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A NEWSLETTER OF PRACTICAL MEDICINE FOR VETERINARY PROFESSIONALS



                                                                     SEPTEMBER 2004 VOLUME 2, NUMBER 3




                                             Shampoo Therapy in
                                             Dogs and Cats
                                             Anthony A. Yu, DVM, DACVD
                                             Ontario Veterinary College
                                             University of Guelph
                                             Ontario, Canada



    With the availability of effective          is also dictated by seasonal influences.        reaction to the shampoo by the patient
topical flea products, shampoo therapy          Environmental variations in heat and            and the bather also should be considered.
had fallen by the wayside in veterinary         humidity influence dryness, scaliness,              One of the most common signs of
dermatology. However, recent evidence           greasiness, and the tendency to develop         dermatologic problems in small animals
has shown that percutaneous absorption          secondary bacterial or yeast infections.        is excess scaling. The process of
of allergens plays a significant role in            Shampooing technique is also                keratinization is initiated within the
propagating, and possibly even                  important. I often recommend starting           basal keratinocytes of the epidermis.
potentiating, allergies in our pets.            with the worst affected area—usually            Through many transformations, these
    There are several guidelines to convey      the belly, neck, or feet. The mechanical        cells eventually migrate to the surface
to clients regarding the use of veterinary      process itself is beneficial because it helps   and die, progressing through the basal,
shampoos. First, the use of cool water          to remove crusts, scales, dirt, organisms,
and contact times of 5 to 15 minutes            and residual medication.
allow for hydration of the skin and a                                                                 IN THIS ISSUE:
sufficient period for penetration and           SHAMPOO SELECTION                                     Shampoo Therapy in
action of the active shampoo ingredients.          Human-grade shampoo, balanced at                   Dogs and Cats............................      1
Bathing frequency is also important and         pH 5.5 for the human scalp (compared
depends on the presence of skin disease         with the neutral skin pH of 7.0 to 7.5 in             Ethylene Glycol Poisoning:
as well as the shampoo to be used. A            most dogs and cats), can cause irritation             Effective Treatment Begins
client may have to shampoo two to three         and damage to the epidermal skin barrier              with Prevention .........................      4
times weekly until adequate control of          as well as unwanted changes in the                    Ask the Vet ................................   7
scaling, grease, and odor is achieved, at       superficial microbial flora. Thus, the
                                                                                                      Sumitomo Corporation Acquires
which time they may decrease to a               mildest veterinary-labeled product that               The Hartz Mountain
maintenance frequency of once weekly or         will address the patient’s condition should           Corporation ...............................    8
monthly. Maintenance shampoo therapy            be selected. The possibility of an allergic
spiny, granular, and cornified layers.                 Antiparasitic Shampoos                                           A NEWSLETTER OF PRACTICAL MEDICINE FOR VETERINARY PROFESSIONALS

  Many shampoos are formulated based on                     Most flea products contain acceptable
                                                                                                                     SEPTEMBER 2004 VOLUME 2, NUMBER 3
  this cell-turnover process. Animal skin                concentrations of naturally derived
  varies from one to three epidermal cell                pyrethrins or synthetic pyrethroids.
                                                                                                            Consulting Editors
  layers in cats and three to five epidermal             They kill adult fleas, ticks, and other
  cell layers in dogs, with a 21-day transit             ectoparasites present at the time of               Albert Ahn, DVM
  time.                                                  bathing and help to wash off adherent               Corporate Vice President
      Owner acceptance is most often the                 eggs or larvae. If additional therapeutic           Chief Scientific Officer
  determining factor in the selection of a               modalities are required, always consult             The Hartz Mountain Corporation
  shampoo. If odor, color, staining or                   and follow label directions.
  bleaching potential, and lathering ability                                                                Bruce Truman
  of a shampoo are not acceptable to the                 Antiseborrheic Shampoos
                                                                                                             Divisional Vice President
  bather, then the shampoo will never make                   Seborrhea is excess scale formation
                                                                                                             Animal Health and Nutrition
  its way onto the pet. Finally, if a costly             caused by abnormal cell migration,
  medicated shampoo is prescribed, it may                increased cell division in the stratum              The Hartz Mountain Corporation
  be helpful to first use an inexpensive                 basale, biochemical anomalies in keratin
  product so that the medicated shampoo                  production, and aberrations in intercellular       HARTZ® COMPANION ANIMALSM
  is not wasted on initial attempts to cut               lipid production. Antiseborrheic shampoos          is produced for The Hartz Mountain
  through the grease and dirt.                           eliminate surface scale by causing cell            Corporation by Veterinary Learning
                                                         damage and ballooning, which results in            Systems, 780 Township Line Rd.,
  Types of Shampoo                                       softening and shedding of the stratum              Yardley, PA 19067.
  Cleansing and Moisturizing                             corneum (keratolysis). These products also
  Shampoos/Sprays                                        decrease cell turnover via inhibitory effects      Copyright © 2004 The Hartz Mountain
      Cleansing and moisturizing shampoos                on basal cell growth (keratoplasty).               Corporation. All rights reserved.
  are mildly medicated, hypoallergenic
  products that clean using soap substitutes             Sulfur and Salicylic Shampoos                      Hartz® and other marks are owned by
  and anionic/amphoteric surfactant                         Sulfur and salicylic acid are common            The Hartz Mountain Corporation.
  systems. They mainly serve to rehydrate                ingredients in antiseborrheic shampoos.
  and cleanse the skin and can be used as a              Because the efficacy of sulfur depends on          Printed in U.S.A. No part of this
  maintenance shampoo for normal-coated                  direct interaction with the skin, it is often      publication may be reproduced in any
  dogs and cats.                                         formulated as a colloid to increase the skin       form without the express written
      Moisturizers (e.g., emollients,                    contact surface area. Keratoplastic activity       permission of the publisher.
  humectants) are commonly used for mild,                caused by sulfur is primarily related to the
  dry, and scaly conditions or even after use            formation of cystine, an important                 For more information on The Hartz
  of a potential drying agent. Emollients                constituent of the stratum corneum.                Mountain Corporation, visit
  are vegetable- and animal-oil products                 Keratolytic, antifungal, antibacterial, and        www.hartz.com.
  that protect and soften the skin by filling            antiparasitic (mites and lice but not fleas)
  in the spaces between the dry flakes—                  activities are primarily a result of hydrogen
  flattening roughened surfaces of the                   sulfide and pentathionic acid formation         between cells, promoting the shedding of
  stratum corneum. Humectants, which                     from the combination of sulfur with             attached surface cells.
  include lactic acid, urea, carboxylic acid,            cysteine. Sulfur also has been demonstrated         Sulfur–salicylic acid combinations
  glycerin, and propylene glycol, rehydrate              to decrease itching and to be extremely         are used for primary keratinization
  the skin without using oils. Instead, they             safe, even on newborn animals.                  abnormalities causing a dry scaling
  draw moisture to the skin from the pet’s                  Attributes of salicylic acid include         dermatosis and conditions secondary to
  own body fluids.                                       keratoplastic, keratolytic, antipruritic,       bacterial pyoderma, parasitic infections,
      Emollients and humectants are                      astringent, and bacteriostatic activities.      allergy, autoimmune disorders,
  available in shampoo or spray form.                    The keratolytic activity of salicylic acid is   environmental influences, and metabolic
  Of the sprays, emollients are preferably               produced by decreasing surface pH,              imbalances (e.g., hypothyroidism).
  applied directly after a bath to provide an            which results in increased hydration of             Numerous sulfur–salicylic acid
  oil barrier that keeps moisture on the                 keratin and swelling of cells in the            shampoos are available. Some contain
  skin. Humectants can be used daily to                  stratum corneum. Salicylic acid also            lanolin to condition a pet’s coat. Sodium
  alleviate dry, scaly conditions.                       solubilizes the natural binding material        salicylate enhances the shampoo’s

