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Busting Practice Certification Myths

We can’t be a Fear Free Certified Practice because…How many times have you thought this?

We don’t like to be negative, but, well, you’re wrong. Here are the top 10 myths about the difficulty of earning Fear Free Practice Certification and what you might be surprised to learn about getting your practice certified.

  1. We don’t have separate cat and dog entrances.

Species-specific entrances are not required. If you have them, that is great! There is an optional standard for which you will score points for having them, but they are not a requirement.

  1. We don’t have a designated cat room.

A designated cat room is a plus, but it’s not a must. You can earn points for having one, but you won’t lose points for not having one.

  1. We can’t afford to pay for everyone’s memberships on top of Practice Certification.

Once a practice is certified, you pay only the annual Practice Certification dues; you no longer pay for individual members.

  1. We have to repaint the practice in Fear Free colors.

We don’t expect you to! If you are already planning to refresh the practice, it makes sense to pick some Fear Free colors, but it’s not a requirement.

  1. We are a Fear Free Practice already; every team member is certified.

Congratulations on getting everyone certified! However, to be an official Fear Free Certified Practice, you must complete the Practice Certification process. Chances are you will save money!

  1. Not everyone in the practice is Fear Free Certified.

To be eligible for Practice Certification, only 25 percent of your staff must be Fear Free CertifiedÒ with an active membership.

  1. The standards aren’t available to review prior to applying.

Members can download and begin implementing the Standards and Supporting Examples at any time.

  1. We don’t have room for separate dog and cat waiting areas.

Separate waiting areas are not required, though visual blocks are encouraged if clients and patients are unable to wait outside or be moved straight into an exam room.

  1. Our scrubs aren’t in “Fear Free-approved” colors.

Team members of Fear Free Certified Practices are not required to wear any specific-colored scrubs or lab coats.

  1. The process is too difficult.

Practice Certification is a commitment, but it is worth it.

For more information, learn more at fearfreepets.com/practice-certification.

This article was reviewed/edited by board-certified veterinary behaviorist Dr. Kenneth Martin and/or veterinary technician specialist in behavior Debbie Martin, LVT.

 

Getting Pigs on Board With Care

Mikkel Becker

Fear Free is a concept that benefits both animals and the people working with them. This is especially evident when the animal being cared for is of tremendous size and strength, such as the pig patients of Fear Free certified professional Dr. Alicia McLaughlin at The Center for Bird and Exotic Animal Medicine near Seattle, Washington.

“When pigs are stressed, they communicate their stress very clearly, both vocally and with their body language, which can be very upsetting for their family and veterinary staff. When pigs are less stressed, their families are more relaxed, and their veterinarian is able to provide better quality medical care,” says McLaughlin.

Handle With Care

Coercive handling causes increased tension for everyone. Forced handling is also likely to create fear memories and aversions that make the pig more challenging to work with and create a greater safety risk for both pig and people.

“Pigs are very touchy about their bodies. Many don’t like being touched unless they are being scratched in certain areas. If they feel that any handling attempts are coercive, they’re likely to react strongly and negatively,” says McLaughlin. “Most pigs have an extreme dislike for restraint, having their facial area handled, or being picked up. Forcing a pig to remain still with restraint even momentarily for sedation can cause tension for everyone. Many will vocalize in distress when this handling occurs; with squeal decibels rivaling those made by a fighter jet.”

Most pigs who come in are open to the veterinary experience if the staff interacts in a way that signals they are friendly, not threatening. Encouraging the pig’s willing participation during care using treat rewards, setting a soothing care environment, and using calming aids are all approaches resulting in less stress and greater success.

Reading Porcine Body Language

Rewards and food aren’t the only things that work to keep pigs calm during Fear Free care. Carefully observing the pig’s body language for signs of fear, anxiety, and stress (FAS) throughout care is also key for keeping the pig in a calmer, more amenable state and for keeping both pig and humans safe in the process.

Signs of FAS in pigs include muscles tensing, shying away, lowering the head, moving into a corner, or finding security by moving their body next to a wall. In some cases, FAS may be subtle, with one potential indicator being the pig coming up to take treats, but then retreating to a safe distance immediately after the interaction. Loud squeals and excessive vocalizations are audible signs of a pig’s distress.

When in a state of FAS, pigs will attempt to avoid the situation and move away or hide. If pushed, though, pigs on rare occasions may try to bite. Biting is rare, a last-ditch escape effort from pigs who are responding to the situation as if they’re going to die.

Sedation Can Help

It’s far better to note early signs of FAS and make ongoing adjustments to keep the pig calm than it is to risk escalation and the creation of fearful memories of the experience. Sedation isn’t a last resort for pig care, but a protective practice used early and often when it comes to reducing the FAS pigs experience. In many cases, full sedation is recommended to eliminate the distress and ensuing struggle that could otherwise occur if the pig becomes upset. But before jumping immediately to sedation, Dr. McLaughlin is careful to make the sedation itself as non-stressful and Fear Free as possible.

Sedating a pig can be tricky, especially since most pigs are averse to having their faces touched or to being held in place even momentarily. It’s important to Dr. McLaughlin to keep sedation minimally stressful. Oral pre-sedation medication, such as Valium that’s ground up and placed on food, can take the edge off before sedation. With pre-sedation medication on board, the pig is often calm enough to tolerate minimal restraint while a gas mask is placed over the face. No more than a minute later, the pig is out and ready to be cared for.

 “Time pressures can result in handling and care being more coercive than we want it to be. There is something to getting it done quick and dirty. But there are long-term effects that go with that and it’s not my preference to do that,” says Dr. McLaughlin.

This article was reviewed/edited by board-certified veterinary behaviorist Dr. Kenneth Martin and/or veterinary technician specialist in behavior Debbie Martin, LVT.

Mikkel Becker, CBCC-KA, CPDT-KA, KPA CTP, CDBC, CTC, is lead animal trainer for Fear Free Pets. She is a certified behavior consultant and trainer who specializes in reward-based training that’s partnered closely with the pet’s veterinary team. Mikkel is coauthor of six books, including From Fearful to Fear Free.

 

Feline Needs in Confinement: A Tale of Two Kinds of Cats

Linda Lombardi
Spending extended time in a shelter or veterinary hospital is stressful for cats. Judith Stella researches how they respond to their environments and what we can do to make life easier for them.

“The quality of the environment is going to impact their welfare, whether in homes, shelters, or research facilities,” she says. “So I’m interested in, how do we optimize that environment to minimize distress, particularly when they are singly housed in cages?”

