
to treat urge Diarrhea: 0.25 mg/kg PO three times daily
incontinence associated for 2-3 days max
with detrusor Cat: Urge incontinence: 0.25-0.5 mg/kg
hyperreflexia; oral PO once or twice daily
antiemetic effect Chronic colitis: 0.5 mg/kg PO two to three
times daily
Propionibacterium ImmunoRegulin Nonspecific 5 mL vial Dog: Manufacturer's dosing
acnes (injection) immunostimulant used recommendations: - up to 15 pounds:
as adjunctive therapy in 0.25 mL IV. 16-45 pounds: 0.50 mL IV.
dogs with pyoderma 46-75 pounds: 1.0 mL IV. over 75
pounds: 2.0 mL IV.
Product is not approved for use in cats.
Propiopromazine Tranvet, Largon Antiemetic, tranquilizer; 20 mg/mL injection 1.1-4.4 mg/kg q12-24h PO or 0.1-1.1 mg/
sedation, parenteral kg IV or IM (range depends on sedation
antiemetic needed)
Propofol Rapinovet, PropoFlo Short-acting injectable 1% (10 mg/mL) injection in 6.6 mg/kg IV slowly over 60 sec (CRIs
anesthetic (hypnotic); 20-mL ampules have been used at 2 mg/kg/hr)
CHARTS AND TABLES

induction or restraint
for short-term
procedures
Propranolol Inderal (other -Blocker, antiarrhythmic 10-, 20-, 40-, 60-, 80-, and 90-mg Dog: 20-60 mcg/kg over 5-10 min IV;
products are tablets; 1 mg/mL injection; 0.2-1 mg/kg PO q8h (titrate dose to
available) 4 and 8 mg/mL oral solution effect)
Cat: 0.4-1.2 mg/kg (2.5-5 mg/cat) PO q8h
Propylthiouracil Propyl-Thyracil, Antithyroid; alternative 50- and 100-mg tablets Cat: 11 mg/kg PO q12h
(PTU) generic drug used in the
management of feline

TM

PDF Editor
hyperthyroidism

Listings preceded by are for rapid reference and denote drug or dose used in the emergency or critical care setting.
721

Continued

6
6
722

Table 6-24 Common Drug Indications and DosagesCont'd

Drug Proprietary Names Action and Use Formulation Recommended Dosage

Prostaglandin Lutalyse Prostaglandin; open 5 mg/mL solution for injection Note: Any use of this drug in dogs and cats
F2-alpha pyometra; pregnancy is extra-label.
(dinoprost) termination in dogs Open pyometra:
Dog: 0.1-0.2 mg/kg SQ once daily for 5 days
Cat: 0.1-0.25 mg/kg SQ twice daily for
5 days
Note: Concurrent antibiotic therapy is
recommended. Surgery is always
6

preferred!
Abortion (within 30 days of the last
unwanted breeding):
Dog: 0.1 mg/kg SQ q8h for 2 days, then
0.2 mg/kg SQ q8h until abortion is
confirmed by ultrasound
Pseudoephedrine Sudafed, many others Adrenergic agonist; urinary 30- and 60-mg tablets; 120-mg 0.2-0.4 mg/kg (or 15-60 mg/dog) PO
CHARTS AND TABLES

(some formulations incontinence (generally capsule; 6 mg/mL syrup (OTC) q8-12h


have other only used when
ingredients) phenylpropanolamine is
not available)
Psyllium Metamucil, others Laxative, stool softener Available as powder 1 tsp/5-10 kg (added to each meal)
Pyrantel Nemex, Strongid Antiparasitic; treatment of 180 mg/mL paste and 50 mg/mL Dog: 5 mg/kg PO once; repeat in 7-10
pamoate and ascarids and hookworms suspension days
tartrate Cat: 20 mg/kg PO once
Pyridostigmine Mestinon, Regonol Cholinesterase inhibitor; 12 mg/mL oral syrup; 60-mg Antimyasthenic: 0.02-0.04 mg/kg IV q2h,
bromide management of tablet; 5 mg/mL injection or 0.5-3 mg/kg PO q8-12h