2 HARTZ COMPANION ANIMAL
       ®                   SM
                                • SEPTEMBER 2004 • VOL. 2, NO. 3
latherability. Triclosan and chlorhexidine       of benzoyl peroxide is generally                   glucan has been concentrated in certain
derivatives are sometimes added to               considered to be an advantage. However,            oatmeal-based shampoos because it is
enhance a shampoo’s antimicrobial activity.      animals with sensitive skin may develop            believed to provide oatmeal with its
                                                 excessive drying or irritation. This can be        antiinflammatory effect.
Tar Shampoos                                     relieved by alternating treatments with a             Lastly, shampoos containing
    Tar shampoos are often combined with         milder product or using emollients.                antiinflammatory agents such as
sulfur and salicylic acid, which permits         Benzoyl peroxides tend not to lather well          hydrocortisone, diphenhydramine, and
decreased concentrations while providing         and have the potential to bleach fabrics           essential fatty acids, have been introduced
the desired keratolytic activity. Treatments     and haircoats.                                     to the veterinary market to address
should be discontinued or followed by a                                                             inflammation at the local level. So far,
conditioning rinse if drying or irritation       Antimicrobial Shampoos                             they have proven to be useful adjuncts in
occurs.                                             Antimicrobial shampoos help eliminate           our attempts to minimize the use of oral
    Tars induce antimitotic, keratolytic,        overgrowth of pathogenic organisms on              medications to control itch. Strict
antipruritic, degreasing, and antiinflam-        the skin surface. As previously mentioned,         adherence to the 10- to 15-minute
matory effects. The antimitotic effects are      benzoyl peroxide shampoos have the                 contact time rule, especially with these
due to suppression of epidermal growth           greatest residual activity (48 hours). Other       products, will help achieve optimal
and DNA synthesis of the stratum basale.         antimicrobials include chlorhexidine,              results.
The primary clinical application of tar          which is a synthetic biguanide with
shampoos is to treat the extremely greasy        broad-spectrum activity against bacteria,          CONCLUSION
dog. The higher the concentration, the           fungi, and yeasts but exhibits no                     Finally, a plethora of shampoos
better the effects of the tar, but the patient   antiseborrheic effects. It is characterized        with advanced time-released microsomes
might be more susceptible to developing a        by rapid kill and 36-hour residual activity.       has also become available for use in
contact allergy, excessive drying, or skin          When combined with water, ethyl                 veterinary medicine. This technology
irritation. Tar shampoos should be avoided       lactate forms lactic acid, which provides          improves residual activity of the
in cats.                                         antimicrobial activity, and ethanol, a             aforementioned active shampoo
                                                 good degreaser without the drying effects          ingredients and minimizes any drying
Selenium Sulfide                                 of tar and benzoyl peroxides. A gentle,            effects by slowly releasing emollients and
   Selenium sulfide is antiseborrheic but        antiseptic, and keratoplastic shampoo              conditioners.
has limited usage due to its staining,           containing a 10% concentration of ethyl               With all these recent advances in
drying, and irritating effects on mucous         lactate is available for use in dogs and cats      shampoo therapy, it may seem a daunting
membranes and the scrotum. Selenium              of any age with bacterially infected               task to choose the most appropriate
sulfide causes keratoplastic and keratolytic     seborrheic dermatitis.                             product for your pet. However, by simply
activity by depressing epidermal cell               Iodine preparations have good activity          understanding the principles of the
turnover rate and interfering with               against bacteria, viruses, and fungi,              various categories of shampoos, you can
hydrogen bond formation in the keratin.          especially when combined with                      select and use a medicated shampoo that
Selenium sulfide also is a potent degreaser.     pyrrolidone nitrogen. Residual effects,            will most benefit your patients.
This product is definitely not recommended       however, last only 6 to 8 hours. Side
for use in cats.                                 effects include irritation, staining, and          Suggested Readings
                                                                                                    Chesney CJ: Water: Its form, function and importance in
                                                 contact hypersensitivity. Iodine shampoos              the skin of domestic animals. J Small Anim Pract
Benzoyl Peroxide                                 are not recommended for use in cats.                   34:65–71, 1993.
    Benzoyl peroxide induces excellent                                                              Griffin CE, Kwochka KW, MacDonald JM: Current
                                                                                                        veterinary dermatology, in The Science and Art of
keratolytic activity, and a residual             Antipruritic Shampoos                                  Therapy. St Louis, Mosby, 1993.
antibacterial spectrum of 48 hours                   Topical antipruritic therapy is gaining        Halliwell REW: Rational use of shampoos in veterinary
also makes it one of the most active             increasing interest as an adjunct to control           dermatology. J Small Anim Pract 32:401–407, 1991.
                                                                                                    Kwochka KW: Rational shampoo therapy in veterinary
antibacterial agents. It is the only product     itching. The main source of relief evolves             dermatology. Proc 11th Annual Kal Kan Symp
available that has follicular flushing           from oatmeal-based shampoos. It is                     Treatment Small Anim Dis, 1988.
properties, which enhance removal of             believed that harmful agents and allergens         Lin AN, Reimer RJ, Carter DM: Sulfur revisited. J Am
                                                                                                        Acad Dermatol 18(3):553–558, 1988.
scale, glandular secretions, and bacteria        are absorbed through the skin, resulting           Miller WH: Antiseborrheic agents in dermatology, in
from hair follicles. It is often used before     in itching. Oatmeal is formulated as a                 Kirk RW (ed): Current Veterinary Therapy IX.
treatment for generalized demodicosis            colloid to provide a large surface area for            Philadelphia, WB Saunders, 1986, pp 596–601.
                                                                                                    Muller GH, Kirk RW, Scott DW: Small Animal
because it flushes mites from hair               adsorption and subsequent elimination of               Dermatology, ed 6. Philadelphia, WB Saunders,
follicles. The excellent degreasing activity     these mediators. In addition, oat beta                 2004.



