68
CRC Handbook of Marine Mammal Medicine 593 27 PHARMACEUTICALS 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relied heavily on published documen- tation, which is included relatively uncritically, but they have also included unpublished information from clinicians and institutions with experience with some of the less frequently encountered species.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 .......................................................................... 593 Routes for Administering Drugs to Marine Mammals......... 594 Dose Scaling ......................................................................... 595 Drug Interactions and Adverse Effects ................................ 596 Life-Threatening Adverse Reactions .................................... 596 Hepatic Effects ...................................................................... 596 Renal Effects ......................................................................... 597 Gastrointestinal Effects ......................................................... 597 Nervous System Effects ........................................................ 597 Dermal Effects ...................................................................... 598 Otic Effects ............................................................................ 598 Hematologic Effects.............................................................. 598 Musculoskeletal Effects ........................................................ 598 Antiulcer Medications ........................................................... 598 Steroids.................................................................................. 599 Drug Dosages ....................................................................... 599 Acknowledgments ................................................................ 653 References ............................................................................. 653 9781498796873_C027.indd 593 9/13/2017 6:49:48 PM

27 PHARMACEUTICALS AND FORMULARIESadverse reactions occur. Certain drug effects, such as seda-tion from opioids, may be dramatic in marine species. Sea ... anthelminthic and non-antibiotics

  • Upload
    others

  • View
    3

  • Download
    0

Embed Size (px)

Citation preview

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

9781498796873_C027.indd 593 9/13/2017 6:49:48 PM

594 Pharmaceuticals and Formularies

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

9781498796873_C027.indd 594 9/13/2017 6:49:48 PM

Pharmaceuticals and Formularies 595

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.

9781498796873_C027.indd 595 9/13/2017 6:49:48 PM

596 Pharmaceuticals and Formularies

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,

9781498796873_C027.indd 596 9/13/2017 6:49:48 PM

Pharmaceuticals and Formularies 597

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

9781498796873_C027.indd 597 9/13/2017 6:49:48 PM

598 Pharmaceuticals and Formularies

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

9781498796873_C027.indd 598 9/13/2017 6:49:48 PM

Pharmaceuticals and Formularies 599

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 ×

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 ×

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

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

7 m

g/kg

IV B

IDA

ZA

200

9F

or tx

of

Neo

ricke

ttsia

Mul

tiple

(Con

tinue

d)

9781498796873_C027.indd 651 9/13/2017 6:49:53 PM

652 Pharmaceuticals and Formularies

Tab

le 2

7.6

(Co

nti

nu

ed)

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

Pen

icill

in G

(b

enza

thin

e/pr

ocai

ne)

44,0

00 IU

/kg

IM Q

48h

Vel

guth

et a

l. 20

09C

linic

al r

esol

utio

n1

Pyr

ante

l pam

oate

12

mg/

kg P

O Q

24h

× 3

dA

ZA

200

9M

ultip

leTe

trac

yclin

e20

mg/

kg P

O T

ID ×

21d

AZ

A 2

009

For

tx o

f N

eoric

ketts

iaM

ultip

le

Trim

etho

prim

-su

lfadi

azin

e15

mg/

kg P

O, S

C B

IDA

ZA

200

9F

or tx

of

Neo

ricke

ttsia

Mul

tiple

30 m

g/kg

PO

Q24

h ×

7d

Vel

guth

et a

l. 20

09P

ost-

surg

ical

pr

ophy

laxi

s1

Trim

etho

prim

-su

lfam

etho

xazo

le16

mg/

kg P

O B

ID ×

7d

Vel

guth

et a

l. 20

09C

linic

al r

esol

utio

n1

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.

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.

References

Abdo, W., Y. Kakizoe, M. Ryono et al. 2012. Pulmonary zygomycosis with Cunninghamella bertholletiae in a killer whale (Orcinus orca). Journal of Comparative Pathology 147: 94–99.

Association of Zoos and Aquariums (AZA) Bear TAG. 2009. Polar Bear (Ursus maritimus) Care Manual. Silver Spring, MD: Association of Zoos and Aquariums.

Ball, R., Walsh, C.J., Flewelling, L. et al. 2014. Clinical pathology, serum brevetoxin, and clinical signs of Florida manatees (Trichechus manatus latirostris) during the brevetoxin-related mortality event in southwest Florida 2013. In Proceedings of the 45th Annual Meeting of the International Association for Aquatic Animal Medicine, Gold Coast, Australia.

Barbosa, L., S.P. Johnson, M.G. Papich, and F. Gulland. 2015. Pharmacokinetics of single-dose orally administered ciproflox-acin in California sea lions (Zalophus californianus). Journal of Zoo and Wildlife Medicine 46: 266–272.

Barnett, J.E.F., N.J. Davison, S.M. Thornton et al. 2011. Systemic mucormycosis in a hooded seal (Cystophora cristata). Journal of Zoo and Wildlife Medicine 42: 338–41.

Beckmen, K.B., J. Gerber, and M. Dailey. 1993. Phocid strand-ing epizootic attributed to Otostrongylus circumilitus, the large pulmonary worm of seals: Epidemiology, diagnosis and treatment. In Proceedings of the 23rd Annual Meeting of the International Association for Aquatic Animal Medicine, Chicago, IL.

Benet, L.Z., S. Oie, and J. Schwartz. 1996. Appendix II, Design and optimization of dosage regimens; Pharmacokinetic data. In The Pharmacological Basis of Therapeutics, 9th ed., ed. L. Goodman, and A. Gilman, 1707–1792. New York: Macmillan.

Bernard, J.B., and D.E. Ullrey. 1989. Evaluation of dietary husbandry of marine mammals at two major zoological parks. Journal of Zoo and Wildlife Medicine 20: 45–52.

Biancani, B., C.L. Field, S. Dennison, R. Pulver, and A.D. Tuttle. 2012. Hiatal hernia in a harbor seal (Phoca vitulina) pup. Journal of Zoo and Wildlife Medicine 43: 355–359.

Biancani, B., G. Lacave, G.E. Magi, and G. Rossi. 2010. Ovarian inter-stitial cell tumor in a South American sea lion (Otaria flaves-cens). Journal of Wildlife Diseases 46: 1012–1016.

