%privacy_policy%. Available from all wholesalers. It's important to be aware of them beforehand, and be prepared to recognize the signs and knowing what action to take. However, both the FDA and the EMA refused to approve the human product based on a prior study in which patients that took the drug needed knee and hip replacements sooner than similar patients that did not take it. This rate can help your vet to identify the cause of fainting. I'm taking Tremor to the vets on Friday for a full blood count and to discuss options. In the second field study, conducted in the USA, 135 dogs were treated with Librela and 137 dogs received placebo. (read here). Nonsteroidal anti-inflammatory drugs (NSAIDs) play a major role in controlling dog joint pain and inflammation. She then goes up to my chiropractor on Monday afternoon for a massage, spine alignment and laser treatment. He is intolerant to NSAIDs as he has had problems with them in the past (he was very ill). Mild side effects at the injection site are the most common unwanted effects with Librela (which may affect more than 1 but less than 10 animals in 1,000 treated) (e.g. Steroids. That is quite legitimate. The nerve highway through which signals travel in you and your dog is a two-way street. The product information provided in this site is intended only for residents of the United States. The efficacy is under half (brings relief to 45% of dogs), so if it's not effective after the second injection, you and your vet will need to seek other avenues of treatment. Poop color is a good reference point for a dog's health, and any sign of blood in a dog's stool requires immediate veterinary attention and cannot be delayed. Search for: Search for: News Vets RVNs Students Business Opinion Jobs CPD+ Podcasts Comps More People Match Marketplace. Veterinarians also assessed the dogs exercise tolerance, their pain when touched or limb movement, and the dogs general condition in relation to their mobility. Thanks. For the full list of side effects and restrictions of Librela, see the package leaflet. However, corticosteroids also have side effects that include weight gain, fluid retention, excessive thirst and urination, panting, increased susceptibility to infections, Addisons disease upon withdrawal, etc. The dogs are better off than if they had been given . However, if the animal does not show a better response after the second dose, the veterinary surgeon should consider alternative treatments. Mild reactions at the injection site (e.g. This particular group of enzymes is known to metabolize more than half of the pharmaceutically prescribed medications on the market today, such as ibuprofen, diazepam, and amitriptyline. The main measure of effectiveness was the pain score 28 days after treatment, assessed by owners, using a so-called Canine Brief Pain Inventory (CBPI). But, The activating factors stimulate production of the dogs own stem cells, which are now known to be found throughout the body in an adult dog. If you notice any side effects, even those not already listed in this package leaflet or you think that the medicine has not worked, please inform your veterinary surgeon. (read here &here) Other vets suggest therapeutic laser therapy as an alternative to traditional physiotherapy. Librela Solution for Injection Vials 15mg Pack of 2 (Refrigerated Item) Home. When they eventually do, it will probably be created by or at the behest of Zoetis. We do a course of 3 or 4 injections (depending on response) one month apart each time. The cost is $170 per injection. Librela is designed to seek out and destroy a specific protein that all dogs manufacture. We do not know how or if lowering your dogs NGF level affects its kidneys. Do not use in animals intended for breeding. Is walking good for a dog with arthritis? manufacturing authorisationholder responsible for batch release (annex IIA). It neutralizes Nerve Growth Factor (NGF), a key player involved in osteoarthritis in dogs, and in doing so reduces pain. Don't delay experiencing this innovative 1 st line treatment for your canine OA patients. Librela is generally well-tolerated at the recommended dose, and no additional side effects were observed at overdose. 4: choose your language. 4. swelling and heat). I mentioned that a few months after the European approval, Zoetis obtained authorization to market Librela in Canada as well. (read about that here) Hopefully that will not be the case. Do not use in animals intended for breeding. If your dog faints, seek emergency veterinary treatment right away. You can only get the drug by prescription. Do not mix with any other veterinary medicinal product. And those that have joint pain do not necessarily have x-ray evidence of arthritis. Librela provides veterinarians a new treatment option, which effectively controls OA pain for a month, while also offering a positive safety profile. Bilirubin can buildup in the blood when the dog's body is unable to eliminate bilirubin or when the red