                                                                                         HARTZ® COMPANION ANIMALSM • SEPTEMBER 2004 • VOL. 2, NO. 3           3
Ethylene Glycol Poisoning:
                                                        Effective Treatment Begins
                                                        with Prevention
                                                        Steven R. Hansen, DVM, MS, DABT, DABVT
                                                        ASPCA Animal Poison Control Center
                                                        Urbana, Illinois


      Ethylene glycol (1,2-ethanediol) is                volumes of ethylene glycol solutions.           vomiting, weakness, and dyspnea. In-
  used in many commercial and household                  Ethylene glycol is rapidly absorbed,            clinic diagnostic tests (EGT KitTM, PRN
  products, including automobile antifreeze,             yielding peak blood concentrations in           Pharmacal) are available.
  brake fluid, disinfectants and cleaners,               dogs within 1 to 4 hours. The plasma               When in-clinic qualitative tests are
  paints, sealants, and solvents. Ethylene               half-life for unmetabolized ethylene            used, false-positive results can occur from
  glycol concentrations vary from about                  glycol is 3 to 5 hours. The lethal dose of      propylene glycol (and other glycols),
  90% in automobile antifreeze to less than              undiluted ethylene glycol is 4.4 to 6.6         metaldehyde, glycerol, and formaldehyde
  1% in some paints. Most significant                    ml/kg in dogs and 1.4 ml/kg in cats.            ingestion. False-positives do not result
  poisonings in dogs and cats are from                       Metabolism occurs primarily in the          from ethanol, methanol, or isopropanol
  exposure to automobile antifreeze                      liver, with excretion of both unmetabolized     ingestion. Definitive quantitative analyses
  solutions containing ethylene glycol.                  ethylene glycol and metabolites via the         are typically available at diagnostic
      The ASPCA Animal Poison Control                    kidneys. Ethylene glycol is initially           laboratories. Local human hospitals or
  Center (APCC) managed 510 animal                       metabolized by alcohol dehydrogenase. It        veterinary diagnostic laboratories can
  exposures to ethylene glycol between July              is at this first rate-limiting metabolic step   provide analytic capabilities, including
  1995 and December 1997. Dogs and cats                  that competitive inhibition by the              quantification of parent ethylene glycol and
  represented 98% of exposed species,                    administration of fomepizole in dogs            some metabolite concentrations. Other
  although dogs are two to three times more              (Antizol-VetTM, Orphan Medical) and             diagnostic findings include an increased
  likely to be exposed than cats. The                    ethanol in cats can be lifesaving.              osmolar gap (>20 mOsm/kg), acidosis, an
  majority of animals were adults, with an               Continued processing of ethylene glycol         increased anionic gap (>25 mEq/L),
  equal gender distribution. Most exposures              metabolites yields intermediates that           hypocalcemia, and calcium oxalate
  occurred around the home and resulted                  cause acidosis, renal tubular nephrosis         crystalluria,3 but the absence of crystalluria
  from container spills and engine flushes or            (Figures 1 and 2), and death. Clinical          does not rule out ethylene glycol toxicosis.
  leaks. Three percent of cases were assessed            effects, including depression and
  as intentional. Of cases with known                    ataxia, occur early from unmetabolized          Treatment
  outcomes, 59% did not develop clinical                 ethylene glycol. During the next 12 to             The rapid absorption of ethylene
  signs and 28% died or were euthanized.                 24 hours, metabolic acidosis results in         glycol coupled with short plasma half-life
  Ethylene glycol exposures accounted for                cardiopulmonary effects, including              underscores the necessity for early,
  0.5% of case volume for the data collection            tachypnea, tachycardia, central nervous         aggressive intervention. Since a delay in
  period.1 Generally, cats, rabbits, and                 system (CNS) depression, seizures, and          treatment is often fatal, presumptive cases
  humans are considered the most sensitive               pulmonary edema. Oliguric renal failure         of ethylene glycol poisoning based on
  species. Dogs, pigs, rodents, and cattle are           may begin as early as 12 hours after            clinical presentation and available
  considered of intermediate sensitivity.                ingestion in cats but not beyond 72 hours       diagnostics with or without known
                                                         in cats or dogs. Death results from             exposure warrant initiation of treatment
  Mechanism of Action                                    cardiopulmonary or renal effects.2              before definitive laboratory confirmation.
     Ethylene glycol is commercially                                                                        Initial treatment in an asymptomatic
  available for automobile use as a                      Diagnosis                                       animal within an hour of exposure may
  concentrated solution that is typically                   The most common clinical signs               include the administration of an emetic
  mixed 50:50 with water. Dogs and cats                  reported to the APCC include                    such as hydrogen peroxide (3%, 1 ml/lb;
  will unpredictably consume various                     depression, ataxia, seizures, tremors,          maximum dose: 45 ml) via oral syringe or


4 HARTZ COMPANION ANIMAL
        ®                  SM
                                • SEPTEMBER 2004 • VOL. 2, NO. 3
stomach tube after feeding a moist meal
such as canned food. Activated charcoal
(1–3 g/kg) can be administered early,
preferably within the hour, to potentially
reduce gastrointestinal absorption.
Administration of activated charcoal
products may yield false-positive results
from in-clinic ethylene glycol test kits
because of propylene glycol cross-
                                                 Figure 1— Ethylene glycol–                          Figure 2— Ethylene glycol–
reactivity. Overuse of activated charcoal        induced renal tubular nephrosis.                    induced nephrosis showing
in small or dehydrated animals must be           (Photo courtesy Dr. Sharon Gwaltney,                birefringent crystals. (Photo courtesy
avoided because of the risk for electrolyte      APCC; hematoxylin–eosin, original                   Dr. Sharon Gwaltney, APCC;
abnormalities, including hypernatremia.          magnification ×100)                                 hematoxylin–eosin, original
    Successful management of ethylene                                                                magnification ×40; shown under
glycol toxicosis depends on competitive          used to correct acidosis. Furosemide                polarized light)
inhibition of alcohol dehydrogenase.             (2.2–4.4 mg/kg IV bid) combined with
Currently accepted treatment in dogs             dopamine (2–5 µg/kg/min) may increase               often can dispose of ethylene glycol
includes the use of fomepizole or ethanol.       urine output in oliguric patients.                  antifreeze properly or inform the pet
Fomepizole is advantageous in dogs because       Peritoneal dialysis or hemodialysis, if             owner about approved disposal techniques.
it is approved for this use, is effective and    available, should be considered for anuric             Some antifreeze formulations contain
easy to administer, and does not contribute      patients. Recovery depends on how                   propylene glycol; these formulations are
to CNS depression or acidosis. In dogs,          quickly treatment can be started. Initiation        significantly less toxic than ethylene glycol
fomepizole is administered in four doses at      of treatment within the hour—and                    formulations but are not nontoxic and still
12-hour intervals, each given slowly over 15     possibly up to 4 hours—in nonazotemic               require the same vigilance regarding
to 30 minutes. The first dose is 20 mg/kg,       patients may prove successful. Severely             storage, use, and disposal.
followed by 15 mg/kg at 12 and 24                azotemic or anuric patients, especially                A significant amount of recent
hours and then 5 mg/kg at 36 hours. In           animals whose care is initiated 12 hours            legislative debate has focused on
cats, fomepizole may be effective at high        or longer after exposure, warrant a grave           requiring that bittering or other aversive
doses early, but the product is not labeled as   prognosis. Ultimately, recovery may be              agents be added to antifreeze and other
such. In cats, ethanol is generally the          complete or residual renal insufficiency            household products. The APCC does not
preferred treatment.                             may remain.                                         support this requirement. The promotion
    Ethanol administration is inexpensive                                                            of products containing aversive agents by
but time intensive, produces additional          Prevention                                          manufacturers would lead to a false sense
CNS depression, and exacerbates                      Veterinary professionals are encouraged         of security among pet owners that could
metabolic acidosis. Cats (and dogs if            to address poison prevention during                 unintentionally lead to poisonings. In
fomepizole is unavailable) should be             routine client visits. Pet owners should            animals, poison prevention must focus on
given 8.6 ml/kg of a 7% (70 mg/ml)               read and understand all labels, follow              proper storage and disposal and not on
ethanol solution as a slow bolus over 30         product use and disposal recommendations,           the unlikely protective mechanism
minutes followed by maintenance                  store all garage/household products and             afforded by taste-aversive agents.
administration of 100 to 200 mg/kg/hr            pharmaceuticals out of reach of children
constant-rate infusion.4 When medical-           and pets, and understand that childproof            References
                                                                                                     1. Kahn SA, Schell MM, Trammel HL, et al: Ethylene
grade ethanol solutions are not available,       lids and packaging are easily destroyed                glycol exposures managed by the ASPCA National
vodka can be used, preferably with an            (and contents consumed) by even the                    Animal Poison Control Center from July 1995 to
                                                                                                        December 1997. Vet Hum Toxicol 41(6):403–406, 1999.
in-line filter.5 To produce a 7% ethanol         smallest and most timid of pets. Pet
                                                                                                     2. Richardson JA, Gwaltney-Brant SM: Ethylene
solution, a volume of 175 ml should be           owners should search the garage and home               toxicosis in dogs and cats. NAVC Clin Brief
removed from a 1.0 L bag of D5W or               for items that are accessible by the pet,              Jan:13–19, 2003.
other appropriate solution and replaced          including items on counters. Proper                 3. Thrall MA, Grauer GF, Connally HE, et al: Small
                                                                                                        Animal Toxicology: Ethylene Glycol. Philadelphia, WB
with 175 ml of 80 proof vodka.                   disposal of automobile antifreeze is critical.         Saunders, 2001, pp 33–504.
    Supportive care designed to promote          Exposure often occurs from used product             4. Plunkett SJ: Ethylene glycol, in Emergency Procedures
diuresis, maintain renal function, and           drained from cars and farm machinery.                  for the Small Animal Veterinarian, ed 2. Philadelphia,
                                                                                                        WB Saunders, 2000, pp 319–326.
correct acid–base imbalance remains              Local recycling/garbage collection                  5. Plumb DC: Veterinary Drug Handbook, ed 3. Iowa
important. Sodium bicarbonate can be             companies or automobile repair facilities              State University Press, 1999, pp 257–258.