Bigg, M.A., and E.T. Lyons. 1981. Clinical observations on three northern fur seal pups treated with dichlorvos. Journal of the American Veterinary Medical Association 179: 1284–1286.

Bonar, C. J., and R.A. Wagner. 2003. A third report of “golf ball dis-ease” in an Amazon River dolphin (Inia geoffrensis) associated with Streptococcus iniae. Journal of Zoo and Wildlife Medicine 34: 296–301.

Boonstra, J.L., L. Barbosa, W.G. Van Bonn et al. 2015. Pharmacokinetics of tramadol hydrochloride and its metabo-lite O-desmethyltramadol following a single, orally adminis-tered dose in California sea lions (Zalophus californianus). Journal of Zoo and Wildlife Medicine 46: 476–481.

Borkowski, R., P.A. Moore, S. Mumford et al. 1999. Extended use of subpalpebral lavage systems for treatment of keratitis in a har-bor seal (Phoca vitulina). In Proceedings of the 30th Annual Meeting of the International Association for Aquatic Animal Medicine, Boston.

Braun, R., Paulson, M., Omphroy, C. et al. 1996. Corneal opacities in Hawaiian monk seals. In Proceedings of the 27th Annual Meeting of the International Association for Aquatic Animal Medicine, Chattanooga, Tennessee.

Braun, V., U. Eskens, A. Hartmann, A. et al. 2015. Focal bacterial meningitis following ascending bite wound infection leading to paraparesis in a captive California sea lion (Zalophus cali-fornianus). Journal of Zoo and Wildlife Medicine 46: 135–140.

Brodie, E.C., F.M.D. Gulland, D.J. Greig et al. 2006. Domoic acid causes reproductive failure in California sea lions (Zalophus californianus). Marine Mammal Science 22: 700–707.

Burkhardt, J.E. 1996. Review of quinolone arthropathy in the dog. Chemotherapeutics 4: 14–18.

Burkhardt, J.E., M.A. Hill, and W.W. Carlton. 1990. Histologic and histochemical changes in articular cartilages of immature bea-gle dogs dosed with difloxacin, a fluoroquinolone. Veterinary Pathology 27: 162–170.

Burkhardt, J.E., N.N. Walterspiel, and U.B. Schaad. 1997. Quinolone arthropathy in animals versus children. Clinical Infectious Diseases 25: 1196–1294.

Calle, P.P., B.L. Raphael, R.A. Cook et al. 1999. Use of depot leup-rolide, cyproterone, and deslorelin to control aggression in an all male California sea otter (Enhydra lutris nereis) colony. In Proceedings of the 30th Annual Meeting of the International Association for Aquatic Animal Medicine, Boston, MA.

Calle, P.P., M.D. Stetter, B.L. Raphael, and R.A. Cook. 1997. Use of depot leuprolide acetate to control undesirable male associ-ated behaviors in the California sea lion (Zalophus california-nus) and California sea otter (Enhydra lutris). In Proceedings of the 28th Annual Meeting of the International Association for Aquatic Animal Medicine, Hardewijk, Netherlands.

Carlson-Bremer, D.P., F.M.D. Gulland, C.K. Johnson, K.M. Colegrove, and W.G. Van Bonn. 2012. Diagnosis and treatment of Sarcocystis neurona-induced myositis in a free-ranging California sea lion. Journal of the American Veterinary Medical Association 240: 324–328.

Cassle, S.E., E.D. Jensen, C.R. Smith et al. 2013. Diagnosis and suc-cessful treatment of a lung abscess associated with Brucella species infection in a bottlenose dolphin (Tursiops truncatus). Journal of Zoo and Wildlife Medicine 44: 495–499.

Q1

9781498796873_C027.indd 653 9/13/2017 6:49:53 PM

654 Pharmaceuticals and Formularies

Chinnadurai, S.K., B.V. Troan, K.N. Wolf et al. 2009. Septicemia, endocarditis, and cerebral infarction due to Staphylococcus aureus in a harp seal (Phoca groenlandica). Journal of Zoo and Wildlife Medicine 40: 393–397.

Chinnadurai, S.K., A. Van Wettere, K.E. Linder, C.A. Harms, and R.S. DeVoe. 2008. Secondary amyloidosis and renal failure in a captive California sea lion (Zalophus californianus). Journal of Zoo and Wildlife Medicine 39: 274–278.

Choczynski, S.M., and J. Mergl. 2007. Successful management of acute Erysiopelothrix rhusiopathiae septicemia in a beluga whale (Delphinapterus leucas). In Proceedings of the 38th Annual Meeting of the International Association for Aquatic Animal Medicine, Florida.

Chow, D., M.K. Stoskopf, N. Vedros, and D.P. Aucoin. 1992. Ceftazidime pharmacokinetics after intramuscular adminis-tration in healthy bottlenose dolphin (Tursiops aduncas). In Proceedings of the 23rd Annual Meeting of the International Association for Aquatic Animal Medicine, Hong Kong.

Clayton, L.A., M.A. Stamper, B.R. Whitaker et al. 2012. Mycobacterium abscessus pneumonia in an Atlantic bottlenose dolphin (Tursiops truncatus). Journal of Zoo and Wildlife Medicine 43: 961–965.

Cohen, M.A. 1993. Successful treatment and release of a stranded dugong (Dugong dugon). In Proceedings of the 24th Annual Meeting of the International Association for Aquatic Animal Medicine, Chicago, IL, USA.

Colgrove, G.S., T.R. Sawa, J.T. Brown, P.F. McDowell, and P.E. Nachtigall. 1975. Necrotic stomatitis in a dolphin. Journal of Wildlife Diseases 11: 460–464.

Cook, R.A., P.P. Calle, C. McClave, and S. Palma. 1992. Health care and medical problems of a captive bred and mother reared beluga whale (Delphinapterus leucas). In Proceedings of the 23rd Annual Meeting of the International Association for Aquatic Animal Medicine, Hong Kong.

Cornell, L.H. 1978. Drug induced granulocytic leukopenia in ceta-ceans. In Proceedings of the American Association of Zoo Veterinarians, Knoxville, TN, USA.

Dalton, L.M., and T.R. Robeck. 1998. Florfenicol serum levels in beluga whales (Delphinapterus leucas) and bottlenose dol-phins (Tursiops truncatus). In Proceedings of the 29th Annual Meeting of the International Association for Aquatic Animal Medicine, San Diego, CA.

