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Methadone (Dolophine)                                                                Methylphenidate (Ritalin)   1493



            Generic Name (Brand                                                               Administration/
            Name, Synonyms)    Canine Dosages      Feline Dosages      Adverse Effects/Warnings  Availability
  VetBooks.ir  Methadone (Dolophine)  Analgesia: Loading dose of   Analgesia: Loading dose of   Adverse effects are typical for   Injection. Dilute in saline for CRI
                                                                        opioids and include panting,
                                                    0.1-0.2 mg/kg IV, followed by
                                0.1-0.2 mg/kg IV, followed
                                                                                               infusions. CSS-II.
                                by 0.12 mg/kg/h IV CRI
                                                    0.12 mg/kg/h IV CRI
                                                                        whining, sedation, defecation,
                               Perioperative and postoperative
                                                    analgesia: 0.05-0.5 mg/kg IV,
                                                                        CNS excitation, histamine
                                analgesia: 0.1-1 mg/kg IV,   Perioperative and postoperative   constipation, bradycardia,
                                SQ, or IM q 4-8h    SQ, or IM q 4-6h    response, and respiratory
                                                                        depression. Use with extreme
                                                                        caution in hypothyroidism,
                                                                        severe renal insufficiency,
                                                                        hypoadrenocorticism, in geriatric
                                                                        or severely debilitated patients,
                                                                        head injuries, increased
                                                                        intracerebral pressure, acute
                                                                        abdominal conditions, respiratory
                                                                        disease or acute respiratory
                                                                        dysfunction.
            Methazolamide (Neptazane)  Glaucoma: 2-5 mg/kg PO   Glaucoma: 1-4 mg/kg PO   May cause mild metabolic acidosis   Tablets. Very expensive. Use
                                2-3×/d              2-3×/d              (bicarbonaturia); GI, CNS adverse   may be obsolete due to
                                                                        effects possible.      cost and compared to more
                                                                                               efficacious topical therapies
                                                                                               with fewer side effects.
            Methimazole (Tapazole,   Functional thyroid neoplasia:   Hyperthyroidism: 2.5 mg/CAT PO   Adverse effects include GI   Tablets. Compounding
              Felimazole)       2.5-5 mg/DOG PO q 12h   or by transdermal gel q 12h   upset, blood dyscrasias,   pharmacists may provide oral
                                (other treatments indicated)  initial dose, adjusted based on   facial excoriations (requires   suspensions and transdermal
                                                    response to therapy. Response   discontinuation of therapy),   gels. Give oral preparations
                                                    to transdermal may take   and rarely hepatotoxicity and   with food. Use gloves when
                                                    several weeks.      myasthenia gravis. Avoid use in   applying topically to inner
                                                                        autoimmune disease, primary   pinnae.
                                                                        liver disease, hematologic
                                                                        disorders or coagulopathies, or
                                                                        pregnant/lactating queens. May
                                                                        unmask underlying renal failure.
            Methionine, DL: see
              DL-methionine
            Methocarbamol (Robaxin)  Muscle relaxation: 20-45 mg/  Muscle relaxation: 20-45 mg/kg   Adverse effects include sedation,   Tablets, injection. Avoid IM
                                kg PO q 8-12h; Muscle   PO q 8-12h      salivation, emesis, lethargy,   or SQ injection due to pain,
                                tremors of toxicoses:                   weakness, and ataxia.  and administer slowly by IV
                                44-220 mg/kg slow IV; use                                      infusion, being careful to avoid
                                high end of dose range if                                      extravasation.
                                strychnine, metaldehyde,
                                tetanus; maximum 330 mg/
                                kg/day
                                                                 2
            Methotrexate       Antineoplastic: 0.06 mg/kg PO   Antineoplastic: 2.5 mg/m  PO q   Adverse effects include leukopenia,   Tablets, injection. Cytotoxic,
                                q 24-48h; or 2.5 mg/m  PO   2-3 days    GI bleeding, hepatotoxicity.   NIOSH-listed hazardous drug
                                             2
                                q 24-48h                                Contraindicated in bone marrow   and should be prepared,
                                                                        depression, severe hepatic or   administered, and disposed of
                                                                        renal insufficiency.   in accordance with federal and
                                                                                               local requirements.
            Methylene blue (new   Methemoglobinemia: 1 mg/  Use in cats is not described.  Oxidant compound that can result   Available through compounding
              methylene blue)   kg IV for short-term use, or            in magnified oxidative damage
                                1.5 mg/kg PO q 24-48h for               and hemolysis. Use with caution,
                                chronic use                             and consider consultation with
                                                                        veterinary toxicologist or internist.
            Methylphenidate (Ritalin)  Narcolepsy: 0.1-0.25 mg/kg PO  Use in cats is not described.  Adverse effects include CNS   Tablets, oral solution, oral
                                q 8-24h                                 stimulation, hyperthermia,   suspension. A drug of
                                                                        tremors, tachycardia, tachypnea,   high abuse by humans;
                                                                        and anorexia. Use with caution   prescriptions limited to 30
                                                                        in seizure disorders, cardiac   days. CSS-II.
                                                                        disease, hypertension, or in
                                                                        aggressive animals.

                                                                                                                      Drug Compendium








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