                                                                                          HARTZ® COMPANION ANIMALSM • SEPTEMBER 2004 • VOL. 2, NO. 3             5
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Hartz PET SHOPPE™ LIVING™ Botanicals™. Each is specially formulated with
     ®

                                                                                                                        Tearless                           Soothing
a unique combination of ingredients that soothe the skin while cleaning and                                              Puppy                             Oatmeal
conditioning the coat, leaving it feeling soft and silky. For a complimentary                                           Shampoo         Beautifying        Shampoo
         ®sample, please call 800-999-3000 x5970.*                                                                                       Shampoo
         VISIT OUR WEBSITE
          www.hartz.com      *Supplies are limited. Please call by 11/1/04. Void where prohibited, taxed or restricted. Please allow 2-4 weeks for delivery.
                              Hartz and other trademarks are trademarks of The Hartz Mountain Corporation. ©The Hartz Mountain Corporation, Secaucus, NJ 07094 USA
Albert Ahn, DVM, is a veterinarian, Corporate Vice President, and
                   Chief Scientific Officer of The Hartz Mountain Corporation.




                                               ASK TH E VET
Q    In reference to Dr. Littman’s June
     2004 article, “Update on Frequently
     Asked Questions About Canine
                                                                      toxicity (Adrade SF, Sakate M: The comparative
                                                                      efficacy of yohimbine and atipamezole to treat
                                                                      amitraz intoxication in dogs. Vet Hum Toxicol
     Lyme Disease: Diagnosis and Treatment,”                          45(3):124–127, 2003), but this dose and route of
     can atipamezole be used to treat amitraz                         administration need more study before I recommend
     collar intoxication and at what dose?                            it for clinical use in patients.
     Also, what dose of yohimbine is used to                          Meryl P. Littman, VMD, DACVIM
     treat amitraz toxicoses?                                         School of Veterinary Medicine


A
                                                                      University of Pennsylvania
     Author Response:                                                 Philadelphia, Pennsylvania
     Rarely have dogs eaten the discarded cut-off ends
     of collars or, more rarely, the collars themselves.
     “If a dog ingests a . . . collar and exhibits [amitraz]
     intoxication (primary sign is severe depression),
     induce vomiting, administer non-oily laxative,
                                                                 Q    How much taurine is required in cat/
                                                                      kitten food?

     activated charcoal, and enema. Provide supportive
     therapy until collar fragments are voided. If dog
     cannot be roused, Yohimbine, 0.1 mg/kg by
                                                                 A    Taurine is a very important amino acid for cats
                                                                      and kittens. Deficiency of taurine in cats may
                                                                      result in fetal abnormalities, reproductive failure,
     intravenous injection is antidotal. Repeat as needed.”           abnormal development, retinal degeneration,
                                                                      and/or cardiomyopathy. Cats can synthesize
     I thank Dr. Ken Drobatz (Director of Emergency
                                                                      taurine only on a limited basis. Cats also need
     Service at the University of Pennsylvania’s Ryan
                                                                      taurine to conjugate bile acids.
     Veterinary Hospital), who told me that yohimbine
     (Yobine®, Lloyd Laboratories) is still their first choice        According to nutrient profiles of the AAFCO
     for amitraz intoxication. If yohimbine is unavailable,           (Association of American Feed Control Officials),
     atipamezole (Antisedan®, Pfizer Animal Health) can               the minimum requirement for taurine for cat food
     be used at 0.055 mg/kg IM.                                       is 0.10% in dry foods and 0.20% in canned foods.
                                                                      Supplementation with vitamins containing taurine
     By literature search, I found that atipamezole was               would be required in cases where the levels of
     given experimentally at 0.2 mg/kg IV for amitraz                 taurine in the cat’s diet are below this level.


Articles found in the Hartz Companion Animal sm newsletter can be copied and distributed to your colleagues, staff, and clients.
      Additional newsletters may also be obtained by contacting us at feedback@hartz.com or by phone at 800-275-1414.
 We want to hear from you!
 • Have questions or comments? Call our Consumer Relations Department at 800-275-1414 and ask to speak to a Hartz staff
   veterinarian or email us at feedback@hartz.com.
 • To obtain a Hartz Veterinary Catalog of products, please call 800-999-3000 x5118 or email us at feedback@hartz.com.