In a series of studies, she has looked at effects of various environmental factors and, more recently, how cats of different personality types respond. The results provide food for thought about what we should provide for cats who must spend time in confinement.

Surroundings

One study looked at the properties of the room in general, comparing the importance of that environment to what was provided in the cat’s cage. One type of room, which she called “managed,” was quiet, with a consistent caretaker who fed, watered, and cleaned cages at the same time every day. The “unmanaged” room tried to mimic the typical shelter or vet hospital. “We played recordings of dogs barking, had loud music playing, people walking in and out, and we turned lights on and off when we walked in and out of the room.”

It’s not surprising that cats preferred the quiet room, but Stella was surprised to find that the room was even more important to them than the environment in their cage.  “In the managed room they did better regardless of whether they had an enriched cage or not,” she says. “Even in the absence of an enriched cage, they still tended to adapt more quickly than the cats in the unmanaged room.”

Personality Variances

Using what that work determined was the optimal environment for the room, the current study then looked at individual differences. Fifty-five cats were housed for three days with enriched cages and a predictable husbandry schedule. Behavior was recorded hourly, as well as the cat’s response to the approach of a familiar and unfamiliar person at the end of the third day.

Owners completed a questionnaire about their cats’ personality traits, and an analysis found that the cats fell into two groups. The 22 cats in Cluster 1 were described in terms such as shy, mellow, and timid; the 33 in Cluster 2 were active, curious, and easygoing.  It turned out that the cats’ use of the resources in their cage depended on which cluster they were in. Cats in Cluster 1 tended to be alert and tense and used the hide boxes; cats in Cluster 2 were more relaxed and spent much of the time on the perch.

The results of the familiar/unfamiliar person test also differed by cluster. Owners described cats in Cluster 2 as sociable and cats in Cluster 1 as timid with strangers but friendly with familiar people. Cats in Cluster 1 took a longer time to investigate a new person but were just as social with a familiar person as Cluster 2 cats.

Cats Love Consistency

The “familiar” person was the one who had been taking care of them over the three-day period, whom they hadn’t known previously. This shows that the cats developed something of a relationship in that short period of time and indicates the importance for at least some cats of trying to keep down the number of people they’re exposed to.

“For those cats that are more stressed by unfamiliar people, having a consistent person take care of them every day will help them adjust a little more quickly,” Stella says. In most institutional settings it can’t be the same person every day, but in a shelter, two caretakers per cat instead of many could help. In a hospital, cats might benefit from having the same tech do all the treatments over the course of a day.

The researchers also looked at fecal glucocorticoid metabolites in an attempt to use a physical measure of stress that could be collected non-invasively, but results were not significant. Stella thinks this is partly because the time period was too short, but also because most cats did not produce a sample every day.

“This research aligns with previous work that demonstrated cats display individual variation in their behavior,” says Kristyn Vitale of the Human-Animal Interaction Lab at Oregon State University. “This can be applied by any person who owns or works with cats. It is important to recognize some cats will be more stressed in certain situations than other cats, so we should make management and housing decisions based on each cat’s behavior and stress level. Through a consideration of cat individuality, we can work toward forming healthier cat-human relationships and increase the welfare of cats.”

Stella says that since we won’t always know the cat’s personality type and coping style, for example when admitting them to a hospital or shelter, we can make the environment work for the largest number of cats by being aware of these different needs.

“The cats are going to need different resources, or will use the resources provided to them differently, depending on those temperament traits. For some cats, having a hiding box is going to be imperative for them to be able to cope; for others, maybe not, but providing it for everybody will make sure we cover the ones that really need it,” she says. “Give them those resources in the cage, make sure we keep the room quiet, minimize traffic, have consistent people working as caretakers as much as possible, and it will give the greatest number of cats the best opportunity to cope and adapt to the environment.”

This article was reviewed/edited by board-certified veterinary behaviorist Dr. Kenneth Martin and/or veterinary technician specialist in behavior Debbie Martin, LVT.

Linda Lombardi writes about the animals who share our planet and our homes for magazines including The Bark, websites including National Geographic and Mongabay.com, and for the Associated Press. Her most recent book, co-authored with Deirdre Franklin, is The Pit Bull Life: A Dog Lover’s Companion.

 

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Time, Education Help to Manage Fear

Kim Campbell Thornton
For humans, overcoming fear, or at least learning to deal with it, takes time and practice. That’s even more true for pets, because we can’t communicate that veterinary exams and procedures will help them to feel better or stay healthy. Fortunately, Fear Free techniques can help to send the message to pets that they don’t need to be afraid, and Fear Free education can help humans better understand their animals’ fears and needs.

Happy Hunter

Hunter, a 2-year-old mixed breed, enjoys looking out the windows in the lobby of our clinic. By starting his visit there, asking his mom questions and listening to his heart and lungs, we can make sure he is comfortable enough to continue his exam in the exam room. But it was a different story when he first came in almost two years ago. Because of a previous frightening experience at another clinic, he was wary of us and the handling and procedures being done. He would bare his teeth, growl, and even try to nip at Dr. Gamble’s hands when she tried to touch him. Through consistent Victory Visits, pre-visit training and medications, and desensitization to areas where vaccines and other needle pokes are typically given, we are now able to provide him and his owner with a comfortable and rewarding experience every time he is in. Now he sits patiently and lets Dr. Gamble examine him—with the help of some cheese and marshmallows, not to mention smears of his favorite treats, peanut butter and canned food. During Hunter’s victory visits, we commonly work on the desensitization process without actually following through with an injection. “Happy visits, along with some training classes and behavior work on our part, have made a world of difference to Hunter,” writes his owner, Beth. “Hunter is now excited to see Emily, Heather, Dr. Gamble, and many other staff members as soon as he walks through the front door. He is a much happier dog at the vet thanks to Gamble Pet Clinic’s Fear Free work.”

Emily Andrade, CVA, Fear Free Level 3 Certified, Gamble Pet Clinic, Fort Collins, Colorado

 

Fear Free Education Win

Recently, there was an event called Woof Fest held during a downtown pub crawl. Our clinic sponsored “Dog Trivia,” and I focused the questions on a pet’s emotional health, such as “Is this dog’s body language calm or stressed?” and “A dog wagging their tail is always happy. True or False?” Hundreds of people played our trivia game, and it was such a rewarding experience to educate the public on the topic.