TM

PDF Editor
myasthenia gravis Antidote (nondepolarizing muscle
relaxant): 0.15-0.3 mg/kg IM, IV
Pyrimethamine Daraprim Folic acid inhibitor; 25-mg tablet Dog: 1 mg/kg PO q24h for 14-21 days
treatment of toxoplasmosis (5 days for Neospora caninum)
and neosporosis Cat: 0.5-1 mg/kg PO q24h for 14-28 days
Quinacrine Limited availability in Antiprotozoal; may be 100-mg tablet Dog: 6.6 mg/kg PO q12h for 5 days
the United States useful in management Cat: 11 mg/kg PO q24h for 5 days
(not cure) of Giardia
infections, leishmaniasis,
and coccidiosis
Quinidine Quiniglute, Duraquin Antiarrhythmic; 324-mg tablets; 80 mg/mL Dog: 6-20 mg/kg IM q6h; 6-20 mg/kg PO
gluconate ventricular arrhythmias injection q6-8h (of base)
Quinidine Cardioquin Antiarrhythmic; 275-mg tablet Dog: 6-20 mg/kg PO q6h (of quinidine base)
polygalacturonate ventricular arrhythmias Note: 275 mg quinidine polygalacturonate =
167 mg quinidine base.
Quinidine Cin-Quin, Quinora Antiarrhythmic; 100-, 200-, and 300-mg tablets; Dog: 6-20 mg/kg PO q6-8h (of base);
sulfate ventricular arrhythmias 200- and 300-mg capsules; 5-10 mg/kg IV
20 mg/mL injection
Ranitidine Zantac H2-receptor antagonist; 75-, 150-, and 300-mg tablets; Dog: 2 mg/kg IV, PO q8h
treatment and 150- and 300-mg capsules; Cat: 2.5 mg/kg IV q12h; 3.5 mg/kg
prevention of gastric 25 mg/mL injection PO q12h
CHARTS AND TABLES

and duodenal ulcers


Retinol See Vitamin A
Riboflavin See Vitamin B2
Rifampin Rifadin Antibacterial (reported to 150- and 300-mg capsules 10-20 mg/kg PO q8-12h
have limited antifungal
and antiviral activity)
Ringer's Generic Fluid replacement 250-, 500-, and 1000-mL bags for 55-65 mL/kg/day (2.5 mL/kg/hr IV, SQ, IP
solution infusion maintenance)
15-30 mL/kg/hr IV for moderate
dehydration

TM

PDF Editor
50 mL/kg/hr IV for severe dehydration
Salicylate See Aspirin
723

Listings preceded by are for rapid reference and denote drug or dose used in the emergency or critical care setting.
Continued

6
6
724

Table 6-24 Common Drug Indications and DosagesCont'd

Drug Proprietary Names Action and Use Formulation Recommended Dosage

SAMe Denosyl-SD4 Nucleotide-like molecule Enteric-coated tablets 20 mg/kg PO daily


(S-adenosyl- derived from the amino
methionine) acid methionine;
adjunctive therapy in
patients with chronic
liver disease
Selamectin Revolution Antiparasitic (ivermectin); Various sizes of topical solutions See manufacturer's dosage instructions for
multiple applications in available for dogs and cats the specific condition being treated
6

dogs and cats


Selegiline Anipryl (also known MAO-B inhibitor; canine 2-, 5-, 10-, 15-, and 30-mg tablets Dog: Begin with 1 mg/kg PO q24h; if no
as deprenyl and cognitive dysfunction; response within 2 mo, increase dose to
l-deprenyl) reported use in maximum of 2 mg/kg PO q24h Cat:
treatment of canine Dose not established.
hyperadrenocorticism
(use in canine Cushing
CHARTS AND TABLES

is currently not
recommended)
Senna Senokot Laxative; feline Granules in concentrate, or syrup Cat: syrup: 5 mL/cat q24h; granules
1
constipation 2 teaspoon/cat q24h (with food)
Sertraline Zoloft, Altruline, SSRI; management of 25-, 50-, and 100-mg tablets; 20 Dog: 0.5-4.0 mg/kg q24h
Anilar, others certain behavior mg/mL injectable in 60-mL Cat: 0.5-1.0 mg/kg q24h
disorders in dogs vials
Sodium Generic (e.g., baking Alkalinizing agent; 325-, 520-, and 650-mg tablets; Acidosis: 0.5-1 mEq/kg IV
bicarbonate soda, soda mint) management of acidosis injection of various strengths Renal failure: 10 mg/kg PO q8-12h

