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1466  Buprenorphine HCl (Buprenex, Simbadol)                           Calcium Disodium EDTA (Calcium Disodium Versenate)



            Generic Name (Brand                                                               Administration/
            Name, Synonyms)   Canine Dosages     Feline Dosages    Adverse Effects/Warnings   Availability
  VetBooks.ir  Buprenorphine HCl   Analgesia: 5-40 mcg/kg   Postoperative analgesia with   Respiratory depression is the most likely   Injection and extended-release
                                                                                               injection on FDA’s Index of
                               (0.005-0.04 mg/kg) IV, IM,
             (Buprenex, Simbadol)
                                                                    adverse effect, and vomiting and
                                                  Simbadol: 0.24 mg/kg SQ
                                                  q 24h up to 3 days
                                                                                               Legally Marketed Unapproved
                                                                    behavioral changes can occur in dogs
                               or SQ q 6-12h
                                                 Analgesia: 10-30 mcg/kg
                                                                                               Species. CSS-III.
                                                                    hypothermia, miosis, tachycardia, and
                                                  (0.01-0.03 mg/kg) IM,   or cats. In dogs, salivation, bradycardia,   New Animal Drugs for Minor
                                                  IV, or oral transmucosal   high blood pressure have been reported.
                                                  q 6-8h            In cats, mydriasis and hyperthermia have
                                                                    been reported.
            Buspirone (BuSpar)  Behavioral disorders:   Behavioral disorders:   Generally, well tolerated but bradycardia,   Tablets
                               0.5-2 mg/kg PO q 8-12h  0.5-1 mg/kg (or   GI disturbances, and stereotypic
                                                  2.5 mg/CAT) PO q 8-12h  behaviors have been reported.
                                                                    Undesirable behavioral changes may
                                                                    result from disinhibition.
            Busulfan (Myleran, Busulfex)  Antineoplastic: 3-4 mg/m   2  Antineoplastic: 2-4 mg/m   2  Myelosuppression is common and   Tablets. Cytotoxic, NIOSH-listed
                               PO q 24h           PO q 24h          potentially severe. Pulmonary fibrosis,   hazardous drug and should
                                                                    hepatotoxicity, and hyperpigmentation of   be prepared, administered,
                                                                    skin may occur. Uric acid levels should   and disposed of in
                                                                    be monitored.              accordance with federal and
                                                                                               local requirements.
            Butorphanol tartrate (Stadol,  Analgesia, sedation: 0.2-1 mg/  Analgesia: 0.1-0.5 mg/kg q   Reduce dose in dogs with MDR1/ABCB1-Δ   Tablets, injection. CSS-IV.
             Torbutrol, Torbugesic)  kg PO, IM, SQ q 6-12h;   6-12h IV, IM, SQ  mutation. Potential adverse effects
                               0.1-0.2 mg/kg IV. At dose of         include sedation, ataxia, anorexia,
                               0.1-0.5 mg/kg IV, IM can be          vomiting, or diarrhea (rarely).
                               combined with acepromazine
                               0.025-0.05 mg/kg mixed in
                               same syringe
                              Antitussive: 0.5-1 mg/kg PO
                               q 6-12h
           C


            Generic Name (Brand                                                              Administration/
            Name, Synonyms)   Canine Dosages       Feline Dosages      Adverse Effects/Warnings  Availability
            Cabergoline (Dostinex,   Prolactin inhibition: 5 mcg/kg   Prolactin inhibition:   Vomiting is the most common   Available only through
             Galastop)         (0.005 mg/kg) PO q 8h  25-50 mcg/CAT or   adverse effect. Has caused   compounding in the United
                                                    5-10 mcg/kg PO q 24h  changes in coat color.  States; oral solution available
                                                                                               in Europe.
            Calcitonin (Miacalcin,   Hypercalcemia of malignancy:   Hypercalcemia of malignancy:   Anorexia and vomiting are the most   Injection, metered-dose inhaler.
             Calcimar)         4-8 units/kg IV, IM, or SQ q 12h  4-8 units/kg IV, IM, or SQ   common adverse effects. Pain at   Expensive.
                                                    q 12h               injection site is also reported.
            Calcitriol (Rocaltrol, Calcijex)  Hypoparathyroidism: 0.03-  CKD: Initial dosage 1.65-  May cause hypercalcemia or   Capsules, oral solution, and
                               0.06 mcg/kg PO q 24h, then   3.63 ng/kg (= 0.00165-  hyperphosphatemia (monitor   injection. A dilute solution
                               0.005-0.015 mcg/kg PO q 24h,   0.00363 mcg/kg) PO q 24h   levels closely).  may be prepared from the
                               with oral calcium and adjusted   on empty stomach, adjusted     concentrated oral solution to
                               prn                  upward prn                                 better achieve small doses.
                              CKD: 2-2.5 ng/kg PO q 24h                                        Oil can be removed from
                               on empty stomach, adjusted                                      capsule and diluted in corn oil
                               upward prn not to exceed 7 ng/                                  and stored for up to 2 weeks.
                               kg/d, or pulse dose of 20 ng/
                               kg twice weekly at bedtime on
                               empty stomach
            Calcium carbonate (Tums,   Calcium supplementation/  Calcium supplementation/  Hypercalcemia is possible with   Tablets OTC, powder (Epakitin).
             Epakitin)         phosphate binder: 90-150 mg/  phosphate binder:   overdosing or prolonged dosing.   Administer 1 hour before or 2
                               kg/d PO divided and given with   90-150 mg/kg/d PO divided   Interacts with many drugs and   hours after other medications.
                               food or just before each meal  and given with food or just   must be given 1 hour before or
                              Epakitin phosphorous binder:   before each meal  2 hours after other drugs.
                               1 g/5 kg BW PO q 12h with   Epakitin phosphorous binder:
                               food                 1 g/5 kg BW PO q 12h with
                                                    food
            Calcium Disodium EDTA   Heavy metal poisoning: 25 mg/kg   Heavy metal poisoning:   Painful on IM injection. Do not   Available only through
             (Calcium Disodium   SQ q 6h diluted in 5% dextrose   27.5 mg/kg SQ in 15 mL   confuse with Sodium EDTA.  compounding. Dilute to
             Versenate)        for 2-5 days         5% dextrose q 6h for 5 days;               10 mg/mL in D 5 W before
                                                    rest for 5 days, repeat if                 administration.
                                                    needed

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