Natalie Gruchow, CVPM, Animal Health Clinic, Fargo, North Dakota

Sammy’s Success

Sammy had grown up in a hoarding situation and was fearful at the time of his adoption. Unless he was sedated, the six-year-old dog would bark and lunge or even eliminate from fear during veterinary visits. A prescription for an SSRI helped and the team tried additional medications at different doses, but Sammy would push through the medications and continue to show fear aggression. At first, he was unable to generalize that humans weren’t scary, so it was important for him to see the same person at the hospital on each visit. That wasn’t easy, but eventually the right person came along who was able to take the time and effort for Sammy to become comfortable. It took six months of Victory Visits spent eating chicken, practicing chin rests and lying on his side, and undergoing desensitization to having his leg shaved, the scent of alcohol, application of a topical product for numbness, and the pretend poke of a needle, but in July Sammy underwent his first successful blood draw. Now we are routinely doing happy visits to keep the momentum going.

Beth Friedman, Canine Companion Consulting, Fort Collins, Colorado

Down Under Wonder

Bruno is a goofy 8-year-old Bull Arab Cross (a type of Australian working dog). He has always been very friendly at the vet, but once pats stopped and the examination started, he would become suspicious and communicate his discomfort with aggressive behavior. Fortunately, Bruno’s owner has been committed to training. They had private training sessions and attended a Ready, Vet, Go! course. As part of Bruno’s training we incorporated a lot of owner education on subtle body language changes, as well as start and stop cues for Bruno. Bruno was trained with a sustained chin target, using a towel on a chair, as his start cue, meaning “I’m ready for procedure.” If he lifted his head, we immediately stopped the procedure. Bruno was also trained to be comfortable with a Baskerville Ultra Muzzle. We spent time teaching Bruno specific body parts such as tail, ear, and scruff, so that he knew what was about to happen. Over time we were able to pair several good vet clinic experiences (training on a Sunday in clinic) with lots of his fave foods, body scratches, and games. We also introduced veterinary equipment, including syringes, blunt needle, alcohol swabs, and stethoscope. When we weren’t actively training, he was taught a default “chill” behavior and rewarded for relaxed head, tail, and big breaths. He had several socialization visits at the vet, and when he required surgery for a lump removal we did  practice runs with pre-visit medication to see what would work best for him. A planned course of action on admission saw him anesthetized as soon as possible to limit buildup of anxiety. Since then Bruno has had further training sessions and socializing vet visits. Recently he had his vaccinations and we were able to give his injection without any restraint by utilizing his muzzle and target training. Bruno is a great example of what teamwork can achieve when you have a committed owner and a Fear Free-trained vet and trainer, not to mention a goofy, food-motivated dog!

Jacqui Johnston, Holland Park and Carina Vet Clinics and Trish Allan, All Pets Education and Training, Brisbane, Australia

This article was reviewed/edited by board-certified veterinary behaviorist Dr. Kenneth Martin and/or veterinary technician specialist in behavior Debbie Martin, LVT.

Kim Campbell Thornton is content manager for Fear Free Pets and is a Level 3 Fear Free Certified Professional. She has been writing about dogs, cats, wildlife, and marine life since 1985.

As Seen on TV? What to Know About Punishment

Rachel Lees RVT, KPA CTP, VTS (Behavior)

A variety of animal training programs appear on cable and streaming networks. Some of the concepts depicted in these programs are appropriate for veterinary behavior cases and some are questionable. This article is not written to insult any of these programs, trainers, or networks but instead to discuss the learning theory and training philosophies demonstrated and review why veterinary behavior professionals are using alternative protocols.

Whether you are a veterinary team member working in general practice or are interested in behavior, it is important to recommend the most Fear Free and up-to-date information for patients and clients. Giving outdated information can potentially damage the human-animal bond between client and patient, potentially ending with the patient being rehomed or in some cases euthanized.

Punishment: May the Odds Be in Your Favor

Punishment is a technique used to weaken a behavior. For a stimulus to be “punishing,” the learner must find that stimulus aversive or undesirable enough to eliminate the behavior.  Punishment is difficult to use properly and does not teach the learner to perform the correct behavior. Most important, using punishment can be a liability for veterinary professionals recommending this technique because it can put the safety of the owners and pets at risk.

The American Veterinary Society of Animal Behavior’s position statement on punishment reviews the many side effects of using this training method. Using remote punishment collars as well as choke and prong collars can cause physical damage such as damage to the skin, neck, and trachea area, an increase in intraocular pressure, upper airway obstruction, and nerve damage. For punishment to be effective, it must provoke a fear response from the learner, which can unfortunately be generalized to other stimuli in the learning environment.  Consequently, this can make the animal become more fearful, anxious, and stressed in these contexts and situations.

Take the owner who is walking down the street with a 7-month-old Labrador Retriever puppy. The puppy shows a loose posture, wide tail wag, and becomes excitable on seeing people, sometimes jumping. For the owner, the dog’s jumping is undesirable. The trainer suggests using a remote “shock” collar for this issue. The owner is coached to shock the puppy for any jumping when interacting with people. The handler may be specifically punishing the pet for one behavior (jumping), but the puppy may begin to be concerned when people approach him because when this occurs, he receives a shock.

In the above example, the puppy may begin to show fear, anxiety, or stress with the approach of unfamiliar people. Using punishment, there is a risk that the learner (puppy) will associate the punishment (shock) with people approaching instead of the punishment (shock) being associated with the unwanted behavior (jumping on people).

Punishment needs to occur within 0.5 seconds of the start of the undesirable behavior. Therefore, the puppy would have to be shocked the moment his shoulders start to lower in anticipation of jumping to associate the punishment with the jumping behavior. Even with perfect timing, there is still a risk that the puppy may not associate the punishment with jumping.

Punishment Fails

Punishment can work to eliminate unwanted behaviors. The challenge is that it does not eliminate the motivation or give the learner a more appropriate behavior to perform.

In another instance, an owner was coached to use a remote collar to eliminate growling and aggression toward family members. If a family member approached the dog while he was eating a coveted bone and the dog growled, the family member was to correct the dog immediately with a shock. The growling behavior may be reduced, but it does not change the anxiety and concern related to the bone. The owners have now given the dog information that the approach of the owner is associated with a shock, which can increase the pet’s anxiety, fear, and stress. Long term, the pet may suddenly display with aggression but give only limited warning signs because the signals were suppressed with the remote collar. The animal was, in effect, told not to give this information. This makes this specific patient more dangerous and could put the family at greater risk.