Dalton, L.M, T.R. Robeck, and T.W. Campbell. 1995. Azithromycin serum levels in cetaceans. In Proceedings of the International Association for Aquatic Animal Medicine 26: 23.

Dalton, L.M., T.R. Robeck, and W.G. Young. 1997. Aberrant behavior in a California sea lion (Zalophus californianus). In Proceedings of the International Association for Aquatic Animal Medicine 28: 137.

DeLong, R.L., A.J. Orr, R.S. Jenkinson, and E.T. Lyons. 2009. Treatment of northern fur seal (Callorhinus ursinus) pups with ivermectin reduces hookworm-induced mortality. Marine Mammal Science 25 (4): 944–948.

Dennison, S.E., F.M.D. Gulland, and W.E. Braselton. 2010. Standardized protocols for plasma clearance of iohexol are not appropriate for determination of glomerular filtration rates in anesthetized California sea lions (Zalophus californianus). Journal of Zoo and Wildlife Medicine 41: 144–147.

Dennison, S., W. Van Bonn, M. Boor et al. 2011. Antemortem diag-nosis of a ventricular septal defect in a California sea lion Zalophus californianus. Diseases of Aquatic Organisms 94: 83–88.

Dierauf, L., D. Vandenbroek, J. Roletto, J. et al. 1985. An outbreak of leptospirosis in California sea lions. Journal of the American Veterinary Medical Association 187: 1145–1148.

Doescher, B., M. Renner, A. Clarke et al. 2008. Cutaneous ciliate protozoan infection in healthy Atlantic bottlenose dolphins (Tursiops truncatus). In Proceedings of the International Association for Aquatic Animal Medicine 39: 148–151.

Dougherty, M.M., and G.D. Bossart. 2001. The use of a new anti-fungal, terbinafine (Lamisil ®) as a possible prophylactic treat-ment for Apophysomyces elegans in cetaceans. In Proceedings of the International Association for Aquatic Animal Medicine 32: 171–172.

Driscoll, C.P., V. Pierce, B. Whitaker, and K. Kelly. 2007. Multi-agency case report: Clostridium perfringens disseminated infection in a live stranded bottlenose dolphin (Tursiops truncatus) in Maryland. In Proceedings of the International Association for Aquatic Animal Medicine 38: 91–92.

Dudok van Heel, W.H. 1977. Successful treatment in a case of lobo-mycosis (Lobo’s disease) in Tursiops truncatus (Mont) at the Dolphinarium Harderwijk. Aquatic Mammals 5: 8–15.

Dunn, J.L., J.D. Buck, and S. Spotte. 1982. Candidiasis in cap-tive cetaceans. Journal of the American Veterinary Medical Association 181: 1316.

Dunn, J.L., J.D. Buck, and S. Spotte. 1984. Candidiasis in cap-tive pinnipeds. Journal of the American Veterinary Medical Association 185: 1328.

Elliott, H., A. Thomas, P.W. Ladds, and G.E. Heinsohn. 1981. A fatal case of salmonellosis in a dugong. Journal of Wildlife Diseases 17: 203–208.

Esson, D.W., H.H. Nollens, T.L. Schmitt, T.L. et al. 2015. Aphakic phacoemulsification and automated anterior vitrectomy, and postreturn monitoring of a rehabilitated harbor seal (Phoca vitulina richardsi) pup. Journal of Zoo and Wildlife Medicine 46: 647–651.

Farnsworth, R.J., P.J. McKeever, and J.A. Fletcher. 1975. Dermatomycosis in a harbor seal caused by Microsporum canis. Journal of Zoo Animal Medicine 6: 26.

Fauquier, D., F. Gulland, M. Haulena, and T. Spraker. 2003. Biliary ade-nocarcinoma in a stranded northern elephant seal (Mirounga angustirostris). Journal of Wildlife Diseases 39: 723–726.

Field, C.L., A.D. Tuttle, I.F. Sidor et al. 2012. Systemic mycosis in a California sea lion (Zalophus californianus) with detection of cystofilobasidiales DNA. Journal of Zoo and Wildlife Medicine 43: 144–152.

Q1

Q1

9781498796873_C027.indd 654 9/13/2017 6:49:53 PM

Pharmaceuticals and Formularies 655

Finneran, J.J., D.A. Carder, R. Dear et al. 2005. Pure tone audiograms and possible aminoglycoside-induced hearing loss in belugas (Delphinapterus leucas). Journal of the Acoustical Society of America 117: 3936–3943.

Fitzpatrick, A.W., S.P. Johnson, and C.L. Ruiz. 2011. Orthodontic intervention in a juvenile California sea lion (Zalophus cali-fornianus). In Proceedings of the International Association for Aquatic Animal Medicine 42: 27–28.

Flower, J.E., K.C. Gamble, M. Stone et al. 2014. Esophageal squa-mous cell carcinoma in six harbor seals. Journal of Zoo and Wildlife Medicine 45 (3): 620–631.

Fowler, M.E. 1995. Restraint and Handling of Wild and Domestic Animals, 2nd Edition, Ames: Iowa State University Press.

Fravel, V., W. Van Bonn, C. Rios, and F. Gulland. 2011. Methicillin-resistant Staphylococcus aureus in a harbour seal (Phoca vitu-lina). The Veterinary Record 169: 155.

Fravel, V.A., W. Van Bonn, F. Gulland et al. 2016. Intraperitoneal dextrose administration as an alternative emergency treatment for hypoglycemic yearling California sea lions (Zalophus cali-fornianus). Journal of Zoo and Wildlife Medicine 47: 76–82.

Freeman, K.S., S.M. Thomasy, S.D. Stanley et al. 2013. Population pharmacokinetics of doxycycline in the tears and plasma following oral drug administration. Journal of the American Veterinary Medical Association 243: 1–9.

Gage, L.J. 1999. Geriatric medicine in aged captive pinnipeds. In Proceedings of the International Association for Aquatic Animal Medicine 30: 130–131.

Gage, L.J., D. Vandenbroek, and L. Amaya. 1985. Common medi-cal problems encountered in pinnipeds at the California Marine Mammal Center. In Proceedings of the International Association for Aquatic Animal Medicine 16: 42.

