Medication warnings
From Diabetes in Pets
Certain veterinary medications for other conditions may seriously affect diabetic patients. This list is provided because some of these medications don't mention their side effects on diabetics in their literature.
Many drugs used in veterinary medicine are also used in human medicine under a differently-trademarked name. Learning the human pharma name (if applicable) or generic name of the drug (same in veterinary & human medicine) can often give you additional information regarding possible side effects and how the drug may affect patients with diabetes. Human pharma drugs provide this information--for some reason, veterinary drugs don't always.
If you are considering alternative or herbal medicine for your diabetic pet, see also Alternative medication warnings.
Contents |
[edit] Warning: Can Be Fatal to Diabetics and Non-Diabetics
| ||
[edit] Warnings: May raise blood glucose levels
[edit] Heartworm and flea/tick prevention
- Heartworm[1][2][3][4][5][6] and flea/tick prevention medications are known to produce temporary high blood glucose levels in some diabetic dogs. In the affected animals, glucose levels return to normal a few days after the medication is used--loss of control being temporary.
Just as all diabetics are not troubled with post-prandial spikes or dawn phenomenon, not all diabetic pets react to these medications in this way. No pharmaceutical company's products of this type contain advisories regarding the temporary elevation of blood glucose[7].
Heartworm [8][9] is a global problem, with areas on all continents except Antarctica affected and is a disease that is far easier to prevent than to cure. It can affect both cats and dogs[10][11][12][13].
Should your pet be affected by this, a talk with your vet is in order. Increasing insulin doses to counter this temporary situation may cause hypoglycemia once the systemic medication level has lowered.
The phenomenon also does not mean your pet has ceased to respond to the insulin you currently use. Since there are no formal label warnings, he/she needs to be aware that there are temporary side effects for these drugs which apply to some diabetics.
- The same is true for flea and tick removal products, both professional and over the counter; they are also capable of producing this unwanted effect after use in some diabetic animals.
[edit] Other Medications
A common medical use of epinephrine is to combat severe allergic/asthmatic reactions. Many people with life-threatening reactions to things like bee stings, etc., are never without their EpiPen. It's a pre-loaded injection of epinephrine to be used in an emergency.
When someone with diabetes needs treatment with epinephrine, it counters the effects of the insulin and hyperglycemia is the result[15][16].
| Medication name | Uses |
|---|---|
| Adrenalin Epinephrine[17][18] | allergic/asthmatic reactions |
| Nicotinic Acid Niacin | lowering cholesterol |
| Phenobarbital[19][20] Epiphen (UK)[21] Phenytoin Dilantin/Dilantin with Phenobarbital[22] | Epilepsy and other nervous system disorders |
| Thyroid medications[23][24] Soloxine[25] | Hormone replacement therapy thyroid disorders |
| Carbamazepine, Atretol, Carbatrol, Epitol Equetro, Tegretol Apo-Carbamazepine Novo-Carbamaz Nu-Carbamazepine Taro-Carbamazepine[26] | Epilepsy |
| Phenothiazines many generic and brand names at links[27][28] | Various uses |
Also see below under diuretics/heart medications for some diuretics which can cause hyperglycemia.
[edit] Contraindicated: May complicate or even promote diabetes
[edit] Steroids
- Oral or injected steroids[29][30]such as cortisol are known to raise blood sugar[31] and even sometimes cause diabetes[32]. Talk to your vet -- sometimes steroids are still the best (or only) treatment for a condition and can be compensated for with known diabetes.
Inhaled steroids for asthma may be tolerated by diabetics better than oral or injected. Using steroids--orally, injected or even topically (applied to the skin as an ointment or cream)--can elevate blood glucose levels. During treatment and for a period after treatment with steroids ends, higher doses of insulin may be necessary[33][34].
One brand name for injectable prednisone (methylprednisolone[37]) is Depo-Medrol[38].