In the above situation, the growling behavior is not a desirable response, but to the dog it was probably completely appropriate; he communicated his anxiety regarding the owner’s approach.  Using punishment made that specific pet more dangerous. Avoiding these situations and confrontations are the first step in addressing this issue. A veterinary behaviorist may recommend specific behavior modification to change the way the pet feels during this interaction.

Veterinary behaviorists recommend that animal training should focus on setting up the environment, so the pet is more likely to perform desired behaviors, reinforcing desired behaviors, removing the reinforcer for undesirable behaviors, and addressing the emotional state of the learner. The use of punishment can slow learning, suppress behavior, increase fear and fear-based aggression, create damaging and unintended associations with owners and other environmental stimuli, and damage the human-animal bond.

Even though these techniques may be seen on TV, remember that you are the veterinary professional and your clients value your opinion and recommendations. Giving them the most up-to-date information regarding behavioral training can be lifesaving. Observe training classes that you may recommend to confirm that they use recommended Fear Free techniques. For more information, see resources from AVSAB on “Finding a Trainer” as well as the “Position Statement on Use of Punishment.” The Fear Free Level 3 course for professionals provides the tools to address typical dog and cat behaviors using Fear Free methods.

This article was reviewed/edited by board-certified veterinary behaviorist Dr. Kenneth Martin and/or veterinary technician specialist in behavior Debbie Martin, LVT.

Rachel Lees, a Level 3 Fear Free Certified Professional, is a veterinary technician specialist in behavior, a KPA certified training partner, and lead veterinary behavior technician at The Behavior Clinic in Olmsted Falls, Ohio. She loves helping people create and maintain a strong human-animal bond.

Upping Adoptions for Black Cats and Dogs in Shelters

Arden MooreWhile there are no national statistics available on the rate of adoption of black pets versus ones with light-colored coats, shelter experts say that creative, cost-saving strategies are educating people and drawing attention to black cats and dogs to help them land in loving homes. Here’s how they’re doing it.

But first, let’s debunk a few myths about black dogs and cats. For starters, there is no scientific basis that black cats bring bad luck. Or that black dogs seem to be more at risk for health issues.

Okay, it may be trickier to take a selfie with a black dog than one with a red-and-white coat, but it can be done.

One common belief is that dark-colored dogs and cats have a more difficult time finding homes. That may or may not be true.

“In shelters, we do tend to see black dogs and cats get overlooked by potential adopters,” says Gary Weitzman, DVM, veterinarian and president/CEO of the San Diego Humane Society. “But it may not be as significant as we once thought. There are some studies that show that there are simply more black pets because black coloration is a dominant gene. Sure, black pets can be undeservedly overlooked by adopters, but the good news is that there are wonderful people who will only adopt black pets knowing this.”

Get Them Seen

At the San Diego Humane Society’s shelters located throughout this Southern California county, the staff hosts special adoption promotions for black cats and dogs. They also reach out on social media and to the news media during such holidays as Black Friday, Black Cat Awareness Day and Black Dog Awareness Day.

The shelter also recruits professional photographers who volunteer their time and talents to photograph all their adoptable animals, with special attention given to showcase those sporting black coats.

San Diego has also lifted its policy of not allowing people to adopt black cats during the weeks leading up to Halloween. Cats of all colors are up for adoption year-round.

“The fear was that these cats would be used in satanic rituals, which is a total myth,” says Dr. Weitzman. “The results? Most of the cats were euthanized due to shelter overcrowding. Preventing hundreds of animals from finding good homes by putting up unnecessary and ineffective barriers isn’t the answer to protecting them.”

In St. Louis, the Humane Society of Missouri found a clever way to showcase black dogs.

“In 2016, we had a large number of black dogs here, so we developed the Black Dog Club,” says   shelter animal behavior manager Linda Campbell, RVT, CPDT-KA, who is one of only 16 veterinary technician behavior specialists. “Everyone who adopted a black dog got a Black Dog Club t-shirt and every six months or so, we would host a get-together with Black Dog Club adopters at a park we have across the street from our shelter. Now, we no longer have a problem adopting out black dogs.”

As for black cats, Campbell says giving clever names to adoption campaigns works. The shelter has been successful with its “Desperate House Cats Looking for Homes” (a play on the popular television shows named Desperate Housewives) and “Pick Your Price” (a play on long-running game show The Price Is Right). Adopters often receive a free bag of cat food and qualify for a free veterinary visit. Black kittens and cats up for adoption often sport pastel-colored collars to help them stand out.

“Our volunteers are trained in our feline enrichment program,” says Campbell. “These volunteers interactive with cats and kittens in our get-acquainted rooms with battery-operated toy bugs for cats to chase. For our shy or reserved cats, we spend time helping them relax in their kennels by taking the stick end of a wand toy and wiggling it under newspaper. We have found that they are not as afraid of seeing the stick moving as the other end of the wand toy. And, we do a lot of brushing for the cats. It has helped bring out the confidence and the personalities of our cats.”

Color Coded

The walls in the dog kennels have been lightened in color to help black dogs show up better. And, to encourage these dogs to be more interactive with potential adopters, the staff has installed Snack Tracks with a how-to sign posted on each kennel that sports glass fronts, not open cage bars.

“We take a colorful PVC pipe and install it in front of the kennel and into the cage,” explains Campbell. “There is a cup with dog food next to it. Anyone passing by can drop kibble into the tube to fall into the dog’s food bowl. So, instead of the dog jumping, they stand and look at the potential adopter and then look at the bottom of the PVC pipe. Kids especially love dropping treats in. This has really helped our adoption rates.”

Equally effective has been working with photographers who know how to use proper lighting and welcoming settings to take photos of black cats and black dogs up for adoption.

“A lot of these animals have wonderful personalities and we make sure to tell their stories so that when people come into our shelter, it is the personality of that animal – not the color of his coat – that matters most to them.”

Move Along

In the Minneapolis area, the Animal Humane Society ranks as the third largest animal shelter in the United States. It actively works with shelters in the South and local rescue groups to transport black dogs and black cats to their large shelter to give them better chances of being adopted.

“We do four transports a week to Alabama, Texas and Mississippi to bring back to our shelters senior dogs, special-needs dogs and of course, black dogs,” says Mary Tan, Animal Humane Society public relations manager. “We purposely tell them not to send us their highly adoptable pets – send us the ones who need help getting adopted. About 70 percent of the ones sent to us have behavior or health or age issues.”