(NaHCO3) and renal failure; also (4.2% to 8.4%), and 1 mEq/mL Alkalization of urine: 50 mg/kg PO
(OTC) used to alkalinize urine q8-12h (1 tsp is approximately 2 g)

TM

PDF Editor
when indicated
Sodium Generic Fluid replacement 500- and 1000-mL infusion Moderate dehydration: 15-30 mL/kg/hr
chloride 0.9% (isotonic) IV, severe dehydration 50 mL/kg/hr IV
Sodium Generic (hypertonic) Fluid replacement Infusion 2-8 mL/kg IV
chloride 7.2% Caution: Not a balanced electrolyte
solution
Sodium iodide Iodopen, generic Iodine replacement; 100 mcg elemental iodide (118 20-40 mg/kg PO q8-12h
20% replacement for mcg sodium iodide) per
confirmed deficiencies milliliter injection
Sotalol Betapace Nonselective -blocker 80-, 160-, 240-mg tablets Dog: 1-2 mg/kg PO q12h (start with 40
(antiarrhythmic); mg/dog q12h, then increase to 80 mg if
ventricular tachycardia no response)
Cat: 1-2 mg/kg PO q12h
Spironolactone Aldactone Aldosterone antagonist; 25-, 50-, and 100-mg tablets 2-4 mg/kg/day (or 1-2 mg/kg PO q12h)
K-sparing diuretic used
in the treatment of
congestive heart failure;
generally used in
patients that do not
respond to furosemide
CHARTS AND TABLES

and ACE inhibitors


Stanozolol Winstrol-V Anabolic steroid; 50 mg/mL injection; 2-mg tablet Dog: 2 mg/dog (or range of 1-4 mg/dog)
adjunctive therapy for PO q12h; 25-50 mg/dog/wk IM
no one really knows Cat: 1 mg/cat PO q12h; 25 mg/cat/wk IM
what; has been used to Caution: Use in anorexic patients can
treat anemia of chronic cause weight loss (catabolic effect?).
disease
Succimer Chemet Heavy metal chelator; 100-mg capsule 10 mg/kg PO q8h for 5 days, then 10 mg/
treatment of lead kg PO q12h for 2 more wk
poisoning

TM

PDF Editor
Listings preceded by are for rapid reference and denote drug or dose used in the emergency or critical care setting.
Continued
725

6
6
726

Table 6-24 Common Drug Indications and DosagesCont'd

Drug Proprietary Names Action and Use Formulation Recommended Dosage

Sucralfate Carafate Antiulcer treatment; 1-g tablet; 200 mg/mL oral Dog: 0.5-1 g/dog PO q8-12h
treatment of gastric and suspension Cat: 0.25 g/cat PO q8-12h
duodenal ulcers (may
have preventive effect)
Sufentanil Sufenta Analgesic (potent opiate); 50 mcg/mL injection Dogs: 3 mcg/kg IV (maximum dose is 5
adjunct to anesthesia or mcg/kg IV)
epidural anesthesia Cat: 0.1-0.5 mcg/kg IV
Sulfadiazine Generic combined Antibacterial 500-mg tablet 100 mg/kg IV PO (loading dose), followed
6

with trimethoprim by 50 mg/kg IV PO q12h (see also


in Tribrissen Trimethoprim + sulfonamide)
Sulfadimethoxine Albon, Bactrovet, Antibacterial 125-, 250-, and 500-mg tablets; 55 mg/kg PO (loading dose), followed by
generic 400 mg/mL injection; 50 mg/ 27.5 mg/kg PO once daily (see
mL suspension Ormetoprim + sulfadimethoxine)
Sulfamethazine Many brand name Antibacterial 30-g bolus 100 mg/kg PO (loading dose), followed by
products (e.g., 50 mg/kg PO q12h
CHARTS AND TABLES