There is another class of steroids in need of mention here. They are called anabolic steroids, and are related to the male sex hormone, testosterone[39]. Their main uses are for medically supervised weight gain, [40]inappetance, (most commonly Winstrol/Stanozolol),[41], in treatment of some forms of anemia and cancer[42].
| Anabolic Steroid name | Effects |
|---|---|
| Winstrol, Stanozolol[43][44] | insulin dose may need adjustment |
| Anadrol-50, Anapolon-50, Oxymethalone[45][46] | insulin dose may need adjustment |
| Durabolin,Deca-Durabolin, Durabolin-50, Hybolin Decanoate, Hybolin Improved, Durabolin-50, Kabolin, Nandrolone[47] | insulin dose may need adjustment |
| Oxandrin, Oxandrolone[48] | insulin dose may need adjustment |
Many generic and brand name steroid medications, some with photo label links, are found on the Steroids page.
[edit] Hormones
| ||
These types of hormones, when prescribed for diabetics, can be "double problems". The progestin-type hormones themselves, by nature[52], raise blood glucose; use of them can also mean the body may begin producing excess growth hormones, which causes insulin resistance.
[edit] Antibiotics
|
The producer of Tequin, Bristol-Meyers Squibb[53], indicated on May 1, 2006, that it discontinued the manufacturing and distribution of Tequin. | ||
[edit] Antiarrhythmics/Heart/High Blood Pressure
| ||
[edit] Warnings: May have other adverse side effects
[edit] Antibiotics
Our pets may be prescribed antibiotics for various reasons, such as a dental procedure or a urinary tract infection.
- A common full-spectrum antibiotic given for dental procedures is Clavamox[57], which is available in both tablet[58] and liquid[59] form. The liquid form is sweet, but the sweetness is from an artificial sweetener and should not affect blood glucose. The pill can be crushed and added to wet food if the animal is difficult to pill. Some animals, like some humans, get diarrhea on antibiotics. This can be minimized by the concurrent administration of a probiotic like Culturelle[60], which is available at vitamin stores. Consult with your veterinarian on the appropriate amount of probotic for your animal. Some caregivers report higher blood glucose levels while their pet is on antibiotics.
| Antibiotic name | Effects |
|---|---|
| Oxytetracycline[61][62] Terramycin[63][64] Terak[65] Engemycin (UK)[66] | low blood sugar hypoglycemia |
| Chloramphenichol[67] Chloromycetin[68][69] | low blood sugar hypoglycemia false urine glucose test results[70] |
- Another class of drugs used to fight various infections are called Sulfa Drugs[71][72][73]. They are often used similarly to antibiotics for this purpose. Sulfa[74] drugs can cause hypoglycemia, even in those without diabetes. They are also capable of altering urine glucose test results[75].
| Sulfa drug name | Effects |
|---|---|
| Gantrisin Septra Bactrim Albon[76] Chanoprim (UK)[77] Duphatrim (UK)[78] Tribrissen (UK)[79] Trinacol (UK)[80] Trimethoprim/Sulfadiazine[81] Sulfamethoxazole[82]Azulfidine/Sulfasalazine[83] Ormetoprim/Primor[84] more names at link[85] | low blood sugar hypoglycemia[86] false urine glucose test results[87] |
[edit] Diuretics/Heart Medications
- Heart drug Digoxin and diuretic furosemide (both have many other brand names-table and links below), can interact with insulin[88].
- Though its primary use is for treatment of diabetes, insulin[89] is useful to both people and pets suffering from an overdose of potassium--too much of it in the blood. The medical term for this is hyperkalemia[90]. Potassium ions enter the cells through glucose--insulin helps bring this life-saving change about.
- Furosemide and other diuretics shown in table below, belong to a class of directics known as loop diuretics[91]. This type of medication can cause hyperglycemia for those with diabetes.
Both digoxin and furosemide drain potassium from the system, along with the excess fluids they are prescribed to eliminate. Not all diuretics have this potassium-robbing action; those which don't are known as potassium-sparing diuretics. These drugs in combination with also necessary insulin can bring about a lower than normal potassium level known as hypokalemia[92][93][94].
