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• 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.

• Milk Thistle or Silymarin

  Silymarin is an over-the-counter nutritional supplement that is used off-label and is given by mouth to treat liver and cancer conditions. Give as directed. Side effects are uncommon but may include vomiting or diarrhea. Do not use it in pets that are allergic to it. If a negative reaction occurs, please call the veterinary office.

• Moxidectin + Imidacloprid Topical

  Moxidectin is an avermectin antiparasitic that is used to prevent heartworms and treat intestinal parasites. Imidacloprid treats and prevents fleas. These two drugs are combined in one topical product for use in cats, dogs, and ferrets. Use as directed. Side effects are uncommon and usually short-lived, however, if you suspect an overdose or an adverse reaction to the medication, call your veterinary office immediately.

• Mupirocin Otic

  Mupirocin otic, also known as pseudomonic acid A, is an antibiotic used in the treatment of ear infections. It is used “off label” or “extra label” to treat ear infections in animals. Mupirocin comes in ointment or liquid drop suspension forms that may be specially compounded.

• Naloxone

  Naloxone (brand name Narcan®) is a drug used to reverse the effects of opioids. It is used primarily under direct supervision of a veterinarian. It is used off-label in veterinary medicine. Naloxone comes in nasal spray and injectable forms.

• Nitrofurantoin

  Nitrofurantoin is an antibiotic used to treat bacterial urinary bladder infections. It is typically used as a second-line antibiotic, when broad-spectrum antibiotics have not cleared the infection. It is used “off label” or “extra label” in veterinary medicine. Nitrofurantoin comes in capsule or liquid forms given orally. Never use in food-producing animals or animals intended for food.

• Nystatin: Oral

  Nystatin is an antifungal, given by mouth in the form of a tablet or liquid suspension, and used off label to treat Candida fungal infections in dogs, cats, birds, and reptiles. Side effects are rare, but at high doses, it could cause stomach upset or mouth irritation. It should not be used in pets that are allergic to it.

• Olopatadine Ophthalmic

  Olopatadine ophthalmic is an antihistamine medication used to treat pruritus (itchiness) of the eyes caused by allergies in animals. Olopatadine ophthalmic comes in liquid drop suspension form.

• Omeprazole

  Omeprazole is given by mouth and is used off-label to treat ulcers and erosions in the stomach and upper small intestine. Give as directed. Side effects are uncommon but may include stomach upset, such as vomiting, diarrhea, or gas. Do not use in pets with a history of allergies to this class of drugs. If a negative reaction occurs, call your veterinarian.

• Orbifloxacin

  Orbifloxacin is given by mouth and is used on and off label to treat certain susceptible bacterial infections. Give as directed by your veterinarian. The most common side effects include vomiting, diarrhea, and lack of appetite. Do not use in pets that are allergic to it or other quinolones, in growing pets, or in conjunction with cyclosporine. If a negative reaction occurs, please call your veterinary office.