Tan shares the story of a black dog named Buddy who was extremely obese. The staff worked with shelter veterinarians to help this Labrador retriever shed 50 pounds and surgically remove fatty tumors. When Buddy was down to 150 pounds, they staged weekly public weigh-ins – an event covered by the local media. As he lost excess pounds, his friendly personality emerged and so did his activity level.  He got adopted when he was at a healthy 98 pounds.

“The story of Buddy’s weight loss was highlighted during the television ratings sweeps, so that helped bring attention to him and black dogs,” says Tan.

Tan also sees the value of teaming up with non-pet groups in her area. She recalls the day a young man surrendered a young black cat because he could not find an apartment that permitted pets.

“This young cat was scared, cowering in the back of his cage and would not eat,” says Tan. “So, we moved him into my office and within a day, he was all over me with affection. He had also been declawed and a senior living home was looking for a declawed cat for their residents. Binx is now happy bringing joy to residents there.”

This article was reviewed/edited by board-certified veterinary behaviorist Dr. Kenneth Martin and/or veterinary technician specialist in behavior Debbie Martin, LVT.

Arden Moore is The Pet Health and Safety Coach. She is a best-selling author, radio show host, in-demand speaker and master certified pet first aid/CPR instructor who travels the country teaching with Pet Safety Dog Kona and Pet Safety Cat Casey. Learn more at www.ardenmoore.com and www.facebook.com/ardenmoore.

Targeting: How to Make This Skill Work for You

Rachel Lees
Pet owners teach their animals a variety of cued behaviors that can be helpful for veterinary professionals in the exam room. “Sit” can help keep a patient stationary during an examination. When a patient knows the cue “High Five” or “Paw,” this may aid in assessing interdigital infections or performing nail trims.

One such skill that can be helpful for the veterinary team is targeting: teaching the dog to touch the nose to an object or hand. This behavior can be helpful in a few different ways.

Getting Patients from Point A to Point B

Many patients are uncomfortable with moving onto a lift table, scale, or even moving down the hallway. Instead of forcing the pet, we can use a hand target to move patients who have limited FAS. If this behavior is strong enough, most patients will be more excited about the opportunity to nose-target a hand to gain reinforcement and be less concerned about the “scary” object they need to step on. Using a hand target also gives us the option to keep our hands off of patients if they are concerned or conflicted with being touched by an unfamiliar person.

Instrumental Persuasion

Many patients are fearful of the veterinary instruments used during examination. With targeting, we can change the way they feel about the tools while allowing them to control the interaction. This can be done by presenting an exam tool and allowing the patient to interact with it on their own and then giving reinforcement.

In short, repeated training sessions, the patient learns that when the object is near, amazing things happen when they interact with it. Instead of a fear-related response, we can create a positive response toward presentation of these tools.

Teaching This Skill to Patients

Start this skill during preventive exams with pets who have a low FAS score. Puppies and kittens may be the best patients to start working with because they don’t have any preconceived notions.  Patients with a high FAS score may need more therapy, and using this technique may cause additional FAS. Wait to add it until after Victory Visits show that the patient’s FAS is reduced in the veterinary hospital.

If you are a Fear Free Professional, using treats in the exam rooms should be old hat to you. As you teach this skill, use treats to reinforce any interaction with exam tools, the patient stepping onto the table, or interacting with the veterinary team (hand target).

Using a word (Good!) or a tongue “click” may be helpful as an event marker. An event marker gives the patient information about the behavior goal and can capture the desired behavior. In the case of teaching a patient to target, the goal or “wanted” behavior would be to use the event marker when the patient interacts (noses, touches, licks, or sniffs) the object or hand we are using as the target. Always follow the event marker immediately with a treat.

When teaching this behavior, offer the object one to two inches from the pet’s nose. When the patient interacts with the object, use the event marker and reward the patient with a treat. If the patient shows concern regarding the object or FAS increases, move the object farther away until the patient is more comfortable. You may need to break down the behavior into smaller steps to get the patient to interact with the object. These small approximations may include capturing the behaviors of looking at the object, moving toward the object, touching the object with paw or nose.

Example: Presenting a Stethoscope

With an FAS 0 to 1 patient, present the bell of the stethoscope a few inches from the patient’s nose

Observe for any nose touching or interacting with the stethoscope

Say the word “Treat” when the patient’s nose touches the stethoscope

Move the bell of the stethoscope away and give a treat

Repeat if the patient is loose, relaxed, and eating during this training session. If the FAS score increases, discontinue and reassess with the veterinary team.

This article was reviewed/edited by board-certified veterinary behaviorist Dr. Kenneth Martin and/or veterinary technician specialist in behavior Debbie Martin, LVT.

Rachel Lees, a Level 3 Fear Free Certified Professional, is a veterinary technician specialist in behavior, a KPA certified training partner, and lead veterinary behavior technician at The Behavior Clinic in Olmsted Falls, Ohio. She loves helping people create and maintain a strong human-animal bond.

 

What Current Science Tells Us About Cat Play

Linda Lombardi
For a long time, the behavior of pet cats and dogs was of little interest to science. Times have certainly changed, but one area that’s somewhat neglected is the question of how and why cats play.

A recent review of the literature published in Applied Animal Behaviour Science sums up the findings and points to directions for future research. While there’s much we still don’t know, there are a number of results we can put into practice to give cats more enriched lives.

Play With Toys

Research into cat play with toys confirms a common observation: it is a lot like hunting. “The patterns of behavior are similar, and the things that entice cats to hunt also get them excited about toys,” says coauthor Mikel Delgado. “What we see from research is that the more similar to realistic prey the toy is, the more of a response the cat shows.”

There’s always going to be the individual cat who likes to play with a ball. But for the most part, the more a toy looks, feels, smells, and moves like prey, the better cats like it. They do have preferences, so it’s best to offer choices: toys that resemble different kinds of prey like mice, birds, bugs, and snakes.

Movement is important as well. After about 21 weeks of age, kittens start to lose interest in things that don’t move. Sure, you can bat a ball with your paw, but it’s not the same.

“They can’t really get lost in the hunting experience like they can when someone else is moving the toy,” says Delgado.

Novelty also matters: cats get bored quickly. In one study, cats presented with the same toy three times became progressively less interested, then showed more response to a new, clean toy that was identical except for color.

The practical takeaway: leaving a bunch of toys lying on the floor all the time isn’t enrichment, because they don’t move, and they don’t change. Owners need to play with their cats: move the toys and remember that they get bored with the same object before they’re bored with play itself.

Why Play?

Although cat play resembles hunting, research doesn’t really support the idea that play is a kind of practice; it doesn’t seem to help cats be better hunters later. “What seems to be most effective for hunting later is exposure to prey. Hunting experience helps you be a better hunter,” says Delgado.

Play does seem to be important to social development, however, which makes it all the more important to understand, given that most of us want sociable cats more than we want mousers.

It’s a common misconception that cats aren’t sociable. “Even cats that are living outside of human homes, free-roaming cats, live socially in colonies together,” say Krystin Vitale of Oregon State University. “They live both socially and solitarily. We see a lot of flexibility.”

Kittens learn to get along with other cats by playing. The first type of play seen in kittens is social, and research shows that kittens who don’t have playmates have difficulty with other cats later. Singleton kittens tend to direct play at their mothers, even though their mothers find this behavior irritating.

“As a cat behavior consultant, I get so many calls from people who can’t understand why the kitten is attacking their legs and hands,” says Delgado. “Kittens who don’t have littermates will direct that behavior toward other beings: their mother, their human, or the poor 12-year-old cat who the person adopted the kitten to be a companion to.”

The takeaway: encourage people to adopt more than one kitten at a time. “When we allow kittens to get adopted without littermates, we’re not recognizing that we’re tearing apart families,” she says. “Social play is very important for kittens and a lack of outlets for social play can be very problematic. Toys don’t fulfill that social need.”

What We Don’t Know

Research into cat behavior lags behind the recent explosion of studies about dogs, partly because they’re harder to study in the lab. “Dogs are used to being in new environments. But a cat that is friendly and playful in a home environment, if you take them to a strange place, they’re going to be terrified,” says Delgado. “So their behavior is not valid beyond that context; it doesn’t tell you anything about how they normally behave.”

Now that we have better technology that lets us study cats in their homes, research is increasing, but many questions remain. For instance, little research has been done on play between adult cats, so right now, science can’t tell you whether your cats are getting along. From her observations, Vitale suggests concentrating on what happens before and after the interaction to distinguish rough play from aggression.

“Before, was there aggressive vocalization? Was their fur already standing on end and were their eyes dilated and were they baring teeth? After, what did they do? Often when it’s play, you’ll see that afterwards they’ll plop down and lay together and start grooming each other. If you see one run off and try to get away that might be more of an indication that it was aggression.”

Social play with humans also hasn’t been well studied, but it may be important to cats. In one study, Vitale tested how cats reacted to a moving toy controlled by a human who was in the room, or one controlled remotely from outside the room. Cats preferred the person moving the toy to be visible, which suggests that kind of play may have a social component.

Delgado also wants to see more research into the process of object play. Prior studies have focused on actual contact with the toy, but for cats, watching and stalking seem important. This makes sense given their natural hunting style. “The way cats hunt is not highly cardiovascular. It’s very cognitive,” she says. “When they play with cats, people tend to concentrate on the cardiovascular aspects and expect backflips and running around, but that’s not really cats’ hunting style.”

Play and Welfare

Delgado says there’s an assumption that play must have a survival benefit. We don’t know for sure if it does, and in fact, research has shown that cats spend a fairly small proportion of the time playing and that it’s not very energetically costly.

But we’re not just concerned about what helps animals survive. We also want to know what helps them thrive.

“I think that one big thing that’s come out of studies about cat play and that this paper shows is that it’s really important for cats to engage in play in order for them to engage in healthy normal behaviors,” says Vitale. “If you’re giving your cat an under-enriched environment with low stimulation, potentially aggression can come out of that, and stereotyped behaviors like overgrooming, that they’re doing because they don’t have anything to engage with.”

One measure of an animal’s welfare is whether they have the opportunity to engage in species-specific behaviors. Owners need to understand what those behaviors are and how to provide the right toys and social situations to “allow cats to behave in the ways that make them cats,” she says. “They need something for all those motor patterns and biologically relevant behaviors to be directed towards.”

This article was reviewed/edited by board-certified veterinary behaviorist Dr. Kenneth Martin and/or veterinary technician specialist in behavior Debbie Martin, LVT.

Linda Lombardi writes about the animals who share our planet and our homes for magazines including The Bark, websites including National Geographic and Mongabay.com, and for the Associated Press. Her most recent book, co-authored with Deirdre Franklin, is The Pit Bull Life: A Dog Lover’s Companion.

 

Treating Cats With Chronic Pain: What to Consider

Kim Campbell ThorntonSeptember is Animal Pain Awareness Month. As pet care professionals, you know better than anyone that dogs and cats experience pain and discomfort. You also know how difficult it can be sometimes to recognize and manage chronic pain, especially in cats. Too often, pet owners assume that cats normally become less active with age, but changes in a cat’s behavior can be subtle signs of chronic pain from injury or illness.

Pain Goes Unnoticed

Chronic pain in cats is commonly underdiagnosed. Cats are so good at hiding their discomfort that it can come as a surprise to owners and even to some veterinarians to learn that they might be in pain. Owners aren’t always aware that syndromes such as glaucoma or diabetes are accompanied by pain.

Many behaviors can indicate pain in cats, including changes in functional mobility such as decreased grooming or difficulty in jumping on or off furniture; changes in sleep patterns or locations; changes in posture when sitting or sleeping; hiding; changes in litter box habits; unusual reluctance to be petted or groomed; and poor appetite. Anything that isn’t normal for a particular cat should be considered a possible sign of pain.

Causes of Chronic Pain in Cats

Many common feline diseases can cause chronic abdominal pain. Cats with this type of pain may not eat well or are nauseous and lethargic. Unless the pain is severe and constant, though, it may not be obvious when you palpate the cat.

Even once it’s identified, the level of pain can be difficult to assess. It can be a good idea to have owners keep a diary of the cat’s behaviors over a period of time or to have them complete a questionnaire.

Multimodal Relief

Managing chronic pain usually involves several types of therapy that all work together to help relieve discomfort. A combination of medication and physical therapies such as acupuncture, massage, or other rehabilitation techniques is usually most effective. Some trial and error may be necessary to find what works best.

We asked Alicia Z. Karas, DVM, DACVAA, at Cummings School of Veterinary Medicine at Tufts University, about her experience in recognizing and managing chronic pain in cats.

What should people know about pain in cats?

