Despite numerous public service ad campaigns over the years, chocolate poisoning in dogs is still common. government site. When administered intrathecally, baclofen also inhibits substance P, a stimulatory compound within the brainstem, and it reduces myocardial epinephrine and norepinephrine content.2,3 At oral therapeutic concentrations, baclofen has virtually no central nervous system effects because of its poor ability to cross the blood-brain barrier, but in overdose situations, central nervous system effects are common.4. This website uses cookies to improve your experience while you navigate through the website. 2004. Between 2015 and 2020, reports of xylitol pet poisonings went up by 108%. Symptoms of baclofen poisoning include: Baclofen may be referred to and identified with other names. Hecht, D.V. This category only includes cookies that ensures basic functionalities and security features of the website. Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. difficulty breathing (respiratory depression). Tamsulosin may impair your thinking or reactions. Your vet may also give your dog vitamin K1 for the liver and diazepam to prevent seizures. Hypoglycemia, hypokalemia, and elevated serum creatine phosphokinase, L-lactate dehydrogenase, and aspartate transaminase activities have occasionally been reported in people with baclofen toxicosis, so obtain baseline serum chemistry profile, acid-base balance, and electrolyte values.6 Continue to monitor these values and correct any abnormalities until signs have resolved. 2023 Wag Labs, Inc. All rights reserved. Carbamates and organophosphates are two common substances that can severely poison both cats and dogs. Do not crush, chew, or open a capsule. Unfortunately, because so many human foods, medications, and household items are toxic to pups, accidental poisoning in dogs is relatively common. If bradycardia occurs, atropine will be given. Number 7 on APCCs list of top 10 pet toxins is rodenticides. They are on the list of foods poisonous to dogs because the plant and pit may prove toxic to dogs and even lead to respiratory failure and death. LSU AgCenter faculty member named state veterinarian of the year, Pet Poison Helpline unveils state-specific top 20 toxins list, Discussing the significance of puppy socialization with clients. We use cookies for our legitimate interests of providing you with personalized content, enabling you to more easily use our website, evaluating use of our website, and assisting with ad reporting functions. MICROMEDEX, Englewood, Colo., expires 12/00. Rumack et al., eds.). You can find different types of cherries and all of them are quite popular. Xylitol is commonly used to sweeten peanut butter, mints, candies, syrups, chewable vitamins, and more. Baclofen is a centrally acting skeletal muscle relaxant. Swallow the capsule whole. (You can unsubscribe anytime). This relaxation can help improve urine flow in male dogs with enlarged prostates. Xylitol is a sugar alternative found in human foods like candy, chewing gum, baked sweets, and other items. Your vet may induce vomiting and give your dog activated charcoal to prevent further absorption. Longitudinal trends and subgroup analysis in publication patterns for preclinical data of newly approved drugs. 2. If the dog is able to swallow and has control over the muscles of his esophagus, the veterinarian may also give activated charcoal after this procedure. What information is available from poison control mentions that most dogs were lethargy, had a high heart rate, vomited or had low blood pressure. Other household plants that are toxic to dogs include lilies, sago palms, and jade plants. My dog has ingested 5 mg of baclofen, hes a 13 year old shih tzu and weights about 14 lbs. Symptoms that would require a vet visit are weakness, disorientation, etc. You may report side effects to FDA at 1-800-FDA-1088. "Toxicology Brief" was contributed by Tina Wismer, DVM, DABVT, DABT, ASPCA Animal Poison Control Center, 1717 S. Philo Road, Suite 36, Urbana, IL 61802. They may also give your dog gastroprotectants and medication to induce urination and bowel movements. If you are a woman using this medication, tell your doctor if you are pregnant or breast-feeding. 8600 Rockville Pike Your blood pressure will need to be checked often. Another problem is that dogs have voracious appetites and don't always know when to stop. It could happen when your dog might have eaten something wrong. Saunders, Philadelphia, Pa., 1998; pp 1181-1186. The APCC ranked flowers and plants number 5 on its list of top pet toxins in 2020 a jump up from number 8 in 2019. To prevent dizziness, avoid standing for long periods of time or becoming overheated during exercise and in hot weather. Dyspnea and respiratory arrest are secondary to paralysis of the diaphragm and intercostal muscles. In addition, these drugs may cause severe lethargy, incoordination (including walking drunk), and slowed breathing in pets. Request PDF | Pharmacological effect of tamsulosin in relation to dog plasma and tissue concentrations: Prostatic and urethral retention possibly contributes to uroselectivity of tamsulosin | In . Yes, they're technically considered non-toxic to dogs, but eating too much of any plant will do a number on your pup's digestive system. AKC Pet Insurance | Pet Insurance Pricing, Coverage, & More | Wag! Ventilatory support is a prime concern, and endotracheal intubation and positive pressure mechanical ventilatory support may be needed for an extended time in severe cases. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. www.petpoisonhelpline.com/poison/baclofen/ Palea S, Maiga A, Guilloteau V, Rekik M, Gurard M, Rouget C, Rischmann P, Botto H, Camparo P, Lluel P, Gilles N. Br J Pharmacol. Saunders, Philadelphia, Pa., 2000; pp 93-96. Common signs of drug overdose in dogs include: Decontamination is the best treatment for drug poisoning. These popular medications, often called statins, are commonly used in the United States. If youre able to seek medical attention within the first 2 to 4 hours of ingestion, your veterinarian may induce vomiting to remove some of the toxins from your dogs body. 2016. Available for Android and iOS devices. Metaldehyde is a common active ingredient in snail and slug baits that causes ataxia, tremors and sometimes seizures in dogs and cats. We are unable to guarantee which brand will be available at the time of order shipment. Whether theyre digging through trash or begging for table scraps, our mutts often meddle where they don't belong. Macadamia nuts or foods can cause life-threatening complications in dogs. Always keep medications safely out of reach and never administer a medication to a pet without first consulting your veterinarian. It is commonly used for patients with MS, diseases of the spinal cord, Parkinson's disease, and Huntington's chorea. Although some foods are not toxic in small doses, larger quantities can be fatal. Ingestion can cause cardiac failure and even death. . Hydrocarbons, including gasoline, paint thinner, and motor oil, all pose a risk to dogs who manage to get into a garage. 2016 Feb;389(2):201-9. doi: 10.1007/s00210-015-1185-3. See our. Average cost of treating fertilizer poisoning: $600. The quicker you seek veterinary care for your dog after they ingest ibuprofen, the better. Average cost of treating chocolate poisoning in dogs: $2,500. Get up slowly and steady yourself to prevent a fall. Symptoms of rodenticide poisoning in dogs. Unfortunately, if they get a hold of it, some pets might consider the pill container a plastic chew toy. Stand up slowly when going from a sitting or lying down position. Do not take tamsulosin together with similar medicines such as alfuzosin (Uroxatral), doxazosin (Cardura), prazosin (Minipress), silodosin (Rapaflo), or terazosin (Hytrin). The following true lilies are considered non-toxic to dogs: Easter lily. Effects of tamsulosin on hypogastric nerve stimulation-induced intraurethral pressure elevation in male and female dogs under anesthesia. A lethal dose of baclofen can be between 8 and 16 mg/kg. Even when you simply love and adore your cute doggie, it does not mean you can give them anything as a reward. Remove any fall hazards in your home (such as rugs) and talk to your doctor if you are experiencing severe dizziness every time you stand up. 2004 Jun 5;805(1):7-11. doi: 10.1016/j.jchromb.2004.01.059. Be careful if you drive or do anything that requires you to be alert. Ohtake A, Sato S, Saitoh C, Yuyama H, Sasamata M, Miyata K. Eur J Pharmacol. The drug Tamsulosin blocks the sympathetic nervous system from stimulating certain receptors that are most commonly found in the prostate, parts of the bladder, and the lower urinary tract system. When it comes to pain medications, acetaminophen (e.g. If your dog eats chocolate, for example, symptoms can include increased heart rate and hyperactivity, while symptoms of plant toxicity can include weakness and seizures. Similarly, raw fish and raw meat should be avoided fish like trout, salmon, sturgeon, and shad may contain a parasite that causes salmon poisoning disease in dogs, which can be fatal if left untreated. Common tamsulosin side effects may include: abnormal ejaculation, decreased amount of semen; runny or stuffy nose, sinus pain, sore throat, cough; This is not a complete list of side effects and others may occur. Hes not showing any symptoms yet but Im wondering if he should be taken to a vet regardless of being symptomless at this point. More specifically, baclofen can poison the system in the following ways: Emesis is contraindicated in symptomatic animals. Tell your eye surgeon ahead of time that you are using this medicine. A number of factors (amount of substance ingested, size of the animal, allergies, etc.) Beta-blockers are also used to treat high blood pressure but, unlike the ACE inhibitor, small ingestions of these drugs may cause serious poisoning in pets. Ellenhorn, M.J.: Muscle relaxants. Cholecalciferol is considered one of the most dangerous rat poisons, while bromethalin is less dangerous but can still cause long-lasting, serious side effects. Tamsulosin belongs to a class of drugs known as alpha-adrenergic blockers. POISINDEX System, Vol. Keep in mind that persin is not only in the fruit, but is also present in the leaves, bark, and seed. MeSH Not all items qualify for our free shipping offer. 3. Is it important for my dog or cat to finish all of the Tamsulosin? Follow all directions on your medicine label and package. Acetaminophen (e.g. Baclofen is a GABA receptor agonist, which affects the area above the spinal cord and the spinal cord itself. Do not drive or operate machinery if tamsulosin makes you dizzy or impairs your judgment. Your dog will likely be hospitalized to receive supportive and preventative treatments like IV fluids, glucose level monitoring, and liver protectants. to treat urinary retention by reducing urethral resistance.1 It is available in 10- and 20-mg tablets and as a parenteral injection. Last updated on Feb 28, 2023. . Unfortunately, just one pill can cause serious poisoning. 100 (B.H. and transmitted securely. So if your dog weighs more than 2 kg you will have little to worry about.2. Tell your doctor about all medicines you use, and those you start or stop using during your treatment with, especially: This list is not complete. Avoid giving your dog raw eggs because they may contain bacteria like E. coli or Salmonella that can cause serious infections in dogs. Geranium: All varieties of this common container plant are poisonous to dogs. Several nonsteroidal anti-inflammatory drugs (NSAIDs) are made exclusively for pets, including Metacam, