To say a
medication is "compounded" means
the pharmacy has made a "custom
preparation", usually of
multiple (compound) components.
One type of compounded
medication is mixed inside a pet
"cookie". The slogan is "We put
the Treat in Treatment." The
word "placebo" means the pill or
cookie has everything but the
medication.
The most
common approach is to order a
one month supply of medication,
plus a set (6) of placebos of
the same flavor. (Chicken,
Beef, Liver, tuna, or fish). If
the pet is known to be "finicky"
then order a set (about 6) of
each flavor you think will
work. For REALLY finicky pets,
some owners order only the
placebos for testing, but the
shipping cost is the same to
include the medication.
Judgment call. We recommend a
one month supply so you can get
started, and by the time you
have used 2 weeks, you will need
to order a 2 month supply to
allow time for shipping and
handling.
When
first starting medication, we
recommend you start with the
placebo alone (of the same
flavor as the medication), at
the same time of day (usually in
the morning). For the placebos,
ideally you would give it in the
evening as well to fit in more
repetitions. If the pet readily
"gobbles" the cookie, you can
move to the medication after one
day. For most pets we recommend
giving the placebo twice a day
for 3 days to establish a
routine. Then start the
medicated cookies.
The
reason to do this is that many
of the medications are slightly
bitter. If you don't use the
placebos first, you won't know
if it was the taste of the
medication, or the cookie that
was rejected. By giving the
placebos first, the pet is in a
routine, and if the pet rejects
the medicated cookie, we know it
was the taste of the
medication. If that occurs,
then test or order a set of
several other placebos to see if
you can find one the pet
particularly likes - maybe
enough to accept the
medication. The other
alternatives are to try
putting rejected pills into
other food like cheese or tuna.
You can try dissolving the
rejected medicated treat into
some soup, or mash it into some
other food. Try to make it as
easy as possible to repeat every
day.
INTERPRETIVE FACTOR:
There is
one other consideration. YOUR
body language. When giving
either the placebo test, or the
medication, the pet will be
interpret your body language.
Be sure to smile, and act
relaxed. Use the same body
language you would for any other
treat.
IF ALL
ELSE FAILS
Other
options are having the
medication compounded into a
liquid to mix with some other
liquid food; or the pill or
liquid can be put directly into
the mouth but some dogs or cats
fight this, and it impacts the
bond. "Transdermal" means the
compound pharmacy puts (a new
batch) of the medication into a
different carrier agent that you
smear on a hairless area of skin
(usually the inside of the ear
flap) and the carrier helps the
medication move through the
skin, and into the bloodstream.
This is relatively unreliable
since the skin's major function
is as a barrier.