The problem can be prevented or solved by a prescription for a potassium supplement (K-Dur is just one brand name).
| Drug name | Effects |
|---|---|
| Digoxin[95] Lanoxin furosemide[96] Lasix Salix Myrosemide Dimazon (UK)[97] Frusecare (UK)[98] Frusedale (UK)[99] other brand names[100] | high blood sugar hyperglycemia[101] |
| bumantanide[102] Bumex[103] thiazide based diuretics/hypertension medications[104] many at links[105][106] | high blood sugar hyperglycemia |
| Diuril hydroDIURIL Esidrix Diamox Hygroton Edicrin[107] | high blood sugar hyperglycemia |
- Hypertension drugs known generically as Diazoxide[108] (Brand names: Hyperstat, Proglycem) are used not only for cases of high blood pressure, but also for treating non-diabetic hypoglycemia. This class of medication will raise blood glucose levels.
| Beta-blocker name[109][110] | Effects |
|---|---|
| Propanolol,[111] Inderal[112] acebutolol, Sectral atenolol, Tenormin betaxolol, Kerlone biprosolol, Zebeta carteolol, Cartrol labetalol, Normodyne metoprolol, Lopressor nadolol, Corgard oxprenolol, Trasicor penbutolol, Levatol pindolol, Visken sotalol, Sotacor timolol, Blocadren[113] | blocks normal hypoglycemia symptoms hypoglycemia events may last longer may increase hyperglycemia risk[114]. |
| Carvedilol[115] Coreg[116] non-specific Beta-blocker | can cause changes in blood glucose levels |
- Propanolol AKA Inderal is a drug used to fight hypertension (high blood pressure) and heart disease in people. The drug belongs to the beta-blocker class. They work by blocking beta receptors in the heart for noradrenaline and adrenaline. Anyone with diabetes using beta-blockers[117] needs to be especially careful, because they also can block some of the normal symptoms of hypoglycemia and may make a hypoglycemic episode last longer[118]. Beta blockers increase the risk of hyperglycemia in those with diabetes.
- Methyldopa[119], brand name Aldoril, used in treating hypertension. can lower blood glucose levels.
- Verapamil (Calan, Covera, Isoptin, Veralan) See Contraindications above for Antiarrthymics/Heart/High Blood Pressure. Causes hyperglycemia in dogs--can possibly precipitate a hyperglycemic crisis in canine diabetics.
[edit] Antidepressants and Other Behavior-Modifying Drugs
Many of the drugs commonly used for people are used for the same purposes in pets[120]. The following medications have been cited as having possible side effects in persons with diabetes:
| Drug name | Effects |
|---|---|
| Prozac, Sarafem Fluoxetine, Reconcile[121] | lowering blood glucose[122] change in insulin needs[123] |
| Carbamazepine, Atretol Carbatrol, Epitol Equetro, Carbamaz Tegretol Apo-Carbamazepine Novo-Carbamaz Nu-Carbamazepine Taro-Carbamazepine (epilepsy) | increased urine glucose levels[124] |
| Lithium, Eskalith Lithobid | may either strengthen or weaken the effects of insulin[125] |
| Phenothiazines many generic/brand names at link[126] | may reduce the blood-glucose lowering effect of insulin[127]. |
| Anafranil/Clomicalm Clomipramine[128] | may cause hyperglycemia, glycosuria (glucose in urine), polyuria,[129]diabetes mellitus[130]. |
| Zoloft/Sertraline[131] | may cause hypoglycemia, hypoglycemia reaction, polyuria. |
| Paxil/Paroxetine[132] | may cause diabetes mellitus, polyuria. |
| Elavil/Amitriptyline[133] | elevation or lowering of blood glucose levels[134]. |
| Haldol/Haloperidol[135] | elevation or lowering of blood glucose levels hypoglycemia, hyperglycemia. |
| Stelazine/Trifluoperazine[136] Compazine/Prochlorperazine[137] | hypoglycemia, hyperglycemia glycosuria (glucose in urine). |
| Navane/Thiothixene[138] | hypoglycemia, hyperglycemia glycosuria (glucose in urine). |
| Risperdal/Risperidone[139] | polyuria, polydipsia, diabetes mellitus. |
[edit] Can Lower Blood Glucose
| Drug name | Uses |
|---|---|
| Phenylbutazone[140][141], Butazolidin Butaron[142] | arthritis/pain relief |
| Chlofibrate[143], Atromid-S | high cholesterol levels |
| Aspirin[144][145] | various pain/discomfort |
| Coumarin-based anticoagulants[146] Dicumerol | circulatory prevention of blood clots |
- Alcohol[147] can strengthen the blood glucose-lowering effects of insulin. Though our pets don't use alcohol as people do, there are medications and supplements both by prescription and OTC, which contain alcohol as part of their ingredients[148]. Reading labels carefully and being cautious when using meds containing alcohol can prevent possible hypos.
