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Clinical Practice
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Veterinarians see eye-to-eye to help kitten with birth defect
5/16/2013
Colleagues bridge distance to provide restorative eyelid surgery
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Vetsulin back with label changes
5/3/2013
Surprising new instructions: ‘shake’ drug to mix
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Zoonotic disease dangers present legal risks to veterinarians
5/2/2013
Communication key to mitigating liability, experts say
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Panel airs FDA restrictions on livestock antibiotics use
4/25/2013
Achieving greater veterinary oversight not simple
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Once mum, gum maker to disclose xylitol content
4/16/2013
Company responds to dog poisoning complaint
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Rise of veterinary chain ownership begets Canadian group purchasing
4/10/2013
Uniform pricing tradition gives way
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Lab that found antibiotics in jerky continues search
4/3/2013
Testing treats singly was possible key to discovery
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Banfield expansion brings new stand-alone clinics
3/28/2013
Eight in Portland, Ore.; other cities possible
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Ease of Web publishing raises potential for copyright breach
3/11/2013
Ignorance doesn't diminish liability
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Group purchasing activity on upswing in veterinary medicine
2/28/2013
Organizations proffer bulk discounts to independent practices
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Changing insulin brands may disrupt diabetics
2/5/2013
Problems in veterinary patients highlight heedless switching
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Could pet deworming regimen fuel parasite resistance?
1/29/2013
Veterinarians ponder implications for heartworm and gut worm infections
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VIN solicits jerky-associated illness reports
1/15/2013
Research veterinarians seek solution to mystery
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Veterinary prescription problems aired with regulators
1/12/2013
Pharmacy boards urge veterinarians to file complaints
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When microchips muddle pet ownership status
12/13/2012
Laws outdated; veterinarians caught in middle
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Is the doctor in?
12/5/2012
Veterinarians grapple with demand for extended hours
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‘Sentience’ statement rouses debate among veterinarians
12/3/2012
AAHA adopts controversial classification of animals
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Will relaxed marijuana laws produce more stoned dogs?
11/29/2012
Pets eating pot nothing new but reports are up
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Veterinary hospice movement growing
10/31/2012
End-of-life care addresses emotional bonds
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Injectable sterilant for dogs returning to market
10/19/2012
New owner must overcome drug’s rocky history
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‘The Incredible Dr. Pol’ asserts innocence despite board discipline
10/8/2012
Star of reality TV show placed on probation
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Pet treat investigation expands beyond chicken jerky
8/17/2012
FDA cites rise in complaints about duck, sweet potato products
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Climbing back on the proverbial horse
8/15/2012
After attack or injury, return to veterinary work may be daunting
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Can MDs and DVMs bridge the cultural divide?
7/24/2012
Physician champions concept of 'zoobiquity'
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Helping Pets Fund closes
7/19/2012
AAHA cites decline in donations
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Veterinarians advise avoiding chicken jerky dog treats
5/25/2012
Attention to 6-year-old mystery intensifies
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Veterinarian opens up about going undercover
5/22/2012
Flea-product diversion adventure twisted, turned
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Golden-ticket scheme delivers prized information
5/15/2012
Veterinarian’s diverted flea product shows up nationwide
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Veterinarian investigates illicit diversion of flea products
5/8/2012
Gray-market sales veiled by deception, intrigue
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Veterinarians ponder ideal number of daily appointments
5/7/2012
Personality, staff, community expectations shape preferences
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Merial: PureVax for ferrets coming back this week
4/30/2012
Backorder of distemper vaccine stirred worries
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California veterinarians ready to testify against lay dentistry
4/16/2012
Scope-of-practice battle wages over teeth cleaning
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‘Why are vets so expensive?’
4/13/2012
Practitioner tackles sensitive question
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Veterinary clinic owner pays heavy price for military service
3/5/2012
Financial recovery elusive following deployment
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Veterinarians serve family-health role in suspected zoonoses
2/10/2012
To test or not to test; that is the question
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Awareness of xylitol toxicity in dogs still lacking
1/31/2012
Reported cases of poisoning on the rise
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Veterinarians confront Internet pharmacy PetMed Express
1/16/2012
Company acknowledges: ‘Some mistakes were made’
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Spike in dog-flu reports attracts media attention
12/22/2011
Actual incidence is undefined
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Veterinary accreditation papers missing? Call USDA
11/17/2011
Agency says applicants should have documentation by now
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Hiring new graduates a profitable pleasure, veterinarians attest
11/14/2011
View counters a stereotype
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Loan broker accused of bilking veterinarians now sells wellness plans
11/10/2011
Ron Paterson draws more complaints
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Merial knows, diverting veterinarians assert
11/4/2011
Maker of Frontline denies the company condones, encourages diversion
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‘Free’ Hill’s cat food samples not exactly free
10/24/2011
Veterinary clinics report accepting samples triggers orders for more
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Independent voice of digital radiology silenced?