The first one is recognizing that the cat has pain. The cat might have arthritis, a degenerative joint condition, but nobody’s figured that out because the cat doesn’t limp. It might do things like not jump or not groom well. The other is not recognizing that a given syndrome is accompanied by pain. For many years, in dogs and cats, we thought of glaucoma as being something that threatened vision, but we know from people that glaucoma causes pain in humans and it’s a really difficult type of pain to treat. In cats and dogs, if they have an end-stage [case of glaucoma], we’ll take the eye out. Anybody who’s an ophthalmologist or who has removed an eye in an animal with glaucoma probably has heard from the owner that once that happened, the animal returns to almost a younger animal. They’ve had that chronic pain hanging over them, and once that was gone and that surgery has healed, they found their behavior much less inhibited by pain. So thinking about the fact that having skin disease or ear disease or eye disease or intestinal disease might not just be a problem for weight gain or thriving health but that it might impact pain is an important factor in terms of a barrier to pain treatment in animals.

What are some of the challenges of managing pain in cats?

When cats are resistant to being pilled, it can be a challenge. Sometimes cats need treatment for life and owners need to figure out how to get meds into the cat every day. Formulation of medication can also be a problem. One cat I treated with chronic post-trauma pain has to have one of her medications compounded because they don’t make the pills in a small enough size. They’re putting it in the food and the cat is eating it. Compounding can be very useful, but compounding medications has many drawbacks. It’s more costly, there is no guarantee that compounded medications will produce the same effects as the FDA-approved formulations, and the shelf life of compounded medications is much shorter.

What are some of the issues in treating chronic pain in cats?

A number of NSAIDs have been studied and approved for use in dogs, but that wasn’t done until fairly recently for cats. We’ve had two NSAIDs approved for use in cats for acute pain, but neither is approved for chronic use in cats in the United States, although NSAIDs are approved for long-term use in cats in Europe.

Are there other types of medications that can help cats with pain?

Gabapentin is an anti-seizure drug that was found serendipitously to have effectiveness for certain types of pain. Gabapentin can help cats with certain types of pain and is also something that can help sedate cats for car rides and vet visits. For smaller cats, though, this is a challenge because the smallest size pill that’s available is 100 mg. To reduce the amount we give requires it to be compounded or divided or made into a suspension that’s safe. People have also used tramadol in cats but it’s complicated by the fact that the taste is really bitter. We are using some things like amitriptyline, an antidepressant drug that isn’t used much for depression anymore but was found to have about five different ways that it could impact pain. It has potential use for chronic bladder pain, but some cats don’t tolerate it well. I have used other antidepressant-type drugs like Prozac in cats, at lower doses than for behavioral use, because it’s similar to amitriptyline, but maybe a little less complicated.

Can any supplements help with pain?

Cosequin is an oral joint supplement made for cats that can be useful for things like arthritis. There’s an injectable joint supplement called Adequan that is approved for use in dogs and is used off label in cats. And we’ll use things like fish oils and other supplement-type things as well.

What non-pharmacological treatments can help?

I use acupuncture in cats for chronic pain. I think that acupuncture can be very useful in cats. For acupuncture, you’d want to go once a week or once every other week at least for three to five sessions to see whether it’s going to have an effect on the cat, and then as needed, which might be monthly or every three months. It depends on the individual.

Can painful cats benefit from physical rehab?

I think people discount the benefit of physical rehab for cats, but I had one client who was pulling out all the stops for her older cat. She took him to a rehab specialist who was swimming him and doing massage and acupuncture and the cat had a really good response to that. It builds muscle, and muscle helps with joint problems. If you don’t have muscle because you haven’t been using your muscles, then you can’t support your joints, and your other muscles are really sore.

What can veterinarians suggest that owners do at home to help cats in pain?

When I see a cat for chronic pain—and I don’t see as many cats for chronic pain as I do dogs—I recommend a combination of lifestyle modifications. Those might be easier access to litterbox, ramps to furniture, and warm and cool places where they can go. Weight management is huge. If you have joint pain and you’re obese, you have way more pain than you need to because you can’t pull yourself around.

What else should be considered when managing pain in cats?

Probably the most important thing is to not be satisfied with the attitude “There’s nothing we can do.” With stomatitis, for example, taking all the teeth out is something that we commonly have done, and our dentists see at least several cats a month for this condition. If the cat isn’t a good anesthetic risk, there are medications that we don’t think of as traditionally analgesic. Certain antibiotics such as metronidazole have an anti-inflammatory effect. There are some times when joint disease affects cats and we might be able to do a surgery that helps them. We don’t do hip replacements in cats, but we can cut the hip joint and allow it to fuse and make a pseudojoint. That might help if there’s an instability. If there’s an ACL rupture or an unstable spine that’s causing back pain, surgery is the answer in combination with physical therapy and medication. I think that vets have a tendency to throw up their hands and say “It’s a cat, we can’t medicate it, there are no drugs approved for it, and it’s too much of a risk to use a medication.” Pressing on and saying ‘There is something I can do as long as I have the means or access to somebody who has different expertise’ is something that we can encourage.

This article was reviewed/edited by board-certified veterinary behaviorist Dr. Kenneth Martin and/or veterinary technician specialist in behavior Debbie Martin, LVT.

Kim Campbell Thornton is content manager for Fear Free Pets and is a Level 3 Fear Free Certified Professional. She has been writing about dogs, cats, wildlife and marine life since 1985 and is a recipient of multiple awards from the Cat Writers Association, Dog Writers Association of America, and American Society of Journalists and Authors. When she’s not writing or editing, she’s competing in nose work trials with Harper, a Cavalier King Charles Spaniel.

 

5 Ways to Have the Worm Conversation with Your Clients

When clients come to your clinic and discuss the parasites that worry them most, they often start with ticks and fleas because they’re visible — they can see the threat. As a veterinary professional, however, you know there are other dangerous parasites they can’t see, including more than just heartworm. You also know that recommending broad-spectrum parasite protection isn’t a sales tactic; it’s good medicine. So how do you start the conversation about the importance of protecting dogs against other types of parasites in a way that pet owners will understand, appreciate, and ultimately listen to?Here are five conversation starters to help your clients understand the risks and why intestinal parasites can pose a bigger problem than they may think.

