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LEADER FOR VETERINARY
PRACTICE AND BUSINESS
Volume 26/Number 7 July 2014 VeterinaryPracticeNews.com
VPNJuly2014_cover1.indd 1 6/6/14 2:33PM
The cat is the off-labelspecies. About 80 percent of all drugs we use in cats are
used off label. That includes lactated Ringer’s solution and pred-nisolone.
Managing chronic pain is an
off-label event in the cat as no
products are FDA-approved for
long-term management of feline
pain. The situation is somewhat
better for acute or post-op pain,
but several very widely used options are also off label.
Neither cat owners nor their
veterinarians are happy to see
a cat in pain. However, finding
agents that relieve feline pain
can be problematic.
Some have side effects, and
some work better as part of a multimodal approach. None is effective
for all patients so a trial-and-error
approach may be needed.
How to Recognize Pain
In the wild, sick cats are tar-
gets for predators, so cats have
become experts at masking pain.
Therefore, with the aid of cat
owners supplying careful obser-
vations, veterinarians must ask
the right questions to uncov-
er the signs of pain. Important
; Unwillingness to jump/play
; Decreased appetite
; Inappropriate elimination
; Repeatedly over-grooming
the same location
; Change in mood
By Gary D. Norsworthy, DVM, Dipl. ABVP (Feline)
Compounded drugs are
and Lisa Restine, DVM
For Veterinary Practice News
in the OFF-LABEL
used to meet the needs
of a particular patient.
AVMA forms committee to
look at compounded drugs
By Ken Niedziela, Veterinary Practice News
Animal drug compounding has drawn renewed attention from federal officials and now from the American
Veterinary Medical Association, which announced the
formation of a task force made up of eight veterinarians.
The group, formally called the Task Force on Veterinary
Compounding Legislation, is experienced in compounding
policies and regulations and understands the need for compounded veterinary drugs, AVMA reported June 4.
Feline Pain, Page 37
AVMA, Page 25
Diet and exercise