García-Párraga, D., J.A. Gilabert, F.J. García-Peña et al. 2016. Long-lasting concentrations of cefovecin after subcutaneous and intramuscular administration to Patagonian sea lions (Otaria flavescens). The Veterinary Journal 208: 65–69.

García-Párraga, D., J.A. Gilabert, M. Valls et al. 2012. Updates on the pharmacokinetics of cefovecin (Convenia ®) in marine mammals. In Proceedings of the International Association for Aquatic Animal Medicine 43: 169–170.

Gearhart, S., M. Walsh, and B. Chittick. 2005. Medical manage-ment of peracute Erysipelothrix rhusiopathiae septicemia and complications in a Tursiops truncatus. In Proceedings of the International Association for Aquatic Animal Medicine 36: 138–139.

Geraci, J.R. 1972. Hyponatremia and the need for dietary salt sup-plementation in captive pinnipeds. Journal of the American Veterinary Medical Association 161: 618.

Geraci, J.R. 1986. Nutrition and nutritional disorders. In Zoo and wild animal medicine, 2nd Edition, ed. M. Fowler, 568. Philadelphia: W.B. Saunders.

Geraci, J.R., and J.C. Sweeney. 1986. Clinical techniques. In Zoo and wild animal medicine, 2nd Edition, ed. M. Fowler, 771. Philadelphia: W.B. Saunders.

Gerlach, T.J., V.M. Sadler, and R.L. Ball. 2013. Conservative manage-ment of pneumothorax and pneumoperitoneum in two Florida manatees (Trichechus manatus latirostris). 44 (4): 996–1001.

Gobush, K.S., J.D. Baker, and F.M.D. Gulland. 2011. Effectiveness of an antihelminthic treatment in improving the body condi-tion and survival of Hawaiian monk seals. Endangered Species Research 15 (1): 29–37.

Greene, R., W.G. Van Bonn, S.E. Dennison, D.J. Greig, and F.M.D. Gulland. 2015. Laparoscopic gastropexy for correction of a hia-tal hernia in a northern elephant seal (Mirounga angustiros-tris). Journal of Zoo and Wildlife Medicine 46 (2): 414–416.

Guillot, J., T. Petit, F. Degorce-Rubiales, E. Gueho, and R. Chermette. 1998. Dermatitis caused by Malassezia pachydermatis in a California sea lion (Zalophus californianus). The Veterinary Record 142 (12): 311–312.

Gulland, F.M., M.K. Stoskopf, S.P. Johnson, J. Riviere, and M.G. Papich. 2000. Amoxicillin pharmacokinetics in harbor seals (Phoca vitulina) and northern elephant seals (Mirounga angustirostris) following single dose intravenous administra-tion: Implications for interspecific dose scaling. Journal of Veterinary Pharmacology and Therapeutics 23: 223–228.

Gulland, F.M.D. 1999. Leptospirosis in marine mammals. In Zoo and Wild Animal Medicine: Current Therapy, 4th Edition, ed. M.E. Fowler and R.E. Miller, 469–471. Philadelphia: W.B. Saunders.

Gulland, F.M.D., F.B. Nutter, K. Dixon et al. 2008. Health assess-ment, antibiotic treatment, and behavioral responses to herd-ing efforts of a cow-calf pair of humpback whales (Megaptera novaeangliae) in the Sacramento River Delta, California. Aquatic Mammals 34 (2): 182–192.

Gutierrez, J., C. Simeone, F. Gulland, and S. Johnson. 2016. Development of retrobulbar and auriculopalpebral nerve blocks in California sea lions (Zalophus californianus). Journal of Zoo and Wildlife Medicine 47 (1): 236–243.

Guzmán González, J.E., and M.B. Gastélum. 2006. Erysipelosis in bottlenose dolphin case report, Delfiniti Ixtapa, Mexico. In Proceedings of the International Association for Aquatic Animal Medicine 37: 109.

Hall, N.H., M. Walsh, C. Deluca, and A. Bukoski. 2012. Hysteroscopy and episiotomy in a rescued, cold-stressed Florida manatee (Trichechus manatus latirostris) for diagnosis and treatment of a retained fetal skeleton. Journal of Zoo and Wildlife Medicine 43 (3): 670–673.

Hansten, P.D. 1985. Drug Interactions, 5th ed. Philadelphia: Lea & Febiger.

Haulena, M., E.L. Buckles, F.M.D. Gulland et al. 2002. Systemic mycosis caused by Scedosporium apiospermum in a stranded northern elephant seal (Mirounga angustirostris) undergoing rehabilitation. Journal of Zoo and Wildlife Medicine 33 (2): 166–171.

Haulena, M., F.M.D. Gulland, A. Lawrence et al. 2006. Lesions asso-ciated with a novel Mycoplasma sp. in California sea lions (Zalophus californianus) undergoing rehabilitation. Journal of Wildlife Diseases 42 (1): 40–45.

9781498796873_C027.indd 655 9/13/2017 6:49:53 PM

656 Pharmaceuticals and Formularies

Hoey, A., J. McBain, and J.D. Green. 1982. Incidental post mortem findings in a juvenile female Orcinus orca following acciden-tal death. In Proceedings of the International Association for Aquatic Animal Medicine 13: 9.

Houser, D.S., C.D. Champagne, E.D. Jensen et al. 2017. Megestrol acetate suppresses the hypothalamic-pituitary-adrenal axis of the bottlenose dolphin (Tursiops truncatus). Journal of the American Veterinary Medical Association, 251: 217–223.

Hung, O.R., J.B. Dyck, J. Varvel, S.L. Shafer, and D.R. Stanski. 1996. Comparative absorption kinetics of intramuscular mid-azolam and diazepam. Canadian Journal of Anesthesia 43 (5): 450–455.

Jensen, E.D., T. Lipscomb, W. Van Bonn et al. 1998. Disseminated histoplasmosis in Atlantic bottlenose dolphins. Journal of Zoo and Wildlife Medicine 29 (4): 456–460.

Jusko, W.J., and G.P. Lewis. 1973. Comparison of ampicillin and het-acillin pharmacokinetics in man. Journal of Pharmaceutical Sciences 62 (1): 69–76.