10/13/2011
DVMInsight's sale to Idexx viewed by some as contradiction
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Veterinarian campaigns for awareness of mammary gland cancer
9/30/2011
October is National Breast Cancer Awareness Month
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Waste disposal, veterinary style
9/16/2011
Two new web resources address safe handling practices
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VCA's buy of Vetstreet raises worries about control of clinic data
9/1/2011
New owner says it will not inspect clinic information
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Complaints mount against gray-market broker WTF Wholesale
8/29/2011
Problems open view into world of flea product diversion
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Entest to use veterinary practices as revenue driver, research venue
8/23/2011
Concerns about setup point to potential conflicts of interest
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States consider controlling rabies vaccination intervals
8/12/2011
Veterinarians question interference with medical discretion
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Immiticide supplies run dry
8/9/2011
New guidance from the American Heartworm Society expected
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Jerky treats for dogs still suspected in illness
7/8/2011
Veterinarians advise caution in choosing snacks
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Con artist or lending lifeline? VetFinance Group under scrutiny
6/23/2011
Veterinarians allegedly bilked by broker Ron Paterson
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Veterinary technicians: Opportunities, but at what cost?
6/9/2011
Support staff cite low wages, spotty professional respect
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Researcher promotes awareness of accidental hormone exposure in pets
6/8/2011
VIN tallies more than 100 case reports since 2003
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Russian veterinarian becomes impromptu seal expert
5/31/2011
Stranded pups show up three years in a row
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Mandatory canine health checks to impact Wisconsin veterinarians
5/5/2011
New rule aimed at 'breeder farm' puppies takes effect June 1
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Online veterinary pharmacies exploit cross-border regulatory gaps
4/25/2011
Canine heartworm prevention drugs sold without required prescription
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Veterinarians explore promoting wellness
3/23/2011
Proponents say preventive medicine not just about vaccinations
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Fearing overseas radiation, Americans seek potassium iodide for pets
3/18/2011
Veterinary experts say medication isn’t warranted
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Rabies shots: Pets protected but what about people?
3/17/2011
Many veterinary personnel not current on their own vaccinations
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Thrift commerce meets veterinary medicine in GroupDVM
2/10/2011
Company uses 'power in numbers' to leverage deals for veterinarians
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What makes an ideal relief veterinarian?
2/10/2011
Answers as numerous as practice styles; flexibility is key
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Vetsulin’s removal from market could be temporary
2/8/2011
Intervet ceases production due to bacterial contamination concerns
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Study: Veterinarians can reverse decline in visits
1/27/2011
Report identifies contributing factors and ways to counter the trend
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Physicians and veterinarians to share perspectives
1/7/2011
“Zoobiquity” conference aims to bridge medical divide
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Veterinarian saves cat; stranger saves cat's owner
12/30/2010
Tale of generous acts heartens spirits
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Veterinarians scramble for mainstay chemotherapy drug
12/20/2010
Doxorubicin hydrochloride in short supply
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California veterinarians target unlicensed care
12/14/2010
Conflict between profession, lay practitioners intensifies
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Veterinarian's recipe for stone soup serves up aid, cooperation
11/30/2010
Pay-it-forward idea fosters collegiality within profession
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Raw food diets for pets chock-full of controversy, complexity
11/22/2010
Veterinarians' views run gamut as movement gains steam
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Canine Health Institute closing its doors
11/18/2010
Veterinary center for pain, rehab, imaging, neurosurgery was unique
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Clinic owner struggles with ultrasound-equipment vendor
11/17/2010
Amerisource Medical blames veterinarian’s location for shipment delay
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Dying stray hits generosity jackpot
11/15/2010
Adopter made instant commitment to save injured dog
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DEA wants propofol elevated to scheduled status
11/10/2010
Change likely to impact veterinary practices
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Frontline, ProMeris not going OTC, manufacturers say
11/8/2010
Veterinary market research survey gives confusing message
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Navigating credit card security requirements
10/21/2010
Compliance isn't cheap or easy
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Accidental hormone exposures prompt proposed drug label changes
10/11/2010
Seller of topical hormone Evamist awaiting FDA review
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Recall issued of certain Blue Buffalo dog foods
10/8/2010
Excess vitamin D in food linked to illness in pets
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Health credit programs: safety net or predatory lending?