                                                                             HARTZ® COMPANION ANIMALSM • SEPTEMBER 2004 • VOL. 2, NO. 3   7
Sumitomo Corporation Acquires
The Hartz Mountain Corporation

    Sumitomo Corporation of America (SCOA), together with            products and technological solutions that will ensure their pets
its parent, Sumitomo Corporation (SC), an integrated global          lead longer, happier, and healthier lives. Hartz Mountain also
trading company, purchased JWC Hartz Holdings, Inc., the             actively contributes to the pet care community and is dedicated
holding company of The Hartz Mountain Corporation, the               to the health and well-being of companion animals.
leading U.S. pet supplies company, from J.W. Childs Equity              The acquisition will allow Hartz the opportunity to
Partners II, L.P.                                                    undertake a number of new business initiatives, such as
    The announcement was made on June 21, 2004, by Atsushi           enhanced cross-border sourcing and development of new
Nishijo, President and CEO of Sumitomo Corporation of                markets and distribution channels in Asia and Europe.
America, and Robert Devine, President and CEO of The Hartz              “Hartz is a brand name with a very strong history and great
Mountain Corporation.                                                credibility,” said Atsushi Nishijo, President and CEO of SCOA.
    “The change in ownership is a very positive development for      “This is a significant acquisition for SCOA and SC, and we are
our business,” said Robert Devine. “Hartz will continue the          very pleased that the Hartz management team will be part of the
effort to reposition the brand and drive growth with new             SCOA family.”
products and technologies.                                              Sumitomo Corporation of America was established in 1952
    We also envision a number of valuable synergies emerging         and is the largest wholly owned subsidiary of Sumitomo
from this new relationship, not the least of which is a chance for   Corporation. An integrated global trading company with
us to expand our reach into markets and channels with a high         diversified investments and trading businesses, SCOA works
degree of sophistication and a history of pet ownership. The         closely with its parent as an organizer of multinational projects
new Hartz Mountain will be stronger and more global.”                and a financier. SCOA is an investor in several venture capital
    For over 78 years, Hartz Mountain has been committed to          funds and participates as a strategic Japanese partner with
providing pet lovers across America with the most innovative         companies in the biotech and life sciences communities.


Veterinary Learning Systems                                                                                       PRESORTED STANDARD
780 Township Line Road                                                                                                U.S. POSTAGE
Yardley, PA 19067
                                                                                                                      PAID
                                                                                                                     BENSALEM, PA
                                                                                                                     PERMIT #118




                                                                                                                                400486

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Hartz Companion Animal - Shampoo Therapy in Dogs and Cats

