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CRC Handbook of Marine Mammal Medicine 593
27PHARMACEUTICALS AND FORMULARIES
CLAIRE A. SIMEONE AND MICHAEL K. STOSKOPF
Introduction
This chapter aims to provide clinicians and scientists working with marine mammals with a convenient and rapidly acces-sible single source on the subject. A compilation of the avail-able pharmacological information on cetaceans, pinnipeds, sirenians, sea otters (Enhydra lutris), and polar bears (Ursus maritimus) is provided. Readers must be aware at all times that drugs discussed in this chapter may have only been used on a limited number of individual animals from a nar-row range of species, so all information must be interpreted with caution. No drugs have been licensed for use in marine mammals.
The authors have relied heavily on published documen-tation, which is included relatively uncritically, but they have also included unpublished information from clinicians and institutions with experience with some of the less frequently encountered species. Even so, numerous gaps remain. Most of the drug regimens included have been supported by docu-mented clinical response, although only rarely have detailed pharmacokinetic studies been published (Table 27.1). Clinicians should be aware that undocumented effects may still occur when these drugs are used on larger numbers of individuals.
The tabular format was selected for the convenience of clinicians needing information quickly. There are advan-tages and limitations to this presentation. The primary advantage is accessibility. The primary weakness is the limited amount of information presented with each entry. The tables are not intended to replace a background in clinical veterinary medicine and pharmacology. Readers are directed to individual references for further information and are cautioned to read, understand, and discuss with col-leagues the pharmacological properties of the drugs they intend to administer to a marine mammal, even though dose
Contents
Introduction .......................................................................... 593Routes for Administering Drugs to Marine Mammals ......... 594Dose Scaling ......................................................................... 595Drug Interactions and Adverse Effects ................................ 596Life-Threatening Adverse Reactions .................................... 596Hepatic Effects ...................................................................... 596Renal Effects ......................................................................... 597Gastrointestinal Effects ......................................................... 597Nervous System Effects ........................................................ 597Dermal Effects ...................................................................... 598Otic Effects ............................................................................ 598Hematologic Effects .............................................................. 598Musculoskeletal Effects ........................................................ 598Antiulcer Medications ........................................................... 598Steroids.................................................................................. 599Drug Dosages ....................................................................... 599Acknowledgments ................................................................ 653References ............................................................................. 653
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regimens appear in the tables (Benet et al. 1996; Riviere 2011). Dosages and adverse effects of anesthetic agents are discussed in Chapter 26. Always be cautious when admin-istering drugs or drug combinations for the first time in a marine mammal. If the decision is made to adopt a novel treatment regime, only one animal should be treated and then observed for an appropriate time to ascertain whether adverse reactions occur. Certain drug effects, such as seda-tion from opioids, may be dramatic in marine species. Sea otters, for example, may have difficulty in the water after receiving butorphanol or buprenorphine (Monterey Bay Aquarium Pharmacopeia). Finally, always check with col-leagues working with marine mammals before using an unfamiliar drug, as they may be aware of adverse reactions that have not been reported.
Routes for Administering Drugs to Marine Mammals
Essentially all of the routes used to deliver drugs to domestic animals are available for delivering drugs to marine mam-mals. Practical considerations, however, frequently limit the choice of routes in a clinical situation, and anatomical adapta-tions can make delivery by some routes particularly challeng-ing. Details of choice of route are discussed in each species
medicine chapter (see Chapters 40 through 45), but some precautions to take are given below.
From a practical standpoint, oral (PO) administration of drugs is often the preferred route in an animal still taking feed regularly or being tube-fed routinely for nutritional sup-port. Few special caveats for oral administration of drugs to marine mammals have been discovered, and a good knowl-edge of human or domestic animal pharmacology provides excellent guidance for the appropriate selection of this route. The major considerations are food interactions and factors that might affect absorption. These factors include specific physiochemical properties of the drug, stomach pH, gastroin-testinal microflora, and anatomy (Riviere 2011). For example, phosphorus binders are commonly used in California sea lions (Zaophus californianus) to treat renal disease associated with leptospirosis, as is tetracycline, yet the absorption of this antibiotic will be reduced by chelating agents (Gulland 1999). Palatability issues may make PO administration difficult with some drugs that have a strong taste or smell. This is of par-ticular importance in sea otters, for which PO administration of certain drugs like enrofloxacin is a great challenge.
Subcutaneous (SC) administration may be technically difficult because of the blubber layer in some phocids, wal-rus (Odobenus rosmarus), and most cetaceans, but can be effective in sea otters and otariids. Prior to the development of the thick blubber layer, young pinnipeds, especially neo-nates, can also adequately absorb even lipophilic medications
Table 27.1 Drugs for which Pharmacokinetics Studies Have Been Undertaken in Marine Mammal Species
Drug Dosage Species/Comments References
Amikacin 10 mg/kg IM BID Orcinus orca KuKanich et al. 200413 mg/kg IM Q24h Delphinapterus leucas KuKanich et al. 2004
Aminocaproic acid 100 mg/kg PO Mirounga angustirostris Kaye et al. 2016Amoxicillin 20 mg/kg IV once Mirounga angustirostris Gulland et al. 2000
20 mg/kg IV once Phoca vitulina Gulland et al. 2000
Buprenorphine 0.12 mg/kg SC Q72h Mirounga angustirostris Molter et al. 2015Cefovecin 1–2 mg/kg SC, IM once Otaria flavesecens Garcia Parraga et al. 2016
2 mg/kg IM once Odobenus rosmarus Garcia-Parraga, unpubl. data
4 mg/kg SC once Zalophus californianus Garcia-Parraga, unpubl. data
4 mg/kg SC once Phoca vitulina Garcia-Parraga, unpubl. data
8 mg/kg SC once Halichoerus grypus Garcia-Parraga, unpubl. data
8 mg/kg IM once Tursiops truncatus Garcia Parraga et al. 2012
8 mg/kg SC Q5-7d Enhydra lutris Lee et al. 2016
Ceftazidime 17.4 mg/kg IM once Tursiops truncatus Chow et al. 1992Ceftiofur 6.6 mg/kg IM Q5d Zalophus californianus Meegan et al. 2013Ciprofloxacin 10 mg/kg PO Q24h Zalophus californianus Barbosa et al. 2015Doxycycline 10–20 mg/kg PO Q24h Mirounga angustirostris Freeman et al. 2013Enrofloxacin 5 mg/kg PO once Tursiops truncatus Linnehan, Ulrich, and Ridgway 1999Marbofloxacin 5 mg/kg PO once Phoca vitulina KuKanich et al. 2007Meloxicam 0.1 mg/kg PO Q7d Tursiops truncatus Simeone et al. 2014Tramadol 2–4 mg/kg PO Q6-12h Zalophus californianus Boonstra et al. 2015Vitamin A 300–600 IU/day PO Callorhinus ursinus Mazzaro et al. 1995a, 1995b
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delivered by this route, which avoids muscle trauma or necro-sis. Although subcutaneous administration of fluids is often avoided in cetaceans, experienced clinicians have successfully administered higher volumes of fluids to these animals by this route by ensuring that the fluids are given between the blub-ber and muscle layers (see Chapter 40). Long-acting depot injections using poloxamer gels or other long-acting formula-tions have been successful in treating localized infections via both subcutaneous and subconjunctival routes (Simeone et al. 2016, 2017). Abscesses have been reported in pinnipeds, in particular with long-acting drugs such as extended-release buprenorphine (Molter et al. 2015).
Intramuscular (IM) administration is frequently utilized in marine mammals that are difficult to restrain and are inap-petent. Be cautious and avoid superficial injection into the extensive subcutaneous blubber, which has dramatically dif-ferent vascularization and drug-partitioning properties than does muscle (Fowler 1995; Nielsen 1996). Accidental delivery into the blubber can result in failure to achieve any apprecia-ble systemic distribution of highly lipid-soluble medications. Certain drugs, such as diazepam, have inconsistent absorption via the IM route (Hung et al. 1996). The irritation caused by some injectable drugs is a local effect. This may be due to the irritating nature of the drug or the volume of injection. The recommended total volume injected per site does not increase in scale with the mass of the animal. Very large marine mam-mals may require large volumes of drug. The drug volume per injection site should be reasonable, and multiple injection sites may be necessary with larger volumes. Care should also be taken to have injection sites as dry as possible, free of any gross contamination prior to any injection, and always using sterile needles. This is particularly important when injecting anthelminthic and non-antibiotics of any kind. However, clini-cians should be aware that sterile or even infected abscesses can occur when injecting traditional antibiotics if care is not taken to avoid contaminating the needle.
Many venipuncture approaches (IV) are nearly perpen-dicular to the blood vessel and quite deep, thus complicat-ing catheterization. Wire-reinforced epidural catheters can be used to catheterize the epidural sinus in phocids. Needles with side ports for directing a catheter at right angles can help avoid perivascular leakage of irritating drugs. Administration of IV drugs into the peri-arterial venous rete of the peduncle in a cetacean holds a risk of injection into the surrounding arteries, so IV medications should be diluted and administered slowly. Signs of nausea are reported with IV drug administra-tion and often resolve after slowing the rate of administration.
Nonirritating drugs can often be delivered intraperitone-ally (IP). The difficulties of this route are generally related to the size of the patient and the availability of needles suitable to penetrate the abdominal wall. Placing a flexible catheter through a cannula for intraperitoneal administration avoids the problem of accidental organ laceration with a rigid nee-dle. In species like otariids for which vascular access and IV catheter maintenance is a challenge, IP administration of
medications like dextrose is a viable option, particularly dur-ing a medical crisis (Fravel et al. 2016). Sterility is of great importance to avoid introducing microorganisms into the peritoneal cavity.
Intratracheal (IT) and inhalation (IH) administration of drugs have been employed in marine mammals, primarily for induction of anesthesia and targeted delivery of medications to the lungs (see Chapter 26). Nebulization and aerosoliza-tion can be used very effectively, either by holding a mask on a restrained animal or by placing it in a nebulization cham-ber, if drug delivery times are elongated to accommodate an animal’s tendency to hold its breath. The efficacy of aerosol absorption in the lungs depends largely on the particle or droplet size, and should be taken into consideration when choosing a drug and method for nebulization.
The major challenge with topical administration in marine mammals is to achieve appropriate contact time for drug effi-cacy in an aquatic environment. Baths and dips are possible for some of the smaller species, and behavioral modifica-tion can augment dipping body parts into smaller contain-ers for large species. However, the most desirable application in some cases would be an ointment or salve that would remain in place; thus, ointments for marine mammals are often specially compounded. The use of human dental bases has had some success, but can be prohibitively expensive. Less expensive lipid bases such as lanolin and petroleum gels have been used with varying success.
Dose Scaling
Extrapolation of doses and pharmacokinetic parameters across species is often necessary, as pharmacological data for drugs in most species of marine mammal do not exist (Riviere 2011). Even for drugs that have been studied in marine mammals, sample sizes are often small, and consid-eration of covariates such as body weight, enzymatic com-position, and genetics is necessary to give a full picture of allometric relationships (Riviere 2011). Allometric equations usually compare parameters of interest (e.g., half-life, volume of distribution, clearance) to body weight (Riviere 2011), and a dizzying array of exponential equations can be found in the literature. Choosing which equation to use can be daunt-ing. The reader should be cautioned that not all drugs scale well by body mass, even when theoretical metabolic rates are figured into the equation (see Chapter 29). It is important to know the expected metabolism and excretion routes of the drug when making decisions on scaling a dose between spe-cies. Studies on species of phocids of different size suggest that effective doses based on body weight, rather than on a complex allometric equation, may not be that unreason-able for some drugs (Gulland et al. 2000; Barbosa et al. 2015; Boonstra et al. 2015). Table 27.1 shows the limited number of studies that have explored pharmacokinetic parameters for drugs in marine mammals.
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Drug Interactions and Adverse Effects
When new combinations are considered, it is best if there has been some experience with the drugs individually in the species. If not, the consideration should be made to admin-ister one drug at a time in an individual animal. It is not feasible to present a comprehensive list of all possible drug interactions in marine mammals in this chapter. The reader should be prepared for the possibility of any drug inter-action described in any species occurring. However, it is particularly important to be aware of some of the potential interactions of more commonly used medications. At pres-ent, little documentation exists concerning drug interactions in marine mammals, and the majority of these reports are intuitive from knowledge of terrestrial animal pharmacol-ogy. Texts on veterinary and human pharmacology should be consulted, and discussions with colleagues undertaken, when planning a mixed medication treatment for any marine mammal.
Life-Threatening Adverse Reactions
Several drugs have been associated with fatal reactions. While causation is difficult to prove in an isolated case, clini-cians should be aware that administration of certain drugs has been associated with potentially lethal effects in marine mammals. Additional severe reactions are discussed in the sections that follow. In the tables, these drugs are accompa-nied by the symbol:
( ): SEE TEXT—POTENTIAL LETHAL REACTIONSTrimethoprim-sulfadiazine, carprofen, cefovecin, and
iohexol have been associated with sudden death within close temporal association of drug administration. Trimethoprim-sulfadiazine has been associated with anaphylaxis in a bottlenose dolphin (Tursiops truncatus), and fatal bone mar-row suppression and pancytopenia in bottlenose dolphins and a killer whale (Orcinus orca; SeaWorld Pharmacopeia). Additionally, a bottlenose dolphin died within 15 minutes of parenteral administration of carprofen (Martelli, unpubl. data). A white-beaked dolphin (Lagenorhyncus albirostris) died shortly after IM administration of cefovecin and had lesions consistent with shock on necropsy (Nollens, unpubl. data). This drug has been associated with anaphylaxis in ter-restrial species. A California sea lion experienced cardiore-spiratory arrest immediately following iohexol administration, and the death was attributed to iohexol (Dennison, Gulland, and Braselton 2010).
Haloperidol has been associated with fatal neuroleptic malignant seizures in a harbor seal (Phoca vitulina), wal-rus, and Pacific white-sided dolphin (Lagenorhynchus obliq-uidens; SeaWorld Pharmacopeia). Two fatalities in belugas (Delphinapterus leucas) occurred after intramuscular admin-istration of levamisole (Boehm, unpubl. data). Both whales
were treated with levamisole; only one was treated concomi-tantly with ivermectin. Fatalities occurring in both animals strongly suggested that levamisole alone was the cause of the mortalities. Levamisole has also been associated with toxicity in sea otters (Kollias and Fernandez-Moran 2015).
Several drugs that were listed in previous editions of this chapter have been associated with severe adverse effects in humans or other species, and may have been removed from markets in various countries. The doses remain on this list, so clinicians are aware that they have been used in marine mammals, but the authors strongly suggest that all drugs are researched prior to use, as this list is not exhaustive. Organophosphate toxicity has been reported with dichlor-vos use. Potent photosensitization effects have been reported with bithionol. Dihydrostreptomycin has been associated with ototoxicity in humans. Disophenol has a narrow safety range and has been associated with fatalities in humans. Thromboembolism has been reported with thiacetarcemide use. Hetacillin has been found to form formaldehyde in the gut in humans and has no documented benefit over ampicil-lin (Jusko and Lewis 1973).
Hepatic Effects
Evaluation of a patient’s clinical response to therapy is vital throughout a course of therapy, to determine whether the treatment is having a therapeutic effect, and to ensure that no adverse effects are occurring. Several drugs have been associated with elevations in hepatic enzymes. In marine mammals, reversible elevations in transaminases have been reported with the azole antifungals, as well as ceftriaxone, florfenicol, and azithromycin (Dalton, Robeck, and Campbell 1995; Reidarson and McBain 1995; Dalton and Robeck 1998; Romanov, Chelysheva, and Romanova 2011; Levine, unpubl. data). Azole antifungal use, in particular itraconazole, ketocon-azole, or fluconazole in bottlenose dolphins, has led to mild and reversible liver pathology and 2- to 25-fold increases in aspartate aminotransferase (AST), alanine transaminase (ALT), and lactate dehydrogenase (LDH) concentrations (Reidarson and McBain 1994; Reidarson et al. 1998). Itraconazole has also been associated with hypocholesterolemia in a pilot whale (Globicephala sp.; SeaWorld Pharmacopeia).
Irreversible hepatotoxicity has been associated with vori-conazole and ketoconazole in cetaceans (Schroeder 1983; SeaWorld Pharmacopeia). Voriconazole, in particular, has the potential for severe hepatic, cardiac, and neurological effects. Frequent monitoring of drug peak and trough levels and hepatic enzymes is strongly recommended when administer-ing these drugs, and dosing should be adjusted as needed.
Flucytosine should be administered in a combination therapy with an azole to prevent resistance to flucytosine (Reidarson et al. 1999). Premature cessation of the azole may lead to flucytosine resistance (Poelma et al. 1974). Both drugs should be administered beyond the elimination of infection,
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as determined by physical examination, cytology, cultures, radiology, and endoscopy (Reidarson et al. 1999).
Renal Effects
Several drugs have the potential to be directly nephrotoxic (gentamicin, amikacin, sulfonamides). Amikacin has been associated with renal tubular necrosis in a bottlenose dol-phin (SeaWorld Pharmacopeia). Significant toxicity has been reported in sea otters with gentamicin in particular, par-ticularly with repeated doses. Acute renal failure has been reported with amphotericin B and liposomal nystatin in a bottlenose dolphin and Pacific white-sided dolphin (Robeck and Dalton 2002). Some drugs, such as nonsteroidal anti-inflammatory drugs (NSAIDs), may cause hemodynamically mediated renal impairment and should be used cautiously in dehydrated patients or those with renal dysfunction.
Other drugs whose primary route of excretion is through the urinary tract, such as most cephalosporins or fluco-nazole, should be used with caution in patients with renal compromise or dehydration, as clearance in the urine may be reduced and dose may need to be adjusted. Platelet dys-function and CNS signs have been noted with use of ticarcil-lin in humans with concurrent renal disease due to reduced drug clearance. Cephalosporins and aminoglycosides are fre-quently administered to marine mammals. Clinicians should be aware that concurrent administration of aminoglyco-sides and cephalosporins increases the risk of renal toxicity because the renal effects of these drug groups are additive. Concurrent administration of aminoglycosides and flunixin meglumine has also been linked to renal papillary necrosis in a pilot whale (McBain, pers. comm.). Aminoglycosides and flunixin meglumine may be contraindicated in cases of tox-emia because they both have antiprostaglandin activity. The nephrotoxicity of gentamicin, as well as of cephalosporins, is also exacerbated with concurrent furosemide administra-tion. Additionally, furosemide diuresis results in increased renal loss of thiamine and pyridoxine, which can be impor-tant in situations where nutrition or oral supplementation is marginal. Administration of aminoglycosides, such as amika-cin, in a single daily dose increases bactericidal activity and post-antibiotic effect, allows more rapid attainment of high serum concentrations, and decreases risk of nephrotoxicity compared with administering multiple lower doses each day (Townsend, Materese, and Sips 1996; Riviere 2011).
Leptospirosis causes acute renal failure and therapy typi-cally includes antibiotics in the penicillin and tetracycline families. A study in California sea lions showed that although clinical evidence of renal failure resolved, leptospiruria per-sisted after treatment with penicillin, amoxicillin, doxycy-cline, or oxytetracycle (Prager et al. 2015). Longer courses of therapy may be required to clear carriers.
The increased potassium loss in the urine caused by furosemide administration may be exacerbated by concurrent
steroid administration. This is particularly a problem if sodium intake is high, as is often the case in marine mammals being fed with supplemental salt in the diet. If a diuretic is indicated in a marine mammal receiving steroid therapy, alternatives to furosemide should be considered.
Gastrointestinal Effects
Gastrointestinal (GI) effects are exceedingly common, par-ticularly with oral drug administration. Anorexia and GI dis-comfort are most commonly reported with antibiotic use. Aminoglycosides, cephalosporins, fluoroquinolones, mac-rolides, penicillins, sulfonamides, and tetracyclines have reported GI effects in marine mammals (Sweeney 1986a; SeaWorld Pharmacopeia; TMMC Pharmacopeia). Azole anti-fungals are frequently associated with GI upset and inappe-tence, and aminophylline and leuprolide have similar reports. Fluconazole is considered less likely to cause inappetence than ketoconazole or itraconazole, when administered to bot-tlenose dolphins (Reidarson et al. 1999). If inappetence occurs as a result of itraconazole administration, appetite may return by reducing the dose. Some clinicians advocate concomitant administration of prednisolone with ketoconazole to reduce the impact of inappetence.
Constipation has been noted in both cetaceans and pin-nipeds with ferrous sulfate, sucralfate, and tramadol use, and diarrhea has been noted during treatment with tylo-sin (Thurman and Windsor 1984; SeaWorld Pharmacopeia; TMMC Pharmacopeia). In addition to GI discomfort, a range of GI signs from ulcers to gastritis and enteritis are reported with aspirin, steroids, and NSAIDs. As with terrestrial spe-cies, steroids and NSAIDs should not be combined, and they have been associated with fatal perforation of the connecting channel in several cetaceans (Van Bonn 2002).
Clinicians may utilize drugs that have secondary effects on the GI tract, and must be aware of the potential for adverse effects. For instance, prostaglandin F2 alpha works on the smooth muscle of the uterus, but has GI, musculoskeletal, and cardiac effects, in addition to its intended target.
Nervous System Effects
Transient neurologic signs have been reported in odontoce-tes with ivermectin use (Townsend 1999). Tremors have been noted with ivermectin in Guadalupe fur seals (Arctocephalus townsendii; TMMC Pharmacopeia). Seizures and visual defi-cits were noted in a California sea lion receiving voricon-azole, which was also associated with hepatotoxicity (Field, Tuttle, and Sidor 2012). Enrofloxacin administration has also been associated with neurologic signs and muscle fascicu-lations in bottlenose dolphins and rough-toothed dolphins (Steno bredanensis; SeaWorld Pharmacopeia; Staggs, unpubl. data). Tremors of the flukes have been noted with chronic
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parenteral amikacin therapy in bottlenose dolphins, killer whales, and belugas (SeaWorld Pharmacopeia). The etiology of this effect is unknown.
Dermal Effects
Hypersensitivity reactions characterized by ulcerations of the mucocutaneous junctions have been reported with trimethoprim-sulfadiazine use in a beluga (Schmitt, Nollens, and McBain 2013). Minocycline has been associated with hyperpigmentation in a killer whale (SeaWorld Pharmacopeia). Enrofloxacin has been reported to be associated with pho-tosensitivity in bottlenose dolphins for 4–8 weeks following cessation of treatment (Levine, unpubl. data). While photosen-sitization has not been reported with bithionol use in marine mammals, the drug has potent photosensitization effects in humans.
Otic Effects
Amikacin has been reported to cause hearing loss in belugas, and it is known to be toxic to cochlear hair cells (Finneran et al. 2005). Furosemide may also increase the ototoxicity of gentamicin. Ototoxicity has not been reported in marine mammals, but dihydrostreptomycin has been associated with ototoxicity in humans.
Hematologic Effects
A variety of adverse effects have been noted with sulfon-amide use in cetaceans. In addition to the dermal and GI effects noted above, hematologic effects have also been reported. A moderate reaction is characterized by neutro-philia (Cornell 1978). A severe reaction noted in belugas, killer whales, and bottlenose dolphins includes both neu-tropenia and thrombocytopenia (SeaWorld Pharmacopeia). Anemia and leukopenia has been noted with linezolid in combination with sulfonamides in a killer whale (SeaWorld Pharmacopeia). The exceptionally long half-life of some sul-fonamides in cetaceans is likely a contributing factor in pro-ducing adverse reactions. Sulfamethoxazole was found to have a half-life of 5.3 to 7.2 days in killer whales (McBain 1984). This extremely long half-life has not been noted in other sulfa drugs, but the possibility that other sulfas may also have prolonged excretion times must be considered. Trimethoprim-sulfamethoxazole has been associated with severe bone marrow suppression and death in several ceta-ceans (SeaWorld Pharmacopeia). Most of the cases of adverse reactions to sulfas have occurred with sulfa- trimethoprim combination drugs. Though the mechanisms of these reac-tions are not well studied, many clinicians suspect sulfa drugs to be the culprits when reactions occur. Folic acid
should be administered to any cetaceans receiving sulfa-trimethoprim combination drugs to mitigate the risk of a drug-induced deficiency of the vitamin.
Ferrous sulfate can be used to treat severe anemia or low serum iron, or when hand-raising a neonate cetacean. Clinicians should monitor for iron overload during therapy (Staggs and Townsend, pers. comm.; see Chapter 40).
Musculoskeletal Effects
Certain drugs, including ceftriaxone, ceftiofur, imipenem, leup-rolide, and ondansetron, are associated with pain and irritation at the site of injection (Calle et al. 1997, 1999; Townsend 1999; SeaWorld Pharmacopeia; TMMC Pharmacopeia). Abscesses have been reported with IM ampicillin/sulbactam, ceftiofur, enrofloxacin, and praziquantel use in pinnipeds, and muscle necrosis has been associated with tetracycline and enroflox-acin injections in sea otters (Gobush, Baker, and Gulland 2011; Innis, unpubl. data; Monterey Bay Pharmacopeia; TMMC Pharmacopeia). Florfenicol has been shown to cause an increase in aspartate transaminase (AST) and lactate dehydrogenase (LDH) due to muscle trauma at injection sites in bottlenose dolphins and belugas (Dalton and Robeck 1998).
Fluoroquinolones have been reported to cause cartilage damage in weight-bearing joints of young, rapidly growing animals (Burkhardt, Hill, and Carlton, 1990; Burkhardt 1996; Burkhardt, Walterspiel, and Schaad 1997; Yoshida et al. 1998). Fluoroquinolones inhibit cell proliferation and induce mor-phological changes in tendon cells (Yoon et al. 2004). The clinical responses of marine mammals to fluoroquinolone treatments have often been favorable, so they are often the broad-spectrum antibiotic of choice for many experienced cli-nicians in treating neonatal marine mammals suffering from severe infections of unknown origin. However, it is still wise to use caution when administering fluoroquinolones to juve-nile marine mammals, and these patients should be carefully monitored for any signs that might be attributable to joint pain.
Antiulcer Medications
The use of antacids, histamine receptor (H2) blockers, proton-pump inhibitors, and gastroprotectants in the treat-ment of gastric ulcers is routine. Several important drug interactions can be expected with concurrent use of these compounds, based on knowledge gained in human medicine. Simultaneous administration of antacids with H2 blockers will significantly decrease the absorption and effectiveness of these drugs. To avoid this complication, administering either antacids or H2 blockers at least 1 hour prior to the other will allow adequate absorption. The use of antacids may alter stomach pH, to the point that requirements for dissolution
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and subsequent absorption of drugs are not met. To maximize absorption, steroids, azoles, tetracyclines, and iron should be administered at least 2 to 3 hours before or after administra-tion of antiulcer medications. Antacids with di- and trivalent cations also decrease the absorption of oral steroids, such as prednisolone and dexamethasone. In fact, the presence of multivalent cations such as calcium, magnesium, iron, and zinc from either other medications or ingesta in the stomach can decrease absorption of tetracyclines, fluoroquinolones, and sulfonamides.