1. Parasites disrupt the pet owner-pet bond.

No pet owner wants to see the dreaded “rice” on their dog’s rear, or learn their dog has been shedding eggs from intestinal parasites and contaminating their yard. Intestinal parasites aren’t just stressful for pet owners, but for pets, too. An indoor dog could suddenly be relegated to the outdoors or confined to a single room – all while a frantic pet owner tries to reach their veterinarian after hours. Dogs are intelligent creatures, but that doesn’t mean they will understand why their owner is suddenly distant, worried or disgusted. The bottom line: Parasitic infections can undermine efforts to create a warm, inviting, Fear Free home for a pet.

2. Intestinal parasite prevalence rates are rising.

The average number of heartworm-positive dogs per clinic increased by 21.7 percent in a 2017 survey conducted by the American Heartworm Society.1 While pet owners may recognize the importance of protecting against heartworm, they might not realize the threats posed by intestinal parasites as well. Along with the increasing threat of heartworm, prevalence rates of intestinal parasites are also on the rise. In shelter dogs:

  • Canine hookworm (Ancylostoma caninum) prevalence rates increased from 19.2 percent average prevalence nationwide in 1996 to 29.8 percent in 20142,3
  • Canine whipworm (Trichuris vulpis) prevalence rates increased from 14.3 percent average prevalence nationwide in 1996 to 18.7 percent in 20142,3

3. Pets are out and about (and exposed) more than ever.

Dog parks are prime areas for the spread of parasites like hookworm, whipworm and roundworm. In a pilot study conducted across the Dallas-Fort Worth area, 80 percent of sampled dog parks had at least one dog test positive for intestinal parasites.4 If a client frequents dog parks or other areas with lots of dogs, they should know that it increases their dog’s risk of picking up a parasitic infection.

4. Shelter dogs may increase parasite prevalence in your area.

Did you know nearly two thirds of animal shelters and rescue organizations do not test, treat or provide heartworm prevention before transporting dogs? From 2014 to 2017 shelters imported 114,000 dogs to Colorado, and during that same time period Colorado saw a 67.5 percent increase in heartworm prevalence. Even if you practice in an area with historically low parasite prevalence, shelter dog relocation may contribute to a higher local risk of parasitic disease for your clients.5

5. Owners and their families are at risk, too.

Pet owners often don’t realize that zoonotic disease transmission is a real threat to their families, especially young children.6 If clients question the necessity of intestinal parasite protection, explain that roundworm eggs can remain in an environment for years6 — leaving pets and human family members at risk long after the problem was thought to be “over.” Even walking around barefoot in their own yard could be a risk, because infective hookworm larvae can penetrate human skin to spread zoonotic disease.7

Regardless of the many Fear Free reasons to protect against intestinal parasites, educating pet owners on the risks of these “hidden” parasites can be a challenge. Using the conversation starters above can help support a recommendation for heartworm prevention that also protects against hookworm, roundworm, whipworm, and tapeworm, as well as potentially increasing compliance. After all, a client who understands the value of intestinal parasite protection for their pet is that much more likely to administer it.

References

    1. American Heartworm Society. AHS survey finds increase in heartworm cases. Available at: https://d3ft8sckhnqim2.cloudfront.net/images/bulletin/AHS-1705-May-17-Summer-Bulletin.pdf?1535050388. Accessed June 20, 2019.
    2. Blagburn BL, Lindsay DS, Vaughan JL et al. Prevalence of canine parasites based on fecal flotation. Comp Cont Educ Pract. 1996;18(5):483-509.
    3. Blagburn BL, Butler JM, Mount J, et al. Prevalence of internal parasites in shelter dogs based on centrifugal fecal flotation [abstract]. In Proceedings AAVP 59th Annual Meeting. Denver; 2014. 26-29 July 2014.
    4. Elanco Animal Health. Data on file.
    5. Drake J, Parrish RS. Dog importation and changes in heartworm prevalence in Colorado 2013-2017. Parasite Vector. 2019;12:207.
    6. Companion Animal Parasite Council. Ascarid. Available at: https://www.capcvet.org/guidelines/ascarid/. Accessed May 16, 2018.
    7. Companion Animal Parasite Council. Trichuris vulpis. Available at: https://www.capcvet.org/guidelines/trichuris-vulpis/. Accessed May 16, 2018.
  2. This article was reviewed/edited by board-certified veterinary behaviorist Dr. Kenneth Martin and/or veterinary technician specialist in behavior Debbie Martin, LVT.This post is brought to you by our sponsor, Elanco, the makers of Credelio® (lotilaner) and
    Interceptor® Plus (milbemycin oxime/praziquantel).    INDICATIONS FOR CREDELIO

    Credelio kills adult fleas, treats flea infestations (Ctenocephalides felis) and treats and controls tick infestations [Amblyomma americanum (lone star tick), Dermacentor variabilis (American dog tick), Ixodes scapularis (black-legged tick) and Rhipicephalus sanguineus (brown dog tick)] for one month in dogs and puppies 8 weeks or older and 4.4 pounds or more.

    IMPORTANT SAFETY INFORMATION FOR CREDELIO

    The safe use of Credelio in breeding, pregnant or lactating dogs has not been evaluated. Use with caution in dogs with a history of seizures. The most frequently reported adverse reactions are weight loss, elevated blood urea nitrogen, increased urination, and diarrhea. Please see full Credelio product information for complete safety information or contact your veterinarian.

    INDICATIONS FOR INTERCEPTOR PLUS

    Interceptor Plus prevents heartworm disease (D. immitis) and treats and controls adult hookworm (A. caninum), roundworm (T. canis, T. leonina), whipworm (T. vulpis) and tapeworm infections (T. pisiformis, E. multilocularis, E. granulosus and D. caninum) in dogs and puppies 6 weeks or older and 2 pounds or greater.

    IMPORTANT SAFETY INFORMATION FOR INTERCEPTOR PLUS

    Treatment with fewer than 6 monthly doses after the last exposure to mosquitoes may not provide complete heartworm prevention. Prior to administration of Interceptor Plus (milbemycin oxime/praziquantel), dogs should be tested for existing heartworm infections. The safety of Interceptor Plus has not been evaluated in dogs used for breeding or in lactating females. The following adverse reactions have been reported in dogs after administration of milbemycin oxime or praziquantel: vomiting, diarrhea, depression/lethargy, ataxia, anorexia, convulsions, weakness, and salivation. Please see full Interceptor Plus product information for complete safety information or contact your veterinarian

    Credelio, Interceptor, Elanco and the diagonal bar logo are trademarks of Elanco or its affiliates.
    © 2019 Elanco. PM-US-19-1483

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