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Ionophore Toxicosis  563.e3


           Chronic Treatment                    PROGNOSIS & OUTCOME               Prevention
           •  Nutritional support may be needed for days   •  Poor if extensive damage to skeletal muscle   Do not allow dogs and cats to enter cattle or
  VetBooks.ir  •  Good nursing care is very important during   •  The relative degree of myofibrosis determines   animals are being fed.  Diseases and   Disorders
                                                                                  poultry farms where ionophores are stored or
             to weeks (pp. 1106 and 1107).
                                                occurs
             recumbency (turn frequently, avoid urine
                                                                                  Technician Tips
             scald).
                                                long-term prognosis.
           •  Patient  should  not  be  stressed  (minimize   •  May require retirement of high-performance   Subtle signs of muscle pain (myalgia), includ-
             activity) and should be rested for several   patients (e.g., breeding, sporting, trial dogs)  ing mild lameness or new-onset tenderness or
             weeks (muscle recovery).                                             resentment of palpation over thigh or lumbar
                                                PEARLS & CONSIDERATIONS           muscles, may not be apparent in the exam room
           Drug Interactions                                                      but may first be detected during handling or
           Administration of chloramphenicol, tiamulin,   Comments                longer interaction with an affected dog.
           erythromycin, sulfonamides, calcium channel   •  Occurrence of ionophore toxicosis in dogs
           blockers, or cardiac glycosides is contraindicated   and cats is low.  SUGGESTED READING
           because they can potentiate ionophore toxicosis.  •  Monensin: canine acute oral LD50 = 10-20   Hall JO: Ionophores. In Peterson ME, et al, editors:
                                                mg/kg                              Small animal toxicology, ed 3, St. Louis, 2013,
           Possible Complications              •  Lasalocid:  field  cases  reported  at  166-210   Elsevier, pp 589-594.
           •  Skeletal  muscle  fibrosis,  vacuolization   mg/kg/day in dog food (10-15 mg/kg/day
             of peripheral sensory and motor nerves     of lasalocid)             RELATED CLIENT EDUCATION
             possible                          •  Salinomycin: reported oral toxicosis in cats   SHEET
           •  Permanent neurologic defects are possible  at 440 mg/kg in cat food
                                               •  Relay (secondary) toxicosis has been reported   How to Induce Vomiting
           Recommended Monitoring               in dogs consuming dead chickens containing
           •  Cardiac,  renal,  acid-base,  and  muscle   ionophores (lasalocid).  AUTHOR & EDITOR: Tina Wismer, DVM, MS, DABVT,
             chemistries                       •  Intoxication  from  accidental  ionophore   DABT
           •  Urinalysis                        adulteration of dog and cat food has been
           •  ECG                               reported.




















































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