McBain (1985) has documented a negative impact of cimetidine on absorption of tetracycline from the stomach in killer whales. Either these two drugs should be administered concurrently or the tetracycline should be administered first. Cimetidine and ranitidine can also impair metabolism of cer-tain drugs such as benzodiazepines in terrestrial mammals by inhibiting the cytochrome P450 pathway. Famotidine does not inhibit this pathway.
A common problem encountered in cetaceans adminis-tered with antiulcer medications is vomiting, when the gastric pH becomes too high to demineralize and digest fish bones. These bones can be seen in the vomitus or via endoscopy. Prolonged administration (i.e., for weeks) of these medica-tions in pinnipeds can also cause an impaction of fish bones within the stomach. Changes in pH are more pronounced with proton pump inhibitors than antacids or H2 blockers. Normally, the acidic pH of the stomach will demineralize and digest fish bones within 30 minutes. During antiulcer therapy, the stomach should be frequently assessed as is feasible by closely monitoring gastric pH and motility. In addition, a nec-rotizing dermatitis of unknown etiology has been observed in several bottlenose dolphins receiving ranitidine (SeaWorld Pharmacopeia).
Sucralfate is a commonly administered gastroprotectant in marine mammals. It may decrease absorption of other drugs if given concurrently and may be inactivated by tet-racyclines. Administration should be separated for these drugs.
Steroids
Steroid administration can have complex metabolic effects on marine mammals, particularly on electrolyte balance. Dexamethasone or prednisolone administration reduces calcium and phosphate absorption and increases the urine output of calcium and potassium in terrestrial animals. Prolonged therapy could predispose an animal to hypocal-cemia. Steroids also increase circulating serum glucose, tri-glyceride, and cholesterol concentrations. Dexamethasone administration in bottlenose dolphins can cause neutrophilia, lymphopenia, eosinopenia, elevated insulin, depressed ACTH and cortisol concentrations, and enhanced appetite (Reidarson and McBain 1999). These changes in hematology and serum chemistry may return to normal upon cessation
of steroid therapy. Supplemental vitamin D, folate, ascorbic acid, and pyridoxine may be appropriate during prolonged steroid administration, because serum content of these vita-mins can be depleted. When administered in close tempo-ral association with NSAIDs, steroids have been associated with fatal perforation of the connecting chamber in several cetaceans (Van Bonn 2002). Gradual reduction in steroids is recommended to allow the adrenal gland to resume normal function.
Rifampin stimulates microsomal enzymes that are involved in the metabolism of steroids. Therefore, admin-istration with oral or parenteral steroids may prevent the effects of steroids. This inhibition of steroid action through increased metabolic inactivation can have long-lasting effects, even after discontinuation of rifampin therapy. Rifampin administration enhances the elimination of both exogenous and endogenous steroids, compromising the ability of an animal to maintain metabolic homeostasis. Rifampin has also been documented to cause an idiopathic thrombocyte dys-function that can result in prolonged bleeding times (Marcus 1982; Stoskopf et al. 1987). Rifampin turns the urine a red-orange color in dolphins. This should not be misinterpreted as hematuria.
Although estrogen therapy is not common in marine mammals, the seasonal or iatrogenically induced cycling of females should be considered when evaluating steroid ther-apy. High estrogen levels will increase the anti-inflammatory effects of steroids by approximately 20-fold (Hansten 1985). Corticosteroids will not be metabolized properly in animals undergoing estrogen therapy (Hansten 1985). Megestrol ace-tate administration has been associated with adrenal cortical dysfunction in bottlenose dolphins. The effect is prominent at dosages as low as 10 mg (Houser et al. 2017).
Drug Dosages
Some published drug dosages, and dosages from institu-tional pharmacopeias, are listed in Tables 27.2 through 27.6. When reading these tables, it is important to remem-ber that these drugs have only been used in a limited num-ber of individuals and have not been exhaustively tested for efficacy or potential side effects. The column describing the number of animals treated was added primarily to highlight that for many published reports, the dose listed was used in a single animal. Use of the world “multiple” was employed to share that the dose had been used in more than a few animals, although the total number is unknown, and varies by drug. Drugs listed in previous editions such as diphenyl-hydantoin and primidone, which have largely been replaced by phenobarbital and newer anticonvulsants, remain in the tables to guide clinicians around the world that may have different access to pharmaceuticals. The tables are compiled so that readers have easy access to existing information used by practitioners.
9781498796873_C027.indd 599 9/13/2017 6:49:48 PM
600 Pharmaceuticals and FormulariesTa
ble
27.
2 D
rug
Dos
ages
Rep
orte
d fo
r C
etac
eans
(S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
Ace
tyls
alic
ylic
aci
d3–
5 m
g/kg
PO
PR
NO
rcin
us o
rca
Sea
Wor
ld
Pha
rmac
opei
aA
nalg
esia
Mul
tiple
Alu
min
um/
mag
nesi
um/
sim
ethi
cone
125
mg
(1 ta
b)/7
0 kg
T
IDC
etac
eans
Sea
Wor
ld
Pha
rmac
opei
aG
as r
elie
fM
ultip
le
Altr
enog
est
0.04
4 m
g/kg
PO
Q
24h
Orc
inus
orc
a,
Del
phi
nap
teru
s le
ucas
, La
gen
orhy
ncus
ob
liqui
den
s,
Turs
iop
s tr
unca
tes
Rob
eck
et a
l. 20
04, 2
005,
20
09, 2
010
Est
rus
supp
ress
ion
Mul
tiple
Am
ikac
in*
5.0
mg/
kg IM
BID
Orc
inus
orc
aS
eaW
orld
P
harm
acop
eia
Mul
tiple
5.8
mg/
kg B
IDG
lob
icep
hala
m
acro
rhyn
cus
Sea
Wor
ld
Pha
rmac
opei
aM
ultip
le
7 m
g/kg
IM B
IDS
mal
l odo
ntoc
etes
Tow
nsen
d 19
99U
nspe
cifie
d7
mg/
kg IM
BID
Turs
iop
s tr
unca
tus
Sea
Wor
ld
Pha
rmac
opei
a S
EE
TE
XT
—P
OT
EN
TIA
L
LE
TH
AL
R
EA
CT
ION
S
Mul
tiple
7.2
mg/
kg IM
BID
Lag
enor
hync
us
obliq
uid
ens
Rob
eck
et a
l. 20
02A
nim
al d
ied
(fina
l dx
of fu
ngal
dis
ease
)1
7.5–
12 m
g/kg
IM
Q24
hO
rcin
us o
rca
Sea
Wor
ld
Pha
rmac
opei
a7.
7 m
g/kg
IM B
ID*
Del
phi
nap
teru
s le
ucas
Sea
Wor
ld
Pha
rmac
opei
a S
EE
TE
XT
—P
OT
EN
TIA
L
LE
TH
AL
R
EA
CT
ION
S
Mul
tiple
8.27
mg/
kg B
ID ×
23d
, fo
llow
ed b
y 15
mg/
kg
Q24
h ×
34d*
Del
phi
nap
teru
s le
ucas
Fin
nera
n et
al.
2005
For
tx o
f Noc
ard
iaC
linic
al r
esol
utio
n S
EE
TE
XT
—P
OT
EN
TIA
L
LE
TH
AL
R
EA
CT
ION
S
1
10 m
g/kg
IM Q
24h
Turs
iop
s tr
unca
tus
Gea
rhar
t, W
alsh
, and
C
hitti
ck 2
005
Adj
unct
tx fo
r E
rysi
pel
othr
ix
sept
icem
ia
Clin
ical
res
olut
ion
1
10 m
g/kg
IM B
IDO
rcin
us o
rca
KuK
anic
h et
al.
2004
For t
x of
gra
m-n
egat
ive
bact
eria
l inf
ectio
nC
linic
al r
esol
utio
n1
13 m
g/kg
IM Q
24h
Del
phi
nap
teru
s le
ucas
KuK
anic
h et
al.
2004
For
tx o
f gra
m-
nega
tive
bact
eria
l in
fect
ion
Clin
ical
res
olut
ion
1 (Con
tinue
d)
9781498796873_C027.indd 600 9/13/2017 6:49:48 PM
Pharmaceuticals and Formularies 601
Tab
le 2
7.2
(Co
nti
nu
ed)
Dru
g D
osag
es R
epor
ted
for
Cet
acea
ns (
See
Tex
t for
Pre
caut
ions
)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
12–1
4 m
g/kg
IM
Q24
hTu
rsio
ps
trun
catu
sC
layt
on e
t al.
2012
Ani
mal
die
d (fi
nal d
x of
M. a
bsc
essu
s)1
14 m
g/kg
IM Q
24h
Turs
iop
s tr
unca
tus
Sea
Wor
ld
Pha
rmac
opei
a14
mg/
kg IM
Q24
hS
mal
l odo
ntoc
etes
Tow
nsen
d 19
99U
nspe
cifie
d15
mg/
kg IM
Q24
hD
elp
hina
pte
rus
leuc
asR
obec
k, D
alto
n,
and
Youn
g 19
96
For
tx o
f Noc
ard
iaC
linic
al r
esol
utio
n1
15 m
g/kg
IM Q
24h
Turs
iop
s tr
unca
tus
Rob
eck
and
Dal
ton
2002
Ani
mal
die
d (fi
nal d
x of
fung
al d
isea
se)
1
250
mg
dilu
ted
in
20 m
L 0.
9% s
alin
e,
intr
ales
iona
l in
ject
ion
Turs
iop
s tr
unca
tus
Cas
sle
et a
l. 20
13A
djun
ct tx
for
Bru
cella
pul
mon
ary
absc
ess
Clin
ical
res
olut
ion
1
Am
oxic
illin
5 m
g/kg
PO
BID
Orc
inus
orc
aD
unn,
Buc
k,
and
Spo
tte
1982
Adj
unct
tx fo
r di
ssem
inat
ed
Can
did
a
Clin
ical
res
olut
ion
(with
ket
ocon
azol
e)1
5–7
mg/
kg P
O B
IDO
rcin
us o
rca
Sea
Wor
ld
Pha
rmac
opei
aM
ultip
le
5–10
mg/
kg P
O B
IDTu
rsio
ps
trun
catu
sS
eaW
orld
P
harm
acop
eia
Mul
tiple
10 m
g/kg
PO
BID
Orc
inus
orc
aS
eaW
orld
P
harm
acop
eia
Mul
tiple
10.5
mg/
kg P
O B
IDTu
rsio
ps
trun
catu
sC
layt
on e
t al.
2012
1
20 m
g/kg
PO
Q24
h ×
14
dTu
rsio
ps
trun
catu
sG
uzm
an
Gon
zale
z an
d G
aste
lum
200
6
For
tx o
f E
rysi
pel
othr
ix
derm
al le
sion
s
Clin
ical
res
olut
ion
1
22 m
g/kg
PO
BID
Turs
iop
s tr
unca
tus
Sea
Wor
ld
Pha
rmac
opei
aM
ultip
le
Am
oxic
illin
/cl
avul
anic
aci
d5–
7 m
g/kg
PO
BID
Orc
inus
orc
aS
eaW
orld
P
harm
acop
eia
Mul
tiple
5–10
mg/
kg P
O B
IDTu
rsio
ps
trun
catu
sS
eaW
orld
P
harm
acop
eia
Mul
tiple
10–2
2 m
g/kg
PO
BID
Del
phi
nap
teru
s le
ucas
Sea
Wor
ld
Pha
rmac
opei
aM
ultip
le
15 m
g/kg
PO
TID
Kog
ia b
revi
cep
sO
hish
i et a
l. 20
072
15.5
mg/
kg P
O B
IDD
elp
hina
pte
rus
leuc
asC
hocz
ynsk
i and
M
ergl
200
7A
djun
ct tx
for
Ery
sip
elot
hrix
se
ptic
emia
Clin
ical
res
olut
ion
(with
pen
icill
in G
pr
ocai
ne)
1 (Con
tinue
d)
9781498796873_C027.indd 601 9/13/2017 6:49:48 PM
602 Pharmaceuticals and FormulariesTa
ble
27.
2 (C
on
tin
ued
) D
rug
Dos
ages
Rep
orte
d fo
r C
etac
eans
(S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
22.5
mg/
kg P
O B
IDK
ogia
bre
vice
ps
Ohi
shi e
t al.
2007
Am
phot
eric
in-B
1–2
mg/
kg/d
PO
Q
24h
(lipo
som
al)
Turs
iop
s tr
unca
tus
Tow
nsen
d,
Mat
eres
e, a
nd
Sip
s 19
96
Ani
mal
die
d (fi
nal d
x of
zyg
omyc
osis
) S
EE
TE
XT
—P
OT
EN
TIA
L
LE
TH
AL
R
EA
CT
ION
S
Uns
peci
fied
1–2
mg/
kg/d
PO
Q
24h
(mic
roen
caps
ulat
ed),
2.
5 g
cum
ulat
ive
dose
Turs
iop
s tr
unca
tus
Rei
dars
on e
t al.
1999
Uns
peci
fied
20 m
g TO
TAL
DO
SE
ne
buliz
ed B
ID w
ith
dist
illed
wat
er
Turs
iop
s tr
unca
tus
Sta
ggs,
unp
ubl.
data
No
leve
ls fo
und
syst
emic
ally
in b
lood
Mul
tiple
Am
pici
llin
2.25
mg/
kg P
O B
IDO
rcin
us o
rca
Sw
eene
y 19
85U
nspe
cifie
d6.
25 m
g/kg
PO
BID
Inia
geo
ffren
sis
Bon
ar a
nd
Wag
ner
2003
Adj
unct
tx fo
r S
trep
toco
ccus
inia
eC
linic
al r
esol
utio
n (w
ith e
ryth
rom
ycin
)1
10 m
g/kg
PO
BID
Orc
inus
orc
aS
eaW
orld
P
harm
acop
eia
Uns
peci
fied
Am
pici
llin-
clox
acill
in10
mg/
kg IM
Q24
h ×
3d
Kog
ia b
revi
cep
sO
hish
i et a
l. 20
072
Apo
mor
phin
eC
ON
TR
AIN
DIC
ATE
DTu
rsio
ps
trun
catu
sR
idgw
ay 1
965
CO
NT
RA
IND
ICAT
ED
Cau
ses
mar
ked
exci
tem
ent a
nd
does
not
cau
se
vom
iting
CO
NT
RA
IND
ICAT
ED
Uns
peci
fied
Atr
opin
e0.
02 m
g/kg
IV, I
MC
etac
eans
Sea
Wor
ld
Pha
rmac
opei
aE
ME
RG
EN
CY
DO
SE
c.f.,
Ch
apte
r 26
Mul
tiple
Azi
thro
myc
in2.
7 m
g/kg
PO
lo
adin
g do
se, t
hen
1.7
mg/
kg P
O Q
24h
Orc
inus
orc
aS
eaW
orld
P
harm
acop
eia
Mul
tiple
6.7
mg/
kg P
O lo
adin
g do
se, t
hen
3.7
mg/
kg
PO
Q24
h ×
10d
Orc
inus
orc
a,
Turs
iop
s tr
unca
tus,
D
elp
hina
pte
rus
leuc
as
Dal
ton,
R
oebe
ck, a
nd
Cam
pbel
l 199
5
Uns
peci
fied
9.6
mg/
kg P
O
load
ing
dose
, the
n 5.
2 m
g/kg
PO
Q24
h
Turs
iop
s tr
unca
tus
Sea
Wor
ld
Pha
rmac
opei
aM
ultip
le
9.6
mg/
kg P
O
load
ing
dose
, the
n 5.
3 m
g/kg
PO
Q24
h
Sm
all o
dont
ocet
esTo
wns
end
1999
Uns
peci
fied
(Con
tinue
d)
9781498796873_C027.indd 602 9/13/2017 6:49:49 PM
Pharmaceuticals and Formularies 603Ta
ble
27.
2 (C
on
tin
ued
) D
rug
Dos
ages
Rep
orte
d fo
r C
etac
eans
(S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
Bith
iono
l4
mg/
kg P
O Q
3d ×
5
dose
sS
wee
ney
1986
b
Car
beni
cilli
n9.
5 m
g/kg
PO
Q6h
Inia
geo
ffren
sis
Bon
ar a
nd
Wag
ner
2003
Adj
unct
tx fo
r S
trep
toco
ccus
inia
eC
linic
al r
esol
utio
n (w
ith e
ryth
rom
ycin
)1
11 m
g/kg
PO
BID
Orc
inus
orc
aR
obec
k an
d D
alto
n 20
02A
nim
al d
ied
(fina
l dx
of fu
ngal
dis
ease
)1
11 m
g/kg
PO
TID
Orc
inus
orc
aS
eaW
orld
P
harm
acop
eia
Mul
tiple
22–4
4 m
g/kg
PO
TID
Sm
all o
dont
ocet
esS
eaW
orld
P
harm
acop
eia
Mul
tiple
31 m
g/kg
PO
TID
Turs
iop
s tr
unca
tus
Gea
rhar
t, W
alsh
, and
C
hitti
ck 2
005
Adj
unct
tx fo
r E
rysi
pel
othr
ix
sept
icem
ia
Clin
ical
res
olut
ion
1
Car
prof
en10
0 m
g TO
TAL
DO
SE
PO
Q24
h ×
3d
Ste
no b
red
anen
sis
Sta
ggs
and
Tow
nsen
d,
unpu
bl. d
ata
GI u
lcer
atio
ns n
oted
w
ith >
3d tx
Mul
tiple
Cef
adro
xil
11 m
g/kg
PO
BID
Orc
inus
orc
aS
eaW
orld
P
harm
acop
eia
Mul
tiple
22 m
g/kg
PO
BID
Turs
iop
s tr
unca
tus
Sea
Wor
ld
Pha
rmac
opei
aM
ultip
le
22 m
g/kg
PO
BID
Cep
halo
rhyn
cus
com
mer
soni
iS
eaW
orld
P
harm
acop
eia
Mul
tiple
Cef
dini
r3.
75 m
g/kg
PO
BID
Orc
inus
orc
aA
bdo
et a
l. 20
12A
nim
al d
ied
(fina
l dx
of fu
ngal
dis
ease
)1
Cef
epim
e22
mg/
kg IM
BID
Turs
iop
s tr
unca
tus
Rom
anov
, C
hely
shev
a,
and
Rom
anov
a 20
11
Adj
unct
tx fo
r M
RS
AC
linic
al r
esol
utio
n (w
ith m
oxifl
oxac
in)
1
Cefi
xim
e2
mg/
kg P
O B
IDTu
rsio
ps
trun
catu
sC
layt
on e
t al.
2012
Ani
mal
die
d (fi
nal d
x of
M. a
bsc
essu
s)1
Cef
ovec
in*
8 m
g/kg
IM o
nce,
re
peat
in 1
4 da
ys
if ne
cess
ary
Cet
acea
nsS
eaW
orld
P
harm
acop
eia
Pla
sma
conc
entr
atio
ns
abov
e 1.
0 m
cg/m
L 17
d in
adu
lts, 1
3d
in n
eona
tes
SE
E T
EX
T—
PO
TE
NT
IAL
L
ET
HA
L
RE
AC
TIO
NS
8 m
g/kg
IM o
nce
Turs
iop
s tr
unca
tus
Gar
cía-
Pár
raga
et
al.
2012
1
Cef
podo
xim
e7.
5 m
g/kg
PO
BID
Turs
iop
s tr
unca
tus
Cas
sle
et a
l. 20
13A
djun
ct tx
for
Bru
cella
pul
mon
ary
absc
ess
Clin
ical
res
olut
ion
1 (Con
tinue
d)
9781498796873_C027.indd 603 9/13/2017 6:49:49 PM
604 Pharmaceuticals and FormulariesTa
ble
27.
2 (C
on
tin
ued
) D
rug
Dos
ages
Rep
orte
d fo
r C
etac
eans
(S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
10 m
g/kg
PO
Q24
hTu
rsio
ps
trun
catu
s,
Del
phi
nap
teru
s le
ucas
Sea
Wor
ld
Pha
rmac
opei
aM
ultip
le
Cef
tazi
dim
e17
.4 m
g/kg
IM o
nce
Turs
iop
s tr
unca
tus
Cho
w e
t al.
1992
Pla
sma
conc
entr
atio
ns
abov
e 1.
56 m
cg/
mL
= 8
h
3
20 m
g/kg
IM Q
24h
Orc
inus
orc
aK
ukan
ich
et a
l. 20
04F
or tx
of g
ram
-ne
gativ
e ba
cter
ial
infe
ctio
n
Clin
ical
res
olut
ion
1
20 m
g/kg
IM Q
24h
Orc
inus
orc
a,
Turs
iop
s tr
unca
tus
Sea
Wor
ld
Pha
rmac
opei
aM
ultip
le
30 m
g/kg
IV Q
IDTu
rsio
ps
adun
cus
Mar
telli
, unp
ubl.
data
Sin
gle
IV d
ose
stay
s ab
ove
MIC
4m
cg/
mL
for
6h
1
Cef
tiofu
r1.
3–2.
3 m
g/kg
IM
once
Meg
apte
ra
nova
eang
liae
Gul
land
et a
l. 20
082
6.6
mg/
kg IM
onc
eTu
rsio
ps
trun
catu
sS
eaW
orld
P
harm
acop
eia
1
17.6
g T
OTA
L on
ceE
ubal
aena
gla
cial
isM
oore
et a
l. 20
13A
nim
al d
ied
of
enta
ngle
men
t1
Cef
tria
xone
20 m
g/kg
IM Q
24h
Sm
all o
dont
ocet
esTo
wns
end
1999
Uns
peci
fied
20 m
g/kg
IM Q
24h
Turs
iop
s tr
unca
tus
Gea
rhar
t et a
l. 20
05A
djun
ct tx
for
Ery
sip
elot
hrix
se
ptic
emia
Clin
ical
res
olut
ion
1
20 m
g/kg
IM Q
24h
×
2dTu
rsio
ps
trun
catu
sM
eega
n et
al.
2012
No
impr
ovem
ent
(fina
l dx
of u
rete
ral
calc
ulus
)
1
20 m
g/kg
PO
Q24
hTu
rsio
ps
trun
catu
s,
Del
phi
nap
teru
s le
ucas
Sea
Wor
ld
Pha
rmac
opei
aM
ultip
le
Cef
urox
ime
10 m
g/kg
BID
Orc
inus
orc
aS
eaW
orld
P
harm
acop
eia
Mul
tiple
20 m
g/kg
BID
Sm
all o
dont
ocet
esTo
wns
end
1999
Uns
peci
fied
20 m
g/kg
PO
BID
Turs
iop
s tr
unca
tus
Sea
Wor
ld
Pha
rmac
opei
aM
ultip
le
25 m
g/kg
BID
Cep
halo
rhyn
cus
com
mer
soni
iS
eaW
orld
P
harm
acop
eia
Uns
peci
fied
Cep
hale
xin
mon
ohyd
rate
10 m
g/kg
PO
BID
Del
phi
nap
teru
s le
ucas
Cho
czyn
ski a
nd
Mer
gl 2
007
Adj
unct
tx fo
r E
rysi
pel
othr
ix
sept
icem
ia
Clin
ical
res
olut
ion
1 (Con
tinue
d)
9781498796873_C027.indd 604 9/13/2017 6:49:49 PM
Pharmaceuticals and Formularies 605Ta
ble
27.
2 (C
on
tin
ued
) D
rug
Dos
ages
Rep
orte
d fo
r C
etac
eans
(S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
11 m
g/kg
PO
TID
Orc
inus
orc
aA
bdo
et a
l. 20
12;
Sea
Wor
ld
Pha
rmac
opei
a
Ani
mal
die
d (fi
nal d
x of
fung
al d
isea
se)
1
15 m
g/kg
PO
TID
Glo
bic
epha
la
mac
rorh
ynch
us,
Del
phi
nap
teru
s le
ucas
Sea
Wor
ld
Pha
rmac
opei
aU
nspe
cifie
d
20 m
g/kg
PO
BID
×
14d
Del
phi
nap
teru
s le
ucas
Nap
les,
Pol
l, an
d B
erzi
ns
2012
Adj
unct
tx fo
r fu
sario
myc
osis
Clin
ical
res
olut
ion
(with
vor
icon
azol
e)1
22 m
g/kg
PO
TID
Sm
all o
dont
ocet
esTo
wns
end
1999
Uns
peci
fied
22 m
g/kg
PO
TID
Turs
iop
s tr
unca
tus
Sea
Wor
ld
Pha
rmac
opei
aM
ultip
le
24 m
g/kg
PO
BID
Turs
iop
s tr
unca
tus
Col
grov
e et
al.
1975
Adj
unct
tx fo
r ne
crot
ic
stom
atiti
sC
linic
al r
esol
utio
nU
nspe
cifie
d
33 m
g/kg
PO
TID
Cep
halo
rhyn
cus
com
mer
soni
iS
eaW
orld
P
harm
acop
eia
Uns
peci
fied
Cep
hlor
idin
e6.
6 m
g/kg
IT o
nce
Turs
iop
s tr
unca
tus
Sw
eene
y 19
77U
nspe
cifie
dC
hlor
amph
enic
ol22
mg/
kg P
O B
IDS
wee
ney
1986
aU
nspe
cifie
dC
hlor
diaz
epox
ide
HC
l0.
5 m
g/kg
IM
Ger
aci a
nd
Sw
eene
y 19
86A
nxio
lytic
Uns
peci
fied
Cim
etid
ine
4.5
mg/
kg P
O B
IDS
mal
l odo
ntoc
etes
Tow
nsen
d 19
99U
nspe
cifie
d6
mg/
kg P
O T
IDS
wee
ney
1986
aU
nspe
cifie
d2,
100
mg
TOTA
L D
OS
E P
O Q
IDO
rcin
us o
rca
Hoe
y, M
cBai
n,
and
Gre
en
1982
Uns
peci
fied
Cip
roflo
xaci
n4.
8 m
g/kg
PO
BID
Turs
iop
s tr
unca
tus
Cla
yton
et a
l. 20
12A
nim
al d
ied
(fina
l dx
of M
. ab
sces
sus)
1
6 m
g/kg
PO
BID
Turs
iop
s tr
unca
tus
Dou
gher
ty a
nd
Bos
sart
200
1A
djun
ct tx
for
zygo
myc
osis
Clin
ical
res
olut
ion
(with
terb
inafi
ne)
7
6–9
mg/
kg P
O B
IDD
elp
hina
pte
rus
leuc
asS
eaW
orld
P
harm
acop
eia
Mul
tiple
8 m
g/kg
PO
BID
Orc
inus
orc
aA
bdo
et a
l. 20
12A
nim
al d
ied
(fina
l dx
of fu
ngal
dis
ease
)1
10 m
g/kg
PO
BID
Ste
no b
red
anen
sis
Sta
ggs,
unp
ubl.
data
Mul
tiple
8–12
mg/
kg P
O B
IDO
rcin
us o
rca
Sea
Wor
ld
Pha
rmac
opei
aM
ultip
le
(Con
tinue
d)
9781498796873_C027.indd 605 9/13/2017 6:49:49 PM
606 Pharmaceuticals and FormulariesTa
ble
27.
2 (C
on
tin
ued
) D
rug
Dos
ages
Rep
orte
d fo
r C
etac
eans
(S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
13.3
mg/
kg P
O B
IDK
ogia
bre
vice
ps
Ohi
shi e
t al.