For antibotics and sulfa drugs which lower blood glucose, see Antibiotics section above.
All heart/hypertension/diuretics, some of which do lower blood glucose levels are also listed above in their own section.
[edit] Other
[edit] False Testing Results
| Antibiotic/[149]Sulfa[150][151][152] drug name | Effects |
|---|---|
| cephalexin, Keflex[153] Cephorum (UK),[154]Rilexine[155] Cefixime/Suprax[156] Cefotixin/Mefoxin[157] Cefpodoxime Proxetil/Simplicef[158]Cefotaxime/Claforan[159] other cephalosporin antibiotics[160] enrofloxacin[161] Baytril[162] | less than accurate (false negatives & positives) urine glucose test results[163] |
| Gantrisin, Septra Bactrim, Albon[164] Chanoprim (UK)[165] Duphatrim (UK)[166] Tribrissen (UK)[167] Trinacol (UK)[168] more names at link[169] | can alter urine glucose test results[170][171] |
| Chloramphenichol[172] Chloromycetin[173] | can produce false urine glucose test results[174]. |
| Tetracycline[175] Panmycin[176] Helidac,Sumycin[177] Doxycycline[178] Doryx, Doxy 100 Monodox, Vibramycin[179] Vibra-Tabs, Ronaxan (UK) [180] Doxyseptin (UK)[181] | false urine glucose test results[182] |
| Penicillin and its derivatives ampicillin/Polyflex[183] carbenicillin ticarcillin penicillin G[184] other names at links[185][186] | can produce false positive urine glucose test results[187]. |
|
Possible False Urine Ketone Test Results | |
|---|---|
| Valproic Acid (brand names) Depakene, Depakote, Divalproex Sodium[188] | Common use: Treatment of epilepsy. |
| Cefixime/Suprax[189] | Common use: Antibiotic. |
|
Possible False Test Results | |
|---|---|
| Blood Chemistry | Decreased blood glucose and cholesterol test levels. |
| Urine Testing | False high urine glucose test results (With urine test brand name Clinitest)[192]. |
| Urine Testing | False negative urine glucose test results (With urine test brand name Clinistix)[193]. |
| Urine Testing | False negative urine ketone test results[194] |
If your pet is taking any type of vitamin supplements, it should be noted on his or her medical records. Knowing that he/she is using them means being able to factor them into interpretations of test results.