  • 1. A NEWSLETTER OF PRACTICAL MEDICINE FOR VETERINARY PROFESSIONALS SEPTEMBER 2004 VOLUME 2, NUMBER 3 Shampoo Therapy in Dogs and Cats Anthony A. Yu, DVM, DACVD Ontario Veterinary College University of Guelph Ontario, Canada With the availability of effective is also dictated by seasonal influences. reaction to the shampoo by the patient topical flea products, shampoo therapy Environmental variations in heat and and the bather also should be considered. had fallen by the wayside in veterinary humidity influence dryness, scaliness, One of the most common signs of dermatology. However, recent evidence greasiness, and the tendency to develop dermatologic problems in small animals has shown that percutaneous absorption secondary bacterial or yeast infections. is excess scaling. The process of of allergens plays a significant role in Shampooing technique is also keratinization is initiated within the propagating, and possibly even important. I often recommend starting basal keratinocytes of the epidermis. potentiating, allergies in our pets. with the worst affected area—usually Through many transformations, these There are several guidelines to convey the belly, neck, or feet. The mechanical cells eventually migrate to the surface to clients regarding the use of veterinary process itself is beneficial because it helps and die, progressing through the basal, shampoos. First, the use of cool water to remove crusts, scales, dirt, organisms, and contact times of 5 to 15 minutes and residual medication. allow for hydration of the skin and a IN THIS ISSUE: sufficient period for penetration and SHAMPOO SELECTION Shampoo Therapy in action of the active shampoo ingredients. Human-grade shampoo, balanced at Dogs and Cats............................ 1 Bathing frequency is also important and pH 5.5 for the human scalp (compared depends on the presence of skin disease with the neutral skin pH of 7.0 to 7.5 in Ethylene Glycol Poisoning: as well as the shampoo to be used. A most dogs and cats), can cause irritation Effective Treatment Begins client may have to shampoo two to three and damage to the epidermal skin barrier with Prevention ......................... 4 times weekly until adequate control of as well as unwanted changes in the Ask the Vet ................................ 7 scaling, grease, and odor is achieved, at superficial microbial flora. Thus, the Sumitomo Corporation Acquires which time they may decrease to a mildest veterinary-labeled product that The Hartz Mountain maintenance frequency of once weekly or will address the patient’s condition should Corporation ............................... 8 monthly. Maintenance shampoo therapy be selected. The possibility of an allergic
  • 2. spiny, granular, and cornified layers. Antiparasitic Shampoos A NEWSLETTER OF PRACTICAL MEDICINE FOR VETERINARY PROFESSIONALS Many shampoos are formulated based on Most flea products contain acceptable SEPTEMBER 2004 VOLUME 2, NUMBER 3 this cell-turnover process. Animal skin concentrations of naturally derived varies from one to three epidermal cell pyrethrins or synthetic pyrethroids. Consulting Editors layers in cats and three to five epidermal They kill adult fleas, ticks, and other cell layers in dogs, with a 21-day transit ectoparasites present at the time of Albert Ahn, DVM time. bathing and help to wash off adherent Corporate Vice President Owner acceptance is most often the eggs or larvae. If additional therapeutic Chief Scientific Officer determining factor in the selection of a modalities are required, always consult The Hartz Mountain Corporation shampoo. If odor, color, staining or and follow label directions. bleaching potential, and lathering ability Bruce Truman of a shampoo are not acceptable to the Antiseborrheic Shampoos Divisional Vice President bather, then the shampoo will never make Seborrhea is excess scale formation Animal Health and Nutrition its way onto the pet. Finally, if a costly caused by abnormal cell migration, medicated shampoo is prescribed, it may increased cell division in the stratum The Hartz Mountain Corporation be helpful to first use an inexpensive basale, biochemical anomalies in keratin product so that the medicated shampoo production, and aberrations in intercellular HARTZ® COMPANION ANIMALSM is not wasted on initial attempts to cut lipid production. Antiseborrheic shampoos is produced for The Hartz Mountain through the grease and dirt. eliminate surface scale by causing cell Corporation by Veterinary Learning damage and ballooning, which results in Systems, 780 Township Line Rd., Types of Shampoo softening and shedding of the stratum Yardley, PA 19067. Cleansing and Moisturizing corneum (keratolysis). These products also Shampoos/Sprays decrease cell turnover via inhibitory effects Copyright © 2004 The Hartz Mountain Cleansing and moisturizing shampoos on basal cell growth (keratoplasty). Corporation. All rights reserved. are mildly medicated, hypoallergenic products that clean using soap substitutes Sulfur and Salicylic Shampoos Hartz® and other marks are owned by and anionic/amphoteric surfactant Sulfur and salicylic acid are common The Hartz Mountain Corporation. systems. They mainly serve to rehydrate ingredients in antiseborrheic shampoos. and cleanse the skin and can be used as a Because the efficacy of sulfur depends on Printed in U.S.A. No part of this maintenance shampoo for normal-coated direct interaction with the skin, it is often publication may be reproduced in any dogs and cats. formulated as a colloid to increase the skin form without the express written Moisturizers (e.g., emollients, contact surface area. Keratoplastic activity permission of the publisher. humectants) are commonly used for mild, caused by sulfur is primarily related to the dry, and scaly conditions or even after use formation of cystine, an important For more information on The Hartz of a potential drying agent. Emollients constituent of the stratum corneum. Mountain Corporation, visit are vegetable- and animal-oil products Keratolytic, antifungal, antibacterial, and www.hartz.com. that protect and soften the skin by filling antiparasitic (mites and lice but not fleas) in the spaces between the dry flakes— activities are primarily a result of hydrogen flattening roughened surfaces of the sulfide and pentathionic acid formation between cells, promoting the shedding of stratum corneum. Humectants, which from the combination of sulfur with attached surface cells. include lactic acid, urea, carboxylic acid, cysteine. Sulfur also has been demonstrated Sulfur–salicylic acid combinations glycerin, and propylene glycol, rehydrate to decrease itching and to be extremely are used for primary keratinization the skin without using oils. Instead, they safe, even on newborn animals. abnormalities causing a dry scaling draw moisture to the skin from the pet’s Attributes of salicylic acid include dermatosis and conditions secondary to own body fluids. keratoplastic, keratolytic, antipruritic, bacterial pyoderma, parasitic infections, Emollients and humectants are astringent, and bacteriostatic activities. allergy, autoimmune disorders, available in shampoo or spray form. The keratolytic activity of salicylic acid is environmental influences, and metabolic Of the sprays, emollients are preferably produced by decreasing surface pH, imbalances (e.g., hypothyroidism). applied directly after a bath to provide an which results in increased hydration of Numerous sulfur–salicylic acid oil barrier that keeps moisture on the keratin and swelling of cells in the shampoos are available. Some contain skin. Humectants can be used daily to stratum corneum. Salicylic acid also lanolin to condition a pet’s coat. Sodium alleviate dry, scaly conditions. solubilizes the natural binding material salicylate enhances the shampoo’s 2 HARTZ COMPANION ANIMAL ® SM • SEPTEMBER 2004 • VOL. 2, NO. 3
  • 3. latherability. Triclosan and chlorhexidine of benzoyl peroxide is generally glucan has been concentrated in certain derivatives are sometimes added to considered to be an advantage. However, oatmeal-based shampoos because it is enhance a shampoo’s antimicrobial activity. animals with sensitive skin may develop believed to provide oatmeal with its excessive drying or irritation. This can be antiinflammatory effect. Tar Shampoos relieved by alternating treatments with a Lastly, shampoos containing Tar shampoos are often combined with milder product or using emollients. antiinflammatory agents such as sulfur and salicylic acid, which permits Benzoyl peroxides tend not to lather well hydrocortisone, diphenhydramine, and decreased concentrations while providing and have the potential to bleach fabrics essential fatty acids, have been introduced the desired keratolytic activity. Treatments and haircoats. to the veterinary market to address should be discontinued or followed by a inflammation at the local level. So far, conditioning rinse if drying or irritation Antimicrobial Shampoos they have proven to be useful adjuncts in occurs. Antimicrobial shampoos help eliminate our attempts to minimize the use of oral Tars induce antimitotic, keratolytic, overgrowth of pathogenic organisms on medications to control itch. Strict antipruritic, degreasing, and antiinflam- the skin surface. As previously mentioned, adherence to the 10- to 15-minute matory effects. The antimitotic effects are benzoyl peroxide shampoos have the contact time rule, especially with these due to suppression of epidermal growth greatest residual activity (48 hours). Other products, will help achieve optimal and DNA synthesis of the stratum basale. antimicrobials include chlorhexidine, results. The primary clinical application of tar which is a synthetic biguanide with shampoos is to treat the extremely greasy broad-spectrum activity against bacteria, CONCLUSION dog. The higher the concentration, the fungi, and yeasts but exhibits no Finally, a plethora of shampoos better the effects of the tar, but the patient antiseborrheic effects. It is characterized with advanced