2007
2
15–2
9 m
g/kg
PO
BID
Turs
iop
s tr
unca
tus
Sea
Wor
ld
Pha
rmac
opei
aM
ultip
le
20 m
g/kg
PO
BID
Turs
iop
s tr
unca
tus
Rom
anov
et a
l. 20
11A
djun
ct tx
for
MR
SA
Clin
ical
res
olut
ion
(with
mox
iflox
acin
)2
Cla
rithr
omyc
in3.
5 m
g/kg
PO
BID
Turs
iop
s tr
unca
tus
Cla
yton
et a
l. 20
12A
nim
al d
ied
(fina
l dx
of M
. ab
sces
sus)
1
8 m
g/kg
PO
TID
Turs
iop
s tr
unca
tus
Sea
Wor
ld
Pha
rmac
opei
aM
ultip
le
Clin
dam
ycin
4.4–
7.7
mg/
kg P
O
BID
Glo
bic
epha
la
mac
rorh
ynch
usS
eaW
orld
P
harm
acop
eia
Uns
peci
fied
4.5–
5.5
mg/
kg P
O
BID
Orc
inus
orc
aS
eaW
orld
P
harm
acop
eia
Mul
tiple
7.5
mg/
kg P
O B
IDD
elp
hina
pte
rus
leuc
asK
ukan
ich
et a
l. 20
04F
or tx
of G
ram
-ne
gativ
e ba
cter
ial
infe
ctio
n
Clin
ical
res
olut
ion
1
7.7
mg/
kg P
O B
IDD
elp
hina
pte
rus
leuc
asS
eaW
orld
P
harm
acop
eia
Uns
peci
fied
7.7–
9.6
mg/
kg P
O
BID
Turs
iop
s tr
unca
tus
Sea
Wor
ld
Pha
rmac
opei
aM
ultip
le
9–10
mg/
kg P
O B
IDS
teno
bre
dan
ensi
sS
tagg
s, u
npub
l. ob
s.M
ultip
le
11 m
g/kg
PO
BID
Cep
halo
rhyn
cus
com
mer
soni
iS
eaW
orld
P
harm
acop
eia
Uns
peci
fied
Cop
per
sulfa
te4
ppm
bat
h im
mer
sion
Nee
dham
197
8U
nspe
cifie
d
Dan
oflox
acin
8 m
g/kg
IM Q
24h
Turs
iop
s tr
unca
tus,
D
elp
hina
pte
rus
leuc
as
Sea
Wor
ld
Pha
rmac
opei
aM
ultip
le
Des
lore
lin im
plan
t9.
4 m
g Q
12m
oTu
rsio
ps
trun
catu
sS
eaW
orld
P
harm
acop
eia
Est
rus
supp
ress
ion
Mul
tiple
Dex
amet
haso
ne0.
05 m
g/kg
PO
Q24
hTu
rsio
ps
trun
catu
sS
eaW
orld
P
harm
acop
eia
Ant
i-infl
amm
ator
y do
se fo
r us
e w
ith
anth
elm
intic
s
SE
E T
EX
T—
PO
TE
NT
IAL
L
ET
HA
L
RE
AC
TIO
NS
Mul
tiple
0.1
mg/
kg IV
, IM
Cet
acea
nsS
eaW
orld
P
harm
acop
eia
EM
ER
GE
NC
Y D
OS
EM
ultip
le
0.11
mg/
kg P
O o
nce
Turs
iop
s tr
unca
tus
Rei
dars
on a
nd
McB
ain
1999
For
app
etite
st
imul
atio
nU
nspe
cifie
d
(Con
tinue
d)
9781498796873_C027.indd 606 9/13/2017 6:49:49 PM
Pharmaceuticals and Formularies 607Ta
ble
27.
2 (C
on
tin
ued
) D
rug
Dos
ages
Rep
orte
d fo
r C
etac
eans
(S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
0.12
mg/
kg IM
Q24
h,
tape
ring
dose
Turs
iop
s tr
unca
tus
Rom
anov
, C
hely
shev
a,
and
Rom
anov
a 20
11
Adj
unct
tx fo
r M
RS
AC
linic
al r
esol
utio
n (w
ith m
oxifl
oxac
in)
1
0.22
mg/
kg IM
onc
eS
mal
l odo
ntoc
etes
Sha
rp e
t al.
2016
34
Dia
zepa
m0.
1–0.
15 m
g/kg
IM,
PO
PR
NO
rcin
us o
rca
Sea
Wor
ld
Pha
rmac
opei
aA
nxio
lytic
Mild
sed
atio
n,
cons
ider
use
in
com
bina
tion
with
tr
amad
ol
Mul
tiple
0.15
–0.2
mg/
kg IM
, P
O P
RN
Turs
iop
s tr
unca
tus
Sea
Wor
ld
Pha
rmac
opei
aA
nxio
lytic
Mild
sed
atio
n,
cons
ider
use
in
com
bina
tion
with
tr
amad
ol
Mul
tiple
0.25
–1 m
g/kg
PO
P
RN
Turs
iop
s tr
unca
tus
Rid
gway
et a
l. 20
06La
rger
dos
es
rese
rved
for
anim
als
that
hav
e be
com
e re
frac
tory
to s
mal
ler
oral
dos
es o
f di
azep
am
See
Ch
apte
r 26
Uns
peci
fied
Dic
hlor
vos
13.2
–16.
5 m
g/kg
PO
, re
peat
7-1
0dS
wee
ney
1986
b
Dih
ydro
stre
ptom
ycin
*11
mg/
kg IM
Q24
hN
eedh
am 1
978
SE
E T
EX
T—
PO
TE
NT
IAL
L
ET
HA
L
RE
AC
TIO
NS
Dim
erca
ptos
ucci
nic
acid
11 m
g/kg
PO
BID
×
5-7d
, 9 c
ycle
sTu
rsio
ps
trun
catu
sS
tette
r et
al.
1999
For
che
latio
n of
lead
to
xico
sis
Clin
ical
res
olut
ion
1
Dip
henh
ydra
min
e10
0 m
g TO
TAL
DO
SE
PO
BID
Ste
no b
red
anen
sis
Sta
ggs,
unp
ubl.
data
Alle
rgic
rea
ctio
nM
ultip
le
Dox
ycyc
line
1.0
mg/
kg IV
Cet
acea
nsS
eaW
orld
P
harm
acop
eia
EM
ER
GE
NC
Y
DO
SE
—to
stim
ulat
e re
spira
tion
Mul
tiple
1.25
mg/
kg P
O Q
24h
Inia
geo
ffren
sis
Bon
ar a
nd
Wag
ner
2003
Adj
unct
tx fo
r S
trep
toco
ccus
inia
eC
linic
al r
esol
utio
n (w
ith e
ryth
rom
ycin
)1
1.5
mg/
kg P
O B
IDS
mal
l odo
ntoc
etes
Tow
nsen
d 19
99U
nspe
cifie
d1.
5 m
g/kg
PO
BID
Orc
inus
orc
a,
Turs
iop
s tr
unca
tus
Sea
Wor
ld
Pha
rmac
opei
aM
ultip
le
Enr
oflox
acin
2.5
mg/
kg P
O B
ID ×
8
wee
ksTu
rsio
ps
trun
catu
sC
assl
e et
al.
2013
Adj
unct
tx fo
r B
ruce
lla p
ulm
onar
y ab
sces
s
Clin
ical
res
olut
ion
1 (Con
tinue
d)
9781498796873_C027.indd 607 9/13/2017 6:49:49 PM
608 Pharmaceuticals and FormulariesTa
ble
27.
2 (C
on
tin
ued
) D
rug
Dos
ages
Rep
orte
d fo
r C
etac
eans
(S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
2.5
mg/
kg P
O B
IDO
rcin
us o
rca,
D
elp
hina
pte
rus
leuc
as
Sea
Wor
ld
Pha
rmac
opei
aU
nspe
cifie
d
2.5
mg/
kg P
O B
IDO
rcin
us o
rca
Rob
eck
and
Dal
ton
2002
Ani
mal
die
d (fi
nal d
x of
fung
al d
isea
se)
1
4.5
mg/
kg P
O B
IDG
lob
icep
hala
m
acro
rhyn
chus
Sea
Wor
ld
Pha
rmac
opei
aU
nspe
cifie
d
5 m
g/kg
PO
Q24
hTu
rsio
ps
trun
catu
sLi
nneh
an,
Ulri
ch, a
nd
Rid
gway
199
9
Pla
sma
conc
entra
tions
ab
ove
1.0
mcg
/mL
=
8h
8
5 m
g/kg
PO
BID
×
10d
Del
phi
nap
teru
s le
ucas
cal
fO
sbor
n et
al.
2012
Clin
ical
res
olut
ion
1
5 m
g/kg
PO
BID
Sm
all o
dont
ocet
esS
eaW
orld
P
harm
acop
eia
Mul
tiple
5 m
g/kg
PO
BID
Lag
enor
hync
us
obliq
uid
ens
Rob
eck
and
Dal
ton
2002
Ani
mal
die
d (fi
nal d
x of
fung
al d
isea
se)
2
5 m
g/kg
PO
BID
Turs
iop
s tr
unca
tus
Cla
yton
et a
l. 20
12A
nim
al d
ied
(fina
l dx
of M
. ab
sces
sus)
1
5 m
g/kg
PO
BID
Ste
no b
red
anen
sis
Sta
ggs,
unp
ubl.
data
Mul
tiple
Epi
neph
rine
5 m
g/kg
PO
BID
×
60d
Del
phi
nus
del
phi
sR
eida
rson
et a
l. 19
98A
djun
ct tx
for
Asp
erg
illus
Clin
ical
res
olut
ion
(with
itra
cona
zole
) 1
0.02
mg/
kg IM
onc
eS
mal
l odo
ntoc
etes
Tow
nsen
d 19
99U
nspe
cifie
dE
ryth
rom
ycin
0.05
mg/
kg IV
, IM
Cet
acea
nsS
eaW
orld
P
harm
acop
eia
EM
ER
GE
NC
Y D
OS
EM
ultip
le
Ery
thro
poie
tin6.
25 m
g/kg
PO
BID
Inia
geo
ffren
sis
Bon
ar a
nd
Wag
ner
2003
For
tx o
f S
trep
toco
ccus
inia
eC
linic
al r
esol
utio
n1
Eso
mep
razo
le63
U/k
g tw
ice
48h
apar
t IM
Ste
no b
red
anen
sis
Man
ire a
nd
Rhi
neha
rt
2000
For
tx o
f no
nreg
ener
ativ
e an
emia
Clin
ical
res
olut
ion
Uns
peci
fied
0.05
-0.1
mg/
kg P
O
Q24
h-B
IDO
rcin
us o
rca
Sea
Wor
ld
Pha
rmac
opei
aG
astr
itis
Mul
tiple
Fam
otid
ine
0.1–
0.2
mg/
kg P
O
Q24
h-B
IDTu
rsio
ps
trun
catu
sS
eaW
orld
P
harm
acop
eia
Gas
triti
sM
ultip
le
Faro
pene
m0.
5 m
g/kg
IM
Q24
h-B
IDTu
rsio
ps
trun
catu
s,
Del
phi
nap
teru
s le
ucas
Erla
cher
-Rei
d,
unpu
bl. d
ata
3.5
mg/
kg P
O T
IDO
rcin
us o
rca
Sea
Wor
ld
Pha
rmac
opei
aM
ultip
le
(Con
tinue
d)
9781498796873_C027.indd 608 9/13/2017 6:49:49 PM
Pharmaceuticals and Formularies 609
Tab
le 2
7.2
(Co
nti
nu
ed)
Dru
g D
osag
es R
epor
ted
for
Cet
acea
ns (
See
Tex
t for
Pre
caut
ions
)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
Fen
bend
azol
e4.
3–8.
6 m
g/kg
PO
B
ID-T
IDTu
rsio
ps
trun
catu
sS
eaW
orld
P
harm
acop
eia
Mul
tiple
10 m
g/kg
PO
onc
eTu
rsio
ps
trun
catu
sS
eaW
orld
P
harm
acop
eia
Mul
tiple
Flo
rfen
icol
11 m
g/kg
Sm
all o
dont
ocet
esTo
wns
end
1999
Uns
peci
fied
Flu
cona
zole
20 m
g/kg
IM Q
48h,
<
20 m
L pe
r si
teTu
rsio
ps
trun
catu
s,
Del
phi
nap
teru
s le
ucas
Dal
ton
and
Rob
eck
1998
Uns
peci
fied
2 m
g/kg
PO
BID
Turs
iop
s tr
unca
tus
Sea
Wor
ld
Pha
rmac
opei
aM
ultip
le
2 m
g/kg
PO
BID
Sm
all o
dont
ocet
esTo
wns
end
1999
Uns
peci
fied
2.5
mg/
kg P
O B
IDTu
rsio
ps
trun
catu
sR
oman
ov,
Che
lysh
eva,
an
d R
oman
ova
2011
Adj
unct
tx fo
r M
RS
AC
linic
al r
esol
utio
n (w
ith m
oxifl
oxac
in)
1
Flu
cyto
sine
with
tr
iazo
le a
ntifu
ngal
2.8
mg/
kg P
O Q
24h
Turs
iop
s tr
unca
tus
Jens
en e
t al.
1998
For
tx o
f hi
stop
lasm
osis
Ani
mal
die
d de
spite
tx
1
Furo
sem
ide
20 m
g/kg
PO
TID
Turs
iop
s tr
unca
tus
Sea
Wor
ld
Pha
rmac
opei
aU
nspe
cifie
d
2–4
mg/
kg IM
Sm
all o
dont
ocet
esTo
wns
end
1999
Uns
peci
fied
Gen
tam
icin
0.5–
1 m
g/kg
IV o
ver
1-2
min
utes
Turs
iop
s tr
unca
tus
Sta
mpe
r, un
publ
. D
ata
May
be
incr
ease
d to
1–
2 m
g/kg
IV if
th
ere
is n
o ad
equa
te r
espo
nse
with
in 1
hou
r. D
o no
t exc
eed
5 m
g/kg
/dos
e.1.
1 m
g/kg
IT
Sw
eene
y 19
77U
nspe
cifie
d2.
5 m
g/kg
PO
TID
Ste
no b
red
anen
sis
Tow
nsen
d an
d P
etro
199
8A
djun
ct tx
for
duod
eniti
sU
nspe
cifie
d
4 m
g/kg
IM Q
24h
Turs
iop
s tr
unca
tus
Col
grov
e et
al.
1975
Adj
unct
tx fo
r ne
crot
ic
stom
atiti
sC
linic
al r
esol
utio
nU
nspe
cifie
d
5 m
g/kg
IM B
IDN
eedh
am 1
978
Uns
peci
fied
Hal
oper
idol
*80
mg
TOTA
L D
OS
E
nebu
lized
BID
with
sa
line
Ste
no b
red
anen
sis,
Tu
rsio
ps
trun
catu
sS
tagg
s, u
npub
l. da
taS
inus
itis
Mul
tiple
Imip
enem
CO
NTR
AIN
DIC
ATE
DS
eaW
orld
P
harm
acop
eia
CO
NTR
AIN
DIC
ATE
D S
EE
TE
XT
—P
OT
EN
TIA
L
LE
TH
AL
R
EA
CT
ION
S
Uns
peci
fied
(Con
tinue
d)
9781498796873_C027.indd 609 9/13/2017 6:49:49 PM
610 Pharmaceuticals and FormulariesTa
ble
27.
2 (C
on
tin
ued
) D
rug
Dos
ages
Rep
orte
d fo
r C
etac
eans
(S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
4 m
g/kg
IM B
IDTu
rsio
ps
trun
catu
sC
layt
on e
t al.
2012
Ani
mal
die
d (fi
nal d
x of
M. a
bsc
essu
s)1
7.5
mg/
kg IM
BID
Turs
iop
s tr
unca
tus
Sea
Wor
ld
Pha
rmac
opei
aM
ultip
le
7.7–
11.6
mg/
kg IM
B
IDD
elp
hina
pte
rus
leuc
asS
eaW
orld
P
harm
acop
eia
Uns
peci
fied
Itrac
onaz
ole
14 m
g/kg
IM B
IDTu
rsio
ps
trun
catu
sR
oman
ov,
Che
lysh
eva,
an
d R
oman
ova
2011
Adj
unct
tx fo
r M
RS
AC
linic
al r
esol
utio
n (w
ith m
oxifl
oxac
in)
2
1.25
mg/
kg P
O B
IDG
lob
icep
hala
m
acro
rhyn
chus
Sea
Wor
ld
Pha
rmac
opei
aM
ultip
le
2.4
mg/
kg P
O B
IDO
rcin
us o
rca
Rob
eck
and
Dal
ton
2002
Ani
mal
die
d (fi
nal d
x of
fung
al d
isea
se)
1
2.5
mg/
kg P
O B
IDO
rcin
us o
rca
Sea
Wor
ld
Pha
rmac
opei
a2.
5 m
g/kg
PO
BID
Turs
iop
s tr
unca
tus
Rei
dars
on a
nd
McB
ain
1995
For
tx o
f can
didi
asis
, w
ith fl
ucyt
osin
e ad
junc
t
Uns
peci
fied
2.5
mg/
kg P
O B
IDTu
rsio
ps
trun
catu
s,
Del
phi
nap
teru
s le
ucas
Sea
Wor
ld
Pha
rmac
opei
aM
ultip
le
2.5
mg/
kg P
O B
IDD
elp
hina
pte
rus
leuc
asR
eida
rson
et a
l. 19
99U
nspe
cifie
d
2.5
mg/
kg P
O B
IDS
mal
l odo
ntoc
etes
Tow
nsen
d 19
99U
nspe
cifie
d2.
5 m
g/kg
PO
BID
Ste
no b
red
anen
sis
Sta
ggs,
unp
ubl.
data
Mul
tiple
2.5–
5 m
g/kg
PO
BID
Turs
iop
s tr
unca
tus
Rei
dars
on e
t al.
1999
Uns
peci
fied
5 m
g/kg
PO
BID
Turs
iop
s tr
unca
tus
Rei
dars
on e
t al.
1998
Adj
unct
tx fo
r A
sper
gill
usC
linic
al r
esol
utio
nU
nspe
cifie
d
5 m
g/kg
PO
BID
Cep
halo
rhyn
cus
com
mer
soni
iR
eida
rson
et a
l. 19
99U
nspe
cifie
d
Iver
mec
tin14
.7 m
g/kg
onc
e, 7
.4
mg/
kg o
nce,
then
3.
7 m
g/kg
PO
Q24
h
Lag
enor
hync
us
obliq
uid
ens
Rob
eck
and
Dal
ton
2002
Ani
mal
die
d (fi
nal d
x of
fung
al d
isea
se)
2
Ket
ocon
azol
e*0.
2 m
g/kg
(20
0 μg
/kg
)S
mal
l odo
ntoc
etes
Tow
nsen
d 19
99F
or tx
of
Cra
ssic
auda
Uns
peci
fied
(Con
tinue
d)
9781498796873_C027.indd 610 9/13/2017 6:49:49 PM
Pharmaceuticals and Formularies 611Ta
ble
27.
2 (C
on
tin
ued
) D
rug
Dos
ages
Rep
orte
d fo
r C
etac
eans
(S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
1.9
mg/
kg P
O B
IDD
elp
hina
pte
rus
leuc
asR
eida
rson
et a
l. 19
99U
nspe
cifie
d
1.9
mg/
kg P
O B
IDD
elp
hina
pte
rus
leuc
asS
eaW
orld
P
harm
acop
eia
Mul
tiple
2.5
mg/
kg P
O B
IDTu
rsio
ps
trun
catu
sD
unn,
Buc
k,
and
Spo
tte
1982
For
tx o
f di
ssem
inat
ed
Can
did
a
1
5 m
g/kg
PO
BID
Turs
iop
s tr
unca
tus
Sea
Wor
ld
Pha
rmac
opei
aU
nspe
cifie
d
5 m
g/kg
PO
BID
Sm
all o
dont
ocet
esTo
wns
end
1999
Uns
peci
fied
6 m
g/kg
PO
BID
Del
phi
nap
teru
s le
ucas
Dun
n, B
uck,
an
d S
potte
19
82
For
tx o
f di
ssem
inat
ed
Can
did
a
1
Leup
rolid
e ac
etat
e18
mg/
kg P
O Q
24h*
Turs
iop
s tr
unca
tus
Sch
roed
er 1
983
Clin
ical
lesi
on
reso
lutio
n af
ter
5 m
onth
s, b
ut E
M
reve
aled
bud
ding
ye
ast
SE
E T
EX
T—
PO
TE
NT
IAL
L
ET
HA
L
RE
AC
TIO
NS
Uns
peci
fied
Leva
mis
ole
0.07
5 m
g/kg
IM
Q28
dTu
rsio
ps
trun
catu
sS
eaW
orld
P
harm
acop
eia
Sup
pres
sing
sex
ual
beha
vior
Mul
tiple
Levo
floxa
cin
15 m
g/kg
PO
Q24
hD
unn,
Buc
k,
and
Spo
tte
1982
Uns
peci
fied
3.75
mg/
kg P
O B
IDO
rcin
us o
rca
Abd
o et
al.
2012
Ani
mal
die
d (fi
nal d
x of
fung
al d
isea
se)
1
5 m
g/kg
PO
Q24
hO
rcin
us o
rca
Sea
Wor
ld
Pha
rmac
opei
aM
ultip
le
5 m
g/kg
PO
BID
Turs
iop
s tr
unca
tus
Sea
Wor
ld
Pha
rmac
opei
aM
ultip
le
Lido
cain
e H
Cl
10 m
g/kg
PO
Q24
hTu
rsio
ps
trun
catu
sS
eaW
orld
P
harm
acop
eia
Mul
tiple
2 m
g/kg
IVC
etac
eans
Sea
Wor
ld
Pha
rmac
opei
aE
ME
RG
EN
CY
DO
SE
Mul
tiple
10–2
0 m
L 2%
co
ncen
trat
ion,
re
gion
al b
lock
Turs
iop
s tr
unca
tus
Rid
gway
, G
reen
, and
S
wee
ney
1975
For
infr
a-al
veol
ar
nerv
e bl
ock
Uns
peci
fied
Lido
cain
e, v
isco
us1–
2.5
mL
2%
conc
entr
atio
n,
regi
onal
blo
ck
Turs
iop
s tr
unca
tus
Sim
eone
et a
l. 20
17F
or p
eri-o
rbita
l ner
ve
bloc
k1 (C
ontin
ued
)
9781498796873_C027.indd 611 9/13/2017 6:49:49 PM
612 Pharmaceuticals and FormulariesTa
ble
27.
2 (C
on
tin
ued
) D
rug
Dos
ages
Rep
orte
d fo
r C
etac
eans
(S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
Line
zolid
10 m
L TO
TAL
DO
SE
P
O Q
24h-
BID
Ste
no b
red
anen
sis,
Tu
rsio
ps
trun
catu
sS
tagg
s an
d To
wns
end,
un
publ
. dat
a
For
gas
tric
ulc
erat
ion
Giv
e in
firs
t fish
in
the
AM
, and
m
id-d
ay
Mul
tiple
Mar
opita
nt7.
5 m
g/kg
PO
BID
Turs
iop
s tr
unca
tus
Rom
anov
, C
hely
shev
a,
and
Rom
anov
a 20
11
Adj
unct
tx fo
r M
RS
AC
linic
al r
esol
utio
n (w
ith m
oxifl
oxac
in)
SE
E T
EX
T—
PO
TE
NT
IAL
L
ET
HA
L
RE
AC
TIO
NS
1
Meg
estr
ol a
ceta
te*
0.5–
1 m
g/kg
IM, P
O
once
Cet
acea
nsS
eaW
orld
P
harm
acop
eia
Mul
tiple
Mel
oxic
amC
ON
TR
AIN
DIC
AT
ED
Turs
iop
s tr
unca
tus
Hou
ser
et a
l. 20
17C
ON
TR
AIN
DIC
AT
ED
Not
a r
elia
ble
cont
race
ptiv
e in
m
ale
dolp
hins
SE
E T
EX
T—
PO
TE
NT
IAL
L
ET
HA
L
RE
AC
TIO
NS
Uns
peci
fied
0.05
–0.1
mg/
kg P
O
Q4-
7dTu
rsio
ps
trun
catu
s,
Orc
inus
orc
aS
eaW
orld
P
harm
acop
eia
Mul
tiple
Met
oclo
pram
ide
0.1
mg/
kg P
O Q
7dTu
rsio
ps
trun
catu
sS
imeo
ne e
t al.
2014
10
Met
roni
dazo
le0.
1 m
g/kg
PO
, IM
B
IDTu
rsio
ps
trun
catu
sS
eaW
orld
P
harm
acop
eia
To s
timul
ate
mot
ility
of
the
uppe
r G
I tra
ctM
ultip
le
2.5
mg/
kg P
O B
IDO
rcin
us o
rca
Sea
Wor
ld
Pha
rmac
opei
aC
lost
ridia
l ove
rgro
wth
Mul
tiple
7 m
g/kg
PO
BID
Turs
iop
s tr
unca
tus
Sea
Wor
ld
Pha
rmac
opei
aC
lost
ridia
l ove
rgro
wth
Mul
tiple
7 m
g/kg
PO
BID
×
7-14
dTu
rsio
ps
trun
catu
sD
oesc
her
et a
l. 20
08F
or tx
of d
erm
al
cilia
tes
Tx
did
not a
ffect
the
dens
ity o
f the
or
gani
sms
in
wou
nds
7
7 m
g/kg
PO
BID
×
up to
21d
Ste
no b
red
anen
sis
Sta
ggs,
unp
ubl.
data
Mul
tiple
Mic
onaz
ole
7 m
g/kg
PO
TID
S
mal
l odo
ntoc
etes
Tow
nsen
d 19
99U
nspe
cifie
dM
inoc
yclin
e4.
5 m
g/kg
PO
QID
Turs
iop
s tr
unca
tus
Dud
ok v
an H
eel
1977
For
tx o
f lob
omyc
osis
Uns
peci
fied
4 m
g/kg
PO
load
ing;
2
mg/
kg P
O B
ID
mai
nten
ance
Sm
all o
dont
ocet
esTo
wns
end
1999
Uns
peci
fied
4 m
g/kg
PO
load
ing;
2
mg/
kg P
O B
ID
mai
nten
ance
Turs
iop
s tr
unca
tus,
D
elp
hina
pte
rus
leuc
as
Sea
Wor
ld
Pha
rmac
opei
aM
ultip
le
(Con
tinue
d)
9781498796873_C027.indd 612 9/13/2017 6:49:50 PM
Pharmaceuticals and Formularies 613Ta
ble
27.
2 (C
on
tin
ued
) D
rug
Dos
ages
Rep
orte
d fo
r C
etac
eans
(S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
Mis
opro
stol
4–6.
7 m
g/kg
PO
BID
Kog
ia b
revi
cep
sO
hish
i et a
l. 20
072
0.00
07 m
g/kg
(0
.7 μ
g/kg
) P
O B
IDC
etac
eans
Sea
Wor
ld
Pha
rmac
opei
aF
or g
astr
ic u
lcer
atio
nM
ultip
le
0.02
5–0.
