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Recommendations for monitoring patients on Methimazole

Maintaining appropriate blood levels of thyroid hormone is very important in successful treatment of Hyperthyroidism. Thyroid medication is usually administered twice daily.

The effect of this medication can vary cat to cat, and dosage adjustments may need to be made as the disease progresses. In addition, some patients can react adversely to methimazole. Monitoring various blood values at the appropriate times can prevent these side effects.

Queenstown Veterinary Hospital recommends testing at the following times:

  • 1 and 3 months after starting therapy: CBC, chemical profile, thyroid level and urinalysis
  • 1 month after any dose change: PCV, chemical profile, thyroid level, and urinalysis
  • Every 6-12 months: PCV, chemical profile, thyroid level, and urinalysis


Recommendations for monitoring patients on Rimadyl

While this drug can greatly improve the quality of life in your pet, using this medication safely and monitoring for side effects is important. Most of us are familiar with the gastrointestinal upsets associated with these drugs. Liver and kidney function may also be affected.

Queenstown Veterinary Hospital recommends testing at the following times:

  • A chemical profile and packed cell volume (PCV), and urine specific gravity before treatment begins
  • 2 weeks after starting therapy: NSAID panel
  • Every 6-12 months: NSAID panel


Recommendations for monitoring patients on Deramaxx

While this drug can greatly improve the quality of life in your pet, using this medication safely and monitoring for side effects is important. Most of us are familiar with the gastrointestinal upsets associated with these drugs. Liver and kidney function may also be affected.

Queenstown Veterinary Hospital recommends testing at the following times:

  • A chemical profile and packed cell volume (PCV), and urine specific gravity before treatment begins
  • 2 weeks after starting therapy: NSAID panel
  • Every 6-12 months: Nsaid panel


Recommendations for monitoring patients on Meloxicam

While this drug can greatly improve the quality of life in your pet, using this medication safely and monitoring for side effects is important. Most of us are familiar with the gastrointestinal upsets associated with these drugs. Liver and kidney function may also be affected.

Queenstown Veterinary Hospital recommends testing at the following times:

  • A chemical profile and packed cell volume (PCV), and urine specific gravity before treatment begins
  • 2 weeks after starting therapy: NSAID panel
  • Every 6-12 months: NSAID panel


Recommendations for monitoring patients on Phenobarbital

Phenobarbital can lower thyroid hormone levels and rarely, may cause liver damage. Monitoring of drug levels, liver and thyroid function are important for safely and effective control of seizures.

When a Phenobarbital levels needs to be checked, the trough level should be measured; that is, the blood should be drawn just before the next pill is due.

Queenstown Veterinay Hospital recommends testing at the following times:

  • Prior to starting therapy: chemical profile and urinalysis
  • 2 weeks after initiating treatment
  • 2 weeks after a dose change
  • When seizures are not well controlled
  • If the patient exhibits signs of toxicity (excessive sedation, illness)
  • Every 6-12 months: chemical profile and urinalysis


Recommendations for monitoring patients on Zonisamide

Zonisamide is a twice daily medication used to help regulate seizures in both people and animals. It is one of the few drugs that may be used as a sole therapy (may be able to control seizures without additional medications, although not always). Zonisamide is often chosen because of its effectiveness as seizure control and high safety margin. Monitoring is conducted to ensure the liver is tolerating the medication and that the level of medication is effective and safe within the therapeutic range.

Queenstown Veterinary Hospital recommends testing at the following times:

  • 2 weeks post starting therapy: chemical profile
  • 2 weeks after adjustments are made in dosing: zonisamide level
  • Every 6-12 months: chemical profile and zonisamide level


Recommendations for monitoring patients on L-Thyroxine/Soloxine

L-thyroxine/Soloxine are medications used to supplement hormone in dogs with low thyroid output (hypothyroidism). It is important to ensure that we are not over supplementing this medication and creating a hyperthyroid-like animal, and it is import to ensure the medication is given to create effective therapeutic levels.

Mendon Village Animal Hospital recommends testing at the following times:

  • 1 month after starting therapy: chemical profile and thyroid level
  • 1 month after any dose change: chemical profile and thyroid level
  • Annually: chemical profile and thyroid level

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