Katsumata, E., T. Hori, and T. Tsutsui. 2003. Contraceptive effect of proligestone on spotted seals and crossbreeds of spotted seals and harbor seals. Journal of Veterinary Medical Science 65 (5): 619–623.

Kaye, S., S. Johnson, R.D. Arnold et al. 2016. Pharmacokinetic study of oral ϵ-aminocaproic acid in the northern elephant seal (Mirounga angustirostris). Journal of Zoo and Wildlife Medicine 47 (2): 438–446.

Kelly, T.R., D. Greig, K.M. Colegrove et al. 2005. Metastrongyloid nematode (Otostrongylus circumlitus) infection in a stranded California sea lion (Zalophus californianus)—A new host-parasite association. Journal of Wildlife Diseases 41 (3): 593–598.

Kollias, G.V., and J. Fernandez-Moran. 2015. Mustelidae. In Fowler’s Zoo and Wild Animal Medicine, Volume 8, ed. R.E. Miller, and M.E. Fowler, 491–497. St. Louis: Elsevier.

Komarnicki, C.B., M. Rodriguez, and J. Richardson. 2012. Assessing behavioral response in a Florida manatee (Trichechus mana-tus latirostris) administered tramadol for a spinal injury. In Proceedings of the International Association for Aquatic Animal Medicine 43: 12–13.

Koski, M., and D.J. Vandenbroek. 1986. Plesiomonas shigelloides-associated gastroenteritis in seals (Phoca vitulina richardsi). In Proceedings of the International Association for Aquatic Animal Medicine 17: 125.

Koutsos, E.A., T. Schmitt, C.M.H. Colitz, and L. Mazzaro. 2013. Absorption and ocular deposition of dietary lutein in marine mammals. Zoo Biology 32 (3): 316–323.

KuKanich, B., M. Papich, D. Huff, and M. Stoskopf. 2004. Comparison of amikacin pharmacokinetics in a killer whale (Orcinus orca) and a beluga whale (Delphinapterus leucas). Journal of Zoo and Wildlife Medicine 35 (2): 179–184.

Kukanich, B., D. Huff, J.E. Riviere, and M.G. Papich. 2007. Naïve averaged, naïve pooled, and population pharmacokinetics of orally administered marbofloxacin in juvenile harbor seals. Journal of the American Veterinary Medical Association 230 (3): 390–395.

LaDouceur, E.B., M.M. Garner, B. Davis, and F. Tseng. 2014. A ret-rospective study of end-stage renal disease in captive polar bears (Ursus maritimus). Journal of Zoo and Wildlife Medicine 45 (1): 69–77.

Lee, E.A., B.A. Byrne, M. Young et al. 2016. Pharmacokinetic indi-ces for cefovecin after single-dose administration to adult sea otters (Enhydra lutris). Journal of Veterinary Pharmacology and Therapeutics: 1–4.

Linnehan, R.M., R.W. Ulrich, and S. Ridgway. 1999. Enrofloxacin serum bioactivity in bottlenose dolphins, Tursiops truncatus, following oral administration of 5 mg/kg in whole fish. Journal of Veterinary Pharmacology and Therapeutics 22: 170–173.

Lyons, E.T., M.C. Keyes, and J. Conlogue. 1978. Activities of dichlorvos or disophenol against the hookworm (Uncinaria lucasi) and sucking lice of northern fur seal pups (Callorhinus ursinus) on St. Paul Island, Alaska. Journal of Wildlife Diseases 14: 455.

Lyons, E.T., K.C. Kim, and M.C. Keyes. 1980. Variable activity of disophenol against hookworms and lice of northern fur seal pups on St. Paul Island, Alaska. Journal of Wildlife Diseases 16: 53–57.

Manire, C., and H.L. Rhinehart. 2000. Use of human recombinant erythropoietin for the treatment of non-regenerative anemia in a rough-toothed dolphin (Steno bredanensis). Journal of Zoo and Wildlife Medicine 31: 157–163.

Marcus, A.J. 1982. Hemorrhagic disorders: Abnormalities of plate-let and vascular function. In Cecil Textbook of Medicine, ed. J.B. Wyngaarden, and L.H. Smith, 979–992. Philadelphia: W.B. Saunders.

Mazzaro, L.M., J.L. Dunn, H.C. Furr, and R.M. Clark. 1995a. Study of vitamin A supplementation in captive northern fur seals (Callorhinus ursinus) and its effect on serum vitamin E. Marine Mammal Science 11: 545–553.

Mazzaro, L.M., J.L. Dunn, H.C. Furr, and R.M. Clark. 1995b. Vitamin A plasma kinetics in northern fur seals (Callorhinus ursinus), using vitamin A2 as a tracer. Canadian Journal of Zoology 73: 10–14.

McBain, J.F. 1984. Sulfamethoxazole toxicity in three killer whales. In Proceedings of the International Association for Aquatic Animal Medicine 15: 38.

McBain, J.F. 1985. Oral tetracycline absorption and excretion rates in killer whales (Orcinus orca). In Proceedings of the International Association for Aquatic Animal Medicine 16: 79.

McDermott, A.J., T. Clauss, S. Sakals, J. Mejia-Fava, and M.G. Radlinsky. 2013. Modified-closed castration: A novel technique for sea otter (Enhydra lutris nereis) orchiectomies. Journal of Zoo and Wildlife Medicine 44 (3): 786–789.

Meegan, J., W.T. Collard, G.S. Grover et al. 2013. Pharmacokinetics of ceftiofur crystalline-free acid (Excede sterile suspension®) administered via intramuscular injection in wild California sea lions (Zalophus californianus). Journal of Zoo and Wildlife Medicine 44 (3): 714–20.

Meegan, J.M., C.R. Smith, S.P. Johnson et al. 2012. Medical and surgical management of a male bottlenose dolphin (Tursiops truncatus) with chronic severe bilateral renal nephrolithiasis. In Proceedings of the International Association for Aquatic Animal Medicine 43: 222–223.

9781498796873_C027.indd 656 9/13/2017 6:49:53 PM

Pharmaceuticals and Formularies 657

Mejia-Fava, J., C.M. Colitz, Z. Don et al. 2011. Alpha lipoic acid, a powerful and unique antioxidant: Preliminary results fol-lowing administration of ALA to pinnipeds. In Proceedings of the International Association of Aquatic Animal Medicine 42: 158–159.