10/4/2010
NY state investigation puts veterinarians on the defensive
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VIN unveils recall center for veterinarians, consumers
9/27/2010
Site intended to act as information resource
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Calif. spay/neuter program breeds skepticism among veterinarians
9/23/2010
State attempts to tackle pet overpopulation by selling specialty license plates
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Germ that causes cat scratch disease not necessarily mild
9/20/2010
Veterinary professionals at risk of Bartonella infections
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Veterinary regulators poised to define parameters of lay dentistry
9/9/2010
Stakeholders across America watch as Texas takes on controversial issue
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Scrutiny of secondary topical hormone exposures deepens
9/9/2010
Veterinarians to be surveyed; FDA fields reports involving pets and children
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Supplies of injectable butorphanol tartrate to normalize, veterinary insiders report
9/3/2010
Pfizer Animal Health assures commitment to manufacture Torbugesic
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Veterinarians report mysterious link between dog food and hypercalcemia
8/31/2010
Initial analysis: Blue Buffalo Wilderness Diet contains normal levels of calcium, vitamin D
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Propofol shortage hits veterinary medicine
8/26/2010
Clinics turn to alternatives with production of PropoFlo, Rapinovet stopped
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Just say 'no' to telephone solicitors
8/23/2010
Clinic owners describe latest scheme involving Discover, Legal Club of America
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IV furosemide vanishing from veterinary market
8/12/2010
Medication on back order for months, distributors say
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With friends like these …
8/6/2010
The perils of Facebook; how to protect your practice
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FDA investigating accidental hormone exposure problem
7/29/2010
Issues safety alert on topical estrogen spray product Evamist
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Veterinarian plans to rebuild following clinic fire
7/19/2010
Smoke claims lives of pets in N.Y. practice
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Clinic security increases after technician’s rape, murder
6/29/2010
Veterinarians urge safety precautions in the face of the unimaginable
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"Click and treat" for staff appreciation
6/15/2010
Positive reinforcement improves employee morale
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Hormone replacement skin products affect users’ pets, confound veterinarians
6/10/2010
Symptoms include swollen vulvas, enlarged mammaries, fur loss
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PreveNile recall marked ‘urgent’
5/4/2010
Reactions behind recall remain mystery
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Heartworm treatment drug remains in short supply
4/15/2010
FDA must approve manufacturing facility, Merial reports
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Brand-name buprenorphine production up
4/14/2010
Extended shortage has had veterinarians scrambling
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Sago palm poisoning cases increase
4/7/2010
Ornamental plant becoming popular nationally
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Lawsuits proliferate against makers of topical flea and tick products
3/26/2010
EPA safety review spurs concerns; veterinarians suspect owner education lacking
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Dog aspirin takes hits from critics
3/15/2010
Veterinarians question efficacy, safety of common drug's use in canine patients
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Bayer opens flea product sales to retail outlets
2/10/2010
Citing diversion, company ends policy of selling only through veterinarians
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New feline thyroid drug raises safe-handling questions
2/1/2010
Experts say warnings apply to all forms of methimazole
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Life-like model for teaching endoscopy unveiled
1/13/2010
FRED dog promises to reduce need for live-animal training
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Bah Humbug? Veterinarians risk Scrooge label despite charitable acts
12/28/2009
Growing need for free care can conflict with business side of practice
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Pets Best flap revives debate about merits of pet insurance
12/15/2009
DVMs concerned Aetna policy portends a future similar to human health insurance issues
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Virulent systemic feline calicivirus suspected in Indianapolis shelter
12/2/2009
Outbreak spells death for at least 65 cats; adoptions suspended
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Collagen source dries up in veterinary medicine
10/26/2009
C.R. Bard reportedly no longer sells to veterinarians
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Colleges grow with satellite clinics
10/21/2009
Ventures breed hostility from private sector in some cases
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Dog stuck in crate highlights rare risk of spot-on flea treatment
10/7/2009
Benzyl alcohol acted like glue, sticking pet to plastic
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New microchip search tool debuts
9/22/2009
Two search engines now available, but neither is complete
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Veterinarians Without Borders takes stock in Liberia
9/8/2009
Education, rabies vaccinations at the top of their list
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New company aspires to clean up pet microchip mess