05 m
g (2
5–50
μg)
TO
TAL
DO
SE
PO
BID
Ste
no b
red
anen
sis,
Tu
rsio
ps
trun
catu
sS
tagg
s an
d To
wns
end,
un
publ
. dat
a
For
gas
tric
ulc
erat
ion
Mul
tiple
0.02
5 m
g (2
5 μg
) in
trav
agin
ally
Turs
iop
s tr
unca
tus
Sta
ggs,
unp
ubl.
data
For
dila
tion
of c
ervi
x du
ring
dyst
ocia
1
Mor
phin
e0.
05 m
g (5
0 μg
) TO
TAL
DO
SE
PO
B
ID
Ste
no b
red
anen
sis
Sta
ggs,
unp
ubl.
data
Met
ritis
2
Mox
iflox
acin
5 m
g/kg
Turs
iop
s tr
unca
tus
Rid
gway
196
5F
or a
nalg
esia
Mar
ked
exci
tem
ent
note
d ev
en a
t sm
all d
oses
Uns
peci
fied
Nys
tatin
7 m
g/kg
PO
Q24
h ×
21
dTu
rsio
ps
trun
catu
sR
oman
ov,
Che
lysh
eva,
an
d R
oman
ova
2011
For
MR
SA
infe
ctio
nC
linic
al r
esol
utio
n2
7,00
0–14
,00
IU/k
g B
ID-T
IDC
etac
eans
Sea
Wor
ld
Pha
rmac
opei
aF
or e
nter
ic y
east
ov
ergr
owth
Mul
tiple
7,00
0 IU
/kg
PO
BID
Orc
inus
orc
aA
bdo
et a
l. 20
12A
nim
al d
ied
(fina
l dx
of fu
ngal
dis
ease
)1
600,
000
IU T
OTA
L D
OS
E P
O T
IDTu
rsio
ps
trun
catu
sD
unn,
Buc
k,
and
Spo
tte
1982
For
tx o
f di
ssem
inat
ed
Can
did
a
Clin
ical
suc
cess
in
Turs
iop
s tr
unca
tus,
bu
t Pho
coen
a p
hoco
ena
and
Glo
bic
epha
la
mel
aena
die
d de
spite
tx
4
600,
000
IU T
OTA
L D
OS
E P
O T
IDS
teno
bre
dan
ensi
sTo
wns
end
and
Pet
ro 1
998
Adj
unct
tx fo
r du
oden
itis
Uns
peci
fied
Nys
tatin
, lip
osom
al75
0,00
0 IU
TO
TAL
DO
SE
PO
TID
Turs
iop
s tr
unca
tus
Cla
yton
et a
l. 20
12A
nim
al d
ied
(fina
l dx
of M
. ab
sces
sus)
1
Oflo
xaci
n4.
2 m
g/kg
IV Q
24h
Turs
iop
s tr
unca
tus
calf
Rob
eck
and
Dal
ton
2002
Ani
mal
die
d (fi
nal d
x of
fung
al d
isea
se)
SE
E T
EX
T—
PO
TE
NT
IAL
L
ET
HA
L
RE
AC
TIO
NS
1
2.5
mg/
kg P
O B
IDO
rcin
us o
rca
Abd
o et
al.
2012
Ani
mal
die
d (fi
nal d
x of
fung
al d
isea
se)
1 (Con
tinue
d)
9781498796873_C027.indd 613 9/13/2017 6:49:50 PM
614 Pharmaceuticals and FormulariesTa
ble
27.
2 (C
on
tin
ued
) D
rug
Dos
ages
Rep
orte
d fo
r C
etac
eans
(S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
Om
epra
zole
5 m
g/kg
PO
BID
Sm
all o
dont
ocet
esTo
wns
end
1999
Uns
peci
fied
10–4
0 m
g TO
TAL
DO
SE
PO
Q24
hTu
rsio
ps
trun
catu
sS
eaW
orld
P
harm
acop
eia
Mul
tiple
0.1
mg/
kg P
O Q
24h
Sm
all o
dont
ocet
esS
tam
per,
unpu
bl. d
ata
Oxy
tetr
acyc
line
0.15
mg/
kg P
O Q
24h
Del
phi
nap
teru
s le
ucas
Erla
cher
-Rei
d,
unpu
bl. D
ata
Oxy
toci
n4
mg/
kg P
O Q
24h
Del
phi
nap
teru
s le
ucas
Cho
czyn
ski a
nd
Mer
gl 2
007
Adj
unct
tx fo
r E
rysi
pelo
thrix
se
ptic
emia
Clin
ical
res
olut
ion
1
Pen
icill
amin
e20
IU IM
Turs
iop
s tr
unca
tus
See
Ch
apte
r 10
To in
duce
abo
rtio
nC
L m
ust b
e ly
sed
prio
r to
oxy
toci
n ad
min
istr
atio
n
Uns
peci
fied
Pen
icill
in G
be
nzat
hine
/pr
ocai
ne
250
mg/
kg P
O T
ID ×
5d
Turs
iop
s tr
unca
tus
Shl
osbe
rg e
t al.
1997
For
che
latio
n of
lead
to
xico
sis
2
8,89
9 IU
/kg
IM Q
24h
Turs
iop
s tr
unca
tus
Sw
eene
y 19
86a
Uns
peci
fied
9,00
0 IU
/kg
IMD
elp
hina
pte
rus
leuc
asC
hocz
ynsk
i and
M
ergl
200
7A
djun
ct tx
for
Ery
sipe
loth
rix
sept
icem
ia
Clin
ical
res
olut
ion
1
Pos
acon
azol
e47
,000
IU/k
g IM
Turs
iop
s tr
unca
tus
Col
grov
e et
al.
1975
Adj
unct
tx fo
r ne
crot
ic
stom
atiti
sC
linic
al r
esol
utio
nU
nspe
cifie
d
5 m
g/kg
PO
BID
Turs
iop
s tr
unca
tus,
La
gen
orrh
ynch
us
obliq
uid
ens
Sea
Wor
ld
Pha
rmac
opei
a
Pra
ziqu
ante
l5
mg/
kg P
O B
IDS
teno
bre
dan
ensi
s,
Turs
iop
s tr
unca
tus
Sta
ggs
and
Tow
nsen
d,
unpu
bl. d
ata
Tite
rs s
houl
d be
ev
alua
ted
for
peak
an
d tr
ough
afte
r 14
d of
tx
Mul
tiple
3 m
g/kg
Sm
all o
dont
ocet
esTo
wns
end
1999
For
tx o
f ces
tode
sU
nspe
cifie
dP
redn
isol
one
10 m
g/kg
Sm
all o
dont
ocet
esTo
wns
end
1999
For
tx o
f Nas
itrem
aU
nspe
cifie
dP
redn
isol
one
sodi
um s
ucci
nate
0.01
mg/
kg P
O Q
24h
Rei
dars
on e
t al.
1999
Uns
peci
fied
1–10
mg/
kg IM
, IV
Sm
all o
dont
ocet
esTo
wns
end
1999
For
tx o
f sho
ckU
nspe
cifie
d3.
3 m
g/kg
IMTu
rsio
ps
trun
catu
sD
risco
ll et
al.
2007
Ani
mal
die
d de
spite
th
erap
y1
Pro
stag
land
in F
2A
(din
opro
st)
5 m
g/kg
IV, I
MC
etac
eans
Sea
Wor
ld
Pha
rmac
opei
aE
ME
RG
EN
CY
DO
SE
Mul
tiple
(Con
tinue
d)
9781498796873_C027.indd 614 9/13/2017 6:49:50 PM
Pharmaceuticals and Formularies 615Ta
ble
27.
2 (C
on
tin
ued
) D
rug
Dos
ages
Rep
orte
d fo
r C
etac
eans
(S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
Ran
itidi
ne10
–25
mg
TOTA
L D
OS
E IM
BID
× 3
dTu
rsio
ps
trun
catu
sS
ee C
hapt
er 1
0 R
epro
duct
ion
To ly
se th
e co
rpus
lu
teum
Mul
tiple
0.5–
1 m
g/kg
PO
Q
24h-
BID
Ste
no b
red
anen
sis
Sta
ggs,
unp
ubl.
data
Mul
tiple
0.5
mg/
kg P
O Q
24h
Del
phi
nap
teru
s le
ucas
Erla
cher
-Rei
d,
unpu
bl. d
ata
2 m
g/kg
PO
BID
Sm
all o
dont
ocet
esTo
wns
end
1999
Uns
peci
fied
Rifa
mpi
n3
mg/
kg P
O
Q24
h-B
IDTu
rsio
ps
trun
catu
sC
layt
on e
t al.
2012
Ani
mal
die
d (fi
nal d
x of
M. a
bsc
essu
s)1
2.2
mg/
kg P
O B
IDO
rcin
us o
rca
Sea
Wor
ld
Pha
rmac
opei
aU
nspe
cifie
d
2.5
mg/
kg P
O B
IDS
mal
l odo
ntoc
etes
Tow
nsen
d 19
99U
nspe
cifie
d2.
5 m
g/kg
PO
BID
or
3–4
mg/
kg Q
24h
Turs
iop
s tr
unca
tus
Sea
Wor
ld
Pha
rmac
opei
aM
ultip
le
2.8
mg/
kg P
O B
IDTu
rsio
ps
trun
catu
sR
oman
ov,
Che
lysh
eva,
an
d R
oman
ova
2011
Adj
unct
tx fo
r M
RS
AC
linic
al r
esol
utio
n (w
ith m
oxifl
oxac
in)
1
Sim
ethi
cone
4 m
g/kg
PO
Q24
h ×
8
wee
ksTu
rsio
ps
trun
catu
sC
assl
e et
al.
2013
Adj
unct
tx fo
r B
ruce
lla p
ulm
onar
y ab
sces
s
Clin
ical
res
olut
ion
1
60 m
g to
tal d
ose
PO
Q
IDS
tene
lla s
p.B
yrd
and
Sta
mpe
r, un
publ
. obs
.
For
GI g
asD
o no
t exc
eed
four
do
ses
in 2
4 ho
urs
120
mg
TOTA
L D
OS
E P
O T
IDTu
rsio
ps
trun
catu
sLe
vine
, unp
ubl.
data
For
gas
triti
sM
ultip
le
Sod
ium
bic
arbo
nate
125
mg
tota
l dos
e P
O Q
IDTu
rsio
ps
trun
cate
sB
yrd
and
Sta
mpe
r, un
publ
. obs
.
For
GI g
asD
o no
t exc
eed
four
do
ses
in 2
4 ho
urs
Str
epto
myc
in1.
0 m
eq/k
g IV
Cet
acea
nsS
eaW
orld
P
harm
acop
eia
EM
ER
GE
NC
Y
DO
SE
—fo
r m
etab
olic
aci
dosi
s
Mul
tiple
Suc
ralfa
te11
mg/
kg IM
Q24
hN
eedh
am 1
978
Uns
peci
fied
1 g
PO
QID
Ste
no b
red
anen
sis
Tow
nsen
d an
d P
etro
199
8A
djun
ct tx
for
duod
eniti
sU
nspe
cifie
d
1–2
g P
O B
ID-Q
IDS
mal
l odo
ntoc
etes
Tow
nsen
d 19
99U
nspe
cifie
dTe
rbin
afine
2 g
PO
BID
Turs
iop
s tr
unca
tus
Cla
yton
et a
l. 20
12A
nim
al d
ied
(fina
l dx
of M
. ab
sces
sus)
1
1.25
–1.5
mg/
kg P
O
Q24
hO
rcin
us o
rca
Sea
Wor
ld
Pha
rmac
opei
aM
ultip
le
(Con
tinue
d)
9781498796873_C027.indd 615 9/13/2017 6:49:50 PM
616 Pharmaceuticals and FormulariesTa
ble
27.
2 (C
on
tin
ued
) D
rug
Dos
ages
Rep
orte
d fo
r C
etac
eans
(S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
Tetr
acyc
line
2 m
g/kg
PO
Q24
hTu
rsio
ps
trun
catu
sS
eaW
orld
P
harm
acop
eia
Mul
tiple
5 m
g/kg
PO
TID
Kog
ia b
revi
cep
sO
hish
i et a
l. 20
072
6.7
mg/
kg P
O B
IDO
rcin
us o
rca
McB
ain
1985
Uns
peci
fied
20 m
g/kg
PO
BID
×
3dTu
rsio
ps
trun
catu
sLe
vine
, unp
ubl.
data
For
tx o
f prim
ary
gast
ritis
Mul
tiple
22–2
5 m
g/kg
PO
BID
Orc
inus
orc
aS
eaW
orld
P
harm
acop
eia
Mul
tiple
55 m
g/kg
PO
BID
Del
phi
nap
teru
s le
ucas
Sea
Wor
ld
Pha
rmac
opei
aM
ultip
le
55–6
5 m
g/kg
PO
BID
Turs
iop
s tr
unca
tus
Sea
Wor
ld
Pha
rmac
opei
aM
ultip
le
Tram
adol
77 m
g/kg
PO
BID
Cep
halo
rhyn
cus
com
mer
soni
iS
eaW
orld
P
harm
acop
eia
Mul
tiple
0.05
–0.1
mg/
kg P
O
BID
Orc
inus
orc
aS
eaW
orld
P
harm
acop
eia
For
ana
lges
ia
0.1
mg/
kg P
O B
IDTu
rsio
ps
trun
catu
sS
eaW
orld
P
harm
acop
eia
For
ana
lges
ia
0.2
mg/
kg P
O Q
24h
Orc
inus
orc
aS
eaW
orld
P
harm
acop
eia
For
ana
lges
ia n
eede
d fo
r >
5 d
Mul
tiple
0.25
–0.5
mg/
kg P
O
Q24
h-B
IDO
rcin
us o
rca
Sea
Wor
ld
Pha
rmac
opei
aF
or s
hort
-ter
m
anal
gesi
a (<
5 d)
. S
tart
at l
ower
dos
e an
d in
crea
se a
s ne
eded
.
Mul
tiple
0.5
mg/
kg P
O o
nce
Orc
inus
orc
aS
eaW
orld
P
harm
acop
eia
For
bro
ncho
scop
y pr
oced
ure,
in
conj
unct
ion
with
di
azep
am
1
Trim
etho
prim
-su
lfadi
azin
e (T
MS
)*
25 m
g TO
TAL
DO
SE
P
O B
IDS
teno
bre
dan
ensi
sS
tagg
s, u
npub
l. da
taM
ultip
le
(1:5
form
ulat
ion
typi
cal;
7.7–
11 m
g/kg
PO
Q
24h
Orc
inus
orc
aS
eaW
orld
P
harm
acop
eia
SE
E T
EX
T—
PO
TE
NT
IAL
L
ET
HA
L
RE
AC
TIO
NS
Mul
tiple
1:2
form
ulat
ion
for
trea
tmen
t of
Noc
ard
ia)
7.7
mg/
kg P
O Q
24h
Glo
bic
epha
la
mac
rorh
ynch
usS
eaW
orld
P
harm
acop
eia
Uns
peci
fied
(Con
tinue
d)
9781498796873_C027.indd 616 9/13/2017 6:49:50 PM
Pharmaceuticals and Formularies 617
Tab
le 2
7.2
(Co
nti
nu
ed)
Dru
g D
osag
es R
epor
ted
for
Cet
acea
ns (
See
Tex
t for
Pre
caut
ions
)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
11 m
g/kg
Q24
h (1
:2
ratio
TM
:S)
Del
phi
nap
teru
s le
ucas
Sch
mitt
et a
l. 20
07F
or tx
of N
ocar
dia
Clin
ical
res
olut
ion
1
12 m
g/kg
PO
Q24
hIn
ia g
eoffr
ensi
sB
onar
and
W
agne
r 20
03A
djun
ct tx
for
Str
epto
cocc
us in
iae
Clin
ical
res
olut
ion
(with
ery
thro
myc
in)
1
15 m
g/kg
PO
Q24
h ×
30
dD
elp
hinu
s d
elp
his
Rei
dars
on e
t al.
1998
Adj
unct
tx fo
r A
sper
gill
usC
linic
al r
esol
utio
n (w
ith it
raco
nazo
le)
1
15.7
mg/
kg Q
48h
Del
phi
nap
teru
s le
ucas
cal
fC
ook
et a
l. 19
92U
nspe
cifie
d
16 m
g/kg
PO
Q24
hC
epha
lorh
yncu
s co
mm
erso
nii
Sea
Wor
ld
Pha
rmac
opei
aU
nspe
cifie
d
16–2
2 m
g/kg
PO
Q
24h
(20–
50 m
g B
ID T
OTA
L D
OS
E)
Turs
iop
s tr
unca
tus
Sea
Wor
ld
Pha
rmac
opei
a S
EE
TE
XT
—P
OT
EN
TIA
L
LE
TH
AL
R
EA
CT
ION
S
Mul
tiple
22 m
g/kg
PO
Q24
hD
elp
hina
pte
rus
leuc
asS
eaW
orld
P
harm
acop
eia
Uns
peci
fied
25 m
g/kg
PO
Q24
hLa
gen
orhy
ncus
ob
liqui
den
sR
obec
k an
d D
alto
n 20
02A
nim
al d
ied
(fina
l dx
of fu
ngal
dis
ease
)2
Tylo
sin
30 m
g/kg
PO
Q24
hTu
rsio
ps
trun
catu
sS
chro
eder
et a
l. 19
84U
nspe
cifie
d
32 m
g/kg
IM Q
24h
Turs
iop
s ad
uncu
sT
hurm
an a
nd
Win
dsor
198
4C
linic
al r
esol
utio
nU
nspe
cifie
d
Van
com
ycin
50 m
g/kg
PO
TID
Turs
iop
s ad
uncu
sT
hurm
an a
nd
Win
dsor
198
4U
nspe
cifie
d
1–1.
5 m
g/kg
TID
Sm
all o
dont
ocet
esTo
wns
end
1999
Uns
peci
fied
1.5–
2.0
mg/
kg T
IDO
rcin
us o
rca
Sea
Wor
ld
Pha
rmac
opei
aM
ultip
le
Vor
icon
azol
e*2.
0–3.
0 m
g/kg
TID
Turs
iop
s tr
unca
tus
Sea
Wor
ld
Pha
rmac
opei
aM
ultip
le
0.27
–0.3
mg/
kg P
O
Q24
h, w
ith s
erum
vo
ricon
azol
e m
onito
ring
Orc
inus
orc
aS
eaW
orld
P
harm
acop
eia
(Con
tinue
d)
9781498796873_C027.indd 617 9/13/2017 6:49:50 PM
618 Pharmaceuticals and FormulariesTa
ble
27.
2 (C
on
tin
ued
) D
rug
Dos
ages
Rep
orte
d fo
r C
etac
eans
(S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
2.5–
3.3
mg/
kg P
O
BID
× 3
d, fo
llow
ed
by 2
.5–3
.3 m
g/kg
P
O Q
3-7d
with
se
rum
vor
icon
azol
e m
onito
ring
Turs
iop
s tr
unca
tus
Sea
Wor
ld
Pha
rmac
opei
a S
EE
TE
XT
—P
OT
EN
TIA
L
LE
TH
AL
R
EA
CT
ION
S
Mul
tiple
Vita
min
s/M
iner
als/
Sup
plem
ents
3 m
g/kg
PO
BID
×
5d, f
ollo
wed
by
seru
m v
oric
onaz
ole
mon
itorin
g
Del
phi
nap
teru
s le
ucas
Nap
les,
Pol
l, an
d B
erzi
ns
2012
For
fusa
riom
ycos
isC
linic
al r
esol
utio
n1
Art
icho
ke h
eart
150
mg
tota
l dos
e P
O B
IDS
tene
lla s
p.B
yrd
and
Sta
mpe
r, un
publ
. obs
.
For
trea
tmen
t of
hepa
titis
Cal
cium
gl
ycer
opho
spha
te/
calc
ium
lact
ate
22 m
g/kg
IM o
nce
Sm
all o
dont
ocet
esS
harp
et a
l. 20
16
Iron
(fe
rrou
s su
lfate
)32
5 m
g ta
blet
(65
mg
iron)
PO
Q24
h-B
IDS
tagg
s an
d To
wns
end,
un
publ
. dat
a
Sev
ere
anem
ia, l
ow
seru
m ir
on, o
r ha
nd-r
aise
d ca
lves
34
Milk
this
tle (
70–8
0%
sily
mar
in)
175
mg
TOTA
L D
OS
E P
O T
ID fo
r 50
kg
anim
al
Ste
nella
sp.
Byr
d an
d S
tam
per,
unpu
bl. o
bs.
For
trea
tmen
t of
hepa
titis
SA
Me
(S-A
deno
syl-E
) an
d si
lym
arin
425
mg
TOTA
L D
OS
E P
O B
ID fo
r 50
kg
anim
al
Ste
nella
sp.
Byr
d an
d S
tam
per,
unpu
bl. o
bs.
For
trea
tmen
t of
hepa
titis
Yunn
an P
aiya
o5
mg/
kg P
O Q
24h
(1 c
ap/1
00 p
ound
s)
Turs
iop
s tr
unca
tus
Sea
Wor
ld
Pha
rmac
opei
aF
or h
emos
tasi
sM
ultip
le
1 ca
psul
e P
O Q
IDD
elp
hina
pte
rus
leuc
asC
hocz
ynsk
i and
M
ergl
200
7A
djun
ct tx
for
Ery
sip
elot
hrix
se
ptic
emia
Clin
ical
res
olut
ion
1
Vita
min
B1
(thi
amin
e)2
caps
ules
PO
BID
Ste
no b
red
anen
sis,
Tu
rsio
ps
trun
catu
sS
tagg
s an
d To
wns
end,
un
publ
. dat
a
For
gas
tric
ulc
erat
ion
Mul
tiple
1 m
g/kg
IM Q
24h.
F
ollo
w w
ith o
ral
dosi
ng.
Ger
aci 1
986
For
tx o
f thi
amin
e de
ficie
ncy
Com
mon
pr
actic
e
2–4
mg/
kcal
feed
PO
Q
24h.
Giv
e 2
h be
fore
feed
ing.
Ger
aci 1
986
For
sup
plem
enta
tion
whe
n su
pple
men
ts
are
adm
inis
tere
d pr
ior
to fe
edin
g
Em
piric
ally
effe
ctiv
e w
ith r
easo
nabl
y ha
ndle
d fo
od fi
sh
Com
mon
pr
actic
e
(Con
tinue
d)
9781498796873_C027.indd 618 9/13/2017 6:49:50 PM
Pharmaceuticals and Formularies 619
Tab
le 2
7.2
(Co
nti
nu
ed)
Dru
g D
osag
es R
epor
ted
for
Cet
acea
ns (
See
Tex
t for
Pre
caut
ions
)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
Vita
min
B9
(fol
inic
ac
id)
25–3
5 m
g/kg
fish
PO
Q
24h.
Giv
e at
mai
n fe
edin
g.
Ger
aci 1
986
For
sup
plem
enta
tion
whe
n su
pple
men
ts
are
adm
inis
tere
d at
tim
e of
feed
ing
Em
piric
ally
effe
ctiv
e w
ith r
easo
nabl
y ha
ndle
d fo
od fi
sh
Com
mon
pr
actic
e
0.04
–0.0
6 m
g/kg
PO
B
IDO
rcin
us o
rca
Sea
Wor
ld
Pha
rmac
opei
aM
ultip
le
0.1
mg/
kg P
O B
IDD
elp
hina
pte
rus
leuc
asS
eaW
orld
P
harm
acop
eia
Mul
tiple
10–2
0 m
g TO
TAL
DO
SE
PO
BID
Cep
halo
rhyn
cus
com
mer
soni
iS
eaW
orld
P
harm
acop
eia
For
sup
plem
enta
tion
durin
g T
MS
use
20–5
0 m
g TO
TAL
DO
SE
PO
BID
Turs
iop
s tr
unca
tus
Sea
Wor
ld
Pha
rmac
opei
aF
or s
uppl
emen
tatio
n du
ring
TM
S u
se25
–100
mg
TOTA
L D
OS
E P
O B
IDD
elp
hina
pte
rus
leuc
asS
eaW
orld
P
harm
acop
eia
For
sup
plem
enta
tion
durin
g T
MS
use
50–1
00 m
g TO
TAL
DO
SE
PO
BID
Glo
bic
epha
la
mac
rorh
ynch
usS
eaW
orld
P
harm
acop
eia
For
sup
plem
enta
tion
durin
g T
MS
use
Vita
min
C (
asco
rbic
ac
id)
50–1
50 m
g TO
TAL
DO
SE
PO
BID
Orc
inus
orc
aS
eaW
orld
P
harm
acop
eia
For
sup
plem
enta
tion
durin
g T
MS
use
Vita
min
E8
mg/
kg P
O Q
24h
Turs
iop
s tr
unca
tus
Col
grov
e et
al.
1975
Adj
unct
tx fo
r ne
crot
ic
stom
atiti
sC
linic
al r
esol
utio
n1
Vita
min
E/s
elen
ium
100
IU/k
g fis
h P
O
Q24
hC
etac
eans
Ger
aci 1
986
Em
piric
ally
effe
ctiv
e w
ith r
easo
nabl
y ha
ndle
d fo
od fi
sh
Com
mon
pr
actic
e
Vita
min
K1
0.06
mg/
kg s
elen
ium
IM
Sm
all o
dont
ocet
esS
harp
et a
l. 20
16To
pre
vent
ex
ertio
nal
myo
path
y
34
0.1
mg/
kg P
O Q
24h
Del
phi
nap
teru
s le
ucas
Cho
czyn
ski a
nd
Mer
gl 2
007
Adj
unct
tx fo
r E
rysi
pel
othr
ix
sept
icem
ia
Clin
ical
res
olut
ion
1
0.3–
0.5
mg/
kg P
O
BID
Turs
iop
s tr
unca
tus,
S
tene
lla s
p.B
yrd
and
Sta
mpe
r, un
publ
. obs
.
For
trea
tmen
t of
thro
mbo
cyto
peni
aM
ultip
le
Not
e:
dx =
dia
gnos
is; t
x =
trea
tmen
t; =
rea
d te
xt fo
r im
port
ant c
autio
ns;
= s
ee T
able
27.
1 fo
r ph
arm
acok
inet
ic in
form
atio
n.*A
dver
se e
ffect
s ob
serv
ed.
9781498796873_C027.indd 619 9/13/2017 6:49:50 PM
620 Pharmaceuticals and FormulariesTa
ble
27.
3 D
rug
Dos
ages
Rep
orte
d fo
r P
inni
peds
(S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
Ace
tylc
yste
ine
20%
sol
utio
n ne
buliz
ed B
ID-Q
IDS
tosk
opf e
t al.
2001
Uns
peci
fied
Ace
tylc
yste
ine
+
isop
rote
reno
l40
0 m
g IH
BID
-QID
, ne
buliz
ed in
12–
15
mL
of s
alin
e w
ith
1:50
,000
is
opro
tere
nol
Sw
eene
y 19
86a
Uns
peci
fied
Alu
min
um h
ydro
xide
30–9
0 m
g/kg
PO
Zal
ophu
s ca
lifor
nian
usG
ulla
nd 1
999
To b
ind
phos
phor
us
for
case
s of
le
ptos
piro
sis-
asso
ciat
ed r
enal
di
seas
eA
mik
acin
5 m
g/kg
IM B
ID ×
5–
7dP
inni
peds
Tho
rnto
n, u
npub
l. da
ta6.