Mendez-Angulo, J.L., Funes, F.J., Trent et al. 2014. Omental torsion in a captive polar bear (Ursus maritimus). Journal of Zoo and Wildlife Medicine 45 (1): 169–72.

Molter, C.M., L. Barbosa, S. Johnson et al. 2015. Pharmacokinetics of a single subcutaneous dose of sustained release buprenor-phine in northern elephant seals (Mirounga angustirostris). Journal of Zoo and Wildlife Medicine 46 (1): 52–61.

Monson, S., L.J. Minter, M. Krouse, and R.S. De Voe. 2014. Identifying and managing an adverse food reaction in a polar bear (Ursus maritimus) by an elimination diet trial. Journal of Zoo and Wildlife Medicine 45 (2): 417–419.

Moore, M., R. Andrews, T. Austin et al. 2013. Rope trauma, sedation, disentanglement, and monitoring-tag associated lesions in a terminally entangled North Atlantic right whale (Eubalaena glacialis). Marine Mammal Science 29 (2): 98–113.

Morris, P.J., A.M. Legendre, T.L. Bowersock et al. 1989. Diagnosis and treatment of systemic blastomycosis in a polar bear (Ursus maritimus) with itraconazole. Journal of Zoo and Wildlife Medicine 20 (3): 336–345.

Naples, L.M., C.P. Poll, and I.K. Berzins. 2012. Successful treat-ment of a severe case of fusariomycosis in a beluga whale (Delphinapterus leucas leucas). Journal of Zoo and Wildlife Medicine 43 (3): 596–602.

Needham, D.J. 1978. Diseases of marine mammals. In Proceedings No. 36, Course for Veterinarians—Fauna, Part B, 675–708. University of Sydney, Australia.

Nielsen, L. 1996. Chemical immobilization of free-ranging terres-trial mammals. In Lumb and Jones’ Veterinary Anaesthesia, ed. H. C. Thurmon, W. J. Tranquilli, and G. J. Benson, 499–504. Philadelphia: Lippincott Williams and Wilkins.

Norris, T.A., C.L. Littnan, and F.M.D. Gulland. 2011. Evaluation of the captive care and post-release behavior and survival of seven juvenile female Hawaiian monk seals (Monachus schauin-slandi). Aquatic Mammals 37 (3): 342–353.

Ohishi, K., E. Katsumata, K. Uchida, and T. Maruyama. 2007. Two stranded pygmy sperm whales (Kogia breviceps) with anti-Brucella antibodies in Japan. The Veterinary Record 160: 628–629.

Osborn, S., L. Dalton, C. Dold, and T. Robeck. 2012. Management of twin pregnancy and perinatal concerns in a beluga (Delphinapterus leucas). Journal of Zoo and Wildlife Medicine 43 (1): 193–196.

Phillips, P.H., P.K. Davenport, and D.J. Schultz. 1986. Microsporum gypseum dermatophytosis in captive Australian sea lions, Neophoca cinerea. Journal of Zoo Animal Medicine 17: 136–138.

Piché, C., L. Measures, C. Bédard, and S. Lair. 2010. Bronchoalveolar lavage and pulmonary histopathology in harp seals (Phoca groenlandica) experimentally infected with Otostrongylus cir-cumlitus. Journal of Wildlife Diseases 46 (2): 409–421.

Poelma, F.G., G.A. de Vries, E.A. Blythe-Russel, and H.F. Luykx. 1974. Lobomycosis in an Atlantic bottlenose dolphin in the dolphinarium Harderwijk. Aquatic Mammals 2: 11.

Prager, K.C., D.P. Alt, M.G. Buhnerkempe et al. 2015. Antibiotic efficacy in eliminating leptospiruria in California sea lions (Zalophus californianus) stranding with leptospirosis. Aquatic Mammals 41 (2): 203–212.

Prager, K.C., D.J. Greig, D.P. Alt et al. 2013. Asymptomatic and chronic carriage of Leptospira interrogans serovar Pomona in California sea lions (Zalophus californianus). Veterinary Microbiology 164: 177–183.

Reidarson, T.H., J.H. Harrell, M.G. Rinaldi, and J.F. McBain. 1998. Bronchoscopic and serologic diagnosis of Aspergillus fumig-atus pulmonary infection in a bottlenose dolphin (Tursiops truncatus). Journal of Zoo and Wildlife Medicine 29: 451–455.

Reidarson, T.H., and J.F. McBain. 1994. The use of LDH isoen-zymes to differentiate three medical conditions in cetaceans. In Proceedings of the International Association for Aquatic Animal Medicine 25: 156.

Reidarson, T.H., and J.F. McBain. 1995. The combined use of itracon-azole and flucytosine in the treatment of chronic candida cysti-tis in a bottlenose dolphin (Tursiops truncatus). In Proceedings of the International Association for Aquatic Animal Medicine 26: 13.

Reidarson, T.H., and J.F. McBain. 1999. Hematologic, biochemi-cal and endocrine effects of dexamethasone on bottlenose dolphins (Tursiops truncatus). Journal of Zoo and Wildlife Medicine 30: 310–312.

Reidarson, T.H., J.F. McBain, L.M. Dalton, and M.G. Rinaldi. 1999. Diagnosis and treatment of fungal infections in marine mam-mals. In Zoo and Wild Animal Medicine, 4th Edition, ed. M.E. Fowler, 478–485. Philadelphia: W.B. Saunders.

Ridgway, S.H. 1965. Medical care of marine mammals. Journal of the American Veterinary Medical Association 147 (10): 1077–1085.

Ridgway, S.H., R.F. Green, and J.C. Sweeney, 1975. Mandibular anes-thesia and tooth extraction in the bottlenose dolphin. Journal of Wildlife Disease 11: 415–418.

Ridgway, S.H., D. Houser, J.J. Finneran et al. 2006. Functional imag-ing of dolphin brain metabolism and blood flow. The Journal of Experimental Biology 209: 2902–2910.

Riviere, J.E. 2011. Comparative Pharmacokinetics: Principles, Techniques and Applications. Chichester: Wiley-Blackwell.

Robeck, T.R., and L.M. Dalton. 2002. Saksenaea vasiformis and Apophysomyces elegans zygomycotic infections in bottlenose dolphins (Tursiops truncatus), a killer whale (Orcinus orca), and Pacific white-sided dolphins (Lagenorhynchus obliq-uidens). Journal of Zoo and Wildlife Medicine 33: 356–366.