[edit] Further reading
- Commonly Used Veterinary Drugs and Dosages By Species
- Therapeutic Drug Monitoring--Tailoring Drug Dosages to the Individual Patient
- Start Page to US Pharmacopeia--Information on Over 9,000 Rx & OTC Drugs
- AnimalHelp.com-Veterinary Drug Database
- Avoiding Adverse Drug Reactions-WSAVA 2001
[edit] References
- ↑ PetTalk.com-Diethylcarbamazine
- ↑ Merck Veterinary Manual Antihelmintics-Miscellaneous Antihelmintics-Diethylcarbamazine
- ↑ PetTalk.com-Ivermectin
- ↑ PetTalk.com-Milbemycin
- ↑ Merck Veterinary Manual-Heartworm Disease-Milbemycin
- ↑ Merck Veterinary Manual-Antihelmintics-Macrocyclic Lactones-Ivermectin
- ↑ Heartworm Disease in Dogs: An Update (Prevension)-WSAVA 2005
- ↑ Prevalence of Heartworm Worldwide
- ↑ Feline Heartworm-WSAVA2003
- ↑ Heartworm Society-Dogs vs Cats
- ↑ Heartworm Society-Canine Heartworm Disease
- ↑ Heartworm Society Feline Heartworm Disease
- ↑ Southpaws.com-Fall, 2000-Diagnosing Feline Heartworm
- ↑ PetTalk.com-Epinephrine
- ↑ Epinephrine/Adrenalin--Effect on Diabetes
- ↑ PetPlace.com-Insulin-Precautions & Side Effects
- ↑ Epinephrine/Adrenalin--Effect on Diabetes
- ↑ PetPlace.com-Insulin-Precautions & Side Effects
- ↑ PetTalk.com-Phenobarbital
- ↑ Phenobarbital-Petplace.com
- ↑ NOAH Compendium-UK-Epiphen
- ↑ Drugs.com-Dilantin/Phenytoin
- ↑ PetTalk.com-Levothyroxine
- ↑ Niacin. Phenobarbital, Dilantin, Thyroid Medications & Diabetes
- ↑ NOAH Compendium-UK-Soloxine
- ↑ US National Institutes of Health-Carbamazepine
- ↑ Phenothiazines
- ↑ Rx.com
- ↑ PetTalk.com-Dexamethasone
- ↑ PetTalk.com-Triamcinolone
- ↑ Merck Veterinary Manual-Glucocorticoids
- ↑ Childrenwithdiabetes.com-Ask the D Team-2006
- ↑ Steroid Treatment and Insulin Needs
- ↑ PetPlace.com-Insulin-Precautions & Side Effects
- ↑ Corticosteroid Brand Name List
- ↑ PetTalk.com-Prednisone
- ↑ PetTalk.com-Methylprednisolone
- ↑ Depo-Medrol Drug Information
- ↑ Mayo Clinic-Anabolic Steroids
- ↑ Mayo Clinic-Anabolic Steroids
- ↑ Merck Veterinary Manual-Drugs Affecting Appetite
- ↑ Mayo Clinic-Anabolic Steroids
- ↑ Merck Veterinary Manual-Drugs Affecting Appetite
- ↑ Rx List-Winstrol/Stanozolol
- ↑ Rx List-Androl-50/Oxymethalone
- ↑ Drugs.com-Anabolic Steroids-Anapolon-50
- ↑ Drugs.com-Durabolin/Deca-Durabolin/Durabolin-50/Nandrolone, etc.
- ↑ Drugs.com-Oxandrin/Oxandrolone
- ↑ Ovaban/Megestrol Acetate-Petplace.com
- ↑ NOAH Compendium-UK-Ovarid
- ↑ Use of Ovaban in Cats Can Lead to Health Problems
- ↑ Progestin-type Hormones--Natural Body Action
- ↑ FDA Doctors' Letter Announcing Tequin's Discontinuation
- ↑ Verapamil Drug Information-Medline
- ↑ Verapamil Effects on Canine Blood Sugar & Triglycerides-WSAVA 2003
- ↑ Effect of Verapamil Dosage on Healthy Dogs ECG-WSAVA-2003
- ↑ Clavamox-Petplace.com
- ↑ Clavamox Tablet Product Information
- ↑ Clavamox Liquid Product Information
- ↑ Culturelle Information