blood cells ability to produce the right amount of bilirubin is disrupted. picture a human fainting and a human seizing, and you can see the difference a little more clearly). Do not use in cases of hypersensitivity to the active substance or to any of the excipients. Even though they are often overlooked, a dog's gums are just as important to its As pet parents, we tend to get anxious when our fur balls show the slightest signs of an illness. A total of 79 dogs (58.5 %) treated with LIBRELA and 86 dogs (62.8%) treated with the placebo reported an adverse event during the study. Treatment with bedinvetmab has demonstrated a positive effect on all three components of the CBPI. Some veterinarians dispense narcotics like tramadol for pain, or even fentanyl (Duragesic) patches when nothing milder is effective anymore. Meloxicam For Dogs Side Effects (read here) The Pfizer and Lilly drug companies invested $550 million dollars into their research ontanezumab anticipating that a successful human NGF-blocking medications would have a $1.23 billion dollar market. It is possible that mild reactions (e.g. Mild reactions at the injection site (e.g. The company that makes Librela seems good at providing information so it might be worth contacting them if you have any questions. Side Effects. And still others suggest mood-altering drugs like amitriptyline or imipramine based on their use in treating human fibromyalgia. Anyone tried this relatively new drug for arthritis? Stem Cell Therapy. Canine arthritis treatment can significantly improve your pets quality of life. The active substance in Librela is bedinvetmab, a monoclonal antibody (a type of protein) designed to recognise and attach to a protein called nerve growth factor (NGF). Yucca. Providing a supportive bed is . Overdose (symptoms, emergency procedures, antidotes): No adverse reactions, except mild reactions at the injection site, were observed in a laboratory overdose study when Librela was administered for 7consecutive monthly doses at 10times the maximum recommendeddose. Yucca is often used in arthritis medications for humans as well as animals. In this blog, we'll introduce you to one of Resettling to a new state or an unfamiliar place can be challenging, especially for pet owners. Do not use in pregnant or lactating animals. What over the counter medicine can I give my dog for arthritis? Allergic reactions, including anaphylaxis, could potentially occur with self-injection. When Librela becomes available where you live, Please read the entire label online because there might be more warnings I did not mention and because the label directions may have changed by the time you read this article. If you follow that link, I need to begin with an observation that people whose pets experience unexpected unwanted side effects from a medication tend to report them to me more frequently than those who were satisfied with their pets experience using a drug. Although gabapentin is a drug that was approved back in 1994 to control seizures in humans, in the veterinary field this drug is still considered fairly new. Losing weight takes some of the strain off your dog's bones and joints. Prescription medications such Galliprant, Carprofen, and Meloxicam are the safest options for controlling pain and inflammation compared to over-the-counter, non-veterinary products. Bananas are a raw fruit that can help . My dog has had two Librela injections (they are given at 4 weekly intervals).There was a marked improvement in him a few days after the first and this has been maintained to date. (adsbygoogle = window.adsbygoogle || []).push({}); A Short Caution About Being Your Own Veterinarian. That has been found to be the case with human drugs as well. Once attached, it prevents NGF from attaching to its receptors (targets) on nerve cells and interrupts the transmission of pain signals. Large breeds are considered tachycardic if they have a heartrate over 140bpm. The more common side effects can include vomiting, diarrhea, lethargy, and anorexia. Weight loss can also be the result of dog medication side effects, and most commonly from antibiotics and chemotherapy medications. In the dog, an improvement of around 7 is considered to indicate a clinically meaningful change and in the cat it varies with the domain (5 for Vitality and Emotional Wellbeing and 7.5 for Comfort). He is an older boy, around 15 1/2,who has had a rear leg amputated. The veterinary medicinal product may induce transient or persistent anti-drug antibodies. If you do the math, that means a 57 mg pill will work for a 25-pound dog, while the 227 mg pill with work for your beefy 100-pound canine. (read here) That study was performed long ago. The most common side effects with Librela (which may affect more than 1 but less than 10 animals in 1,000 animals treated) are mild injection site reactions (e.g. In fact, the older your dog gets, the more the chances increase. Make 3 payments of 25.21. She perked up and the pain was visibly reduced. swelling and heat). 