Robeck, T.R., L.M. Dalton, and W.G. Young. 1996. Single daily dos-ing of amikacin in two beluga whales and an Asian small clawed otter. In Proceedings of the International Association for Aquatic Animal Medicine 27: 19–21.

Robeck, T.R., K.J. Steinman, S. Gearhart et al. 2004. Reproductive physiology and development of artificial insemination technol-ogy in killer whales (Orcinus orca). Biology of Reproduction 71: 650–660.

9781498796873_C027.indd 657 9/13/2017 6:49:53 PM

658 Pharmaceuticals and Formularies

Robeck, T.R., K.J. Steinman, M. Greenwell et al. 2009. Seasonality, estrous cycle characterisation, estrus synchronization, semen cryopreservation, and artificial insemination in the Pacific white-sided dolphin (Lagenorhynchus obliquidens). Reproduction 138: 391–405.

Robeck, T.R., K.J. Steinman, G.A. Montano et al. 2010. Deep intra-uterine artificial inseminations using cryopreserved sperma-tozoa in beluga (Delphinapterus leucas). Theriogenology 74: 989–1001.

Robeck, T.R., K.J. Steinman, M. Yoshioka et al. 2005. Estrous cycle characterisation and artificial insemination using frozen-thawed spermatozoa in the bottlenose dolphin (Tursiops trun-catus). Reproduction 129: 659–674.

Romanov, V.V., M.B. Chelysheva, and T.G. Romanova. 2011. Treatment of the Black sea bottlenose dolphins (Tursiops truncatus pon-ticus) with methicillin-resistant S. aureus (MRSA) infection. In Proceedings of the International Association for Aquatic Animal Medicine 42: 71–72.

Rubio-García, A., G.J. Sánchez Contreras, C. Julía Acosta et al. 2015. Surgical treatment of osteoarthritis in harbor seals (Phoca vitu-lina). Journal of Zoo and Wildlife Medicine 46: 553–559.

Schmitt, T.L., H.H. Nollens, and J. McBain. 2013. Case series of treat-ment of subcutaneous nocardiosis in a beluga (Delphinapterus leucas) with trimethoprim sulfadiazine (1:2) formulation and observed side-effects. In Proceedings of the International Association for Aquatic Animal Medicine 44: 58.

Schmitt, T.L., and D.G. Procter. 2014. Coccidioidomycosis in a Pacific walrus (Odobenus rosmarus divergens). Journal of Zoo and Wildlife Medicine 45: 173–175.

Schmitt, T., T. Reidarson, J. McBain et al. 2007. Management of cuta-neous nocardiosis in a beluga (Delphinapterus leucas) with novel trimethoprim sulfadiazine (1:2) formulation. In Proceedings of the International Association for Aquatic Animal Medicine 38: 207.

Schroeder, J.P. 1983. Apparent toxicity of ketoconazole for Tursiops truncatus during treatment of lobomycosis. In Proceedings of the International Association for Aquatic Animal Medicine 14: 3.

Schroeder, J.P. 1993. Captive marine mammal reproduction. In Zoo and Wild Animal Medicine, 3rd Edition, ed. M.E. Fowler, 428–432. Philadelphia: W.B. Saunders.

Schroeder, J.P., M.B. Cates, and J.B. Wallace. 1984. A Vibrio algino-lyticus tissue infection in Tursiops truncatus. In Proceedings of the 15th Annual Meeting of the International Association for Aquatic Animal Medicine, Tampa, FL.

Sharp, S.M., C.T. Harry, J.M. Hoppe et al. 2016. A comparison of postrelease survival parameters between single and mass stranded delphinids from Cape Cod, Massachusetts, U.S.A. Marine Mammal Science 32: 161–180.

Shlosberg, A., M. Bellaiche, S. Regev et al. 1997. Lead toxicosis in a captive bottlenose dolphin (Tursiops truncatus) consequent to ingestion of air gun pellets. Journal of Wildlife Diseases 33: 135–139.

Simeone, C.A., C.M.H. Colitz, K.M. Colegrove et al. 2016. Subconjunctival antimicrobial poloxamer gel for treatment of corneal ulceration in stranded California sea lions (Zalophus californianus). Veterinary Ophthalmology 19: 1–9.

Simeone, C.A., H.H. Nollens, J.M. Meegan et al. 2014. Pharmacokinetics of single dose oral meloxicam in bottlenose dolphins (Tursiops truncatus). Journal of Zoo and Wildlife Medicine 45: 594–599.

Simeone, C.A., J.P. Traversi, M. Meegan et al. 2017. Clinical manage-ment of Candida albicans keratomycosis in a bottlenose dol-phin (Tursiops truncatus). Veterinary Ophthalmology 20: 1–7.

Sós, E., V. Molnár, Z. Lajos, V. Koroknai, and J. Gál. 2013. Successfully treated dermatomycosis in California sea lions (Zalophus cali-fornianus). Journal of Zoo and Wildlife Medicine 44: 462–465.

Stetter, M., B. Mangold, M. Miller, M. Weber, and J. Capobianco. 1999. Successful treatment of lead toxicosis in a bottlenose dol-phin (Tursiops truncatus). In Proceedings of the International Association for Aquatic Animal Medicine 30: 146–147.

Stoskopf, M.K., 1990. Marine mammal pharmacology. In Handbook of Marine Mammal Medicine: Health, Disease and Rehabilitation, ed. L.A. Dierauf, 139–162. Boca Raton, FL: CRC Press.

Stoskopf, M.K., T. Moench, C. Thoen, and P. Charache. 1987. Tuberculosis in pinnipeds. In Proceedings 1st International Conference on Zoological and Avian Medicine 393.

Sweeney, J.C. 1974a. Common diseases of pinnipeds. Journal of the American Veterinary Medical Association 165: 805.

Sweeney, J.C. 1974b. Procedures for clinical management of pinni-peds. Journal of the American Veterinary Medical Association 165: 811.

Sweeney, J.C. 1977. Intratracheal injection of antibiotics in the California sea lion, Zalophus californianus, and bottlenose dol-phin, Tursiops truncatus. Journal of Wildlife Diseases 13: 49.