8 m
g/kg
IM B
IDZ
alop
hus
calif
orni
anus
Fie
ld e
t al.
2012
Ani
mal
die
d (fi
nal
diag
nosi
s of
fung
al
dise
ase)
1
7.7
mg/
kg B
IDO
dob
enus
ro
smar
usM
cBai
n, u
npub
l. da
taU
nspe
cifie
d
Am
inoc
apro
ic a
cid
100
mg/
kg IV
, PO
B
ID-Q
IDM
iroun
ga
ang
ustir
ostr
isK
aye
et a
l. 20
16A
ntifi
brin
olyt
icT
hera
peut
ic p
lasm
a co
ncen
trat
ions
m
aint
aine
d fo
r 8
hour
s
27
Am
inop
hylli
ne2
mg/
kg IM
Pho
ca g
roen
land
ica
Pic
he e
t al.
2010
Use
d fo
r pr
emed
icat
ion
prio
r to
ane
sthe
sia
for
bron
choa
lveo
lar
lava
ge
14
5.5
mg/
kg IV
, IM
, P
O; B
ID-T
IDZ
alop
hus
calif
orni
anus
, P
hoca
vitu
lina,
M
iroun
ga
ang
ustir
ostr
is
Sto
skop
f et a
l. 20
01U
nspe
cifie
d
6–12
mg/
kg IM
TID
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aB
ronc
hodi
lato
rM
ultip
le
Am
oxic
illin
12 m
g/kg
PO
BID
Neo
mon
achu
s sc
haui
nsla
ndi
Nor
ris e
t al.
2011
Em
piric
al th
erap
y fo
r ga
stro
inte
stin
al
sign
s
Clin
ical
res
olut
ion
1
12 m
g/kg
PO
BID
Pho
ca v
itulin
aF
low
er e
t al.
2014
Ani
mal
die
d (fi
nal
diag
nosi
s of
ne
opla
sia)
1 (Con
tinue
d)
9781498796873_C027.indd 620 9/13/2017 6:49:50 PM
Pharmaceuticals and Formularies 621
Tab
le 2
7.3
(Co
nti
nu
ed)
Dru
g D
osag
es R
epor
ted
for
Pin
nipe
ds (
See
Tex
t for
Pre
caut
ions
)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
15 m
g/kg
PO
BID
Zal
ophu
s ca
lifor
nian
usV
an B
onn
et a
l. 20
00A
djun
ct th
erap
y fo
r ca
liciv
irus
ulce
rsC
linic
al r
esol
utio
n1
20 m
g/kg
IV o
nce
Pho
ca v
itulin
aG
ulla
nd e
t al.
2000
Ser
um c
once
ntra
tions
m
aint
aine
d ab
ove
10 m
cg/m
L fo
r 1.
75h
20
20 m
g/kg
IV o
nce
Miro
ung
a an
gus
tiros
tris
Gul
land
et a
l. 20
00S
erum
con
cent
ratio
ns
mai
ntai
ned
abov
e 10
mcg
/mL
for
4.5h
20
22 m
g/kg
PO
BID
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aM
ultip
le
Am
oxic
illin
/cla
vula
nic
acid
10–1
5 m
g/kg
PO
B
IDP
inni
peds
TM
MC
P
harm
acop
eia
Mul
tiple
11 m
g/kg
PO
BID
Zal
ophu
s ca
lifor
nian
usF
ield
et a
l. 20
12A
nim
al d
ied
(fina
l di
agno
sis
of fu
ngal
di
seas
e)
1
14 m
g/kg
PO
BID
Od
oben
us
rosm
arus
Sch
mitt
and
P
roct
or 2
014
Ani
mal
die
d (fi
nal
diag
nosi
s of
fung
al
dise
ase)
1
20 m
g/kg
PO
BID
Zal
ophu
s ca
lifor
nian
usB
raun
et a
l. 20
15A
nim
al d
ied
desp
ite
ther
apy
(fina
l di
agno
sis
of
bact
eria
l men
ingi
tis)
1
20 m
g/kg
PO
BID
×
7–10
dP
hoca
vitu
lina
Rub
io-G
arci
a et
al.
2015
For
tx o
f wou
nds
Mix
ed c
linic
al
reso
lutio
n19
Oph
thal
mic
T
ID-Q
IDP
hoca
vitu
lina
Bor
kow
ski e
t al.
1999
For
tx o
f ker
atiti
s.
Sub
palp
ebra
l lav
age
with
cip
roflo
xaci
n an
d flu
cona
zole
.
Uns
peci
fied
Am
pici
llin/
sulb
acta
m
sodi
um22
–50
mg/
kg IV
, IM
T
IDP
inni
peds
TM
MC
P
harm
acop
eia
Mul
tiple
Asp
irin
(buf
fere
d)0.
15 m
g/kg
PO
BID
Pho
ca v
itulin
aF
low
er e
t al.
2014
For
uve
itis
10.
5 m
g/kg
PO
Q
24h-
BID
Miro
ung
a an
gus
tiros
tris
TM
MC
P
harm
acop
eia
For
tx o
f DIC
as
soci
ated
with
O
tost
rong
ylus
ci
rcum
litis
infe
ctio
n
Mul
tiple
5 m
g/kg
PO
BID
×
5dZ
alop
hus
calif
orni
anus
Hau
lena
et a
l. 20
06A
djun
ct th
erap
y fo
r so
ft tis
sue
wou
nds
Clin
ical
res
olut
ion
1
Asp
irin
(gas
tric
co
ated
)5.
5 m
g/kg
PO
BID
Pho
ca v
itulin
aF
low
er e
t al.
2014
For
uve
itis
1 (Con
tinue
d)
9781498796873_C027.indd 621 9/13/2017 6:49:50 PM
622 Pharmaceuticals and FormulariesTa
ble
27.
3 (C
on
tin
ued
) D
rug
Dos
ages
Rep
orte
d fo
r P
inni
peds
(S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
Bar
ium
sul
fate
1 m
g/kg
PO
Pho
ca v
itulin
aF
low
er e
t al.
2014
For
gas
troi
ntes
tinal
co
ntra
st s
erie
s2
Bup
ivac
aine
Max
imum
of 2
mg/
kg S
Q/in
trad
erm
alP
inni
peds
TM
MC
P
harm
acop
eia
For
loca
l, or
reg
iona
l ne
rve
bloc
ks,
incl
udin
g ep
idur
alB
upre
norp
hine
0.01
–0.0
2 m
g/kg
IM
, IV
TID
-QID
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aF
or a
nalg
esia
Mul
tiple
Bup
reno
rphi
ne S
R
(ext
ende
d re
leas
e)0.
12 m
g/kg
SC
Q
72h
Miro
ung
a an
gus
tiros
tris
Mol
ter
et a
l. 20
1526
0.2–
0.25
mg/
kg S
C
Q72
hP
inni
peds
TM
MC
P
harm
acop
eia
For
ana
lges
iaM
ultip
le
Bus
piro
ne0.
5–1.
0 m
g/kg
PO
B
IDP
inni
peds
TM
MC
P
harm
acop
eia
Anx
ioly
ticS
tart
at l
ow d
ose
and
incr
ease
. May
take
1–
3 w
eeks
to s
ee
effe
ct
Mul
tiple
But
orph
anol
0.1–
0.2
mg/
kg IM
, IV
TID
-QID
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aF
or a
nalg
esia
Mul
tiple
Car
prof
en1.
25 m
g/kg
PO
Q
24h
Zal
ophu
s ca
lifor
nian
usK
elly
et a
l. 20
05A
nim
al d
ied
(fina
l di
agno
sis
of
Oto
stro
ngyl
us)
1
1.8
mg/
kg P
O Q
24h
Zal
ophu
s ca
lifor
nian
usF
ield
et a
l. 20
121
2 m
g/kg
PO
BID
×
10d
Pho
ca v
itulin
aR
ubio
-Gar
cia
et a
l. 20
15A
djun
ct th
erap
y fo
r w
ound
sM
ixed
clin
ical
re
solu
tion
19
2 m
g/kg
PO
BID
Pin
nipe
dsT
MM
C
Pha
rmac
opei
a4
mg/
kg P
O Q
24h
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aM
ultip
le
4 m
g/kg
PO
BID
×
5dO
taria
flav
esec
ens
Bia
ncan
i et a
l. 20
10A
nim
al d
ied
(fina
l di
agno
sis
of
neop
lasi
a)
1
4 m
g/kg
PO
Q24
hP
hoca
vitu
lina
Frav
el e
t al.
2011
Adj
unct
ther
apy
for
MR
SA
Clin
ical
res
olut
ion
1
4 m
g/kg
PO
Q24
hZ
alop
hus
calif
orni
anus
Bra
un e
t al.
2015
Not
effe
ctiv
e in
co
ntro
lling
pai
n as
soci
ated
with
w
ound
s/m
enin
gitis
1
4.4
mg/
kg P
O Q
24h
Zal
ophu
s ca
lifor
nian
usD
enni
son
et a
l. 20
11F
or tx
of l
ungw
orm
in
fest
atio
n/in
flam
mat
ion
1 (Con
tinue
d)
9781498796873_C027.indd 622 9/13/2017 6:49:51 PM
Pharmaceuticals and Formularies 623
Tab
le 2
7.3
(Co
nti
nu
ed)
Dru
g D
osag
es R
epor
ted
for
Pin
nipe
ds (
See
Tex
t for
Pre
caut
ions
)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
4.4
mg/
kg IM
onc
eE
umet
opia
s ju
bat
usW
alke
r et
al.
2010
Not
effe
ctiv
e in
co
ntro
lling
pos
t-op
erat
ive
pain
5
5 m
g/kg
PO
Q24
h ×
7d
Pho
ca v
itulin
aF
low
er e
t al.
2014
Ani
mal
die
d (fi
nal
diag
nosi
s of
ne
opla
sia)
1
Cef
azol
in20
mg/
kg IM
, IV
TID
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aF
or p
erio
pera
tive
use
Mul
tiple
Cef
ovec
in1–
2 m
g/kg
SC
, IM
on
ceO
taria
flav
esec
ens
Gar
cía-
Pár
raga
, un
publ
. dat
aP
lasm
a co
ncen
trat
ions
ab
ove
1.0
mcg
/mL
>26
d
10
2 m
g/kg
IM o
nce
Od
oben
us
rosm
arus
Gar
cía-
Pár
raga
, un
publ
. dat
aP
lasm
a co
ncen
trat
ions
ab
ove
1.0
mcg
/mL
>60
d
3
4 m
g/kg
SC
onc
eZ
alop
hus
calif
orni
anus
Gar
cía-
Pár
raga
, un
publ
. dat
aP
lasm
a co
ncen
trat
ions
ab
ove
1.0
mcg
/m
L =
57d
1
4 m
g/kg
SC
onc
eP
hoca
vitu
lina
Gar
cía-
Pár
raga
, un
publ
. dat
aP
lasm
a co
ncen
trat
ions
ab
ove
1.0
mcg
/mL
>10
d
2
4 m
g/kg
SC
onc
eH
alic
hoer
us g
ryp
usG
arcí
a-P
árra
ga,
unpu
bl. d
ata
Pla
sma
conc
entr
atio
ns
abov
e 1.
0 m
cg/
mL
= 2
0dC
eftio
fur
5 m
g/kg
IMM
iroun
ga
ang
ustir
ostr
isFa
uqui
er e
t al.
2003
Ani
mal
die
d (fi
nal
diag
nosi
s of
ne
opla
sia)
1
6.6
mg/
kg IM
onc
eZ
alop
hus
calif
orni
anus
Pra
ger
et a
l. 20
15F
or tx
of l
epto
spiro
sis
Clin
ical
res
olut
ion
14
6.6
mg/
kg IM
Q5d
Zal
ophu
s ca
lifor
nian
usM
eega
n et
al.
2013
12
6.6
mg/
kg IM
Q5d
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aM
ultip
le
Cef
urox
ime
10–1
5 m
g/kg
PO
B
IDO
dob
enus
ro
smar
usM
cBai
n, u
npub
l. da
taU
nspe
cifie
d
Cep
hale
xin
15 m
g/kg
PO
BID
Zal
ophu
s ca
lifor
nian
usF
ield
et a
l. 20
12A
nim
al d
ied
(fina
l di
agno
sis
of fu
ngal
)1 (C
ontin
ued
)
9781498796873_C027.indd 623 9/13/2017 6:49:51 PM
624 Pharmaceuticals and FormulariesTa
ble
27.
3 (C
on
tin
ued
) D
rug
Dos
ages
Rep
orte
d fo
r P
inni
peds
(S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
20 m
g/kg
PO
TID
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aM
ultip
le
25 m
g/kg
PO
BID
Zal
ophu
s ca
lifor
nian
usB
raun
et a
l. 20
15A
nim
al d
ied
desp
ite
ther
apy
(fina
l di
agno
sis
of
bact
eria
l men
ingi
tis)
1
Cep
halo
ridin
e8.
8 m
g/kg
IT B
IDZ
alop
hus
calif
orni
anus
Sw
eene
y 19
77U
nspe
cifie
d
Chl
oram
phen
icol
4.1
mg/
kg IV
, PO
T
IDP
hoca
vitu
lina
Kos
ki a
nd
Van
denb
roek
19
86
Uns
peci
fied
20–3
0 m
g/kg
PO
B
ID-T
IDZ
alop
hus
calif
orni
anus
McB
ain,
unp
ubl.
data
Uns
peci
fied
Cim
etid
ine
5 m
g/kg
PO
Zal
ophu
s ca
lifor
nian
usG
ulla
nd 1
999
For
tx o
f gas
tric
ul
cers
ass
ocia
ted
with
ure
mia
in
patie
nts
with
le
ptos
piro
sis
Uns
peci
fied
Cip
roflo
xaci
n5–
10 m
g/kg
PO
BID
Zal
ophu
s ca
lifor
nian
usP
rage
r et
al.
2015
For
tx o
f lep
tosp
irosi
sC
linic
al r
esol
utio
n14
7.5
mg/
kg P
O B
IDO
dob
enus
ro
smar
usM
cBai
n, u
npub
l. da
taU
nspe
cifie
d
10 m
g/kg
PO
Q24
hZ
alop
hus
calif
orni
anus
Bar
bosa
et a
l. 20
1520
10 m
g/kg
PO
Q
24h
× 5
dM
iroun
ga
ang
ustir
ostr
isG
reen
e et
al.
2015
Pro
phyl
actic
pos
t-op
erat
ive
adm
inis
trat
ion
1
15 m
g/kg
PO
Q24
hP
inni
peds
TM
MC
P
harm
acop
eia
Mul
tiple
Oph
thal
mic
T
ID-Q
IDP
hoca
vitu
lina
Bor
kow
ski e
t al.
1999
For
tx o
f ker
atiti
s.
Sub
palp
ebra
l lav
age
with
fluc
onaz
ole
and
atro
pine
Uns
peci
fied
Clin
dam
ycin
5.5
mg/
kg IM
, PO
B
IDP
inni
peds
TM
MC
P
harm
acop
eia
Mul
tiple
6 m
g/kg
PO
BID
Pho
ca v
itulin
aZ
abka
et a
l. 20
06A
nim
al d
ied
(fina
l di
agno
sis
of le
ad
toxi
cosi
s)
1
7.3
mg/
kg P
O B
IDO
dob
enus
ro
smar
usM
cBai
n, u
npub
l. da
taU
nspe
cifie
d
(Con
tinue
d)
9781498796873_C027.indd 624 9/13/2017 6:49:51 PM
Pharmaceuticals and Formularies 625Ta
ble
27.
3 (C
on
tin
ued
) D
rug
Dos
ages
Rep
orte
d fo
r P
inni
peds
(S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
8–11
mg/
kg P
O B
IDZ
alop
hus
calif
orni
anus
McB
ain,
unp
ubl.
data
Uns
peci
fied
10 m
g/kg
PO
BID
×
14d
Pho
ca v
itulin
aR
ubio
-Gar
cia
et a
l. 20
15F
or tx
of w
ound
sM
ixed
clin
ical
re
solu
tion
19
10–1
5 m
g/kg
IM,
PO
BID
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aF
or tx
of p
roto
zoal
in
fect
ions
(T
oxop
lasm
a,
Sar
cocy
stis
, N
eosp
ora)
Mul
tiple
12 m
g/kg
PO
BID
Zal
ophu
s ca
lifor
nian
usV
an B
onn
et a
l. 20
00A
djun
ct th
erap
y fo
r ca
liciv
irus
ulce
rsC
linic
al r
esol
utio
n1
Dex
amet
haso
ne0.
1 m
g/kg
PO
Q
24h
× 1
4d, t
hen
0.05
mg/
kg
Q24
h ×
4d
Pho
ca v
itulin
aE
sson
et a
l. 20
15A
s an
ti-in
flam
mat
ory
post
-lens
ecto
my
Clin
ical
res
olut
ion
1
0.1–
0.2
mg/
kg IM
Q
24h
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aA
nti-i
nflam
mat
ory
dose
Mul
tiple
0.2–
1.0
mg/
kg IM
, P
O Q
24h
Zal
ophu
s ca
lifor
nian
us
Miro
ung
a an
gus
tiros
tris
Gag
e et
al.
1985
Uns
peci
fied
0.25
mg/
kg P
O B
ID,
tape
ring
dose
Miro
ung
a an
gus
tiros
tris
Hau
lena
et a
l. 20
021
0.25
mg/
kg IM
Q
24h
Zal
ophu
s ca
lifor
nian
usT
MM
C
Pha
rmac
opei
aA
bort
ifaci
ent d
ose
for
preg
nant
ani
mal
s w
ith d
omoi
c ac
id
into
xica
tion
Typi
cally
abo
rt a
fter
3–5
days
of t
x. If
no
resu
lt co
nsid
er
dino
pros
t.
Mul
tiple
40 m
g IM
TO
TAL
DO
SE
Zal
ophu
s ca
lifor
nian
usB
rodi
e et
al.
2006
Abo
rtifa
cien
t dos
e fo
r pr
egna
nt a
nim
als
with
dom
oic
acid
in
toxi
catio
n
13
2.2
mg/
kg IV
Zal
ophu
s ca
lifor
nian
usS
tosk
opf e
t al.
2001
For
tx o
f sho
ckU
nspe
cifie
d
Dex
tros
e (5
%
in L
RS
)10
0 m
L/kg
/dZ
alop
hus
calif
orni
anus
Gul
land
199
9U
nspe
cifie
d
Dex
tros
e 20
%50
0 m
g/kg
(2.
5 m
L/kg
of 2
0%
adm
inis
tere
d in
trap
erito
neal
ly)
Zal
ophu
s ca
lifor
nian
usFr
avel
et a
l. 20
16F
or h
ypog
lyce
mic
cr
isis
Hyp
ergl
ycem
ia
pers
ists
for
~2h
r.5 (C
ontin
ued
)
9781498796873_C027.indd 625 9/13/2017 6:49:51 PM
626 Pharmaceuticals and FormulariesTa
ble
27.
3 (C
on
tin
ued
) D
rug
Dos
ages
Rep
orte
d fo
r P
inni
peds
(S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
Dex
tros
e 25
%50
0 m
g/kg
(2
mL/
kg
of 2
5%
adm
inis
tere
d in
trav
enou
sly)
Zal
ophu
s ca
lifor
nian
usFr
avel
et a
l. 20
16F
or h
ypog
lyce
mic
cr
isis
Hyp
ergl
ycem
ia
pers
ists
for
~2h
r.5
Dia
zepa
m0.
15 m
g/kg
IVP
hoca
vitu
lina
Zab
ka e
t al.
2006
Ant
icon
vuls
ant
Inco
nsis
tent
ab
sorp
tion
via
IM
rout
e (H
ung
et a
l. 19
96);
cons
ider
lo
raze
pam
for
IM
antic
onvu
lsan
t
1
Dic
hlor
vos
9.7–
11.5
mg/
kg
tabl
et P
OC
allo
rhin
us u
rsin
usB
igg
and
Lyon
s 19
81U
nspe
cifie
d
29.3
–32.
8 m
g/kg
ca
psul
e P
OC
allo
rhin
us u
rsin
usLy
ons
et a
l. 19
78U
nspe
cifie
d
Dip
henh
ydra
min
e0.
55 m
g/kg
PO
BID
Zal
ophu
s ca
lifor
nian
usF
ield
et a
l. 20
12A
nim
al d
ied
(fina
l di
agno
sis
of fu
ngal
)1
Dis
ophe
nol*
9.9
mg/
kg S
C B
ID,
Q24
hN
orth
ern
fur
seal
Lyon
s et
al.
1978
For
tx o
f Unc
inar
ia
hook
wor
ms
SE
E
TE
XT
—P
OT
EN
TIA
L
LE
TH
AL
R
EA
CT
ION
S12
.5 m
g/kg
SC
Nor
ther
n fu
r se
al,
asso
ciat
ed
diar
rhea
Lyon
s et
al.
1980
For
tx o
f Unc
inar
ia
hook
wor
ms
Dox
ycyc
line
2.2
mg/
kg P
O B
IDZ
alop
hus
calif
orni
anus
Fie
ld e
t al.
2012
Ani
mal
die
d (fi
nal
diag
nosi
s of
fung
al)
1
5 m
g/kg
PO
BID
Pho
ca v
itulin
aF
low
er e
t al.
2014
For
pin
nipe
d ke
ratit
is1
5 m
g/kg
PO
BID
Zal
ophu
s ca
lifor
nian
usP
rage
r et
al.
2013
For
tx o
f lep
tosp
irosi
sC
linic
al r
esol
utio
n1
5–10
mg/
kg P
O B
IDZ
alop
hus
calif
orni
anus
Pra
ger
et a
l. 20
15F
or tx
of l
epto
spiro
sis
Clin
ical
res
olut
ion
14
7.5
mg/
kg P
O B
ID ×
7
wee
ks, t
hen
1 m
g/kg
PO
Q24
h ×
5 w
eeks
Zal
ophu
s ca
lifor
nian
usF
itzpa
tric
k et
al.
2011
For
tx o
f per
iodo
ntal
di
seas
eC
linic
al r
esol
utio
n1
10 m
g/kg
PO
Q
24h-
BID
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aM
ultip
le
10 m
g/kg
PO
BID
Pho
ca v
itulin
aE
sson
et a
l. 20
15P
ost-
lens
ecto
my
Clin
ical
res
olut
ion
1 (Con
tinue
d)
9781498796873_C027.indd 626 9/13/2017 6:49:51 PM
Pharmaceuticals and Formularies 627Ta
ble
27.
3 (C
on
tin
ued
) D
rug
Dos
ages
Rep
orte
d fo
r P
inni
peds
(S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
10–2
0 m
g/kg
PO
Q
24h
Miro
ung
a an
gus
tiros
tris
Free
man
et a
l. 20
13D
oxyc
yclin
e pe
netr
ates
the
tear
fil
m a
t bot
h 10
and
20
mg/
kg d
oses
and
ca
n be
use
d fo
r op
htha
lmic
in
dica
tions
18
Ena
lapr
il0.
5 m
g/kg
PO
BID
Pho
ca v
itulin
aT
MM
C
Pha
rmac
opei
aF
or tx
of h
eart
failu
re
and
fluid
ove
rload
in
pups
with
pat
ent
duct
us a
rter
iosu
s
Mul
tiple
Eni
lcon
azol
e0.
2% to
pica
l so
lutio
nZ
alop
hus
calif
orni
anus
Gui
llot e
t al.
1998
For
tx o
f fun
gal
derm
atiti
sC
linic
al r
esol
utio
n1
Enr
oflox
acin
3 m
g/kg
PO
BID
Pho
ca v
itulin
aE
sson
et a
l. 20
15C
linic
al r
esol
utio
n1
3.3
mg/
kg P
O B
IDO
dob
enus
ro
smar
usM
cBai
n, u
npub
l. da
taU
nspe
cifie
d
5 m
g/kg
PO
Q24
hP
hoca
vitu
lina
Frav
el e
t al.
2011
Clin
ical
res
olut
ion
15
mg/
kg P
O Q
24h
Zal
ophu
s ca
lifor
nian
usB
raun
et a
l. 20
15A
nim
al d
ied
desp
ite
ther
apy
(ane
sthe
tic
deat
h)
1
5 m
g/kg
PO
Q24
hZ
alop
hus
calif
orni
anus
Kel
ly e
t al.
2005
Ani
mal
die
d of
O
tost
rong
ylus
1
5 m
g/kg
PO
Q24
hZ
alop
hus
calif
orni
anus
Fie
ld e
t al.
2012
Ani
mal
die
d (fi
nal
diag
nosi
s of
fung
al)
1
5 m
g/kg
PO
BID
×
10d
Ota
ria fl
aves
ecen
sB
ianc
ani e
t al.
2010
Ani
mal
die
d (fi
nal
diag
nosi
s of
ne
opla
sia)
1
5–10
mg/
kg IM
Q
24h
Zal
ophu
s ca
lifor
nian
usP
rage
r et
al.
2015
For
tx o
f lep
tosp
irosi
sC
linic
al r
esol
utio
n14
5–10
mg/
kg IM
, SQ
Pho
ca v
itulin
aF
low
er e
t al.
2014
Ani
mal
die
d (fi
nal
diag
nosi
s of
ne
opla
sia)
4
2% s
olut
ion
in
polo
xam
er g
el,
appl
ied
subc
onju
nctiv
ally
Zal
ophu
s ca
lifor
nian
usS
imeo
ne e
t al.
2016
For
tx o
f sup
erfic
ial
corn
eal u
lcer
sC
linic
al r
esol
utio
n26
Ery
thro
myc
in5.
5 m
g/kg
PO
BID
Sw
eene
y 19
74a
Uns
peci
fied
15 m
g/kg
PO
BID
×
25d
Zal
ophu
s ca
lifor
nian
usH
aule
na e
t al.
2006
Clin
ical
res
olut
ion
1 (Con
tinue
d)
9781498796873_C027.indd 627 9/13/2017 6:49:51 PM
628 Pharmaceuticals and FormulariesTa
ble
27.
3 (C
on
tin
ued
) D
rug
Dos
ages
Rep
orte
d fo
r P
inni
peds
(S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
15 m
g/kg
PO
TID
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aM
ultip
le
Fam
cicl
ovir
15–3
0 m
g/kg
PO
Q
24h-
BID
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aM
ultip
le
Fam
otid
ine
0.5
mg/
kg IM
, PO
B
IDP
inni
peds
TM
MC
P
harm
acop
eia
Mul
tiple
0.5
mg/
kg P
O B
IDP
hoca
vitu
lina
Bia
ncan
i et a
l. 20
12A
nim
al d
ied
(fina
l di
agno
sis
of
neop
lasi
a)
1
0.5–
0.8
mg/
kg P
O
Q24
hP
hoca
vitu
lina
Flo
wer
et a
l. 20
14A
nim
al d
ied
(fina
l di
agno
sis
of
neop
lasi
a)
4
0.9
mg/
kg IM
Q24
hM
iroun
ga
ang
ustir
ostr
isG
reen
e et
al.
2015
Ani
mal
die
d (fi
nal
diag
nosi
s of
her
nia)
1
1.0
mg/
kg IM
, PO
Q
24h
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aM
ultip
le
Fen
bend
azol
e10
mg/
kg P
ON
eom
onac
hus
scha
uins
land
iG
obus
h et
al.