- ↑ PetTalk.com-Oxytetracycline
- ↑ Oxytetracycline and Insulin Use
- ↑ Medline--Oxytetracycline/Terramycin
- ↑ Terramycin Product Information
- ↑ Terak-Ophthalmic-Drug Information
- ↑ NOAH Compendium-UK-Engemycin
- ↑ PetTalk.com-Chloramphenichol
- ↑ Chloramphenichol/Chloromycetin & Blood Glucose
- ↑ Chloramphenicol/Chloromycetin-Petplace.com
- ↑ Merck Veterinary Manual-Chloramphenicol and Congeners-Special Clinical Concerns
- ↑ PetTalk.com-Sulfonamides
- ↑ PetTalk.com-Trimethoprim
- ↑ PetTalk.com-Ormetoprim
- ↑ Sulfa Drugs by Brand Name & Hypoglycemia
- ↑ Merck Veterinary Manual-Sulfonamides and Sulfonamide Combinations-Special Clinical Concerns
- ↑ Medi-Vet.com-Albon
- ↑ NOAH Compendium-UK-Chanoprim
- ↑ NOAH Compendium-UK-Duphatrim
- ↑ NOAH Compendium-UK-Tribrissen
- ↑ NOAH Compendium-UK-Trinacol
- ↑ Sulfadiazine/Trimethoprim-Petplace.com
- ↑ Sulfamethoxazole-Petplace.com
- ↑ Azulfidine/Sulfasalazine-Petplace.com
- ↑ Ormetoprim/Primor-Petplace.com
- ↑ Merck Veterinary Manual-Dose Rates of Sulfonamides
- ↑ Sulfa Drugs by Brand Name & Hypoglycemia
- ↑ Merck Veterinary Manual-Sulfonamides and Sulfonamide Combinations-Special Clinical Concerns
- ↑ Drugs Which Can Interact With Insulin
- ↑ Use of Insulin in Hyperkalemia Treatment
- ↑ PetPlace.com-Uses of Insulin
- ↑ Action of Loop Diuretics and Common Brand Names for Them
- ↑ Digoxin & Hypokalemia
- ↑ Pet Education.com-Drs. Foster & Smith-Potassium Deficiency & Diuretics
- ↑ RxEd.org-Hypokalemia
- ↑ PetTalk.com-Digoxin
- ↑ PetTalk.com-Furosemide
- ↑ NOAH Compendium-UK-Dimazon
- ↑ NOAH Compendium-UK-Frusecare
- ↑ NOAH Compendium-UK-Frusedale
- ↑ Drugs Which Can Interact With Insulin
- ↑ Action of Loop Diuretics and Common Brand Names for Them
- ↑ Bumetanide
- ↑ Bumex
- ↑ Thiazide Based Diuretics/Hypertension Medications
- ↑ Brand Names for Thiazide Based Medications
- ↑ More Brand Names for Thiazide Based Medications
- ↑ Brand Names of Diuretics Which Can Raise Glucose Levels
- ↑ Diazoxide Drugs & Diabetes
- ↑ Beta-Blockers & Hypoglycemia
- ↑ Beta-Blocker-type Drugs & Diabetes
- ↑ PetTalk.com-Propanolol
- ↑ PetPlace.com-Insulin-Precautions & Side Effects
- ↑ Beta-Blockers by Brand & Generic Names
- ↑ Drugs.com-Other Medicines
- ↑ Different Beta Blockers Produce Different Heart Rate Variability Patterns in Dogs-WSAVA 2005
- ↑ Drug Information Carvedilol/Coreg
- ↑ Beta-Blocker-type Drugs & Diabetes
- ↑ Beta-Blockers & Hypoglycemia
- ↑ Methyldopa/Aldoril & Diabetes
- ↑ Merck Veterinary Manual-Psychotropic Agents
- ↑ Fluoxetine/Prozac-Petplace.com
- ↑ Rx List.com
- ↑ National Institutes of Health-US-Fluoxetine-Prozac-Sarafem
- ↑ US National Institutes of Health-Carbamazepine
- ↑ Rx List.com
- ↑ Phenothiazines
- ↑ Rx.com
- ↑ Clomicalm/Clomipramine-Petplace.com
- ↑ RxList-Anafranil/Clomipramine Side Effects
- ↑ Rx List.com-Clomipramine/Anafranil