time-released microsomes might be more susceptible to developing a by rapid kill and 36-hour residual activity. has also become available for use in contact allergy, excessive drying, or skin When combined with water, ethyl veterinary medicine. This technology irritation. Tar shampoos should be avoided lactate forms lactic acid, which provides improves residual activity of the in cats. antimicrobial activity, and ethanol, a aforementioned active shampoo good degreaser without the drying effects ingredients and minimizes any drying Selenium Sulfide of tar and benzoyl peroxides. A gentle, effects by slowly releasing emollients and Selenium sulfide is antiseborrheic but antiseptic, and keratoplastic shampoo conditioners. has limited usage due to its staining, containing a 10% concentration of ethyl With all these recent advances in drying, and irritating effects on mucous lactate is available for use in dogs and cats shampoo therapy, it may seem a daunting membranes and the scrotum. Selenium of any age with bacterially infected task to choose the most appropriate sulfide causes keratoplastic and keratolytic seborrheic dermatitis. product for your pet. However, by simply activity by depressing epidermal cell Iodine preparations have good activity understanding the principles of the turnover rate and interfering with against bacteria, viruses, and fungi, various categories of shampoos, you can hydrogen bond formation in the keratin. especially when combined with select and use a medicated shampoo that Selenium sulfide also is a potent degreaser. pyrrolidone nitrogen. Residual effects, will most benefit your patients. This product is definitely not recommended however, last only 6 to 8 hours. Side for use in cats. effects include irritation, staining, and Suggested Readings Chesney CJ: Water: Its form, function and importance in contact hypersensitivity. Iodine shampoos the skin of domestic animals. J Small Anim Pract Benzoyl Peroxide are not recommended for use in cats. 34:65–71, 1993. Benzoyl peroxide induces excellent Griffin CE, Kwochka KW, MacDonald JM: Current veterinary dermatology, in The Science and Art of keratolytic activity, and a residual Antipruritic Shampoos Therapy. St Louis, Mosby, 1993. antibacterial spectrum of 48 hours Topical antipruritic therapy is gaining Halliwell REW: Rational use of shampoos in veterinary also makes it one of the most active increasing interest as an adjunct to control dermatology. J Small Anim Pract 32:401–407, 1991. Kwochka KW: Rational shampoo therapy in veterinary antibacterial agents. It is the only product itching. The main source of relief evolves dermatology. Proc 11th Annual Kal Kan Symp available that has follicular flushing from oatmeal-based shampoos. It is Treatment Small Anim Dis, 1988. properties, which enhance removal of believed that harmful agents and allergens Lin AN, Reimer RJ, Carter DM: Sulfur revisited. J Am Acad Dermatol 18(3):553–558, 1988. scale, glandular secretions, and bacteria are absorbed through the skin, resulting Miller WH: Antiseborrheic agents in dermatology, in from hair follicles. It is often used before in itching. Oatmeal is formulated as a Kirk RW (ed): Current Veterinary Therapy IX. treatment for generalized demodicosis colloid to provide a large surface area for Philadelphia, WB Saunders, 1986, pp 596–601. Muller GH, Kirk RW, Scott DW: Small Animal because it flushes mites from hair adsorption and subsequent elimination of Dermatology, ed 6. Philadelphia, WB Saunders, follicles. The excellent degreasing activity these mediators. In addition, oat beta 2004. HARTZ® COMPANION ANIMALSM • SEPTEMBER 2004 • VOL. 2, NO. 3 3
  • 4. Ethylene Glycol Poisoning: Effective Treatment Begins with Prevention Steven R. Hansen, DVM, MS, DABT, DABVT ASPCA Animal Poison Control Center Urbana, Illinois Ethylene glycol (1,2-ethanediol) is volumes of ethylene glycol solutions. vomiting, weakness, and dyspnea. In- used in many commercial and household Ethylene glycol is rapidly absorbed, clinic diagnostic tests (EGT KitTM, PRN products, including automobile antifreeze, yielding peak blood concentrations in Pharmacal) are available. brake fluid, disinfectants and cleaners, dogs within 1 to 4 hours. The plasma When in-clinic qualitative tests are paints, sealants, and solvents. Ethylene half-life for unmetabolized ethylene used, false-positive results can occur from glycol concentrations vary from about glycol is 3 to 5 hours. The lethal dose of propylene glycol (and other glycols), 90% in automobile antifreeze to less than undiluted ethylene glycol is 4.4 to 6.6 metaldehyde, glycerol, and formaldehyde 1% in some paints. Most significant ml/kg in dogs and 1.4 ml/kg in cats. ingestion. False-positives do not result poisonings in dogs and cats are from Metabolism occurs primarily in the from ethanol, methanol, or isopropanol exposure to automobile antifreeze liver, with excretion of both unmetabolized ingestion. Definitive quantitative analyses solutions containing ethylene glycol. ethylene glycol and metabolites via the are typically available at diagnostic The ASPCA Animal Poison Control kidneys. Ethylene glycol is initially laboratories. Local human hospitals or Center (APCC) managed 510 animal metabolized by alcohol dehydrogenase. It veterinary diagnostic laboratories can exposures to ethylene glycol between July is at this first rate-limiting metabolic step provide analytic capabilities, including 1995 and December 1997. Dogs and cats that competitive inhibition by the quantification of parent ethylene glycol and represented 98% of exposed species, administration of fomepizole in dogs some metabolite concentrations. Other although dogs are two to three times more (Antizol-VetTM, Orphan Medical) and diagnostic findings include an increased likely to be exposed than cats. The ethanol in cats can be lifesaving. osmolar gap (>20 mOsm/kg), acidosis, an majority of animals were adults, with an Continued processing of ethylene glycol increased anionic gap (>25 mEq/L), equal gender distribution. Most exposures metabolites yields intermediates that hypocalcemia, and calcium oxalate occurred around the home and resulted cause acidosis, renal tubular nephrosis crystalluria,3 but the absence of crystalluria from container spills and engine flushes or (Figures 1 and 2), and death. Clinical does not rule out ethylene glycol toxicosis. leaks. Three percent of cases were assessed effects, including depression and as intentional. Of cases with known ataxia, occur early from unmetabolized Treatment outcomes, 59% did not develop clinical ethylene glycol. During the next 12 to The rapid absorption of ethylene signs and 28% died or were euthanized. 24 hours, metabolic acidosis results in glycol coupled with short plasma half-life Ethylene glycol exposures accounted for cardiopulmonary effects, including underscores the necessity for early, 0.5% of case volume for the data collection tachypnea, tachycardia, central nervous aggressive intervention. Since a delay in period.1 Generally, cats, rabbits, and system (CNS) depression, seizures, and treatment is often fatal, presumptive cases humans are considered the most sensitive pulmonary edema. Oliguric renal failure of ethylene glycol poisoning based on species. Dogs, pigs, rodents, and cattle are may begin as early as 12 hours after clinical presentation and available considered of intermediate sensitivity. ingestion in cats but not beyond 72 hours diagnostics with or without known in cats or dogs. Death results from exposure warrant initiation of treatment Mechanism of Action cardiopulmonary or renal effects.2 before definitive laboratory confirmation. Ethylene glycol is commercially Initial treatment in an asymptomatic available for automobile use as a Diagnosis animal within an hour of exposure may concentrated solution that is typically The most common clinical signs include the administration of an emetic mixed 50:50 with water. Dogs and cats reported to the APCC include such as hydrogen peroxide (3%, 1 ml/lb; will unpredictably consume various depression, ataxia, seizures, tremors, maximum dose: 45 ml) via oral syringe or 4 HARTZ COMPANION ANIMAL ® SM • SEPTEMBER 2004 • VOL. 2, NO. 3
  • 5. stomach tube after feeding a moist meal such as canned food. Activated charcoal (1–3 g/kg) can be administered early, preferably within the hour, to potentially reduce gastrointestinal absorption. Administration of activated charcoal products may yield false-positive results from in-clinic ethylene glycol test kits because of propylene glycol cross- Figure 1— Ethylene glycol– Figure 2— Ethylene glycol– reactivity. Overuse of activated charcoal induced renal tubular nephrosis. induced nephrosis showing in small or dehydrated animals must be (Photo courtesy Dr. Sharon Gwaltney, birefringent crystals. (Photo courtesy avoided because of the risk for electrolyte APCC; hematoxylin–eosin, original Dr. Sharon Gwaltney, APCC; abnormalities, including hypernatremia. magnification ×100) hematoxylin–eosin, original Successful management of ethylene magnification ×40; shown under glycol toxicosis depends on competitive used to correct acidosis. Furosemide polarized light) inhibition of alcohol dehydrogenase. (2.2–4.4 mg/kg IV bid) combined with Currently accepted treatment in dogs dopamine (2–5 µg/kg/min) may increase often can dispose of ethylene glycol includes the use of fomepizole or ethanol. urine output in oliguric patients. antifreeze properly or inform the pet Fomepizole is advantageous in dogs because Peritoneal dialysis or hemodialysis, if owner about approved disposal techniques. it is approved for this use, is effective and available, should be considered for anuric Some antifreeze formulations contain easy to administer, and does not contribute patients. Recovery depends on how propylene glycol; these formulations are to CNS depression or acidosis. In dogs, quickly treatment can be started. Initiation significantly less toxic than ethylene glycol fomepizole is administered in four doses at of treatment within the hour—and