2011
For
tx o
f nem
atod
es7
10 m
g/kg
PO
Q
24h
× 3
dN
eom
onac
hus
scha
uins
land
iN
orris
et a
l. 20
11F
or tx
of n
emat
odes
Clin
ical
res
olut
ion
3
10 m
g/kg
PO
Q
24h
× 3
dP
inni
peds
TM
MC
P
harm
acop
eia
For
tx o
f nem
atod
esM
ultip
le
10 m
g/kg
PO
Q
24h
× 5
dP
inni
peds
TM
MC
P
harm
acop
eia
For t
x of
Oto
stro
ngyl
us
circ
umlit
isM
ultip
le
11 m
g/kg
PO
Q
24h
× 2
dZ
alop
hus
calif
orni
anus
, M
iroun
ga
ang
ustir
ostr
is
Gag
e et
al.
1985
Uns
peci
fied
50 m
g/kg
PO
Q
24h
× 1
0-30
dM
iroun
ga
ang
ustir
ostr
isB
eckm
en e
t al.
1993
For
tx o
f O
tost
rong
ylus
ci
rcum
litis
Inte
rmitt
ent c
linic
al
reso
lutio
n39
Fer
rous
sul
fate
1–2
tab
(325
mg)
P
O T
IDP
inni
peds
TM
MC
P
harm
acop
eia
Mul
tiple
Flo
rfen
icol
20 m
g/kg
SQ
, IM
Q
48h
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aF
lorf
enic
ol, e
xten
ded
rele
ase
40 m
g/kg
SQ
Q7d
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aF
luco
nazo
le0.
5 m
g/kg
PO
BID
Rei
dars
on e
t al.
1999
Uns
peci
fied
(Con
tinue
d)
9781498796873_C027.indd 628 9/13/2017 6:49:51 PM
Pharmaceuticals and Formularies 629Ta
ble
27.
3 (C
on
tin
ued
) D
rug
Dos
ages
Rep
orte
d fo
r P
inni
peds
(S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
2 m
g/kg
PO
BID
lo
adin
g do
se, t
hen
1 m
g/kg
PO
BID
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aM
ultip
le
Oph
thal
mic
T
ID-Q
IDP
hoca
vitu
lina
Bor
kow
ski e
t al.
1999
For
tx o
f ker
atiti
s.
Sub
palp
ebra
l lav
age
with
cip
roflo
xaci
n an
d at
ropi
ne
Uns
peci
fied
Flu
oxiti
ne H
Cl
0.2–
1.2
mg/
kg P
O
Q24
hZ
alop
hus
calif
orni
anus
Dal
ton
et a
l. 19
97F
or tx
of r
egur
gita
tion
and
ster
eoty
pic
beha
vior
Con
trol
led
beha
vior
fo
r 4
mon
ths;
slo
w
recu
rren
ce a
fter
that
po
int.
Uns
peci
fied
Flu
nixi
n m
eglu
min
e1
mg/
kg IM
Q24
hP
inni
peds
TM
MC
P
harm
acop
eia
Mul
tiple
1 m
g/kg
IM o
nce
Eum
etop
ias
jub
atus
Wal
ker
et a
l. 20
10,
2011
Not
effe
ctiv
e in
co
ntro
lling
pos
t-op
erat
ive
pain
15
1.1
mg/
kg IM
× 7
dP
hoca
vitu
lina
Flo
wer
et a
l. 20
14A
nim
al d
ied
(fina
l di
agno
sis
of
neop
lasi
a)
1
Flu
rbip
rofe
n0.
05%
oph
thal
mic
so
lutio
nP
hoca
vitu
lina
Flo
wer
et a
l. 20
14F
or tx
of u
veiti
sC
linic
al r
esol
utio
n1
Furo
sem
ide
2–4
mg/
kg P
O, S
Q,
IM, I
V B
ID-T
IDP
inni
peds
TM
MC
P
harm
acop
eia
Mul
tiple
Gen
tam
icin
2 m
g/kg
IM Q
24h
×
6dP
hoca
vitu
lina
Rub
io-G
arci
a et
al.
2015
Clin
ical
res
olut
ion
4
0.75
mg/
kg IT
BID
×
2d, t
hen
Q24
hS
wee
ney,
unp
ubl.
data
Uns
peci
fied
1 m
g/kg
IV T
ID
(SLO
WLY
)P
inni
peds
TM
MC
P
harm
acop
eia
Mul
tiple
Gris
eofu
lvin
15 m
g/kg
PO
Q
24h
× 4
5dFa
rnsw
orth
et a
l. 19
75U
nspe
cifie
d
5000
mg/
d P
O
TOTA
L D
OS
E ×
4
wee
ks
Neo
pho
ca c
iner
eaP
hilli
ps e
t al.
1986
Uns
peci
fied
Hal
oper
idol
*C
ON
TRA
IND
ICA
TED
CO
NTR
AIN
DIC
ATE
DS
eaW
orld
P
harm
acop
eia
CO
NTR
AIN
DIC
ATE
D S
EE
T
EX
T—
PO
TE
NT
IAL
L
ET
HA
L
RE
AC
TIO
NS
Uns
peci
fied
(Con
tinue
d)
9781498796873_C027.indd 629 9/13/2017 6:49:51 PM
630 Pharmaceuticals and FormulariesTa
ble
27.
3 (C
on
tin
ued
) D
rug
Dos
ages
Rep
orte
d fo
r P
inni
peds
(S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
Hep
arin
sod
ium
50–1
00 IU
/kg
SQ
T
ID (
give
firs
t dos
e IV
)
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aA
ntic
oagu
lant
for
tx
of D
ICM
ultip
le
Hyd
roco
done
0.08
mg/
kg P
O B
IDZ
alop
hus
calif
orni
anus
Fie
ld e
t al.
2012
Ani
mal
die
d (fi
nal
diag
nosi
s of
fung
al)
1
Hyd
roge
n pe
roxi
de5
mL/
kg P
O P
RN
Ger
aci a
nd
Sw
eene
y 19
86U
nspe
cifie
d
Indo
met
haci
n0.
1–0.
3 m
g/kg
PO
in
itial
dos
e;
0.1–
0.2
mg/
kg
12–2
4h
mai
nten
ance
; 0.
45 m
g/kg
48h
ta
perin
g do
se
Zal
ophu
s ca
lifor
nian
us,
Miro
ung
a an
gus
tiros
tris
Sto
skop
f et a
l. 20
01U
nspe
cifie
d
Iohe
xol*
300
mgI
/kg
IVZ
alop
hus
calif
orni
anus
Den
niso
n et
al.
2010
For
CT
con
tras
t S
EE
T
EX
T—
PO
TE
NT
IAL
L
ET
HA
L
RE
AC
TIO
NS
8
60 m
L of
300
mgI
/m
L IV
Zal
ophu
s ca
lifor
nian
usD
enni
son
et a
l. 20
11F
or C
T c
ontr
ast
1
Iron
dex
tran
10 m
g/kg
IM Q
2–3
wee
ksP
inni
peds
TM
MC
P
harm
acop
eia
Mul
tiple
Isoe
thar
ine
90 m
g ne
buliz
ed in
1%
sol
n. P
RN
For
tx o
f br
onch
ospa
smS
tosk
opf e
t al.
2001
For
tx o
f br
onch
ospa
smU
nspe
cifie
d
Ison
iazi
d2
mg/
kg P
O Q
24h
Hal
icho
erus
gry
pus
Sto
skop
f, un
publ
. da
taU
nspe
cifie
d
Isop
rote
reno
l0.
4 m
g/kg
PO
BID
, T
IDZ
alop
hus
calif
orni
anus
Sto
skop
f et a
l. 20
01U
nspe
cifie
d
0.5
mL
nebu
lized
B
ID-Q
IDZ
alop
hus
calif
orni
anus
Sto
skop
f et a
l. 20
01U
nspe
cifie
d
Itrac
onaz
ole
0.5–
1 m
g/kg
PO
B
IDN
onw
alru
s pi
nnip
eds
Rei
dars
on e
t al.
1999
Uns
peci
fied
1.5–
2 m
g/kg
PO
Q
24h
Od
oben
us
rosm
arus
Rei
dars
on e
t al.
1999
Uns
peci
fied
2.5
mg/
kg P
O B
IDZ
alop
hus
calif
orni
anus
Fie
ld e
t al.
2012
No
clin
ical
im
prov
emen
t (fin
al
diag
nosi
s of
fung
al)
1 (Con
tinue
d)
9781498796873_C027.indd 630 9/13/2017 6:49:51 PM
Pharmaceuticals and Formularies 631Ta
ble
27.
3 (C
on
tin
ued
) D
rug
Dos
ages
Rep
orte
d fo
r P
inni
peds
(S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
Iver
mec
tin0.
2 m
g/kg
(20
0 μg
/kg
) S
C o
nce
Cal
lorh
inus
urs
inus
DeL
ong
et a
l. 20
09F
or U
ncin
aria
ho
okw
orm
Red
uced
mor
talit
y an
d in
crea
sed
grow
th r
ate
amon
g tr
eate
d pu
ps. R
epea
t af
ter
10 d
ays.
Uns
peci
fied
0.2
mg/
kg (
200
μg/
kg)
IMZ
alop
hus
calif
orni
anus
Den
niso
n et
al.
2011
For
Par
afila
roid
es
lung
wor
m1
0.2
mg/
kg (
200
μg/
kg)
IM, S
Q o
nce
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aF
or tx
of G
I ne
mat
odes
, P
arafi
laro
ides
, lic
e,
and
mite
s
May
req
uire
ant
i-in
flam
mat
ory
for
tx o
f P
arafi
laro
ides
or
Oto
stro
ngyl
us.
Rep
eat i
n 2
wee
ks
for
heav
y pa
rasi
te
load
s
Mul
tiple
Ket
ocon
azol
e1
mg/
kg P
O B
IDN
onw
alru
s pi
nnip
eds
Rei
dars
on e
t al.
1999
Uns
peci
fied
4.4
mg/
kg P
O B
IDO
dob
enus
ro
smar
usR
eida
rson
et a
l. 19
99U
nspe
cifie
d
10 m
g/kg
IM, P
O
Q24
hD
unn
et a
l. 19
84U
nspe
cifie
d
10 m
g/kg
PO
Q24
hZ
alop
hus
calif
orni
anus
Gui
llot e
t al.
1998
Mild
clin
ical
im
prov
emen
t, be
tter
with
com
bine
d en
ilcon
azol
e th
erap
y
1
10 m
g/kg
PO
BID
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aM
ultip
le
20 m
g/kg
PO
Q24
hP
inni
peds
TM
MC
P
harm
acop
eia
Ket
opro
fen
1 m
g/kg
IMM
iroun
ga
ang
ustir
ostr
isG
reen
e et
al.
2015
1
1 m
g/kg
IM Q
24h
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aM
ultip
le
1 m
g/kg
PO
BID
Pho
ca v
itulin
aZ
abka
et a
l. 20
061
Leup
rolid
e ac
etat
e0.
09–0
.12
mg/
kg IM
Q
28d
Zal
ophu
s ca
lifor
nian
usC
alle
et a
l. 19
97S
uppr
essi
on o
f te
stos
tero
neC
ontr
olle
d un
desi
rabl
e m
ale-
asso
ciat
ed b
ehav
iors
3 (Con
tinue
d)
9781498796873_C027.indd 631 9/13/2017 6:49:51 PM
632 Pharmaceuticals and FormulariesTa
ble
27.
3 (C
on
tin
ued
) D
rug
Dos
ages
Rep
orte
d fo
r P
inni
peds
(S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
Leva
mis
ole
8 m
g/kg
PO
Zal
ophu
s ca
lifor
nian
usD
alto
n an
d R
obec
k 19
98U
nspe
cifie
d
15 m
g/kg
SC
Zal
ophu
s ca
lifor
nian
us,
Miro
ung
a an
gus
tiros
tris
Gag
e et
al.
1985
Uns
peci
fied
Levo
floxa
cin
4.8
mg/
kg P
O
Q24
hP
hoca
vitu
lina
Flo
wer
et a
l. 20
14A
nim
al d
ied
(fina
l di
agno
sis
of
neop
lasi
a)
1
Lido
cain
e4
mg/
kg S
Q
(ret
robu
lbar
)Z
alop
hus
calif
orni
anus
Gut
ierr
ez e
t al.
2016
For
use
in r
etro
bulb
ar
loca
l blo
ckD
o no
t exc
eed
6 m
g/kg
tota
l dos
e26
Lora
zepa
m0.
2 m
g/kg
IM o
nce,
fo
llow
ed b
y 0.
1–0.
2 m
g/kg
P
RN
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aLo
nger
last
ing
antic
onvu
lsan
t ef
fect
s, a
nd m
ore
cons
iste
nt IM
ab
sorp
tion
than
di
azep
am
Mul
tiple
0.05
mg/
kg IM
Pho
ca v
itulin
aZ
abka
et a
l. 20
06A
ntic
onvu
lsan
t1
Man
nito
l25
0–15
00 m
g/kg
IV
(SLO
WLY
)P
inni
peds
TM
MC
P
harm
acop
eia
Osm
otic
diu
retic
for
tx o
f cra
nial
trau
ma
or c
ereb
ral e
dem
a
Mul
tiple
Mar
boflo
xaci
n4
mg/
kg P
O Q
24h
Pho
ca v
itulin
aF
low
er e
t al.
2014
Ani
mal
die
d (fi
nal
diag
nosi
s of
ne
opla
sia)
1
5 m
g/kg
PO
onc
eP
hoca
vitu
lina
KuK
anic
h et
al.
2007
Pla
sma
conc
entr
atio
ns li
kely
to
be
effe
ctiv
e fo
r ba
cter
ia w
ith M
IC
<0.
2 m
cg/m
L
55
Mar
opita
nt1
mg/
kg S
Q Q
24h
or 2
mg/
kg P
OP
inni
peds
TM
MC
P
harm
acop
eia
May
als
o ha
ve
anti-
infla
mm
ator
y ef
fect
s du
e to
act
ion
agai
nst S
ubst
ance
P
Mul
tiple
Med
roxy
prog
este
rone
ac
etat
e3.
4 m
g/kg
IM Q
28d
Pho
ca v
itulin
aF
low
er e
t al.
2014
Con
trac
eptiv
e1
Mel
oxic
am0.
2 m
g/kg
IM, P
O
load
ing
dose
, the
n 0.
1 m
g/kg
IM, P
O
Q24
h
Pin
nipe
dsT
MM
C
Pha
rmac
opei
a
(Con
tinue
d)
9781498796873_C027.indd 632 9/13/2017 6:49:51 PM
Pharmaceuticals and Formularies 633
Tab
le 2
7.3
(Co
nti
nu
ed)
Dru
g D
osag
es R
epor
ted
for
Pin
nipe
ds (
See
Tex
t for
Pre
caut
ions
)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
0.1
mg/
kg IM
Pho
ca v
itulin
aF
low
er e
t al.
2014
Ani
mal
die
d (fi
nal
diag
nosi
s of
ne
opla
sia)
2
Met
oclo
pram
ide
0.15
mg/
kg P
O B
IDP
hoca
vitu
lina
Flo
wer
et a
l. 20
14A
nim
al d
ied
(fina
l di
agno
sis
of
neop
lasi
a)
2
0.2
mg/
kg P
O T
IDP
hoca
vitu
lina
Bia
ncan
i et a
l. 20
12A
nim
al d
ied
(ane
sthe
sia)
1
0.2
mg/
kg IM
TID
Miro
ung
a an
gus
tiros
tris
Gre
ene
et a
l. 20
15M
ild c
linic
al
impr
ovem
ent (
final
di
agno
sis
of h
erni
a)
1
0.3–
0.4
mg/
kg IM
T
ID ×
3d
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aM
ultip
le
Met
roni
dazo
le5
mg/
kg P
O B
ID ×
10
dP
hoca
vitu
lina
Flo
wer
et a
l. 20
14A
nim
al d
ied
(fina
l di
agno
sis
of
neop
lasi
a)
1
10 m
g/kg
PO
TID
Pho
ca g
roen
land
ica
Chi
nnad
urai
et a
l. 20
09A
nim
al d
ied
(fina
l di
agno
sis
of
Sta
phy
loco
ccus
se
psis
)
1
10–2
0 m
g/kg
PO
B
ID-T
IDP
inni
peds
TM
MC
P
harm
acop
eia
Mul
tiple
Mira
zapi
ne0.
6 m
g/kg
PO
Q24
h (d
o no
t exc
eed
30 m
g to
tal d
ose)
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aM
ultip
le
Neo
myc
in20
mg/
kg T
IDZ
alop
hus
calif
orni
anus
McB
ain,
unp
ubl.
data
Uns
peci
fied
Neo
myc
in-p
olym
yxin
B
-gra
mic
idin
Oph
thal
mic
topi
cal
solu
tion
TID
Pho
ca v
itulin
aF
low
er e
t al.
2014
For
pin
nipe
d ke
ratit
is1
Nys
tatin
600,
000
IU T
OTA
L D
OS
E P
O T
IDD
unn
et a
l. 19
82U
nspe
cifie
d
Om
epra
zole
0.1
mg/
kg P
O Q
24h
Pho
ca v
itulin
aF
low
er e
t al.
2014
Ani
mal
die
d (fi
nal
diag
nosi
s of
ne
opla
sia)
1
Ond
anse
tron
0.2–
0.4
mg/
kg P
O,
SQ
, IM
, IV
Q
24h-
BID
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aM
ultip
le
Oxy
tetr
acyc
line
20 m
g/kg
IM Q
3-4d
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aM
ultip
le
20–4
0 m
g/kg
IM
Q48
hZ
alop
hus
calif
orni
anus
Pra
ger
et a
l. 20
15F
or tx
of l
epto
spiro
sis
Clin
ical
res
olut
ion
14 (Con
tinue
d)
9781498796873_C027.indd 633 9/13/2017 6:49:52 PM
634 Pharmaceuticals and FormulariesTa
ble
27.
3 (C
on
tin
ued
) D
rug
Dos
ages
Rep
orte
d fo
r P
inni
peds
(S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
Oxy
toci
n*5
IU T
OTA
L D
OS
E
SQ
, IM
, IV
Zal
ophu
s ca
lifor
nian
usT
MM
C
Pha
rmac
opei
aIn
duct
ion
of
part
uriti
onM
ultip
le
20 U
SP
uni
ts
TOTA
L D
OS
E IM
on
ce
Pin
nipe
dsS
ee C
hap
ter
10
Rep
rodu
ctio
nF
or m
ilk le
tdow
nM
ultip
le
20–4
0 U
SP
uni
ts
TOTA
L D
OS
E IM
Sch
roed
er 1
993
Uns
peci
fied
Pen
icill
in G
(p
otas
sium
)30
,000
IU/k
g IM
Q
48h
Zal
ophu
s ca
lifor
nian
usP
rage
r et
al.
2015
For
tx o
f lep
tosp
irosi
sC
linic
al r
esol
utio
n14
Pen
icill
in G
(b
enza
thin
e/pr
ocai
ne)
30,0
00 IU
/kg
IM
Q24
h Q
48h
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aM
ultip
le
Pen
toba
rbita
l78
–156
mg/
kg IV
, IC
(2–
4 m
L/10
kg
of 3
90 m
g/m
L)
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aF
or e
utha
nasi
aM
ultip
le
Phe
noba
rbita
l1
mg/
kg P
OZ
alop
hus
calif
orni
anus
Fie
ld e
t al.
2012
1
1–1.
5 m
g/kg
PO
Q
24h-
BID
Zal
ophu
s ca
lifor
nian
usG
age
1999
Ant
icon
vuls
ant
Uns
peci
fied
4 m
g/kg
PO
BID
Pho
ca v
itulin
aZ
abka
et a
l. 20
061
4 m
g/kg
PO
, IM
B
ID ×
2d,
then
2
mg/
kg P
O, I
M
BID
× 5
d
Zal
ophu
s ca
lifor
nian
usT
MM
C
Pha
rmac
opei
aM
ultip
le
Pip
eraz
ine
110
mg/
kg P
OS
wee
ney
1974
bU
nspe
cifie
dP
onaz
uril
5 m
g/kg
PO
Q24
hP
hoca
vitu
lina
Zab
ka e
t al.
2006
Ani
mal
die
d (fi
nal d
x of
lead
toxi
cosi
s)1
10 m
g/kg
PO
Q
24h
× 2
8dP
inni
peds
TM
MC
P
harm
acop
eia
For
tx o
f pro
tozo
al
infe
ctio
ns
(Tox
opla
sma,
S
arco
cyst
is,
Neo
spor
a)
Mul
tiple
Pot
assi
um c
hlor
ide/
pota
ssiu
m
gluc
onat
e
2 m
eq/5
kg
PO
BID
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aF
or tx
of h
ypok
alem
iaM
ultip
le
Pra
ziqu
ante
l5
mg/
kg IM
Neo
mon
achu
s sc
haui
nsla
ndi
Gob
ush
et a
l. 20
11D
id n
ot e
limin
ate
cest
ode
infe
ctio
n21
5 m
g/kg
PO
Q24
h ×
2d
, or
10 m
g/kg
P
O o
nce
Neo
mon
achu
s sc
haui
nsla
ndi
Nor
ris e
t al.
2011
For
tx o
f ces
tode
sC
linic
al r
esol
utio
n3 (C
ontin
ued
)
9781498796873_C027.indd 634 9/13/2017 6:49:52 PM
Pharmaceuticals and Formularies 635Ta
ble
27.
3 (C
on
tin
ued
) D
rug
Dos
ages
Rep
orte
d fo
r P
inni
peds
(S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
5 m
g/kg
IM, P
O ×
2d
, or
10 m
g/kg
IM
, PO
onc
e
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aF
or tx
of c
esto
des
and
trem
atod
esM
ultip
le
10 m
g/kg
PO
Q24
hZ
alop
hus
calif
orni
anus
, P
hoca
vitu
lina,
M
iroun
ga
ang
ustir
ostr
is
Gag
e et
al.
1985
Uns
peci
fied
Pre
dnis
one
0.05
–0.3
mg/
kg P
O
Q24
hZ
alop
hus
calif
orni
anus
Fie
ld e
t al.
2012
No
clin
ical
im
prov
emen
t (fin
al
diag
nosi
s of
fung
al)
1
0.2
mg/
kg P
O B
IDZ
alop
hus
calif
orni
anus
Car
lson
-Bre
mer
et
al.
2012
Clin
ical
res
olut
ion
1
0.25
–0.5
mg/
kg P
O
BID
, tap
erin
g do
seP
inni
peds
TM
MC
P
harm
acop
eia
Ant
i-infl
amm
ator
y do
seM
ultip
le
0.5
mg/
kg P
O Q
24h
Zal
ophu
s ca
lifor
nian
usF
ield
et a
l. 20
12F
or a
ppet
ite
stim
ulat
ion
Mild
impr
ovem
ent i
n ap
petit
e1
Pre
dnis
one-
GO
phth
alm
ic to
pica
l so
lutio
n Q
IDP
hoca
vitu
lina
Ess
on e
t al.
2015
Pos
t len
sect
omy
1
Pre
dnis
olon
e0.
4 m
g/kg
PO
BID
Pho
ca v
itulin
aF
low
er e
t al.
2014
Ant
i-infl
amm
ator
y do
seN
o cl
inic
al
impr
ovem
ent (
final
di
agno
sis
of
neop
lasi
a)
1
Pre
dnis
olon
e so
dium
su
ccin
ate
0.25
–0.5
mg/
kg IM
, IV
BID
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aA
nti-i
nflam
mat
ory
dose
Mul
tiple
Prim
idon
e2.
5 m
g/kg
PO
TID
lo
adin
g do
se;
1–2.
5 m
g/kg
PO
Q
24h
mai
nten
ance
Nee
dham
197
8A
ntic
onvu
lsan
t (ha
s la
rgel
y be
en
repl
aced
by
new
er
antic
onvu
lsan
ts)
Uns
peci
fied
Pro
liges
tone
5 m
g/kg
SQ
P
hoca
larg
haK
atsu
mat
a et
al.
2003
For
con
trac
eptio
nE
ffect
ive
in 9
4%
of c
ases
10
Pro
stag
land
in F
2a
(clo
pros
teno
l)0.
5 m
g (5
00 μ
g)
TOTA
L D
OS
E IM
Zal
ophu
s ca
lifor
nian
usB
rodi
e et
al.
2006
Abo
rtifa
cien
t in
anim
als
with
dom
oic
acid
toxi
city
13
Pro
stag
land
in F
2a
(din
opro
st)
10 m
g TO
TAL
DO
SE
IM Q
24h
×
3d
Zal
ophu
s ca
lifor
nian
usT
MM
C
Pha
rmac
opei
aA
bort
ifaci
ent d
ose
for
preg
nant
ani
mal
s w
ith d
omoi
c ac
id
into
xica
tion,
if
dexa
met
haso
ne w
as
not s
ucce
ssfu
l in
indu
cing
abo
rtio
n
Mul
tiple
(Con
tinue
d)
9781498796873_C027.indd 635 9/13/2017 6:49:52 PM
636 Pharmaceuticals and FormulariesTa
ble
27.
3 (C
on
tin
ued
) D
rug
Dos
ages
Rep
orte
d fo
r P
inni
peds
(S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
Ran
itidi
ne15
0 m
g to
tal P
O
BID
× 7
dZ
alop
hus
calif
orni
anus
Chi
nnad
urai
et a
l. 20
08A
nim
al d
ied
(fina
l di
agno
sis
of
amyl
oido
sis)
1
1.25
mg/
kg P
O B
IDP
hoca
vitu
lina
Flo
wer
et a
l. 20
14P
roph
ylac
tic
gast
ropr
otec
tant
1
1.5
mg/
kg P
O B
IDZ
alop
hus
calif
orni
anus
Fie
ld e
t al.
2012
Ani
mal
die
d (fi
nal
diag
nosi
s of
fung
al)
1
Rifa
mpi
n5
mg/
kg P
O Q
24h
Sto
skop
f et a
l. 19
87U
nspe
cifie
d
S-a
deno
syl-
met
hion
ine
5 m
g/kg
PO
BID
Pho
ca v
itulin
aF
low
er e
t al.
2014
Ani
mal
die
d (fi
nal
diag
nosi
s of
ne
opla
sia)
1
Sim
ethi
cone
0.45
mg/
kg P
O B
IDZ
alop
hus
calif
orni
anus
Fie
ld e
t al.
2012
Ani
mal
die
d (fi
nal
diag
nosi
s of
fung
al)
1
31.2
5–62
.5 m
g TO
TAL
DO
SE
per
fe
ed
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aF
or s
igns
of b
loat
or
ent
eriti
sM
ultip
le
Suc
ralfa
te<
25 k
g: 0
.5 g
PO
T
ID T
OTA
L D
OS
E,
>25
kg:
1 g
PO
T
ID T
OTA
L D
OS
E
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aG
astr
opro
tect
ant
Mul
tiple
10 m
g/kg
PO
BID
Zal
ophu
s ca
lifor
nian
usF
ield
et a
l. 20
12A
nim
al d
ied
(fina
l di
agno
sis
of fu
ngal
)1
15–3
5 m
g/kg
PO
Pho
ca v
itulin
aF
low
er e
t al.