Sulmet)
Sulfamethoxazole Gantanol Antibacterial 50-mg tablet 100 mg/kg PO (loading dose), followed by
50 mg/kg PO q12h
Sulfasalazine Azulfidine Antibacterial and 500-mg tablets; pediatric Dog: 10-30 mg/kg PO q8-12h
(sulfapyridine antiinflammatory suspension Warning: Has been reported to cause
+ mesalamine) activity; ulcerative colitis keratoconjunctivitis sicca in dogs
and other forms of
inflammatory bowel
disease in dogs
Sulfisoxazole Gantrisin Antibacterial 500-mg tablet; 500 mg/5 mL syrup 50 mg/kg PO q8h (urinary tract infections)

TM

PDF Editor
Taurine Generic Amino acid; taurine Available in powder Dog: 500 mg PO q12h
deficiency Cat: 250 mg/cat PO q12-24h
cardiomyopathies
Tepoxalin Zubrin NSAID; management of 30-, 50-, 100-, and 200-mg tablets Dog: 10-20 mg/kg PO on the first day;
pain associated with then 10 mg/kg PO once daily; thereafter
osteoarthritis in dogs as needed
Terbutaline Brethine, Bricanyl -agonist; bronchodilator; 2.5- and 5-mg tablets; 1 mg/mL Dog: 1.25-5 mg/dog PO q8h
use includes feline injection (equivalent to 0.82 Cat: 0.1-0.2 mg/kg PO q12h (or 0.625 mg/
asthma mg/mL) cat, 14 of 2.5-mg tablet)
Testosterone Andro-Cyp, Hormone; replacement 100 and 200 mg/mL injection 1-2 mg/kg IM q2-4 wk (see also
cypionate ester Andronate, therapy; most Methyltestosterone)
Depo-Testosterone, commonly used for
others testosterone-responsive
urinary incontinence in
neutered male dogs and
cats
Testosterone Testex Hormone; replacement 100 mg/mL injection 0.5-1 mg/kg IM 2-3 times/wk
propionate therapy; most
ester commonly used for
testosterone-responsive
urinary incontinence in
neutered male dogs and
CHARTS AND TABLES

cats
Tetracycline Panmycin Antibacterial 250- and 500-mg capsules; 100 15-20 mg/kg PO q8h; or 4.4-11 mg/kg
mg/mL suspension IV, IM q8h
Thenium Canopar Antiparasitic; hookworms 500-mg tablet Dog: >4.5 kg, 500 mg PO once and repeat
closylate in 2-3 wk; 2.5-4.5 kg, 250 mg q12h for 1
day and repeat in 2-3 wk
Theophylline Many brand name and Bronchodilator; chronic 100-, 125-, 200-, 250-, and Dog: 9 mg/kg PO q6-8h
generic products bronchitis and feline 300-mg tablets; 27 mg/5 mL Cat: 4 mg/kg PO q8-12h (see also
asthma oral solution or elixir; injection Aminophylline)
in 5% dextrose

TM

PDF Editor
Listings preceded by are for rapid reference and denote drug or dose used in the emergency or critical care setting.
Continued
727

6
6
728

Table 6-24 Common Drug Indications and DosagesCont'd

Drug Proprietary Names Action and Use Formulation Recommended Dosage

Theophylline, Theo-Dur, Slo-Bid Bronchodilator; chronic 100-, 200-, 300-, and 450-mg Dog: 10 mg/kg PO q12h, if adequate but no
sustained- Gyrocaps bronchitis and feline tablets (Theo-Dur); 50- to side effects increase to 15 mg/kg PO q12h
release asthma 200-mg capsules (Slo-Bid) Cat: 20 mg/kg PO q24h (at night) for theo-pur
and 25 mg/kg PO q24h for slo-bid
Thiabendazole Omnizole, Equizole, Antiparasitic; multiple 2 or 4 g/oz (30 mL) suspension or Dog: 50 mg/kg q24h for 3 days and repeat
Tresaderm applications for parasitic liquid in 1 mo;
(topical-otic) infections Respiratory parasites: 30-70 mg/kg PO
6

q12h
Cat: Strongyloides: 125 mg/kg q24h for
3 days
Thiacetarsamide Caparsolate Arsenical; formerly used Not commercially available
sodium to treat canine
heartworm disease
Thiamine See Vitamin B1
CHARTS AND TABLES