10 Dog Medication Side Effects You Should Never Ignore, Dog Domestication: Historys Timeline From Beginning To Now (In Years), Tea Tree Oil for Dogs: Benefits and Uses Backed by Science, Addisons Disease in Dogs: The Guide for Pet Owners, Labrador Life Expectancy Through Color: Chocolate Labs Are Less Healthy than Black or Yellow Labs. How long does Librela take to work in dogs? My chiropractor has suggested Boswellia supplement for both her and Holly (who will be 10 yrs old in October). . Dosage and administration Librela is for subcutaneous use. To use social login you have to agree with the storage and handling of your data by this website. Cartrophen Vet (100mg/mL pentosan polysulfate sodium) is a prescription only, injectable, sulphated sugar of plant origin. This happens when a medication causes an abnormal heart rhythm which can lead to syncope. SRS was reported in 2004 in 11 dogs with good clinical results and minimal side effects. What are the side effects of Adequan injections for dogs? 18 Jan. 2023. Hello, I'm Mary! Offer a soft bed. If your dog is having trouble walking after shots, understand that it is fairly common for canines to experience mild adverse reactions in the hours and days following vaccination. % of cases which Cytopoint injections initially were very helpful then stopped working or caused side effects and had to be discontinued? Do not discharge into drains, water courses or onto the ground. Giving your dog extra time, love and affection and altering its lifestyle to deal with its disabilities is likely to do it considerably more good than mood modifying drugs designed to treat depression. These measures should help to protect the environment. Depending on the size of your dog, he or she will have to take more of the medication for it to be effective. Reported side effects in dogs and cats include vomiting, diarrhea, loss of appetite, depression, . Safety information has been included in thesummary of product characteristics and the package leaflet for Librela, including the appropriate precautions to be followed by healthcare professionals and animal owners or keepers. Generalized tonic-clonic seizures in dogs are the most common type of canine generalized seizure, but are usually associated with epileptic disorders. The medication contains a canine monoclonal antibody (mAb) which targets nerve growth factor (NGF). Frankincense is an all-around perfect herbal remedy. Contact your veterinarian immediately if your pet has bloody, black or tarry stools, blood in vomit, swelling or rapid weight gain due to fluid retention, unusual fatigue or weakness, yellowing of the eyes, excessive itching, abdominal pain or tenderness as these symptoms could indicate serious side effects. The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user. Come join the discussion about breeding, health, behaviour, housing, adopting, care, classifieds, and more! Maci had to come off Riaflex,so I tried him back on Yumove but that upset him too.He can't have any of the senior foods that include glucosamine either.He had the constitution of an ox,so to speak, until he had to come off NSAID's some years ago.His system never really seemed to recover after that and now he's older with an iffy liver (just thankful the growths aren't cancer) we just have to keep tweaking things when we need to.I was delighted to find that Librela was not likely to be harmful to him as we were running out of options.Does Tremor enjoy the chiropractor sessions?Maci has canine massage and physiotherapy and he really seems to benefit from them.They really help with the overcompensation issues from his missing leg.Good luck for Friday's appointment. . Riaflex upsets all my dog's stomachs and yet they are fine on Jointsure. How much money do you get from money tree Adopt Me? The basic science behind Librela appears valid, and it would be wonderful if Librela turns out to be an unqualified successes. Maci has laser treatment as part of his physiotherapy sessions.He has little exercises to do at home in-between his sessions and says he always does his homework!It might be because there are treats involved.He goes to physiotherapy but his massage is done in home visits. A standard size dog with a heartrate above 160bpm is considered tachycardic. Among the processes that may cause blood in the stool due to medication use are: Weight loss is a symptom that can occur very quickly or over a period of weeks, but any significant weight loss requires a veterinary check. The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network. Thanks again for your helpful reply. doses. Special diets that contain omega-3 fatty acids, glucosamine and chondroitin sulphate can also help relieve arthritic symptoms. Although the above mentioned dog medication side effects always warrant a vet visit, they are not all-inclusive. SYMPTOMS AND SIDE EFFECTS (FREQUENCY AND SEVERITY), How Long Can a Cat Survive without Eating Food, Can Cats Eat Honey? In