2014
Ani
mal
die
d (fi
nal
diag
nosi
s of
ne
opla
sia)
4
25 m
g/kg
PO
TID
×
3dZ
alop
hus
calif
orni
anus
Kel
ly e
t al.
2005
Ani
mal
die
d of
O
tost
rong
ylus
1
Sul
fadi
met
hoxi
ne-
orm
etop
rim5.
5 m
g/kg
PO
BID
Pho
ca v
itulin
aB
ianc
ani e
t al.
2012
Ani
mal
die
d (fi
nal
diag
nosi
s of
ne
opla
sia)
1
10–1
3 m
g/kg
PO
Q
24h
Zal
ophu
s ca
lifor
nian
usM
cBai
n, u
npub
l. da
taU
nspe
cifie
d
Sup
rofe
nO
phth
alm
ic to
pica
l so
lutio
n B
IDN
eom
onac
hus
scha
uins
land
iB
raun
et a
l. 19
96F
or tx
of c
orne
al
opac
ities
Uns
peci
fied
Terb
inafi
ne2.
4–2.
6 m
g/kg
PO
Q
24h
Zal
ophu
s ca
lifor
nian
usS
os e
t al.
2013
Clin
ical
res
olut
ion
of
derm
atom
ycos
is2
Terb
utal
ine
0.1
mg/
kg P
O B
ID
(IM
, SQ
for
acut
e br
onch
ospa
sm)
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aM
ultip
le
(Con
tinue
d)
9781498796873_C027.indd 636 9/13/2017 6:49:52 PM
Pharmaceuticals and Formularies 637Ta
ble
27.
3 (C
on
tin
ued
) D
rug
Dos
ages
Rep
orte
d fo
r P
inni
peds
(S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
Tetr
acyc
line
4.5
mg/
kg P
O T
IDZ
alop
hus
calif
orni
anus
Gag
e et
al.
1985
Uns
peci
fied
12.5
mg/
kg P
O
Q24
hFa
rnsw
orth
et a
l. 19
75U
nspe
cifie
d
22 m
g/kg
PO
Q24
hV
ande
nbro
ek e
t al.
1985
Uns
peci
fied
22 m
g/kg
PO
TID
Zal
ophu
s ca
lifor
nian
usD
iera
uf e
t al.
1985
For
tx o
f lep
tosp
irosi
sC
linic
al r
esol
utio
n66
44 m
g/kg
PO
BID
Od
oben
us
rosm
arus
McB
ain,
unp
ubl.
data
Uns
peci
fied
The
ophy
lline
0.44
mg/
kg IV
S
LOW
LY, t
wic
eZ
alop
hus
calif
orni
anus
, M
iroun
ga
ang
ustir
ostr
is
Gag
e et
al.
1985
Uns
peci
fied
Thi
acet
arsa
mid
e*1
mg/
kg IM
Q24
hS
wee
ney
1986
SE
E
TE
XT
—P
OT
EN
TIA
L LE
TH
AL
RE
AC
TIO
NS
Thy
roxi
ne (L
-thy
roxi
n)0.
01–0
.03
mg/
kg
PO
BID
, inc
reas
e to
0.0
2–0.
04 m
g/kg
PO
BID
dur
ing
mol
t
Cys
top
hora
cris
tata
Bar
nett
et a
l. 20
11F
or tx
of a
lope
cia
and
decr
ease
d se
rum
th
yrox
ine
1
Tic
arci
llin
+
clav
ulan
ate
pota
ssiu
m
20–4
0 m
g/kg
IM, I
V
TID
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aM
ultip
le
Tram
adol
0.5–
1 m
g/kg
PO
B
IDP
hoca
vitu
lina
Flo
wer
et a
l. 20
14N
o ap
pare
nt
impr
ovem
ent (
final
di
agno
sis
of
neop
lasi
a)
2
2 m
g/kg
PO
BID
Pho
ca v
itulin
aR
ubio
-Gar
cia
et a
l. 20
154
2–4
mg/
kg P
O
BID
-QID
Zal
ophu
s ca
lifor
nian
usB
oons
tra
et a
l. 20
15F
or a
nalg
esia
Act
ive
M1
met
abol
ite
unde
tect
able
in
maj
ority
of s
ampl
es
15 (Con
tinue
d)
9781498796873_C027.indd 637 9/13/2017 6:49:52 PM
638 Pharmaceuticals and Formularies
Tab
le 2
7.3
(Co
nti
nu
ed)
Dru
g D
osag
es R
epor
ted
for
Pin
nipe
ds (
See
Tex
t for
Pre
caut
ions
)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
4.0–
5.0
mg/
kg P
O
BID
-TID
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aF
or a
nalg
esia
Que
stio
nabl
e ef
ficac
y (B
oons
tra
et a
l. 20
15).
May
wor
k be
tter
in c
onju
nctio
n w
ith N
SA
ID
Mul
tiple
Trim
etho
prim
-su
lfadi
azin
e3.
6 m
g/kg
PO
BID
Pho
ca v
itulin
aK
oski
and
V
ande
nbro
ek
1986
Uns
peci
fied
22–3
0 m
g/kg
PO
Q
24h
Zal
ophu
s ca
lifor
nian
usV
ande
nbro
ek e
t al.
1985
Uns
peci
fied
33 m
g/kg
PO
Q24
hZ
alop
hus
calif
orni
anus
Die
rauf
et a
l. 19
85F
or tx
of l
epto
spiro
sis
Clin
ical
res
olut
ion
66
12 m
g/kg
PO
BID
×
7dM
iroun
ga
ang
ustir
ostr
is p
ups
TM
MC
P
harm
acop
eia
For
tx o
f int
estin
al
cocc
idia
Mul
tiple
Trim
etho
prim
-su
lfam
etho
xazo
le12
mg/
kg P
O Q
24h
Miro
ung
a an
gus
tiros
tris
Fauq
uier
et a
l. 20
03N
o ap
pare
nt
impr
ovem
ent (
final
di
agno
sis
of
neop
lasi
a)
1
12–2
0 m
g/kg
PO
B
IDP
inni
peds
TM
MC
P
harm
acop
eia
Mul
tiple
Urs
odio
l6.
6 m
g/kg
PO
Q24
hP
hoca
vitu
lina
Flo
wer
et a
l. 20
14N
o ap
pare
nt
impr
ovem
ent (
final
di
agno
sis
of
neop
lasi
a)
1
10–1
5 m
g/kg
PO
Q
24h
Pin
nipe
dsT
MM
C
Pha
rmac
opei
aF
or tx
of c
hole
stas
isM
ultip
le
Vor
icon
azol
e*1.
8 m
g/kg
PO
Q
24h,
follo
wed
by
seru
m
voric
onaz
ole
mon
itorin
g
Od
oben
us
rosm
arus
Sch
mitt
and
P
roct
or 2
014
App
aren
t res
olut
ion
1 (Con
tinue
d)
9781498796873_C027.indd 638 9/13/2017 6:49:52 PM
Pharmaceuticals and Formularies 639
Tab
le 2
7.3
(Co
nti
nu
ed)
Dru
g D
osag
es R
epor
ted
for
Pin
nipe
ds (
See
Tex
t for
Pre
caut
ions
)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
4 m
g/kg
PO
BID
Zal
ophu
s ca
lifor
nian
usF
ield
et a
l. 20
12A
nim
al d
ied
(fina
l di
agno
sis
of fu
ngal
) S
EE
T
EX
T—
PO
TE
NT
IAL
L
ET
HA
L
RE
AC
TIO
NS
1
Vita
min
s/M
iner
als/
Sup
plem
ents
Uns
peci
fied
Alp
ha L
ipoi
c A
cid
2–3
mg/
kg P
O
Q24
hZ
alop
hus
calif
orni
anus
Mej
ia-F
ava
et a
l. 20
1110
mg/
kg S
Q Q
24h
Zal
ophu
s ca
lifor
nian
usT
MM
C
Pha
rmac
opei
aF
or a
ntio
xida
nt
effe
cts
to tr
eat a
cute
do
moi
c ac
id
toxi
cosi
sLu
tein
0.89
–3.6
mg/
kgP
inni
peds
Kou
tsos
et a
l. 20
13S
uppl
emen
tatio
n of
3.
6 m
g/kg
Q24
h do
es n
ot a
ffect
ab
sorp
tion
of v
itam
in
A o
r E
and
thus
is
not a
con
cern
for
com
petit
ion
Mul
tiple
Vita
min
A10
0 IU
/kg
PO
in fi
shC
allo
rhin
us u
rsin
usM
azza
ro e
t al.
1995
aF
or m
aint
enan
ceH
igh
leve
ls (
50,0
00
IU/D
) m
ay in
crea
se
vit E
req
uire
men
ts
Uns
peci
fied
300–
600
IU/d
ay P
OC
allo
rhin
us u
rsin
usM
azza
ro e
t al.
1995
bF
or m
aint
enan
ce2
Vita
min
B1
(thi
amin
e)2–
4 m
g/K
cal f
eed
PO
Q24
h. F
ollo
w
with
ora
l dos
ing.
Ger
aci 1
986
For
tx o
f thi
amin
e de
ficie
ncy
Uns
peci
fied
25–3
5 m
g/kg
fish
P
O Q
24h.
Giv
e 2
h be
fore
feed
ing.
Ger
aci 1
986
For
sup
plem
enta
tion
whe
n su
pple
men
ts
are
adm
inis
tere
d pr
ior
to fe
edin
g
Em
piric
ally
effe
ctiv
e w
ith r
easo
nabl
y ha
ndle
d fo
od fi
sh
Uns
peci
fied
4.5
mg/
kg P
O B
ID.
Giv
e at
mai
n fe
edin
g.
Ger
aci 1
986
For
sup
plem
enta
tion
whe
n su
pple
men
ts
are
adm
inis
tere
d at
tim
e of
feed
ing
Em
piric
ally
effe
ctiv
e w
ith r
easo
nabl
y ha
ndle
d fo
od fi
sh
Uns
peci
fied
30 m
g/kg
fish
/day
Woh
lsei
n et
al.
2003
To p
reve
nt th
iam
ine
defic
ienc
yS
uppl
emen
t in
fish
imm
edia
tely
prio
r to
fe
edin
g, a
s th
iam
inas
e de
grad
es
thia
min
e
7 (Con
tinue
d)
9781498796873_C027.indd 639 9/13/2017 6:49:52 PM
640 Pharmaceuticals and Formularies
Tab
le 2
7.3
(Co
nti
nu
ed)
Dru
g D
osag
es R
epor
ted
for
Pin
nipe
ds (
See
Tex
t for
Pre
caut
ions
)
Dru
gD
osa
ge
Sp
ecie
sR
efer
ence
sIn
dic
atio
nC
linic
al N
ote
sP
reca
uti
on
s
Nu
mb
er o
f A
nim
als
Trea
ted
Vita
min
B6
(pyr
idox
ine)
0.25
mg/
kg P
O
Q24
hS
tosk
opf e
t al.
1987
Uns
peci
fied
Vita
min
B12
0.25
mg
(250
μg)
TO
TAL
DO
SE
PO
Q
24h
Zal
ophu
s ca
lifor
nian
us,
Pho
ca v
itulin
a
Ber
nard
and
Ullr
ey
1989
For
mai
nten
ance
Mul
tiple
Vita
min
B c
ompl
ex3
mg/
kg S
QP
hoca
vitu
lina
Flo
wer
et a
l. 20
14C
linic
al e
ffica
cy w
as
not e
valu
ated
1
7.5
mg/
kg IM
Zal
ophu
s ca
lifor
nian
usK
elly
et a
l. 20
05A
nim
al d
ied
of
Oto
stro
ngyl
us1
Vita
min
C50
0 m
g P
O Q
24h
Zal
ophu
s ca
lifor
nian
us,
Od
oben
us
rosm
arus
Ber
nard
and
Ullr
ey
1989
For
mai
nten
ance
Mul
tiple
Vita
min
E10
0 m
g/da
y TO
TAL
DO
SE
PO
Ger
aci 1
986
Adm
inis
ter
in fi
shU
nspe
cifie
d
5–7
IU/k
g IM
Pho
ca v
itulin
aF
low
er e
t al.
2014
260
0–10
00 IU
PO
Q
24h
Zal
ophu
s ca
lifor
nian
us,
Pho
ca v
itulin
a
Ber
nard
and
Ullr
ey
1989
For
mai
nten
ance
Mul
tiple
2200
–300
0 IU
PO
Q
24h
Od
oben
us
rosm
arus
Ber
nard
and
Ullr
ey
1989
For
mai
nten
ance
Mul
tiple
Sod
ium
chl
orid
e3
g/kg
of fi
sh P
O
Q24
hG
erac
i 198
6F
or m
aint
enan
ceU
nspe
cifie
d
100–
200
mg/
kg P
O,
IPG
erac
i 197
2U
nspe
cifie
d
Not
e:
tx =
trea
tmen
t; =
rea
d te
xt fo
r im
port
ant c
autio
ns;
= p
harm
acok
inet
ic s
tudy
per
form
ed.
*Adv
erse
effe
cts
obse
rved
.
9781498796873_C027.indd 640 9/13/2017 6:49:52 PM
Pharmaceuticals and Formularies 641Ta
ble
27.
4 D
rug
Dos
ages
Rep
orte
d fo
r S
ireni
ans
(See
Tex
t for
Pre
caut
ions
)
Dru
gD
osa
ge
Sp
ecie
s*R
efer
ence
sIn
dic
atio
nC
linic
al
No
tes
Pre
cau
tio
ns
Nu
mb
er o
f an
imal
s Tr
eate
d
Am
ikac
in7
mg/
kg IM
BID
Wal
sh a
nd B
ossa
rt
1999
Uns
peci
fied
Am
pici
llin
5.5
mg/
kg P
O Q
24h
Sto
skop
f 199
0U
nspe
cifie
dA
trop
ine
0.02
mg/
kg T
OTA
L D
OS
E, 1
/4 g
iven
IV,
3/4
give
n S
C
Bal
l et a
l. 20
14F
or tx
of
brev
itoxi
cosi
sU
nspe
cifie
d
Bis
mut
h su
bsal
icyl
ate
12 m
g/kg
PO
onc
e,
then
6 m
g/kg
PO
Q
24h
× 5
d
Hal
l et a
l. 20
12C
linic
al
reso
lutio
n1
Cef
tiofu
r4–
10 m
g/kg
SQ
onc
eG
erla
ch e
t al.
2013
Clin
ical
re
solu
tion
1
6.5
mg/
kg S
Q o
nce
Hal
l et a
l. 20
12C
linic
al
reso
lutio
n1
Cef
tria
xone
22 m
g/kg
IM Q
24h
Wal
sh a
nd B
ossa
rt
1999
Uns
peci
fied
Cep
hale
xin
40 m
g/kg
PO
Q24
hS
tosk
opf 1
990
Uns
peci
fied
Dan
oflox
acin
6 m
g/kg
IM Q
48h
Sea
Wor
ld O
rland
o P
harm
acop
eia
Mul
tiple
Dex
amet
haso
ne2.
2 m
g/kg
IMS
tosk
opf 1
990
Uns
peci
fied
Fen
bend
azol
e10
mg/
kg P
O o
nce
Wal
sh a
nd B
ossa
rt
1999
Uns
peci
fied
10–1
5 m
g/kg
PO
on
ceW
alsh
and
de
Wit
2015
Uns
peci
fied
Flu
nixi
n m
eglu
min
e0.
3 m
g/kg
IV o
nce
Hal
l et a
l. 20
121
0.07
mg/
kg IM
onc
eH
all e
t al.
2012
1G
enta
mic
in4.
4 m
g/kg
IM Q
24h
Sto
skop
f 199
0U
nspe
cifie
d2.
5 m
g/kg
PO
TID
Wal
sh e
t al.
1999
For
tx o
f he
mor
rhag
ic c
oliti
s,
adju
nct t
o m
etro
nida
zole
Uns
peci
fied
Itrac
onaz
ole
2.5
mg/
kg P
O B
IDS
ee C
hap
ter
43,
Sire
nian
Med
icin
eU
nspe
cifie
d
Iver
mec
tin0.
2 m
g/kg
(20
0 m
cg/
kg)
PO
Wal
sh a
nd B
ossa
rt
1999
Uns
peci
fied
Ket
opro
fen
1–2
mg/
kg IM
Wal
sh a
nd d
e W
it 20
15U
nspe
cifie
d
2 m
g/kg
IMG
erla
ch e
t al.
2013
Clin
ical
re
solu
tion
1
(Con
tinue
d)
9781498796873_C027.indd 641 9/13/2017 6:49:52 PM
642 Pharmaceuticals and Formularies
Tab
le 2
7.4
(Co
nti
nu
ed)
Dru
g D
osag
es R
epor
ted
for
Sire
nian
s (S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Sp
ecie
s*R
efer
ence
sIn
dic
atio
nC
linic
al
No
tes
Pre
cau
tio
ns
Nu
mb
er o
f an
imal
s Tr
eate
d
Met
roni
dazo
le7
mg/
kg P
O B
IDW
alsh
et a
l. 19
99F
or tx
of
hem
orrh
agic
col
itis,
ad
junc
t to
gent
amic
in
Uns
peci
fied
Min
eral
oil
2–3
mL/
kg u
p to
1.5
LW
alsh
and
Bos
sart
19
99F
or tx
of c
onst
ipat
ion
Uns
peci
fied
Oxy
tetr
acyc
line
4.5
mg/
kg IM
BID
Dug
ong
(Dug
ong
d
ugon
)
Elli
ot e
t al.
1981
Uns
peci
fied
15 m
g/kg
IM B
IDS
tosk
opf 1
990
Uns
peci
fied
Pen
icill
in G
(b
enza
thin
e/pr
ocai
ne)
25,0
00 IU
/kg
IM Q
24h
Dug
ong
(Dug
ong
d
ugon
)
Coh
en 1
993
Uns
peci
fied
22,0
00 IU
/kg
Wal
sh a
nd B
ossa
rt
1999
Uns
peci
fied
25,0
00 IU
/kg
SC
Dug
ong
(Dug
ong
d
ugon
)
Elli
ot e
t al.
1981
Uns
peci
fied
Pra
ziqu
ante
l8–
16 m
g/kg
PO
Wal
sh a
nd B
ossa
rt
1999
For
tx o
f tre
mat
odes
Uns
peci
fied
10–2
0 m
g/kg
PO
on
ceW
alsh
and
de
Wit
2015
Uns
peci
fied
Sim
ethi
cone
80 m
g TO
TAL
DO
SE
P
O B
ID-T
IDS
eaW
orld
Orla
ndo
Pha
rmac
opei
aF
or g
as r
elie
f in
calv
esM
ultip
le
Sul
fasa
lazi
ne10
mg/
kg IM
BID
See
Ch
apte
r 43
Uns
peci
fied
Tetr
acyc
line
55 m
g/kg
IM B
IDS
ee C
hap
ter
43U
nspe
cifie
d(C
ontin
ued
)
9781498796873_C027.indd 642 9/13/2017 6:49:52 PM
Pharmaceuticals and Formularies 643
Tab
le 2
7.4
(Co
nti
nu
ed)
Dru
g D
osag
es R
epor
ted
for
Sire
nian
s (S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Sp
ecie
s*R
efer
ence
sIn
dic
atio
nC
linic
al
No
tes
Pre
cau
tio
ns
Nu
mb
er o
f an
imal
s Tr
eate
d
Tram
adol
1 m
g/kg
PO
Q24
hK
omar
nick
i et a
l. 20
121
Trim
etho
prim
-su
lfam
etho
xazo
le21
.5 m
g/kg
PO
Q
24h
× 8
dH
all e
t al.
2012
Em
piric
al th
erap
yC
linic
al
reso
lutio
nU
nspe
cifie
d
Tula
thro
myc
in2.
5 m
g/kg
SQ
Q7d
Bal
l et a
l. 20
14U
nspe
cifie
dV
itam
ins/
Min
eral
s/S
uppl
emen
tsV
itam
in B
1 (t
hiam
ine)
1 m
g/kg
IM Q
24h.
F
ollo
w w
ith o
ral
dosi
ng.
Ger
aci 1
986
For
tx o
f thi
amin
e de
ficie
ncy
Uns
peci
fied
2–4
mg/
Kca
l fee
d P
O
Q24
h. G
ive
2 h
befo
re fe
edin
g.
Ger
aci 1
986
For
sup
plem
enta
tion
whe
n su
pple
men
ts
are
adm
inis
tere
d pr
ior
to fe
edin
g
Em
piric
ally
ef
fect
ive
with
re
ason
ably
ha
ndle
d fo
od fi
sh
Uns
peci
fied
25–3
5 m
g/kg
fish
PO
Q
24h.
Giv
e at
mai
n fe
edin
g.
Ger
aci 1
986
For
sup
plem
enta
tion
whe
n su
pple
men
ts
are
adm
inis
tere
d at
tim
e of
feed
ing
Em
piric
ally
ef
fect
ive
with
re
ason
ably
ha
ndle
d fo
od fi
sh
Uns
peci
fied
Vita
min
C (
asco
rbic
ac
id)
1 m
g/kg
PO
Q24
hS
tosk
opf 1
990
Uns
peci
fied
Vita
min
E10
0 IU
/kg
fish
PO
Q
24h
Ger
aci 1
986
Uns
peci
fied
Not
e:
tx =
trea
tmen
t; =
rea
d te
xt fo
r im
port
ant c
autio
ns;
= p
harm
acok
inet
ic s
tudy
per
form
ed.
*All
spec
ies
are
Flo
rida
man
atee
(Tr
iche
chus
man
atus
latir
ostr
is)
unle
ss o
ther
wis
e sp
ecifi
ed.
9781498796873_C027.indd 643 9/13/2017 6:49:52 PM
644 Pharmaceuticals and FormulariesTa
ble
27.
5 D
rug
Dos
ages
Rep
orte
d fo
r S
ea O
tters
(E
nhyd
ra lu
tris
) (S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Ref
eren
ces
Ind
icat
ion
Clin
ical
No
tes
Pre
cau
tio
ns
Nu
mb
er o
f A
nim
als
Trea
ted
Ace
tyls
alic
ylic
aci
d10
mg/
kg P
O Q
36h
Sto
skop
f 199
0H
as la
rgel
y be
en
repl
aced
by
new
er
NS
AID
s
Uns
peci
fied
AC
TH
gel
40 IU
TO
TAL
DO
SE
Mon
tere
y B
ay A
quar
ium
P
harm
acop
eia
For
AC
TH
-cha
lleng
e te
stin
gM
ultip
le
Alb
enda
zole
100
mg/
kg P
O B
ID ×
3d
, the
n re
peat
Q
14d
× 4
tx c
ycle
s
Mon
tere
y B
ay A
quar
ium
P
harm
acop
eia
For
tx o
f ac
anth
ocep
hala
nsV
arie
d cl
inic
al
succ
ess
Mul
tiple
Am
ikac
in*
5 m
g/kg
IM B
IDS
tosk
opf 1
990
SE
E T
EX
T—
PO
TE
NT
IAL
L
ET
HA
L
RE
AC
TIO
NS
Uns
peci
fied
10 m
g/kg
IM Q
24h
Sto
skop
f 199
0 S
EE
TE
XT
—P
OT
EN
TIA
L
LE
TH
AL
R
EA
CT
ION
S
Uns
peci
fied
Am
inop
enta
mid
e su
lfate
0.1–
0.4
mg/
kg IM
BID
Will
iam
s et
al.
1995
aA
ntic
holin
ergi
cU
nspe
cifie
d
Am
inop
hylli
ne5
mg/
kg P
O, I
MM
onte
rey
Bay
Aqu
ariu
m
Pha
rmac
opei
aM
ultip
le
10 m
g/kg
PO
BID
Will
iam
s et
al.
1995
aU
nspe
cifie
dA
mox
icill
in10
–20
mg/
kg P
O Q
IDW
illia
ms
et a
l. 19
95b
Uns
peci
fied
Am
prol
ium
19 m
g/kg
PO
Q24
hK
ollia
s an
d F
erna
ndez
-M
oran
201
5F
or tx
of c
occi
dia
Uns
peci
fied
Atr
opin
e0.
02–0
.04
mg/
kg IM
, IV
Mon
tere
y B
ay A
quar
ium
P
harm
acop
eia
EM
ER
GE
NC
Y D
OS
EM
ultip
le
Bup
reno
rphi
ne0.
01–0
.03
mg/
kg IM
B
ID-Q
IDM
onte
rey
Bay
Aqu
ariu
m
Pha
rmac
opei
aF
or a
nalg
esia
Mul
tiple
But
orph
anol
0.05
–0.5
mg/
kg IM
B
ID-Q
IDM
onte
rey
Bay
Aqu
ariu
m
Pha
rmac
opei
aF
or a
nalg
esia
Mul
tiple
Cal
cium
glu
cona
te50
–150
mg/
kg IV
, IP
S
LOW
LY to
effe
ctM
onte
rey
Bay
Aqu
ariu
m
Pha
rmac
opei
aE
ME
RG
EN
CY
DO
SE
Mul
tiple
Car
prof
en1.
5–2
mg/
kg P
O B
ID ×
5–
10d
Cal
le e
t al.
1999
For
ana
lges
iaU
nspe
cifie
d
Cef
azol
in10
–30
mg/
kg IM
QID
Mon
tere
y B
ay A
quar
ium
P
harm
acop
eia
Uns
peci
fied
Cef
ovec
in8
mg/
kg S
C Q
5-7d
Lee
et a
l. 20
167
Cef
tiofu
r6.
6 m
g/kg
SQ
onc
eM
cDer
mot
t et a
l. 20
13P
roph
ylac
tic d
urin
g ca
stra
tion
2
Cep
hale
xin
20 m
g/kg
PO
BID
Will
iam
s 19
93U
nspe
cifie
d(C
ontin
ued
)
9781498796873_C027.indd 644 9/13/2017 6:49:52 PM
Pharmaceuticals and Formularies 645
Tab
le 2
7.5
(Co
nti
nu
ed)
Dru
g D
osag
es R
epor
ted
for
Sea
Otte
rs (
Enh
ydra
lutr
is)
(See
Tex
t for
Pre
caut
ions
)
Dru
gD
osa
ge
Ref
eren
ces
Ind
icat
ion
Clin
ical
No
tes
Pre
cau
tio
ns
Nu
mb
er o
f A
nim
als
Trea
ted
Cha
rcoa
l, ac
tivat
ed10
mL
slur
ry/k
g P
O
(slu
rry
= 1
g/5
mL
wat
er)
Mon
tere
y B
ay A
quar
ium
P
harm
acop
eia
For
tx o
f tox
in
inge
stio
nM
ultip
le
100
mL
TOTA
L D
OS
EW
illia
ms
1993
Giv
e vi
a or
ogas
tric
tu
beU
nspe
cifie
d
Cho
lest
yram
ine
2 g/
20 m
L w
ater
Q
24h-
BID
Mon
tere
y B
ay A
quar
ium
P
harm
acop
eia
For
tx o
f mic
rocy
stin
in
toxi
catio
nS
ome
evid
ence
of
prot
ectiv
e be
nefit
if
give
n ea
rly in
cas
e
Mul
tiple
Cim
etid
ine
5–10
mg/
kg IV
, IM
, SC
, P
O B
IDM
onte
rey
Bay
Aqu
ariu
m
Pha
rmac
opei
aU
nspe
cifie
d
5 m
g/kg
IM T
IDW
illia
ms
1993
For
hem
orrh
agic
di
arrh
ea in
pup
sU
nspe
cifie
d
Cyp
rote
rone
1.5–
2.3
mg/
kg P
O
Q24
hC
alle
et a
l. 19
99Te
stos
tero
ne b
lock
ing
agen
tC
ontr
olle
d un
desi
rabl
e m
ale-
asso
ciat
ed
beha
vior
s
Uns
peci
fied
Daw
n liq
uid
dete
rgen
t1:
16 d
ilutio
n, 4
–8 L
to
pica
llyW
illia
ms
1993
To r
emov
e ex
tern
al o
ilU
nspe
cifie
d
Des
lore
lin0.