Thioguanine Generic Antineoplastic; 40-mg tablet Dog: 40 mg/m2 PO q24h


(6-TG) lymphocytic or Cat: 25 mg/m2 PO q24h for 1-5 days
granulocytic leukemia
Thiopental Pentothal Short-acting injectable Various size vials from 250 mg to Dog: 10-25 mg/kg IV (to effect)
sodium anesthetic; anesthesia 10 g (mix to desired Cat: 5-10 mg/kg IV (to effect)
induction or restraint concentration)
for short procedures
Thiotepa Generic Antineoplastic; 15-mg injection (usually in 0.2-0.5 mg/m2/wk, or daily for 5-10 days
lymphocytic or solution of 10 mg/mL) (IM, intracavitary, or intratumor)
granulocytic leukemia

TM

PDF Editor
Thyroid See Levothyroxine
hormone sodium (T4) and
Liothyronine (T3)
Thyrotropin Thytropar Hormone; used to test for 10-unit vial Dog: Collect baseline sample, followed by
(thyroid- hypothyroidism 0.1 unit/kg IV (maximum dose is 5 U);
stimulating (primarily in dogs) collect post-TSH sample at 6 hr
hormone Cat: Collect baseline sample, followed by
[TSH]) 2.5 units/cat IM; collect a post-TSH
sample 6 hr later
Ticarcillin Ticar, Ticillin Antibacterial 6 g/50 mL vial; vials containing 1, 33-50 mg/kg IV, IM q4-6h
3, 6, 20, and 30 g
Ticarcillin + Timentin Antibacterial 3-g vial for injection 33-50 mg/kg IV, IM q4-6h
clavulanate
Tiletamine + Telazol, Zoletil General anesthetic; Sterile vial to which 5 mL of Dosage is based on combined milligrams
zolazepam indicated for restraint sterile water is added; provides of each drug. Administer by deep
and minor procedures of the equivalent of 50 mg of intramuscular injection.
short duration in tiletamine per milliliter Dog: 6.6-10 mg/kg IM (restraint); 10-13 mg/
healthy dogs and cats Caution: Limited shelf life after kg IM deep (minor surgical procedures)
reconstitution Do not exceed 26.4 mg/kg IM total dose.
Cat: 9.7-11.9 mg/kg IM (restraint), 10.6-12.5
mg/kg IM (minor surgical procedures),
14.3-15.8 mg/kg IM (anesthesia)
CHARTS AND TABLES

Do not exceed 72 mg/kg IM total dose.


Tobramycin Nebcin Antibacterial 40 mg/mL injection 2-4 mg/kg IV, IM, SQ q8h
Tocainide Tonocard Oral antiarrhythmic; used 400- and 600-mg tablets Dog: 15-20 mg/kg PO q8h
to manage patients with Cat: Dose not established
ventricular arrhythmias
Tolazoline Tolazine -Adrenergic blocker; 100 mg/mL in 100-mL multi- 4 mg/kg slowly IV (approx 1 mL/sec)
reversal agent for xylazine dose vials
Triamcinolone Vetalog, Trimtabs, Glucocorticoid; antiinflam- Veterinary (Vetalog): 0.5- and Antiinflammatory: 0.05-0.11 mg/kg two
Aristocort, generic matory (not generally used 1.5-mg tablets to three times daily, within 2 weeks
in the treatment of Human form: 1-, 2-, 4-, 8-, and reduce dose to 0.028-0.055 mg/kg/day
immune-mediated disease) 16-mg tablets; 10 mg/mL injection (however, manufacturer recommends

TM

PDF Editor
doses of 0.11-0.22 mg/kg/day)
729

Listings preceded by are for rapid reference and denote drug or dose used in the emergency or critical care setting.
Continued

6
6
730

Table 6-24 Common Drug Indications and DosagesCont'd

Drug Proprietary Names Action and Use Formulation Recommended Dosage

Triamcinolone Vetalog Glucocorticoid; 2 and 6 mg/mL suspension 0.1-0.2 mg/kg IM, SQ; repeat in 7-10 days
acetonide antiinflammatory (not injection; 0.5- and 1.5-mg Intralesional: 1.2-1.8 mg, or 1 mg for every
generally used in the tablets cm diameter of tumor q2wk
treatment of immune-
6