Sweeney, J.C. 1985. Serum uptake and excretion rates for orally administered ampicillin and amoxicillin in large killer whales (Orcinus orca). In Proceedings of the International Association for Aquatic Animal Medicine 16: 11.

Sweeney, J.C. 1986a. Infectious diseases. In Zoo and Wild Animal Medicine, 2nd Edition, ed. M.E. Fowler, 777. Philadelphia: W.B. Saunders.

Sweeney, J.C. 1986b. Clinical consideration of parasitic and non-infectious diseases. In Zoo and Wild Animal Medicine, 2nd Edition, ed. M.E. Fowler, 785. Philadelphia: W.B. Saunders.

Thurman, G.D., and I.M. Windsor. 1984. Serological testing for viral and mycoplasma antibodies in a captive dolphin as an aid in diagnosis and epidemiological control. In Proceedings of the International Association for Aquatic Animal Medicine 15: 75.

Townsend, F.I. 1999. Medical management of stranded small ceta-ceans. In Zoo and Wild Animal Medicine, 4th Edition, ed. M.E. Fowler, 485–493. Philadelphia: W.B. Saunders.

Townsend, F.I., F.J. Materese, and D.G. Sips. 1996. The use of lipo-somal amphotericin-B in the therapy of systemic zygomyco-sis. In Proceedings of the International Association for Aquatic Animal Medicine 27: 18.

9781498796873_C027.indd 658 9/13/2017 6:49:53 PM

Pharmaceuticals and Formularies 659

Townsend, F.I., and S. Petro, S. 1998. Significant panhypoprotein-emia and regenerative anemia secondary to duodenitis in roughed-tooth dolphins (Steno bredanensis). In Proceedings of the International Association for Aquatic Animal Medicine 29: 157.

Van Bonn, W. 2002. Perforation of the gastrointestinal tract in bot-tlenose dolphins (Tursiops truncatus). In Proceedings of the International Association for Aquatic Animal Medicine 33: 137.

Van Bonn, W., E.D. Jensen, C. House et al. 2000. Epizootic vesicu-lar disease in captive California sea lions. Journal of Wildlife Diseases 36: 500–507.

Vandenbroek, D.J., L.A. Dierauf, J. Roletto, J. et al. 1985. An epizo-otic of Leptospira (pomona) in California sea lions (Zalophus californianus). In Proceedings of the International Association for Aquatic Animal Medicine 16: 122.

Velguth, K.E., M.C. Rochat, J.N. Langan, and K. Backues. 2009. Acquired umbilical hernias in four captive polar bears (Ursus maritimus). Journal of Zoo and Wildlife Medicine 40: 767–772.

Walker, K.A., M. Horning, J.A.E. Mellish, and D.M. Weary. 2011. The effects of two analgesic regimes on behavior after abdominal surgery in Steller sea lions. Veterinary Journal 190: 160–164.

Walker, K.A., J.A.E. Mellish, and D.M. Weary. 2010. Behavioural responses of juvenile Steller sea lions to hot-iron branding. Applied Animal Behaviour Science 122: 58–62.

Walsh, M.T., and G.D. Bossart. 1999. Manatee medicine. In Zoo and Wild Animal Medicine, 4th Edition, ed. M.E. Fowler, 507–516. Philadelphia: W.B. Saunders.

Walsh, M.T., and M. de Wit. 2015. Sirenia. In Fowler’s Zoo and Wild Animal Medicine, Volume 8, ed. R.E. Miller, and M.E. Fowler, 450–457. St. Louis: Elsevier.

Walsh, M.T., D. Murphy, and S.M. Innis. 1999. Pneumatosis intes-tinalis in orphan manatees (Trichechus manatus), diagnosis, pathological findings and potential therapy. In Proceedings of the International Association for Aquatic Animal Medicine 30: 1.

Williams, T.D. 1993. Rehabilitation of sea otters. In Zoo and Wild Animal Medicine, 3rd Edition, ed. M.E. Fowler, 432–435. Philadelphia: W.B. Saunders.

Williams, T.D., and D.B. Siniff. 1983. Surgical implantation of radiote-lemetry devices in the sea otter (Enhydra lutra). In Proceedings of the International Association for Aquatic Animal Medicine 14: 31.

Williams, T.M., R.W. Davis, J.F. McBain et al. 1995a. Diagnosing and treating common clinical disorders of oiled sea otters. In Emergency Care and Rehabilitation of Oiled Sea Otters, ed. T.M. Williams, and R.W. Davis, 59–95. Fairbanks: University of Alaska Press.

Williams, T.M., J.F. McBain, P. Tuomi, and R.K. Wilson. 1995b. Initial clinical evaluation, emergency treatments and assess-ment of oil exposure. In Emergency Care and Rehabilitation of Oiled Sea Otters, ed. T.M. Williams, and R.W. Davis, 45–58. Fairbanks: University of Alaska Press.

Wohlsein, P., M. Peters, F. Geburek, F. Seeliger, and M. Böer. 2003. Polioencephalomalacia in captive harbour seals (Phoca vitu-lina). Journal of Veterinary Medicine 50: 145–150.

Yoon, J.H., R.L. Brooks, A. Khan et al. 2004. The effect of enrofloxa-cin on cell proliferation and proteoglycans in horse tendon cells. Cell Biology and Toxicology 20: 41–54.

Yoshida, K., K. Yabe, X. Nishida et al. 1998. Pharmacokinetic dis-position and arthropathic potential of oral ofloxacin in dogs. Journal of Veterinary Pharmacology and Therapeutics 21: 128–132.

Young, S.J.F., D.G. Huff, and J.M.G. Anthony. 1999. A safe and cost effective oral care regime to control gingivitis and periodon-tal disease in the northern sea otter (Enhydra lutris lutris). In Proceedings of the International Association for Aquatic Animal Medicine 30: 6.

Zabka, T.S., M. Haulena, B. Puschner et al. 2006. Acute lead toxico-sis in a harbor seal (Phoca vitulina richardsi) consequent to ingestion of a lead fishing sinker. Journal of Wildlife Diseases 42: 651–657.

Q1

Q1: Please check authors name.

9781498796873_C027.indd 659 9/13/2017 6:49:54 PM

9781498796873_C027.indd 660 9/13/2017 6:49:54 PM