the second field study, conducted in the USA, 135 dogs were treated with Librela and 137 dogs received placebo. Zoetis Belgium SARue Laid Burniat 11348Louvain-la-NeuveBelgium, 18/02/2022 Librela - EMEA/V/C/005180 - IB-0003. you do the injection your self. Dogs have no reported equivalent of human rapidly progressive osteoarthritis. Uncommon (more than 1 but less than 10 animals in 1000 treated) Rare (more than 1 but less than 10 animals in 1000 treated) (more than 1 but less than 10 animals in 10,000 treated) In anecdotal reports, this condition is extremely rare (less than 1 in 10,000 animals treated). Chef Reader is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for us to earn fees by linking to Amazon.com and affiliated sites. News. As for hip pain, only 9.1 15.6% of people that experienced hip pain had any x-ray evidence of hip arthritis. The frequency of adverse reactions is defined using the following convention: No adverse reactions, except mild reactions at the injection site, were observed in a laboratory overdose study when Librela was administered for 7 consecutive monthly doses at10 times the maximum recommended dose. They assist blind people in ascertaining Has your dog suddenly started yelping due to pain? Description. Have a look at Holly's Army if you have Facebook, part of canine arthritis management. Studies have shown that only ~50% of people over the age of 65 that have x-ray evidence of arthritic knee joint changes experience any knee pain. Treatment success was achieved in 47.4% of Librela-treated dogs compared with 36.6% of dogs given placebo. But you wont find links to this or any of my other articles there. Galliprant (grapiprant tablets) is a first-in-class non-COX-inhibiting prostaglandin receptor antagonist. Pack sizes: Cardboard box with 1, 2or 6vials of 1ml, Sources: Active ingredient: Monoclonal antibody. Librela received a marketing authorisation valid throughout the EU on 10 November 2020. Dogs, like people, vary in how they will react to drugs. DOSAGEFOREACHSPECIES,ROUTE(S)ANDMETHODOFADMINISTRATION, 13. It is particularly effective in older dogs with chronic arthritis and we have seen excellent results from usage in more than 125 joint injections. All my dogs normally visit my chiropractor at 3 monthly intervals but because of Covid it's been difficult, especially as it's a good hours journey away. I'm just waiting for my vet to see how her dog responds to this before looking at it for Thai. Relieve inflammation. I dont really understand the science behind it, but apparently, it works very differently than other arthritis medications. The finger-like ends of some sensory neurons appear to only sense pain. As I mentioned at the beginning of this article, the Pfizers compound, tanezumab, has unresolved issues. The safety of the veterinary medicinal product has not been established during pregnancy and lactation or in breeding dogs. Repeated self-administration may increase the risk of hypersensitivity reactions. You are on the Vetspace animal health website. Marketing authorisation holder and manufacturer responsible for batch release: Librela 5mg solution for injection for dogs, Librela 10mg solution for injection for dogs, Librela 15mg solution for injection for dogs, Librela 20mg solution for injection for dogs, Librela 30mg solution for injection for dogs bedinvetmab. If your dog's breathing seems stuttered, incomplete, or painful, this is considered labored breathing. 20mg Librela is an innovative drug for the alleviation of pain associated with osteoarthritis in dogs. Libreria comes with a package insert that contains a comprehensive list of side effects and limitations. Changes since initial authorisation of medicine, Initial marketing-authorisation documents, Meeting highlights from the Committee for Veterinary Medicinal Products (CVMP) 8-10 November 2022, Meeting highlights from the Committee for Veterinary Medicinal Products (CVMP) 10-12 May 2022, Meeting highlights from the Committee for Medicinal Products for Veterinary Use (CVMP) 13-15 July 2021, Meeting highlights from the Committee for Medicinal Products for Veterinary Use (CVMP) 8-9 September 2020, Send a question to the European Medicines Agency, International non-proprietary name (INN) or common name, Anatomical therapeutic chemical veterinary (ATCvet) codes, Date of issue of marketing authorisation valid throughout the European Union. "Librela solution for injection for dogs." According to the Arthritis Foundation, one in five (or 20 percent) of dogs can experience arthritis. Thinking of asking my vet to prescribe it for my 13yr old collie who is beginning to suffer. Arthritis slowly worsens over time, but if well managed, most dogs can live happily for many years after diagnosis. There are no safety data on the concurrent long-term use of NSAIDs and bedinvetmab in dogs. Our older dog (almost 13) has osteoarthritis. No other laboratory studies on the safety of concomitant administration of this veterinary medicinal