8/26/2009
Gaps in the identification system targeted
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Rebirth tied to new Vancouver lab
8/24/2009
Move meant to revive ideals of Idexx-acquired Central Laboratories for Veterinarians
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Virbac recalls Iverhart Plus
8/20/2009
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Internet tool aims to simplify search for pet microchip registry information
8/19/2009
New service free to users
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Fla. clinic sees outbreak of hemorrhagic diarrhea in dogs
8/10/2009
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Veterinarians Without Borders starts first major international project this summer
6/25/2009
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Clostridium botulinum not detected, pet food maker says
6/17/2009
FDA action that stripped Evanger's ability to ship pet food based on paperwork flap, company says
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Oncologists express high hopes for Pfizer’s newly approved Palladia
6/16/2009
First FDA-approved canine cancer drug to hit market in early 2010
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From bathtub to the Baltic Sea
6/12/2009
Rescued seal pup returns to the wild
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ACVIM issues consensus statement on EHV-1
6/12/2009
Report calls for more research
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Cats susceptible to neurological problems when fed irradiated diets
6/8/2009
Australian outbreak is the latest of at least three
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Virbac recalls VeggieDent chews in Australia
6/4/2009
Action spurred by link to kidney disorders in dogs
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New mystery arises in cases of Fanconi-like syndrome
5/28/2009
Australian researchers consider possible link to dental chews
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Veterinarian speaks out concerning Bulldog health problems
5/27/2009
Web site intended to educate potential owners
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Nutro recalls dry cat foods due to incorrect mineral levels
5/21/2009
Decision made 'out of an abundance of caution,' company says
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FDA approves Vetoryl Capsules for Cushing's disease
5/15/2009
New molecular entity treats pituitary- and adrenal-dependent hyperadrenocorticism
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Flea product swap causes a flap
5/8/2009
Summit's strict anti-diversion contract kicks in
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Veterinary medicine embraces interpersonal skills training
5/4/2009
Compassion, empathy can be taught, experts say
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What to do with the seal in your bathtub
4/21/2009
Online advice helps Russian veterinarian save endangered pup
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An inside look at parasiticide product diversion
4/7/2009
Veterinarians respond as drug companies fail to control distribution lines
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The flea market
4/6/2009
Exploring the diversion of parasiticides from manufacturers, veterinary offices to Web sites, store shelves
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HSUS to take Prop 2-like action to Ohio
4/6/2009
Veterinarians gear up for talks to thwart high-stakes conflict with activists
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Veterinary charity highlighted by economic woes
3/30/2009
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Contest honors those who make house calls
2/25/2009
Winners include some who work with animal rescue, injured wildlife
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Veterinary Behaviorists Question Dominance Theory in Dogs
2/5/2009
Position Irks Some Trainers
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New center aspires to help dogs that might otherwise be euthanized
2/2/2009
Rehab, pain management and imaging under one roof in Houston
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Can we eat it?
1/23/2009
Pet food 'human grade' claim examined
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Reports show veterinary practices hurting
12/24/2008
Veterinarians feeling nation's longest recession in a quarter century
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Treatment for Cushing's syndrome to hit market
12/17/2008
FDA approves trilostane for canine patients
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Application deadline nears to certify for exotic mammal specialty
12/16/2008
New group focuses on ferrets, rabbits and other small pets
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Glycopyrrolate shortage?
10/17/2008
It's still in stock, distributors say
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Got ultrasound?
10/8/2008
Pitfalls emerge as general practitioners take on diagnostic imaging
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Surviving a scandal
9/16/2008
Dr. Joshua Winston comes out clean after going through the legal wringer
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FDA alerts veterinarians to new ivermectin directions
9/10/2008
Merial changes instructions for Eqvalan Liquid for Horses
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Potential Salmonella contamination prompts Pedigree recall
8/13/2008
Complete Nutrition Small Crunchy Bites sold in Southern California, Las Vegas affected
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Theophylline production held up by FDA, manufacturer says
8/11/2008
Drug remains available in 100mg, 200mg tablets
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Arson suspected at Washington practice
8/7/2008
Employee charged with setting the blaze
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Veterinarians face atropine shortage?