mediated disease)
Triamterene Dyrenium Diuretic; K-sparing 50- and 100-mg capsules 1-2 mg/kg PO q12h
diuretic used as an
alternative to
spironolactone
Trientine Syprine Oral copper chelating 250-mg capsules Dog: 10-15 mg/kg PO q12h
hydrochloride agent; copper-associated
CHARTS AND TABLES

hepatopathy; indicated
in dogs that cannot
tolerate penicillamine
Trifluoperazine Stelazine Phenothiazine; antiemetic 10 mg/mL oral solution; also as 0.03 mg/kg IM q12h
1-, 2-, 5-, and 10-mg tablets;
2.0 mg/mL injection
Triflupromazine Vesprin Phenothiazine; antiemetic 10 and 20 mg/mL injection 0.1-0.3 mg/kg IM, PO q8-12h
Triiodothyronine See Liothyronine (T3)
Trilostane Vetoryl Oral treatment of canine 10-, 30-, 60-mg capsules 3.9 to 9.2 mg/kg/day PO
hyperadrenocorticism (available in the United States) Commonly used dose in dogs is

TM

PDF Editor
(pituitary-dependent 6.1 mg/kg/day PO
and adrenal tumor) Dose adjustments are made on the basis of
routine cortisol testing.
Trimeprazine Temaril-P Phenothiazine 5 mg trimeprazine + 2-mg Dog: See manufacturer's
tartrate with antihistamine + prednisolone (combined) tablet recommendations regarding indications
prednisolone glucocorticoid and dose.
combination; antitussive
and antipruritic; not
generally recommended
today
Trimethoprim + Tribrissen, others Antibacterial 30-, 120-, 240-, 480-, and 960-mg 15 mg/kg PO q12h, or 30 mg/kg PO
sulfonamide tablets q12-24h
(sulfadiazine or For Toxoplasma: 30 mg/kg PO q12h
sulfamethoxazole)
TSH (thyroid- See Thyrotropin
stimulating
hormone)
Tylosin tartrate Tylocine, Tylan Antibacterial; has Available as soluble powder with Dog and cat: 7-15 mg/kg PO q12-24h
antiinflammatory effects 2.2 g tylosin per teaspoon Dog (for colitis): 11 mg/kg q8h with food
in the bowel and is (tablets available for dogs in
sometimes used to treat Canada)
inflammatory bowel
CHARTS AND TABLES

disease and chronic colitis


Ursodiol Actigall Bile acid; adjunctive 300-mg capsule 10-15 mg/kg PO q24h
(ursodeoxycholic therapy in patients with
acid) chronic liver disease
Valproic acid Depakene (valproic Anticonvulsant; Depakote: 125-, 250-, and Dog: 60-200 mg/kg PO q8h; or divalproex
acid), Depakote uncommonly used 500-mg tablets 25-105 mg/kg/day PO when
(divalproex) alternative to Depakene: 250-mg capsule; administered with phenobarbital
conventional 50 mg/mL syrup Cat: Do not use
anticonvulsant therapy

Listings preceded by are for rapid reference and denote drug or dose used in the emergency or critical care setting.

TM

PDF Editor
Continued
731

6
6
Table 6-24 Common Drug Indications and DosagesCont'd
732

Drug Proprietary Names Action and Use Formulation Recommended Dosage

Vancomycin Vancocin; Vancoled Antibacterial Vials for injection (0.5 to 10 g) Dog: 15 mg/kg q6-8h IV by CRI
Cat: 12-15 mg/kg q8h IV by CRI
Vasopressin Pitressin Hormone; diagnostic test 20 (pressor) units/mL in 0.5-, For diagnostic purposes:
(ADH) agent to distinguish 1.0-, and 10-mL vials (aqueous Dog: Test protocol: administer 2 mcg IM
central diabetes insipidus only) and 1-mL ampules to dogs < 15 kg body weight; administer
from nephrogenic 4 mcg IM to dogs > 15 kg
diabetes insipidus (not Note: Diabetes insipidus test protocol
routinely recommended); entails patient preparation in advance of
6

see also Desmopressin administration of vasopressin.