18–0
.23
mg/
kg S
C
once
Cal
le e
t al.
1999
GnR
H a
goni
st to
su
ppre
ss
test
oste
rone
Con
trol
led
unde
sira
ble
mal
e-as
soci
ated
be
havi
ors
Uns
peci
fied
Dex
amet
haso
ne2
mg/
kg IV
, IM
Will
iam
s et
al.
1995
bU
nspe
cifie
dD
exam
etha
sone
SP
5 m
g/kg
IM, I
VM
onte
rey
Bay
Aqu
ariu
m
Pha
rmac
opei
aE
ME
RG
EN
CY
DO
SE
(s
hock
)M
ultip
le
Dex
tros
e 2.
5% in
no
rmal
sal
ine
20 m
L/kg
SQ
Mon
tere
y B
ay A
quar
ium
P
harm
acop
eia
For t
x of
hyp
ogly
cem
ia,
hypo
ther
mia
, de
hydr
atio
n
Mul
tiple
Dex
tros
e 5%
in L
RS
To e
ffect
IPW
illia
ms
1993
For
hyp
ogly
cem
ic
seiz
ure
Uns
peci
fied
Dex
tros
e 10
%To
effe
ct IV
Will
iam
s 19
93F
or h
ypog
lyce
mic
se
izur
eU
nspe
cifie
d
Dex
tros
e 50
%0.
5–2
mL/
kg IV
, IP
S
LOW
LYM
onte
rey
Bay
Aqu
ariu
m
Pha
rmac
opei
aF
or p
rofo
und
hypo
glyc
emia
Fol
low
with
a h
igh
prot
ein/
fat m
eal
AS
AP
to p
reve
nt
rebo
und
hypo
glyc
emia
Mul
tiple
Dia
zepa
m0.
5–1
mg/
kg IV
, IM
Mon
tere
y B
ay A
quar
ium
P
harm
acop
eia
For
sta
tus
epile
ptic
usM
ultip
le
0.5–
2 m
g/kg
per
rec
tum
or
intr
anas
alM
onte
rey
Bay
Aqu
ariu
m
Pha
rmac
opei
aF
or s
tatu
s ep
ilept
icus
Max
imum
of 2
0 m
g bo
lus
Mul
tiple
(Con
tinue
d)
9781498796873_C027.indd 645 9/13/2017 6:49:53 PM
646 Pharmaceuticals and FormulariesTa
ble
27.
5 (C
on
tin
ued
) D
rug
Dos
ages
Rep
orte
d fo
r S
ea O
tters
(E
nhyd
ra lu
tris
) (S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Ref
eren
ces
Ind
icat
ion
Clin
ical
No
tes
Pre
cau
tio
ns
Nu
mb
er o
f A
nim
als
Trea
ted
Dip
henh
ydra
min
e0.
5–2
mg/
kg P
O B
IDS
tosk
opf 1
990
Uns
peci
fied
2 m
g/kg
IM P
RN
Mon
tere
y B
ay A
quar
ium
P
harm
acop
eia
For
alle
rgic
rea
ctio
n,
anap
hyla
xis,
vac
cine
re
actio
n
Mul
tiple
Dip
heno
xyla
te0.
1–0.
2 m
g/kg
PO
BID
Will
iam
s et
al.
1995
aU
nspe
cifie
dD
iphe
nylh
ydan
toin
20–3
0 m
g/kg
PO
BID
Sto
skop
f 199
0A
ntic
onvu
lsan
tH
as la
rgel
y be
en
repl
aced
by
phen
obar
bita
l
Uns
peci
fied
Dox
apra
m H
Cl
5–10
mg/
kg IV
, IM
, su
blin
gual
(pu
ps)
Mon
tere
y B
ay A
quar
ium
P
harm
acop
eia
EM
ER
GE
NC
Y D
OS
EM
ultip
le
Enr
oflox
acin
5–20
mg/
kg IM
, PO
Q
24h
Mon
tere
y B
ay A
quar
ium
P
harm
acop
eia
Uns
peci
fied
Epi
neph
rine
0.00
25–0
.005
mg/
kg
(2.5
–5 μ
g/kg
) IV
, 0.
05 m
g/kg
(50
μg/k
g) IT
Mon
tere
y B
ay A
quar
ium
P
harm
acop
eia
EM
ER
GE
NC
Y
DO
SE
—an
aphy
laxi
sM
ultip
le
0.01
–0.0
2 m
g/kg
(1
0–20
μg/
kg)
IV, 0
.2
mg/
kg (
200
μg/k
g) IT
Mon
tere
y B
ay A
quar
ium
P
harm
acop
eia
EM
ER
GE
NC
Y
DO
SE
—ca
rdia
c ar
rest
Mul
tiple
Fam
otid
ine
0.5
mg/
kg IM
, SQ
Mon
tere
y B
ay A
quar
ium
P
harm
acop
eia
For
gas
triti
s, g
astr
ic
ulce
rsM
ultip
le
Furo
sem
ide
2 m
g/kg
IMW
illia
ms
et a
l. 19
95a
Uns
peci
fied
2–4
mg/
kg IM
, IV,
SC
Mon
tere
y B
ay A
quar
ium
P
harm
acop
eia
For
pul
mon
ary
edem
a, h
yper
tens
ion
Mul
tiple
Gen
tam
icin
*2
mg/
kg IM
BID
× 5
dW
illia
ms
1993
Pup
s S
EE
TE
XT
—P
OT
EN
TIA
L
LE
TH
AL
R
EA
CT
ION
S
Uns
peci
fied
2 m
g/kg
IM T
IDW
illia
ms
1993
Adu
lts S
EE
TE
XT
—P
OT
EN
TIA
L
LE
TH
AL
R
EA
CT
ION
S
Uns
peci
fied
4.4
mg/
kg IM
BID
Sto
skop
f 199
0 S
EE
TE
XT
—P
OT
EN
TIA
L
LE
TH
AL
R
EA
CT
ION
S
Uns
peci
fied
Gly
copy
rrol
ate
0.01
1 m
g/kg
IV, I
MM
onte
rey
Bay
Aqu
ariu
m
Pha
rmac
opei
aF
or b
rady
card
iaM
ultip
le
Gris
eofu
lvin
30 m
g/kg
PO
BID
× 4
5dS
tosk
opf 1
990
Uns
peci
fied
Het
acill
in20
mg/
kg P
O B
IDS
tosk
opf 1
990
Uns
peci
fied
(Con
tinue
d)
9781498796873_C027.indd 646 9/13/2017 6:49:53 PM
Pharmaceuticals and Formularies 647
Tab
le 2
7.5
(Co
nti
nu
ed)
Dru
g D
osag
es R
epor
ted
for
Sea
Otte
rs (
Enh
ydra
lutr
is)
(See
Tex
t for
Pre
caut
ions
)
Dru
gD
osa
ge
Ref
eren
ces
Ind
icat
ion
Clin
ical
No
tes
Pre
cau
tio
ns
Nu
mb
er o
f A
nim
als
Trea
ted
Hyd
roco
rtis
one
50 m
g/kg
IV, 5
–150
mg/
kgS
tosk
opf 1
990
EM
ER
GE
NC
Y D
OS
E:
for
shoc
kU
nspe
cifie
d
Insu
lin (
NP
H)
2 IU
/kg
SC
Sto
skop
f 199
0To
effe
ct, m
onito
ring
requ
ired
Uns
peci
fied
Isop
rote
reno
l0.
1–0.
2 m
g TO
TAL
DO
SE
IM, S
C Q
24h
Sto
skop
f 199
0U
nspe
cifie
d
Iver
mec
tin0.
2–0.
5 m
g/kg
(20
0-50
0 m
cg/k
g) S
C, P
O,
repe
at q
2wk
as
need
ed
Kol
lias
and
Fer
nand
ez-
Mor
an 2
015
Uns
peci
fied
0.3
mg/
kg (
300
mcg
/kg)
in
tran
asal
McD
erm
ott e
t al.
2013
; M
onte
rey
Bay
A
quar
ium
P
harm
acop
eia
For
tx o
f nas
al m
ites
Nas
al m
ites
cont
rolle
d w
ith
twic
e ye
arly
ad
min
istr
atio
n
Mul
tiple
Ket
ocon
azol
e10
mg/
kg P
O T
IDS
tosk
opf 1
990
Uns
peci
fied
Lact
ated
Rin
ger’s
S
olut
ion
(LR
S)
40–5
0 m
L/kg
/d IV
, SC
, IP
Sto
skop
f 199
0M
aint
enan
ce fl
uids
Uns
peci
fied
66 m
L/kg
SC
Will
iam
s 19
93P
ups
Uns
peci
fied
Leup
rolid
e ac
etat
e0.
11–0
.19
mg/
kg IM
Q
28d
Cal
le e
t al.
1997
Sup
pres
sion
of
test
oste
rone
Con
trol
led
unde
sira
ble
mal
e-as
soci
ated
be
havi
ors
Uns
peci
fied
0.9-
1.1
mg/
kg IM
, SC
Q
4 m
onth
sC
alle
et a
l. 19
994-
mon
th d
epot
fo
rmul
atio
nU
nspe
cifie
d
Leva
mis
ole*
CO
NT
RA
IND
ICAT
ED
Kol
lias
and
Fer
nand
ez-
Mor
an 2
015
CO
NT
RA
IND
ICAT
ED
CO
NT
RA
IND
ICAT
ED
SE
E T
EX
T—
PO
TE
NT
IAL
L
ET
HA
L
RE
AC
TIO
NS
Uns
peci
fied
Lido
cain
e2
mg/
kg IV
bol
us;
repe
at in
20
min
Mon
tere
y B
ay A
quar
ium
P
harm
acop
eia
EM
ER
GE
NC
Y
DO
SE
—ve
ntric
ular
ar
rhyt
hmia
Mul
tiple
Linc
omyc
in20
mg/
kg IM
BID
Sto
skop
f 199
0U
nspe
cifie
dLo
raze
pam
0.03
–0.0
4 m
g/kg
IM,
intr
anas
al B
IDM
onte
rey
Bay
Aqu
ariu
m
Pha
rmac
opei
aF
or s
tatu
s ep
ilept
icus
Sev
eral
Man
nito
l15
00 m
g/kg
IV o
nce
Mon
tere
y B
ay A
quar
ium
P
harm
acop
eia
EM
ER
GE
NC
Y
DO
SE
—to
red
uce
intr
acer
ebra
l pr
essu
re
Mul
tiple
Meb
enda
zole
50 m
g/kg
BID
× 2
dK
ollia
s an
d F
erna
ndez
-M
oran
201
5U
nspe
cifie
d
(Con
tinue
d)
9781498796873_C027.indd 647 9/13/2017 6:49:53 PM
648 Pharmaceuticals and FormulariesTa
ble
27.
5 (C
on
tin
ued
) D
rug
Dos
ages
Rep
orte
d fo
r S
ea O
tters
(E
nhyd
ra lu
tris
) (S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Ref
eren
ces
Ind
icat
ion
Clin
ical
No
tes
Pre
cau
tio
ns
Nu
mb
er o
f A
nim
als
Trea
ted
Med
roxy
prog
este
rone
ac
etat
e75
mg/
kg IM
Q21
d ×
3
dose
sS
tosk
opf 1
990
To d
ecre
ase
sex
driv
e in
mal
esU
nspe
cifie
d
Mel
oxic
am0.
1–0.
2 m
g/kg
SC
McD
erm
ott e
t al.
2013
20.
3 m
g/kg
PO
, IM
BID
×
3d; t
hen
Q24
hM
onte
rey
Bay
Aqu
ariu
m
Pha
rmac
opei
aU
nspe
cifie
d
Met
hylp
redn
isol
one
0.06
mg/
kg/d
ay IM
, IV
Will
iam
s et
al.
1995
aU
nspe
cifie
dM
etoc
lopr
amid
e H
Cl
0.2
mg/
kg IM
BID
Sto
skop
f 199
0P
ups
Uns
peci
fied
Met
roni
dazo
le15
–20
mg/
kg B
ID ×
2d
Kol
lias
and
Fer
nand
ez-
Mor
an 2
015
Uns
peci
fied
25–3
0 m
g/kg
PO
× 5
dS
tosk
opf 1
990
Uns
peci
fied
Neo
myc
in10
–14
mg/
kg P
O Q
24h
Will
iam
s et
al.
1995
aA
s pr
esur
gica
l GI
prep
Uns
peci
fied
Oxa
cilli
n20
mg/
kg IM
TID
Sto
skop
f 199
0U
nspe
cifie
dO
xyto
cin
10–2
0 U
SP
uni
ts IV
, IM
Sto
skop
f 199
0F
or m
ilk le
tdow
nU
nspe
cifie
dP
enic
illin
G20
,000
IU/k
g IM
BID
Will
iam
s 19
93U
nspe
cifie
d22
,000
IU/k
g IM
BID
Will
iam
s an
d S
iniff
198
3U
nspe
cifie
dP
heno
barb
ital
1 m
g/kg
IV P
RN
Sto
skop
f 199
0A
ntic
onvu
lsan
tU
nspe
cifie
d1–
5 m
g/kg
PO
BID
Mon
tere
y B
ay A
quar
ium
P
harm
acop
eia
For
chr
onic
sei
zure
m
anag
emen
tP
erio
dic
eval
uatio
n of
blo
od le
vels
in
dica
ted
for
long
-ter
m
mai
nten
ance
Mul
tiple
2–4
mg/
kg IM
, IV
Q30
m
inM
onte
rey
Bay
Aqu
ariu
m
Pha
rmac
opei
aA
ntic
onvu
lsan
tD
o no
t exc
eed
20
mg/
kg to
tal d
ose
Mul
tiple
Pon
azur
il5–
10 m
g/kg
PO
Q24
h ×
30
–60d
Mon
tere
y B
ay A
quar
ium
P
harm
acop
eia
For
Sar
cocy
stis
in
fect
ion
Rec
rude
scen
ce o
f cl
inic
al s
igns
not
un
com
mon
Mul
tiple
Pra
ziqu
ante
l5–
25 m
g/kg
PO
, SC
, re
peat
in 2
wee
ksK
ollia
s an
d F
erna
ndez
-M
oran
201
5U
nspe
cifie
d
6 m
g/kg
IM o
nce
Will
iam
s et
al.
1995
aU
nspe
cifie
dP
redn
isol
one
sodi
um
succ
inat
e (S
olu-
Del
ta-C
orte
f)
15–3
0 m
g/kg
IV Q
4-6h
Mon
tere
y B
ay A
quar
ium
P
harm
acop
eia
EM
ER
GE
NC
Y
DO
SE
—sh
ock
Mul
tiple
Ran
itidi
ne1–
4 m
g/kg
PO
TID
Will
iam
s et
al.
1995
bU
nspe
cifie
dS
imet
hico
ne0.
5–1.
5 m
L TO
TAL
DO
SE
PO
BID
-QID
Mon
tere
y B
ay A
quar
ium
P
harm
acop
eia
For
pup
s w
ith h
yper
bo
rbor
ygm
us,
tene
smus
, col
ic
Wel
l tol
erat
edM
ultip
le
(Con
tinue
d)
9781498796873_C027.indd 648 9/13/2017 6:49:53 PM
Pharmaceuticals and Formularies 649Ta
ble
27.
5 (C
on
tin
ued
) D
rug
Dos
ages
Rep
orte
d fo
r S
ea O
tters
(E
nhyd
ra lu
tris
) (S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Ref
eren
ces
Ind
icat
ion
Clin
ical
No
tes
Pre
cau
tio
ns
Nu
mb
er o
f A
nim
als
Trea
ted
Sod
ium
bic
arbo
nate
0.5–
1 m
Eq/
kg IV
S
LOW
LYM
onte
rey
Bay
Aqu
ariu
m
Pha
rmac
opei
aE
ME
RG
EN
CY
D
OS
E—
met
abol
ic
acid
osis
Mul
tiple
Sod
ium
iodi
de4
mg/
kg IV
, PO
BID
Sto
skop
f 199
0U
nspe
cifie
dS
tano
zolo
l*10
–25
mg
TOTA
L D
OS
E IM
Q7d
Sto
skop
f 199
0C
ontr
aind
icat
ed in
gr
avid
fem
ales
SE
E T
EX
T—
PO
TE
NT
IAL
LET
HA
L R
EA
CT
ION
SS
ucra
lfate
500–
1000
mg
TOTA
L D
OS
E P
O b
efor
e fe
edin
g
Mon
tere
y B
ay A
quar
ium
P
harm
acop
eia
For
GI p
rote
ctio
nM
ultip
le
Tetr
acyc
line
20 m
g/kg
IM Q
24h
Sto
skop
f 199
0U
nspe
cifie
d
Trim
etho
prim
-su
lfadi
azin
e20
mg/
kg IM
BID
Will
iam
s 19
93F
or h
emor
rhag
ic
diar
rhea
in p
ups
Uns
peci
fied
33.6
mg/
kg P
O B
IDC
alle
et a
l. 19
99U
nspe
cifie
dV
asop
ress
in2.
5–5
IU T
OTA
L D
OS
E
IV, I
M Q
48h
Sto
skop
f 199
0U
nspe
cifie
d
Zin
c ch
lorh
exid
ate
gel
0.5
mL
TOTA
L D
OS
E
Q24
hYo
ung
et a
l. 19
99F
or d
enta
l pro
phyl
axis
Giv
e in
an
ice
cube
Uns
peci
fied
Vita
min
s/M
iner
als/
Sup
plem
ents
Sel
eniu
m0.
1 m
g/kg
IV, I
MW
illia
ms
et a
l. 19
95b
Uns
peci
fied
Vita
min
B1
(thi
amin
e)1
mg/
kg IM
Q24
hG
erac
i 198
6F
ollo
w b
y or
alU
nspe
cifie
d2–
4 m
g/kc
al fe
ed P
O
Q24
hG
erac
i 198
62h
bef
ore
feed
ing
Uns
peci
fied
25–3
5 m
g/kg
fish
PO
Q
24h
Ger
aci 1
986
At m
ain
feed
ing
Uns
peci
fied
Vita
min
B9
(fol
ic a
cid)
2.5
mg
TOTA
L D
OS
E
PO
Sto
skop
f 199
0U
nspe
cifie
d
Vita
min
B c
ompl
ex2
mL/
L flu
ids
SC
Will
iam
s 19
93P
ups
Uns
peci
fied
1 m
L/10
kg
SC
Will
iam
s 19
93A
dults
Uns
peci
fied
Vita
min
C (
asco
rbic
ac
id)
50–1
00 m
g TO
TAL
DO
SE
PO
, IM
, SC
Q
24h
Sto
skop
f 199
0U
nspe
cifie
d
Vita
min
E10
0 IU
/kg
fish
Q24
hG
erac
i 198
6U
nspe
cifie
d40
0 IU
/day
Will
iam
s et
al.
1995
bU
nspe
cifie
d
Not
e:
tx =
trea
tmen
t; =
rea
d te
xt fo
r im
port
ant c
autio
ns;
= p
harm
acok
inet
ic s
tudy
per
form
ed.
*Adv
erse
effe
cts
obse
rved
.
9781498796873_C027.indd 649 9/13/2017 6:49:53 PM
650 Pharmaceuticals and Formularies
Tab
le 2
7.6
Dru
g D
osag
es R
epor
ted
for
Pol
ar B
ears
(U
rsus
mar
itim
us)
(See
Tex
t for
Pre
caut
ions
)
Dru
gD
osa
ge
Ref
eren
ces
Ind
icat
ion
Clin
ical
No
tes
Pre
cau
tio
ns
Nu
mb
er o
f A
nim
als
Trea
ted
Alu
min
um h
ydro
xide
21.1
mg/
kg P
O B
IDLa
Dou
cer
et a
l. 20
14F
or m
anag
emen
t of
end
-sta
ge
rena
l fai
lure
1
Am
oxic
illin
22 m
g/kg
PO
BID
× 7
dM
orris
et a
l. 19
89A
nim
al d
ied
(fina
l di
agno
sis
of
blas
tom
ycos
is)
1
Am
oxic
illin
-cla
vula
nic
acid
12 m
g/kg
PO
BID
× 7
dV
elgu
th e
t al.
2009
Pos
tsur
gica
l pr
ophy
laxi
s1
Am
pici
llin
10 m
g/kg
IV, I
M B
IDM
ende
z-A
ngul
o et
al.
2014
Clin
ical
res
olut
ion
1
Bup
reno
rphi
ne0.
01 m
g/kg
IM Q
24h
Vel
guth
et a
l. 20
09F
or a
nalg
esia
1B
utor
phan
ol0.
2–0.
4 m
g/kg
IM B
IDV
elgu
th e
t al.
2009
For
ana
lges
ia1
Car
prof
en0.
75 m
g/kg
IMV
elgu
th e
t al.
2009
Clin
ical
impr
ovem
ent
note
d1
0.85
mg/
kg P
O Q
24h
×
2dV
elgu
th e
t al.
2009
Clin
ical
impr
ovem
ent
note
d1
1.5–
2 m
g/kg
PO
Q
24h-
BID
LaD
ouce
r et
al.
2014
5
Cef
tiofu
r2.
3 m
g/kg
IM o
nce
Vel
guth
et a
l. 20
09P
ost-
surg
ical
pr
ophy
laxi
s1
Cep
hale
xin
11 m
g/kg
PO
BID
Vel
guth
et a
l. 20
09C
linic
al r
esol
utio
n1
Chl
oram
phen
icol
30 m
g/kg
PO
IV Q
8hA
ssoc
iatio
n of
Zoo
s an
d A
quar
ium
s (A
ZA
) 20
09
For
tx o
f N
eoric
ketts
iaM
ultip
le
Cim
etid
ine
3.5
mg/
kg IM
Q24
hV
elgu
th e
t al.
2009
Clin
ical
res
olut
ion
1D
iphe
nhyd
ram
ine
0.3
mg/
kg P
O B
ID ×
5d
Mon
son
et a
l. 20
14D
id n
ot im
prov
e st
ool
(fina
l dx
of fo
od a
llerg
y)1
Enr
oflox
acin
5 m
g/kg
IM Q
24h
Men
dez-
Ang
ulo
et a
l. 20
14D
id n
ot im
prov
e (r
equi
red
surg
ery
for
omen
tal
tors
ion)
1
5–6
mg/
kg IM
Q24
hV
elgu
th e
t al.
2009
Clin
ical
res
olut
ion
1Fa
mot
idin
e0.
5 m
g/kg
IM Q
24h
Vel
guth
et a
l. 20
09C
linic
al r
esol
utio
n1
0.5
mg/
kg P
O B
IDV
elgu
th e
t al.
2009
Clin
ical
res
olut
ion
1(C
ontin
ued
)
9781498796873_C027.indd 650 9/13/2017 6:49:53 PM
Pharmaceuticals and Formularies 651Ta
ble
27.
6 (C
on
tin
ued
) D
rug
Dos
ages
Rep
orte
d fo
r P
olar
Bea
rs (
Urs
us m
ariti
mus
) (S
ee T
ext f
or P
reca
utio
ns)
Dru
gD
osa
ge
Ref
eren
ces
Ind
icat
ion
Clin
ical
No
tes
Pre
cau
tio
ns
Nu
mb
er o
f A
nim
als
Trea
ted
0.53
mg/
kg P
O Q
24h
LaD
ouce
r et
al.
2014
For
man
agem
ent
of e
nd-s
tage
re
nal f
ailu
re
1
Fen
bend
azol
e10
mg/
kg P
O Q
24h
× 3
dA
ZA
200
9F
or tx
of
cest
odes
Mul
tiple
25 m
g/kg
PO
Q24
h ×
3d,
re
peat
2 w
eeks
Mon
son
et a
l. 20
14D
id n
ot im
prov
e st
ool
(fina
l dx
of fo
od a
llerg
y)1
50 m
g/kg
PO
Q24
h ×
10
–14d
AZ
A 2
009
For
tx o
f tr
emat
odes
Mul
tiple
Hyd
rom
orph
one
0.05
mg/
kg IV
Men
dez-
Ang
ulo
et a
l. 20
14F
or a
nalg
esia
Intr
aope
rativ
e1
Itrac
onaz
ole
4.3
mg/
kg P
O Q
24h
×
90d
Mor
ris e
t al.
1989
For
tx o
f bl
asto
myc
osis
Clin
ical
res
olut
ion
1
Iver
mec
tin0.
2 m
g/kg
(20
0 μg
/kg)
P
O o
nce
AZ
A 2
009
For
tx o
f mite
s an
d lic
e, o
r m
onth
ly
hear
twor
m
prev
enta
tive
in
ende
mic
are
as
Mul
tiple
Ket
opro
fen
3 m
g/kg
IVM
ende
z-A
ngul
o et
al.
2014
For
ana
lges
iaIn
trao
pera
tive
1
Meb
enda
zole
20 m
g/kg
PO
Q24
h ×
3d
AZ
A 2
009
For
tx o
f ne
mat
odes
Mul
tiple
Mel
oxic
am0.
1 m
g/kg
Q24
hA
ZA
200
9M
ultip
leM
etoc
lopr
amid
e0.
5 m
g/kg
IM Q
24h
Men
dez-
Ang
ulo
et a
l. 20
14C
linic
al r
esol
utio
n1
Met
roni
dazo
le25
mg/
kg P
O B
ID ×
7d
Mon
son
et a
l. 20
14D
id n
ot im
prov
e st
ool
(fina
l dx
of fo
od a
llerg
y)1
Milb
emyc
in o
xim
e1
mg/
kg P
O o
nce
AZ
A 2
009
For
tx o
f B
aylis
asca
ris
and
othe
r ne
mat
odes
Mul
tiple
Om
epra
zole
0.82
mg/
kg P
O Q
24h
LaD
ouce
r et
al.
2014
For
m
anag
emen
t of
end
-sta
ge
rena
l fai
lure
1
Oxy
tetr
acyc
line
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9781498796873_C027.indd 651 9/13/2017 6:49:53 PM
652 Pharmaceuticals and Formularies
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9781498796873_C027.indd 652 9/13/2017 6:49:53 PM
Pharmaceuticals and Formularies 653
Acknowledgments
The authors thank Scott Willens and James F. McBain for their work on previous versions of this chapter; clinicians at Monterey Bay Aquarium, SeaWorld, and The Marine Mammal Center for sharing their formularies; and Greg Frankfurter, Gregg Levine, Andrew Stamper, and Sue Thornton for review-ing the chapter.
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