8/1/2008
Penn Veterinary Supply says it has the drug in stock despite backorder claims
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Florida practices need pharmacy permits
7/18/2008
New law, effective Jan. 1, is designed to stave off drug diversion
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Quality vs. Quantity
7/17/2008
Armed with advanced technology and a duty to save lives, knowing when to embrace death remains a gray area for some veterinarians
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Major blood banks merge
7/11/2008
Animal Blood Bank Inc. and Midwest Animal Blood Services Inc. join to bring new products to the market
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FDA investigating accidental hormone exposure problem
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July 29, 2010
By: Edie Lau
For The VIN News Service
The U.S. Food and Drug Administration (FDA) on Thursday posted a safety announcement on the estradiol spray product Evamist, warning of the potential for accidental exposures in children and pets.
The agency said that in the three years since it approved Evamist, the FDA has received reports of eight cases in which children were exposed unintentionally to the treatment, which is applied as a spray to the forearm of menopausal women to reduce moderate to severe hot flashes.
The FDA has received reports of secondary exposure in two spayed dogs, as well. The dogs were exposed when they licked their owners’ arms and/or were held by their owners.
The safety announcement came seven weeks after the Veterinary Information Network News Service published an article describing a number of cases across the country of pets — mostly dogs, but occasionally cats — that had been exposed inadvertently to their owners’ topical hormone products.
The predominant telltale sign in female dogs is a grossly enlarged vulva. Male dogs may have abnormally small penises. Dogs of both genders have presented with enlarged mammary glands and hair loss. Puppies and small dogs seem to be particularly vulnerable, but adult and large dogs also can be affected.
Of the two canine cases reported to the FDA, one involved liver failure and the other vaginal prolapse and elevated estrogen levels, in addition to enlargement of mammary glands, nipples and vulva.
In children, the chief symptom in boys and girls alike was breast development, according to the FDA announcement. “The signs and symptoms appeared several weeks to months after the adult patient initiated therapy with Evamist,” the announcement reads. “Some cases reported symptom resolution after the Evamist user discontinued the drug or used preventive measures to avoid unintentional exposure of children to the drug.”
The agency noted that it is not feasible to study the potential of topical Evamist transfer from adult users to children. Presumably, that is because children cannot give informed consent to participate in studies.
Prescription information provided with Evamist — sold by Ther-Rx Corporation of Bridgeton, Mo. — notes that the effect of transfer of estradiol was tested by continuously holding for five minutes the dosed forearms of female subjects against the inner forearm of a male subject who had not been treated. “No significant transfer of estradiol was observed ... ” it states.
Elsewhere in the eight pages of prescription information, users are warned not to “allow others to make contact with the area of skin where you applied the spray for at least 30 minutes after application.”
The FDA safety announcement advises in bold print: “Patients should make sure that children are not exposed to Evamist and that children do not come into contact with any skin area where the drug was applied. Women who cannot avoid contact with children should wear a garment with long sleeves to cover the application site.”
The agency stated that it is working with the makers of Evamist “to identify any factors that may contribute to unintended exposure ... (and) evaluating ways to minimize the risk.”
Officials of Ther-Rx could not be reached for comment Thursday. The Evamist home page contains a large section headed “Important Safety Information” but as of Thursday afternoon did not mention the potential for accidental secondary exposures.
Besides Evamist, pets and children may be accidentally exposed to topical hormones creams, lotions and gels prepared by compounding pharmacies. The FDA announcement makes no mention of other products that may be involved, and the agency did not immediately provide answers to questions from the VIN News Service.
The problem of inadvertent exposure may extend to a wide variety of drugs applied topically. A post this week in an online message board of the Veterinary Information Network (VIN), a membership organization for veterinarians, describes a case in which a dog may have been affected by a high-concentration hydrocortisone cream used by her owner.
The phenomenon of accidental exposures to topical hormones has drawn the attention and concern of the North American Menopause Society, which has posted a notice on its website alerting members to the situation and requesting case reports.
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