formulations but are not nontoxic and still 12-hour intervals, each given slowly over 15 possibly up to 4 hours—in nonazotemic require the same vigilance regarding to 30 minutes. The first dose is 20 mg/kg, patients may prove successful. Severely storage, use, and disposal. followed by 15 mg/kg at 12 and 24 azotemic or anuric patients, especially A significant amount of recent hours and then 5 mg/kg at 36 hours. In animals whose care is initiated 12 hours legislative debate has focused on cats, fomepizole may be effective at high or longer after exposure, warrant a grave requiring that bittering or other aversive doses early, but the product is not labeled as prognosis. Ultimately, recovery may be agents be added to antifreeze and other such. In cats, ethanol is generally the complete or residual renal insufficiency household products. The APCC does not preferred treatment. may remain. support this requirement. The promotion Ethanol administration is inexpensive of products containing aversive agents by but time intensive, produces additional Prevention manufacturers would lead to a false sense CNS depression, and exacerbates Veterinary professionals are encouraged of security among pet owners that could metabolic acidosis. Cats (and dogs if to address poison prevention during unintentionally lead to poisonings. In fomepizole is unavailable) should be routine client visits. Pet owners should animals, poison prevention must focus on given 8.6 ml/kg of a 7% (70 mg/ml) read and understand all labels, follow proper storage and disposal and not on ethanol solution as a slow bolus over 30 product use and disposal recommendations, the unlikely protective mechanism minutes followed by maintenance store all garage/household products and afforded by taste-aversive agents. administration of 100 to 200 mg/kg/hr pharmaceuticals out of reach of children constant-rate infusion.4 When medical- and pets, and understand that childproof References 1. Kahn SA, Schell MM, Trammel HL, et al: Ethylene grade ethanol solutions are not available, lids and packaging are easily destroyed glycol exposures managed by the ASPCA National vodka can be used, preferably with an (and contents consumed) by even the Animal Poison Control Center from July 1995 to December 1997. Vet Hum Toxicol 41(6):403–406, 1999. in-line filter.5 To produce a 7% ethanol smallest and most timid of pets. Pet 2. Richardson JA, Gwaltney-Brant SM: Ethylene solution, a volume of 175 ml should be owners should search the garage and home toxicosis in dogs and cats. NAVC Clin Brief removed from a 1.0 L bag of D5W or for items that are accessible by the pet, Jan:13–19, 2003. other appropriate solution and replaced including items on counters. Proper 3. Thrall MA, Grauer GF, Connally HE, et al: Small Animal Toxicology: Ethylene Glycol. Philadelphia, WB with 175 ml of 80 proof vodka. disposal of automobile antifreeze is critical. Saunders, 2001, pp 33–504. Supportive care designed to promote Exposure often occurs from used product 4. Plunkett SJ: Ethylene glycol, in Emergency Procedures diuresis, maintain renal function, and drained from cars and farm machinery. for the Small Animal Veterinarian, ed 2. Philadelphia, WB Saunders, 2000, pp 319–326. correct acid–base imbalance remains Local recycling/garbage collection 5. Plumb DC: Veterinary Drug Handbook, ed 3. Iowa important. Sodium bicarbonate can be companies or automobile repair facilities State University Press, 1999, pp 257–258. HARTZ® COMPANION ANIMALSM • SEPTEMBER 2004 • VOL. 2, NO. 3 5
  • 6. A Breakthrough in Canine Hair Care! Special Nutrient Beads Encapsulation keeps botanicals fresh until shampooing New Unique, silk proteins long-lasting conditioner Botanical leaves coat fragrance soft and shiny Easy to use "No Drip Cap " ™ NEW LIVING ™ otanicals Shampoo ™ Hartz , a leader in pet hair care, has created a new line of luxury shampoos, ® Hartz PET SHOPPE™ LIVING™ Botanicals™. Each is specially formulated with ® Tearless Soothing a unique combination of ingredients that soothe the skin while cleaning and Puppy Oatmeal conditioning the coat, leaving it feeling soft and silky. For a complimentary Shampoo Beautifying Shampoo ®sample, please call 800-999-3000 x5970.* Shampoo VISIT OUR WEBSITE www.hartz.com *Supplies are limited. Please call by 11/1/04. Void where prohibited, taxed or restricted. Please allow 2-4 weeks for delivery. Hartz and other trademarks are trademarks of The Hartz Mountain Corporation. ©The Hartz Mountain Corporation, Secaucus, NJ 07094 USA
  • 7. Albert Ahn, DVM, is a veterinarian, Corporate Vice President, and Chief Scientific Officer of The Hartz Mountain Corporation. ASK TH E VET Q In reference to Dr. Littman’s June 2004 article, “Update on Frequently Asked Questions About Canine toxicity (Adrade SF, Sakate M: The comparative efficacy of yohimbine and atipamezole to treat amitraz intoxication in dogs. Vet Hum Toxicol Lyme Disease: Diagnosis and Treatment,” 45(3):124–127, 2003), but this dose and route of can atipamezole be used to treat amitraz administration need more study before I recommend collar intoxication and at what dose? it for clinical use in patients. Also, what dose of yohimbine is used to Meryl P. Littman, VMD, DACVIM treat amitraz toxicoses? School of Veterinary Medicine A University of Pennsylvania Author Response: Philadelphia, Pennsylvania Rarely have dogs eaten the discarded cut-off ends of collars or, more rarely, the collars themselves. “If a dog ingests a . . . collar and exhibits [amitraz] intoxication (primary sign is severe depression), induce vomiting, administer non-oily laxative, Q How much taurine is required in cat/ kitten food? activated charcoal, and enema. Provide supportive therapy until collar fragments are voided. If dog cannot be roused, Yohimbine, 0.1 mg/kg by A Taurine is a very important amino acid for cats and kittens. Deficiency of taurine in cats may result in fetal abnormalities, reproductive failure, intravenous injection is antidotal. Repeat as needed.” abnormal development, retinal degeneration, and/or cardiomyopathy. Cats can synthesize I thank Dr. Ken Drobatz (Director of Emergency taurine only on a limited basis. Cats also need Service at the University of Pennsylvania’s Ryan taurine to conjugate bile acids. Veterinary Hospital), who told me that yohimbine (Yobine®, Lloyd Laboratories) is still their first choice According to nutrient profiles of the AAFCO for amitraz intoxication. If yohimbine is unavailable, (Association of American Feed Control Officials), atipamezole (Antisedan®, Pfizer Animal Health) can the minimum requirement for taurine for cat food be used at 0.055 mg/kg IM. is 0.10% in dry foods and 0.20% in canned foods. Supplementation with vitamins containing taurine By literature search, I found that atipamezole was would be required in cases where the levels of given experimentally at 0.2 mg/kg IV for amitraz taurine in the cat’s diet are below this level. Articles found in the Hartz Companion Animal sm newsletter can be copied and distributed to your colleagues, staff, and clients. Additional newsletters may also be obtained by contacting us at feedback@hartz.com or by phone at 800-275-1414. We want to hear from you! • Have questions or comments? Call our Consumer Relations Department at 800-275-1414 and ask to speak to a Hartz staff veterinarian or email us at feedback@hartz.com. • To obtain a Hartz Veterinary Catalog of products, please call 800-999-3000 x5118 or email us at feedback@hartz.com. HARTZ® COMPANION ANIMALSM • SEPTEMBER 2004 • VOL. 2, NO. 3 7
  • 8. Sumitomo Corporation Acquires The Hartz Mountain Corporation Sumitomo Corporation of America (SCOA), together with products and technological solutions that will ensure their pets its parent, Sumitomo Corporation (SC), an integrated global lead longer, happier, and healthier lives. Hartz Mountain also trading company, purchased JWC Hartz Holdings, Inc., the actively contributes to the pet care community and is dedicated holding company of The Hartz Mountain Corporation, the to the health and well-being of companion animals. leading U.S. pet supplies company, from J.W. Childs Equity The acquisition will allow Hartz the opportunity to Partners II, L.P. undertake a number of new business initiatives, such as The announcement was made on June 21, 2004, by Atsushi enhanced cross-border sourcing and development of new Nishijo, President and CEO of Sumitomo Corporation of markets and distribution channels in Asia and Europe. America, and Robert Devine, President and CEO of The Hartz “Hartz is a brand name with a very strong history and great Mountain Corporation. credibility,” said Atsushi Nishijo, President and CEO of SCOA. “The change in ownership is a very positive development for “This is a significant acquisition for SCOA and SC, and we are our business,” said Robert Devine. “Hartz will continue the very pleased that the Hartz management team will be part of the effort to reposition the brand and drive growth with new SCOA family.” products and technologies. Sumitomo Corporation of America was established in 1952 We also envision a number of valuable synergies emerging and is the largest wholly owned subsidiary of Sumitomo from this new relationship, not the least of which is a chance for Corporation. An integrated global trading company with us to expand our reach into markets and channels with a high diversified investments and trading businesses, SCOA works degree of sophistication and a history of pet ownership. The closely with its parent as an organizer of multinational projects new Hartz Mountain will be stronger and more global.” and a financier. SCOA is an investor in several venture capital For over 78 years, Hartz Mountain has been committed to funds and participates as a strategic Japanese partner with providing pet lovers across America with the most innovative companies in the biotech and life sciences communities. Veterinary Learning Systems PRESORTED STANDARD 780 Township Line Road U.S. POSTAGE Yardley, PA 19067 PAID BENSALEM, PA PERMIT #118 400486