Page 2838 - Cote clinical veterinary advisor dogs and cats 4th
P. 2838

Ponazuril (Toltrazuril sulfone, Marquis)                                                 Prazosin (Minipress)   1501



            Generic Name (Brand                                                                Administration/
            Name, Synonyms)    Canine Dosages     Feline Dosages      Adverse Effects/Warnings  Availability
  VetBooks.ir  Ponazuril (Toltrazuril sulfone,  Neospora or toxoplasmosis:   Neospora or toxoplasmosis:   Adverse effects are usually GI in nature   Oral paste
                                                                       but may include neurotoxicity from
              Marquis)
                                7.5-15 mg/kg PO q 24h ×
                                                   7.5-15 mg/kg PO q 24h ×
                                28 days, or 50 mg/kg q 24h
                                                   28 days, or 50 mg/kg q 24h
                                                                       folate depletion. KCS has been
                                                   once, repeated in 7 days
                                once, repeated in 7 days
                               Coccidiosis: 20 mg/kg PO q   Coccidiosis: 20 mg/kg PO q   reported.
                                24h × 3 days       24h × 3 days
            Potassium bromide  Idiopathic epilepsy: Loading   Do not use in cats.  Contraindicated in cats due to adverse   A commercially available tablet
                                dose 400-600 mg/kg                     respiratory effects. Adverse effects   preparation is available
                                PO divided over 5 days                 include transient sedation and GI   but is not FDA approved.
                                with food. Maintenance:                upset. Overdoses cause ataxia,   Compounding pharmacists
                                25-35 mg/kg PO q 24h to                tremors, mydriasis, or other CNS   may also prepare stable
                                achieve therapeutic serum              manifestations of bromism. Avoid   capsules and solutions. Give
                                levels of 1-3 mg/mL                    fluctuations in chloride intake once   with food to minimize GI
                                                                       therapeutic blood levels are reached.  upset. Elevate food bowls
                                                                                                until tolerance to sedation
                                                                                                has occurred.
            Potassium citrate (Urocit-K)  Urinary alkalinizer/potassium   Urinary alkalinizer/potassium   Adverse effects include GI upset and   Tablets. Follow with 6 mL of
                                supplement: 50-75 mg/kg   supplement: 50-75 mg/kg   ulceration, hyperkalemia. Use with   liquid or food to prevent
                                PO q 12h           PO q 12h            caution in patients prone to GI   esophageal ulceration.
                                                                       ulceration or esophageal strictures.
                                                                       Follow doses with at least 6 mL of
                                                                       liquid or food. Contraindicated in
                                                                       hyperkalemia and UTIs with struvite
                                                                       stones.
            Potassium gluconate   Potassium supplement:   Potassium supplement:   Contraindicated in hyperkalemia and   Tablets, powders, oral gels.
              (Tumil-K)         0.5-1 mEq/kg PO q 12h  0.5-1 mEq/kg PO q 12h  UTIs with struvite stones. Use with   Follow tablets with 6 mL
                                                                       caution in patients prone to GI   of liquid or food to prevent
                                                                       ulceration or esophageal strictures.   esophageal ulceration.
                                                                       Follow doses with at least 6 mL
                                                                       of liquid or food. Adverse effects
                                                                       include GI upset, GI ulceration, and
                                                                       hyperkalemia.
            Potassium phosphate  Hypophosphatemia: 0.01-  Hypophosphatemia: 0.01-  Adverse effects include   Concentrated injection for
                                0.03 mmol/kg/h IV CRI  0.03 mmol/kg/h IV CRI  hyperphosphatemia (and related   dilution in normal saline (do
                                                                       hypocalcemia), hypotension,   not dilute with calcium- or
                                                                       renal failure, or soft tissue   magnesium-containing
                                                                       mineralization. Contraindicated in   fluids).
                                                                       hyperphosphatemia, hypocalcemia,
                                                                       and oliguric renal failure.
            Pradofloxacin (Veraflox)  Susceptible bacterial infection:  Susceptible infections: 7.5 mg/  Generally well tolerated, with GI upset   Only oral suspension in the
                                3 mg/kg PO q 24h.   kg PO q 24h        sometimes seen. Blood dyscrasias   United States; tablets and
                                Although available for dogs            are possible in dogs and in cats   suspension elsewhere. Give
                                elsewhere, NOT approved                that receive therapy longer than 6   on an empty stomach if
                                for use in dogs in the United          weeks or with high dosages. Rapid   tolerated, or with nondairy
                                States.                                growth is a relative contraindication   foods if necessary due to
                                                                       due to possible adverse cartilage   GI upset.
                                                                       effects. Use with caution with renal
                                                                       or hepatic insufficiency. May cause
                                                                       photosensitivity.
            Pralidoxime chloride (2-PAM,  Organophosphate poisoning:   Organophosphate poisoning:   Adverse effects include GI upset,   Injections for SQ or IM
              Protopam)         20-50 mg/kg IM or SQ;   20-50 mg/kg IM or SQ;   tachycardia, and muscle weakness.   administration. Ideally
                                repeated q 8-12h prn  repeated q 8-12h prn  Use with extreme caution in patients   initiated within 24 hours of
                                                                       with myasthenia gravis. Monitor   organophosphate exposure.
                                                                       patients for effect and repeat as
                                                                       needed.
            Praziquantel (Droncit,   Tapeworms: 5-12.6 mg/kg PO  Tapeworms: 5.7 mg/kg PO or   Oral forms are generally well tolerated   Tablets, injection. Some forms
              Drontal)          or SQ once         SQ once             but may cause GI upset. Injectable   OTC.
                               Salmon poisoning flukes:                forms can cause pain on injection,
                                10-30 mg/kg PO or SQ                   vomiting, and ataxia. Use with caution
                                once                                   in patients with history of seizures.
                               Paragonimus: 23 mg/kg PO q
                                8h × 3 days
            Prazosin (Minipress)  Urethral relaxation: 0.07 mg/  Urethral relaxation:   Adverse effects include CNS depression,  Capsules, or compounded
                                kg, or 0.5-4 mg/DOG PO q   0.25-1 mg/CAT PO q 8-12h  GI upset, tachycardia, and nictitans   (usually necessary for feline
                                8-12h                                  elevation. Contraindicated in   dosing). Give with food.
                               Afterload reduction in CHF:             hypotension. Some dogs with the                Drug Compendium
                                dogs <15 kg, 1 mg, or dogs             MDR1/ABCB1-Δ mutation may be
                                >15 kg, 2 mg PO q 8h                   sensitive; use with caution in known
                                titrated to effect                     mutants.

                                                      www.ExpertConsult.com
   2833   2834   2835   2836   2837   2838   2839   2840   2841   2842   2843