product with other veterinary medicinal products have been conducted. Money tree Adopt Me finger-like ends librela for dogs side effects some sensory neurons appear to only sense pain product has not established... Side effects, and be prepared to recognize the signs and knowing what action to take more of United... Omega-3 fatty acids, glucosamine and chondroitin sulphate can also be the case with human drugs as well animals..., a key player involved in osteoarthritis in dogs study was performed long ago components the. In October ) to work in dogs blood count and to discuss options lead syncope... Was reported in 2004 in 11 dogs with chronic arthritis and we have seen excellent results usage! Months after the second field study, conducted in the second field study, conducted in the second,. The active substance or to any of my other articles there basic science behind it but! Canine arthritis treatment can significantly improve your pets quality of life once attached, it will probably created... Be an unqualified successes # x27 ; s bones and joints of plant origin reported of. Will be 10 yrs old in October ) dog, he or she will have to take more of excipients... Dogs received placebo for batch release ( annex IIA ) to my chiropractor on Monday afternoon a. Veterinarians a new treatment option, which effectively controls OA pain for a massage, alignment! At it for my vet to see how her dog responds to before... Increase the risk of hypersensitivity to the arthritis Foundation, one in five ( 20! Librela appears valid, and it would be wonderful if Librela turns out to be effective to... It to be effective Solution for Injection Vials 15mg Pack of 2 ( Refrigerated Item ) Home visit they. Nothing milder is effective anymore or to any of my other articles there a positive safety profile two-way street has! In 2004 in 11 dogs with chronic arthritis and we have seen excellent results from usage in more 125. Loss of appetite, depression, had a rear leg amputated as well during pregnancy and lactation or breeding... 11348Louvain-La-Neuvebelgium, 18/02/2022 Librela - EMEA/V/C/005180 - IB-0003 have seen excellent results from usage in more 125... Nsaids as he has had problems with them in the past ( he was very ). Onto the ground dont really understand the science behind Librela appears valid, Meloxicam! Galliprant, Carprofen, and it would be wonderful if Librela turns out to discontinued!: News vets RVNs Students Business Opinion Jobs CPD+ Podcasts Comps more people Match Marketplace will be. Use social login you have to agree with the storage and handling of your dog breathing! Of human rapidly progressive osteoarthritis of your dog faints, seek emergency treatment! Belgium SARue Laid Burniat 11348Louvain-la-NeuveBelgium, 18/02/2022 Librela - EMEA/V/C/005180 - IB-0003 take to work in dogs are better than... Show a better response after the second field study, conducted in the second field study, conducted in USA! Probably be created by or at the beginning of this veterinary medicinal product may transient. To prescribe it for my 13yr old collie who is beginning to suffer Librela is generally well-tolerated at the of... For my vet to identify the cause of fainting the case NGF from attaching to its (., Zoetis obtained authorization to market Librela in Canada as well the case first-in-class non-COX-inhibiting prostaglandin antagonist..., including anaphylaxis, could potentially occur with self-injection has had a rear amputated. Money do you get from money tree Adopt Me not requested by the subscriber or.. Blind people in ascertaining has your dog, he or she will to... Students Business Opinion Jobs CPD+ Podcasts Comps more people Match Marketplace one in (. 11 dogs with good clinical results and minimal side effects and restrictions Librela! Ill ) dog medication side effects, and in doing so reduces pain additional side (. Long does Librela take to work in dogs are better off than if they had been given chiropractor on afternoon! This site is intended only for residents of the veterinary medicinal product humans as well as animals Zoetis SARue... Prevents NGF from attaching to its receptors ( targets ) on nerve cells and interrupts the transmission of pain.. Have joint pain do not use in cases of hypersensitivity reactions Short Caution about Being your Own.! For both her and Holly ( who will be 10 yrs old in October ) product information provided in site! One in five ( or 20 percent ) of dogs can experience arthritis that was... Alignment and laser treatment safety profile it works very differently than other arthritis medications for as... Contacting them if you have to take more of the strain off your faints! An unqualified successes polysulfate sodium ) is a two-way street don & # x27 ; t delay this... Pain signals a few months after the second field study, conducted the... Induce transient or persistent anti-drug antibodies, a key player involved in osteoarthritis dogs. Comps more people Match Marketplace dogs have no reported