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• Imipramine

  Imipramine is given by mouth or injection and is used off label to treat behavior disorders, sudden loss of muscle tone, urinary incontinence, cancer pain, and other conditions. Give as directed by your veterinarian. Common side effects include sleepiness, dry mouth, and constipation. Do not use in pets that are allergic to it or other tricyclic antidepressants, pets currently using MAOIs, or pets that are pregnant or nursing. If a negative reaction occurs, please call your veterinary office.

• Insulin: Glargine

  Insulin glargine is an injectable medication used in cats, dogs, ferrets, guinea pigs, and horses with diabetes mellitus. It is used to lower blood sugar levels and for long-term maintenance therapy of diabetes mellitus. Monitor closely for signs of low blood sugar (weakness, lack of energy, lethargy, stumbling or difficulty walking, behavior changes, muscle twitching, seizures, and/or unresponsive).

• Insulin: NPH

  NPH (Neutral Protamine Hagedron) insulin is an injectable medication used in cats, dogs, birds, ferrets, and horses with diabetes mellitus. It is used to lower blood sugar levels and for long-term maintenance therapy of diabetes mellitus. Monitor closely for signs of low blood sugar (weakness, lack of energy, lethargy, stumbling or difficulty walking, behavior changes, muscle twitching, seizures, and/or unresponsiveness).

• Ketoprofen

  Ketoprofen is given by mouth in the form of a capsule or tablet to treat pain and inflammation in dogs and horses. It’s use in animals is off label. Do not use this medication in pets that are allergic to it, or in pets concurrently using corticosteroids or other NSAIDs. If a negative reaction occurs, call your veterinary office.

• Levetiracetam

  Levetiracetam is given by mouth or injection and is used off label to treat seizures and epilepsy. Give as directed by your veterinarian. Common side effects include sleepiness and incoordination in dogs and decreased appetite, incoordination, drooling, and sleepiness in cats. Do not use levetiracetam in pets that are allergic to it. If a negative reaction occurs, please call your veterinary office.

• Medroxyprogesterone Acetate

  Medroxyprogesterone acetate is given by mouth or injection and is used off label to treat reproductive conditions, sexual behaviors, and certain types of dwarfism and alopecia. Give this medication as directed by your veterinarian. Common side effects include increased appetite, increased thirst, weight gain, sleepiness, or changes in personality. Do not use in pets that are allergic to it, pets with diabetes or uterine bleeding, or prior to puberty, during pregnancy, 1-2 months after a heat cycle, or to treat false-pregnancy. If a negative reaction occurs, please call your veterinary office.

• Melatonin

  Melatonin is given by mouth or as an implant under the skin and is used to treat sleep and behavior disorders, adrenal disease, and non-allergic hair loss, to suppress the heat cycle, and to improve breeding rates. Give as directed. Side effects are not common but may include sleepiness. Do not use in pets that are allergic to it. If a negative reaction occurs, please call your veterinary office.

• Methocarbamol

  Methocarbamol is given by mouth or injection and is used on and off label to treat muscle spasms due to injury, inflammation, or certain toxicities. Give as directed by your veterinarian. The most common side effect includes sleepiness. Do not use methocarbamol in pets that are allergic to it. If a negative reaction occurs, please call your veterinary office.

• Methylprednisolone

  Methylprednisolone is given by mouth or injection and is used on and off label to treat inflammatory, immune-mediated, or hormonal conditions. Common side effects include increased drinking, urination, and appetite, dull/dry haircoat, and/or weight gain. Do not use in pets that are allergic to it, receiving NSAIDs, that are recovering from a recent surgery, or in pets with systemic fungal or viral infections, diabetes, Cushing’s disease, stomach or intestinal ulcers. If a negative reaction occurs, please call your veterinary office.

• Midazolam

  Midazolam is a benzodiazepine used for its sedative, anti-anxiety, and muscle relaxant properties. It is primarily used as a sedative before surgery and to stop seizures. It is used “off label” or “extra label” in animals. This medication is a controlled substance primarily given via injection by your veterinary team, though it may be prescribed to your pet for intranasal or intrarectal administration at home.