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  • Methylsulfonylmethane is given by mouth and is used over the counter and off label to treat inflammatory conditions such as arthritis. Give as directed by your veterinarian. Side effects are uncommon but may include stomach upset, restlessness, or tiredness. Do not use in pets that are allergic to it or that are pregnant or nursing. If a negative reaction occurs, please call your veterinary office.

  • Metoclopramide is given by mouth or injection and is used off-label to treat gastrointestinal motility disorders, nausea, and vomiting in dogs, cats, and other animals. Give as directed. Side effects are uncommon but may include restlessness, hyperactivity, muscle twitches, drowsiness, and increased urination. Do not use in pets with intestinal blockage or bleeding, pseudopregnancy, pheochromocytoma, or a history of seizures or head trauma. If a negative reaction occurs, contact your veterinarian.

  • Metoprolol is a beta-blocker used to treat certain heart rhythm problems and hypertension (high blood pressure) in cats and dogs. It has also been used in the treatment of hypertrophic cardiomyopathy (HCM) in cats. It is used off label (extra label) in veterinary medicine.

  • Metronidazole is given by mouth or injection and is used off-label to treat certain anaerobic bacterial and protozoal infections and gastrointestinal conditions in dogs, cats, and other animals. Give as directed. Side effects may include nausea, vomiting, diarrhea, regurgitation, decreased appetite, tiredness, and drooling. Do not use in pets that are allergic to it, are debilitated, or are pregnant or nursing. If a negative reaction occurs, contact your veterinarian.

  • Mexiletine is given by mouth and is used off label to treat abnormal heart rhythms and muscle disorders in dogs. Common side effects include stomach upset such as vomiting, trembling, or dizziness. Do not use in pets that are allergic to it. If a negative reaction occurs, please call your veterinary office.

  • Miconazole + chlorhexidine + tris-EDTA topical (brand name MiconaHex+Triz®) is an antifungal and antimicrobial cleansing agent used in the treatment of surface skin infections and to enhance the effectiveness of other topical antibiotics in cats and dogs. It comes in spray, mousse, shampoo, and wipe forms.

  • Miconazole otic is an antifungal used in the treatment of external ear infections (otitis externa) caused by fungal organisms in cats, dogs, and other animals. It may be specially compounded and/or combined into a formulation with other medications. Miconazole otic comes in ointment or liquid drop suspension forms that may be specially compounded.

  • Miconazole topical is an antifungal used in the treatment of skin infections caused by yeast in cats and dogs. It may be used “off-label” or “extra label” for other conditions and in other animals. It may be specially compounded and/or combined into a formulation with other medications. Miconazole topical comes in a variety of forms.

  • Testing for microalbuminuria has some use in detecting early kidney disease but can also be an indicator of multiple other diseases. A positive test gives your veterinarian suspicion to carry out further testing; however, it can have false positives if not used properly. It is a simple test that can give you a jump on treating a condition to help your cat live a happier life for longer.

  • If microalbuminuria is detected, your veterinarian will likely recommend further testing to look for hidden disease. The choice of tests may vary but could include routine blood tests and urinalysis (see handouts “Complete Blood Count”, “Serum Biochemistry”, and “Urinalysis” for more information). If there is no evidence of underlying illness, then regular check-ups every 3-6 months, including microalbuminuria testing, may be recommended to monitor your dog’s health status and to watch for any changes.