Prescription items are NON-RETURNABLE and NON REFUNDABLE Prednisone Tablets Corticosteroids are hormones used for the treatment of multiple conditions including adrenal insufficiency (Addison's disease); inflammation; autoimmune diseases, such as lupus, pemphigus, and some anemias; allergies including atopy; asthma; some cancers; and certain types of colitis and kidney diseases (nephrotic syndrome). Dose and Administration: Always follow the dosage instructions provided by your veterinarian. If you have difficulties giving the medication, contact your veterinarian. Dosage depends on the product used. Your veterinarian may recommend starting at a higher dose and then reducing the dose every few days to a week. If using the transdermal gel, apply to the skin as directed by your veterinarian. If using an injectable form, use a new, sterile needle and syringe each time, and follow the proper technique, as directed by your veterinarian. Dispose of the needle and syringe according to local regulations. If you miss a dose, contact your veterinarian to determine the next dose. This medication should only be given to the pet for whom it was prescribed. Possible Side Effects: Side effects are usually dose dependent. If side effects occur, contact your veterinarian, who may decrease the dosage, frequency, or type of corticosteroid. The most common side effects are increased appetite, drinking, and urination. Your pet may have more “accidents” and need to go outside or use the litter box more often. Less common side effects include weight gain, panting, diarrhea, vomiting, and behavior changes. Side effects of long-term use include muscle loss, weakness, and the development of diabetes or hyperadrenocorticism (Cushing's disease). The typical signs of these diseases are increased thirst, urination, and appetite. Animals with Cushing's disease may also develop thin skin, a poor hair coat, and a “pot-belly.” Activation or worsening of hypothyroidism or pancreatis. Immune system suppression may occur, especially on higher doses, making a pet more susceptible to infection. Contact your veterinarian if your pet has a fever (over 103° F), painful urination (a sign of urinary tract infection), tiredness, sneezing, coughing, or runny eyes. Precautions: Not for use in animals with systemic fungal infections, some types of mange (mites), stomach ulcers, Cushing's disease, high blood pressure, kidney disease, or congestive heart failure. Do not use in pregnant animals. May cause premature birth. Can cause birth defects in dogs, rabbits, and rodents. If on long-term therapy, do not discontinue the drug abruptly. The dose needs to be tapered off over several weeks to allow the body to start making its own cortisol again. May need to give additional steroids while tapering, if the animal is stressed. May stunt growth if used in young, growing animals. Consult with your veterinarian regarding the physical examinations and laboratory testing necessary prior to and during treatment with corticosteroids. Drug, Food, and Test Interactions: Consult your veterinarian before using corticosteroids with vitamins and supplements, non-steroidal anti-inflammatory drugs (NSAIDs) such as aspirin, carprofen (Novox or Rimadyl), deracoxib (Deramaxx), etodolac (EtoGesic), meloxicam (Metacam),firocoxib (Previcox), tepoxalin (Zubrin); insulin, modified live vaccines, phenytoin, phenobarbital, rifampin, cyclosporine, estrogens, erythromycin, or mitotane, amphotericin B, furosemide, or thiazide, since interactions may occur. Corticosteroids may cause abnormal levels of hepatic enzymes, thyroid hormone, cholesterol, and potassium in the blood, and can affect many laboratory tests. Make sure your veterinarian knows your pet is taking corticosteroids prior to testing. Signs of Toxicity/Overdose: An acute overdose is unlikely to cause problems. A chronic overdose is likely to cause signs of Cushing's disease or diabetes mellitus; both diseases commonly cause increased urinating, drinking, and eating. Abruptly stopping long-term treatment may cause signs of Addison's disease, including vomiting, weakness, collapse and sudden death. If you know or suspect your pet has had an overdose, or if you observe any of these signs in your pet, contact your veterinarian immediately. Storage: Store at room temperature, in tight, light resistant, childproof container. Please Note: This prescription product or therapeutic food is fulfilled by Pet’s Choice Pharmacy, Inc. A licensed pharmacy in all states, excluding North Carolina. Pet’s Choice is actively working with North Carolina Board of Pharmacy and expect to be licensed to fill prescriptions in 2017. We can only ship to US states. To order prescription products or therapeutic foods must have an existing, valid veterinarian-client-patient relationship. Prescription requests are subject to a Drug Utilization Review by a licensed pharmacist for patient safety. All prescription products (excluding therapeutic food) are FDA approved, or EPA licensed, to be sold in the US. Prescription products cannot be returned.
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