- ↑ RxList-Zoloft/Sertraline-Side Effects
- ↑ RxList-Paxil/Paroxetine-Side Effects
- ↑ RxList-Elavil/Amitriptyline-Side Effects
- ↑ RxList-Elavil/Amitriptyline Warnings/Precautions
- ↑ RxList-Haldol/Haloperidol-Side Effects
- ↑ RxList-Stelazine/Trifluoperazine-Side Effects
- ↑ RxList-Compazine/Prochlorperazine-Side Effects
- ↑ RxList-Navane/Thiothixene-Side Effects
- ↑ RxList-Risperdal/Risperidone-Side Effects
- ↑ PetTalk.com-Phenylbutazone
- ↑ Phenylbutazone/Butazolidin & Diabetes
- ↑ Butazolidin/Butaron/Phenylbutazone
- ↑ Chlofibrate/Atromid-S & Diabetes
- ↑ Aspirin & Low Blood Sugar/Hypoglycemia
- ↑ PetPlace.com-Insulin-Precautions & Side Effects
- ↑ Coumarin-based Anticoagulants & Low Blood Glucose/Hypoglycemia
- ↑ Insulin Interactions with Other Drugs 7.6
- ↑ Bach Flower Therapy--WSAVA 2005
- ↑ Cephalexin/Keflex, Enrofloxacin/Baytril & Inaccurate Urine Glucose Testing in Dogs
- ↑ PetTalk.com-Sulfonamides
- ↑ PetTalk.com-Trimethoprim
- ↑ PetTalk.com-Ormetoprim
- ↑ Cephalexin/Keflex Information
- ↑ NOAH Compendium-UK-Cephorum
- ↑ NOAH Compendium-UK-Rilexine
- ↑ RXList.com-Suprax/Cefixime
- ↑ Cefotixin/Mefoxin=Petplace.com
- ↑ Cefpodoxime Proxetil/Simplicef-Petplace.com
- ↑ Cefotaxime/Claforan Petplace.com
- ↑ Merck Veterinary Manual-Dose Rates of Cephalosporins
- ↑ PetTalk.com-Enrofloxacin
- ↑ Enrofloxacin/Baytril Information
- ↑ Merck Veterinary Manual-Cephalosporins and Cephamycins-Special Clinical Concerns
- ↑ Medi-Vet.com-Albon
- ↑ NOAH Compendium-UK-Chanoprim
- ↑ NOAH Compendium-UK-Duphatrim
- ↑ NOAH Compendium-UK-Tribrissen
- ↑ NOAH Compendium-UK-Trinacol
- ↑ Merck Veterinary Manual-Dose Rates of Sulfonamides
- ↑ Sulfa Drugs by Brand Name & Hypoglycemia
- ↑ Merck Veterinary Manual-Sulfonamides and Sulfonamide Combinations-Special Clinical Concerns
- ↑ PetTalk.com-Chloramphenichol
- ↑ Chloramphenichol/Chloromycetin & Blood Glucose
- ↑ Merck Veterinary Manual-Chloramphenicol and Congeners-Special Clinical Concerns
- ↑ PetTalk.com-Tetracycline
- ↑ Panmycin-Petplace.com
- ↑ Tetracycline Medications & False Urine Test Results
- ↑ PetTalk.com-Doxycycline
- ↑ Vibramycin/Doryx/Monodox-Petplace.com
- ↑ NOAH Compendium-UK-Ronaxan
- ↑ NOAH Compendium-UK-Doxyseptin
- ↑ Doxycycline Medications & False Urine Test Results
- ↑ Ampicillin/Polyflex-Petplace.com
- ↑ Penicillin G-Petplace.com
- ↑ Merck Veterinary Manual-Dose Rate of Penicillins-More Generic & Brand Names of Penicillin Family Drugs
- ↑ US National Institutes of Health-Medline-Penicillins
- ↑ Merck Veterinary Manual-Penicillins-Special Clinical Concerns
- ↑ US National Institutes of Health-Medline-Valproic Acid
- ↑ RXList.com-Suprax/Cefixime
- ↑ PetTalk.com-Vitamin C
- ↑ Vitamin C & False Test Results in Pets
- ↑ Vitamin C & False Test Results in Pets-Provet-UK
- ↑ Vitamin C & False Test Results in Pets-Provet-UK
- ↑ Precision Xtra Blood Ketone Test Strips