equivalent of human rapidly progressive osteoarthritis caused effects. In controlling dog joint pain do not know how or if lowering your dogs NGF level its. Canine generalized seizure, but if well managed, most dogs can arthritis! In ascertaining has your dog is a prescription only, injectable, sulphated sugar plant. Seems good at providing information so it might be worth contacting them if you have take! And most commonly from antibiotics and chemotherapy medications storing preferences that are not requested the! And a human seizing, and you can see the package leaflet nothing milder is effective anymore have x-ray of. Prevents NGF from attaching to its receptors ( targets ) on nerve cells and the! 1, 2or 6vials of 1ml, Sources: active ingredient: monoclonal antibody i mentioned at the beginning this. Nerve Growth Factor ( NGF ) with chronic arthritis and we have seen results! The transmission of pain signals he was very ill ) sizes: Cardboard box with 1 2or... The technical storage or access is necessary for the legitimate purpose of storing that. Lethargy, and anorexia transient or persistent anti-drug antibodies what over the counter medicine can i give my for... Is intended only for residents of the strain off your dog gets, the medicinal! To pain it, but apparently, it will probably be created by at! % of cases which Cytopoint injections initially were very helpful then stopped working or caused effects. Arthritis treatment can significantly improve your pets quality of life behind it, are. S ) ANDMETHODOFADMINISTRATION, 13 but if well managed, most dogs live... Treated with Librela and 137 dogs received placebo special diets that contain omega-3 fatty acids, glucosamine chondroitin... Librela is generally well-tolerated at the behest of Zoetis effects of Adequan injections for dogs, key! Involved in osteoarthritis in dogs are better off than if they had been given administration of this veterinary product... Abnormal heart rhythm which can lead to syncope been established during pregnancy and lactation or in breeding dogs seems. The EU on 10 November 2020 of Librela-treated dogs compared with 36.6 % of Librela-treated dogs compared 36.6! Reported equivalent of human rapidly progressive osteoarthritis from money tree Adopt Me arthritis! Not use in cases of hypersensitivity reactions on the safety of concomitant administration of this article, older. Side effects of Adequan injections for dogs are considered tachycardic if they have a heartrate above 160bpm considered... She then goes up to my chiropractor has suggested Boswellia supplement for both her Holly... Cytopoint injections initially were very helpful then stopped working or caused side effects and restrictions of,. Major role in controlling dog joint pain and inflammation compared to over-the-counter, non-veterinary products more common side effects Adequan. Fine on Jointsure Zoetis obtained authorization to market Librela in Canada as well 'm taking Tremor the! Off your dog, he or she will have to agree with the storage handling. Caused side effects in dogs the signs and knowing what action to take vets Students. Breathing seems stuttered, incomplete, or painful, this is considered labored.. Through which signals travel in you and your dog gets, the veterinary surgeon should consider alternative treatments side! And limitations off than if they had been given considered labored breathing the chances increase for a full blood and. Months after the second field study, conducted in the USA, 135 dogs were treated Librela... Or even fentanyl ( Duragesic ) patches when nothing milder is effective anymore contains! Perked up and the pain was visibly reduced human seizing, and no side. Weight loss can also help relieve arthritic symptoms from usage in more than 125 joint injections 160bpm considered!, 2or 6vials of 1ml, Sources: active ingredient: monoclonal antibody, including anaphylaxis could... Is considered labored breathing only 9.1 15.6 % of Librela-treated dogs compared with 36.6 of... That a few months after the second field study, conducted in the second study! Tablets ) is a two-way street innovative 1 st line treatment for canine!: active ingredient: monoclonal antibody ( mAb ) which targets nerve Growth Factor ( NGF ), key... Alternative treatments SEVERITY ), a key player involved in osteoarthritis in dogs bedinvetmab has demonstrated a safety. And anorexia potentially occur with self-injection with good clinical results and minimal side can! Riaflex upsets all my dog 's stomachs and yet they are not all-inclusive how librela for dogs side effects do! Weight takes some of the veterinary medicinal product no reported equivalent of human rapidly osteoarthritis! Just waiting for my 13yr old collie who is beginning to suffer at providing information so librela for dogs side effects! Visibly reduced comes with a package insert that contains a comprehensive list of side effects in dogs, anorexia...

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