acetate for treatment of
diabetes insipidus.
Verapamil Calan, Isoptin Calcium channel blocker; 40-, 80-, and 120-mg tablets; 2.5 Dog: 0.05 mg/kg, IV slowly (can repeat
supraventricular mg/mL injection every 5 min) to a maximum cumulative
tachycardia and dose of 0.15-0.2 mg/kg
hypertension For hypertension: 1-5 mg/kg PO q8h
Cat: 0.025 mg/kg IV slowly (can repeat
CHARTS AND TABLES

every 5 minutes) to a maximum


cumulative dose of 0.15-0.2 mg/kg
Vinblastine Velban Vinca alkaloid, 1 mg/mL injection 2 mg/m2 IV (slow infusion) q7-14 days
antineoplastic
Vincristine Oncovin, Vincasar, Vinca alkaloid, 1 mg/mL injection Antitumor: 0.5-0.75 mg/m2 IV q7-14 days
generic antineoplastic; also for (q7days in cats, depending on protocol);
the treatment of for thrombocytopenia: 0.02 mg/kg IV,
thrombocytopenia once weekly (alternatively, 0.5-0.7 mg/m2
as an infusion over 4-6 hr) each week
Viokase See Pancreatic Enzymes

TM

PDF Editor
Vitamin A Aquasol A Vitamin; nutritional Oral solution: 5000 units per 625-800 units/kg PO q24h
(retinoids) supplementation 0.1 mL and 10,000-, 25,000-,
and 50,000-unit tablets
Vitamin B1 Thiamine Vitamin; nutritional 250 mcg/5 mL elixir; tablets of Dog: 10-100 mg/dog/day PO
supplementation various sizes from 5 mg to 500 Cat: 5-30 mg/cat/day PO (up to maximum
mg; 100 and 500 mg/mL injection dose of 50 mg/cat/day)
Vitamin B2 Riboflavin Vitamin; nutritional Tablets of various sizes in Dog: 10-20 mg/day PO
supplementation increments of 10 to 250 mg; Cat: 5-10 mg/day PO
100 mcg/mL injection
Vitamin B12 Cyanocobalamin Vitamin; nutritional 100 mcg/mL injection Dog: 100-200 mcg/day PO
supplementation Cat: 50-100 mcg/day PO
Vitamin C Ascorbic acid Tablets of various sizes and 100-500 mg/day
injection
Vitamin D Dihydrotachysterol Vitamin; management of 0.125-mg tablet; 0.5 mg/mL oral 0.01 mg/kg/day PO
analogue (DHT), Hytakerol hypocalcemia associated liquid Acute treatment: 0.02 mg/kg initially; then
with hypoparathyroidism 0.01-0.03 mg/kg PO q24-48h thereafter
or parathyroid gland
surgery
Vitamin D2 Ergocalciferol, Vitamin; management of 400-unit tablet (OTC); 4000 to 6000 units/kg/day PO (initial);
Calciferol, Drisdol hypocalcemia associated 50,000-unit tablet (1.25 mg); 1000 to 2000 units/kg/day PO
with hypoparathyroidism 500,000 units/mL (12.5 mg/mL) (maintenance)
or parathyroid gland injection
CHARTS AND TABLES

surgery
Vitamin D3 1-25, dihydroxy- Vitamin, also considered a See Vitamin D analogue Hypocalcemia:
vitamin D3 hormone; management of 0.030-0.06 mcg/kg PO once daily
hypocalcemia associated Chronic renal failure: 0.025 mcg/kg PO
with hypoparathyroidism once daily
or parathyroid gland
surgery; also used to
supplement hypocalcemia
of chronic renal failure

Listings preceded by are for rapid reference and denote drug or dose used in the emergency or critical care setting.

TM

PDF Editor
Continued
733

6
6
734

Table 6-24 Common Drug Indications and DosagesCont'd

Drug Proprietary Names Action and Use Formulation Recommended Dosage

Vitamin E (may alpha-tocopherol, Vitamin; nutritional Wide variety of capsules, tablets, See manufacturer's recommendations for
be combined Aquasol E, generic supplementation and oral solution available (e.g., treatment indications and dose
with selenium) adjunctive therapy in 1000 units per capsule)
patients with chronic
liver disease; may be
combined with selenium
as adjunctive therapy for
immune-mediated skin
6

disease in dogs; efficacy


in management of
arthritic dogs is
questionable
Vitamin K1 Phytonadione, Antidote; anticoagulant 2 and 10 mg/mL injection; 5-mg Rodenticide toxicosis: 2.5-5.0 mg/kg/day
phytomenadione, rodenticide toxicosis tablet (Mephyton); 25-mg PO (preferred) for up to 6 weeks
Aqua-MEPHYTON and in any disorder capsule (Veta-K1) depending on the agent ingested. Acute
CHARTS AND TABLES

(injection), affecting formation of intoxication: 5 mg/kg SQ in multiple


Mephyton (tablets), vitamin Kdependent locations with 25-gauge needle
Veta-K1 (capsules) coagulation factors
Warfarin Coumadin and generic Anticoagulant; adjunctive 1-, 2-, 2.5-, 4-, 5-, 7.5- and 10-mg Dog: 0.22 mg/kg PO q12h to prolong PT
treatment for and tablets by 1.25 to 1.5 times normal
prevention of Pulmonary thromboemboli: 0.2 mg/kg PO
thromboemboli daily to prolong PT by 1.5 to 2.5 times
normal
Cat:
Chronic treatment: 0.1-0.2 mg/kg PO once

TM

PDF Editor
daily to prolong PT by 2 to 2.5 times normal
Aortic embolus: 0.06-0.1 mg/kg PO once
daily
TM

PDF Editor
Xylazine Rompun and generic 2-Adrenergic agonist; 20 and 100 mg/mL injection Dog and cat: 1.1 mg/kg IV; or 1.1 to 2.2
sedative and analgesic mg/kg IM or SQ
(sometimes used as an Cat (to induce emesis): 0.4-0.5 mg/kg IV
emetic in cats)
Yohimbine Yobine 2-Adrenergic antagonist; 2 mg/mL injection in 20-mL vials 0.11 mg/kg IV slowly
reverses xylazine (and
possibly amitraz)
Zidovudine Retrovir Antiretroviral agent; 300-mg tablets; 100-mg capsules; Cat: 5-15 mg/kg PO q12h; or 5 mg/kg PO
(AZT) adjunctive treatment of 10 mg/mL syrup 10 mg/mL q8h for 5 wk and then rest for 4 wk
FeLV- and FIV-positive injection Caution: Significant bone marrow
cats suppression (usually reversible with
cessation of therapy) is expected;
monitor CBC during therapy.
Zolazepam See Tiletamine+
zolazepam

ACE, Angiotensin-converting enzyme; ACTH, adrenocorticotropic hormone; ADH, antidiuretic hormone; CBC, complete blood count; CMI, cell-mediated immunity;
CNS, central nervous system; CRI, constant-rate infusion; CSF, cerebrospinal fluid; D5W, dextrose 5% in water; DI, diabetes insipidus; DIC, disseminated intravascular coagulation;
FeLV, feline leukemia virus; FIV, feline immunodeficiency virus; GABA, -aminobutyric acid; GI, gastrointestinal; GnRH, gonadotropin-releasing hormone; H2, histamine2; IM,
CHARTS AND TABLES

intramuscularly; IMHA, immune-mediated hemolytic anemia; IP, intraperitoneally; IV, intravenously; LH, luteinizing hormone; LHRH, luteinizing-hormonereleasing hormone;
MOA, monoamine oxidase; NSAID, nonsteroidal antiinflammatory drug; OTC, over the counter (prescription not required); PO, orally; PT, prothrombin time; SQ, subcutaneously;
SSRI, selective serotonin reuptake inhibitor; USP, United States Pharmacopeia.
*Doses listed in this table are based on best available evidence at the time of table preparation; although considerable effort has been made to verify all doses listed, it is
prudent to verify treatment protocols and drug dosages whenever using a product for the first time. Adverse effects may be possible from virtually any of the drugs listed in
this table. High-risk warnings and precautionary statements are listed. Veterinarians using this table are encouraged to check current literature, product label, and
manufacturer's disclosure for information regarding reported changes in efficacy or safety as well as any new treatment contraindications not identified at the time of
preparation of these tables. When dose listed does not stipulate dog or cat, drug may be administered to both dogs and cats at the dose listed.
Listings preceded by are for rapid reference and denote drug or dose used in the emergency or critical care setting.

TM

PDF Editor
735

Das könnte Ihnen auch gefallen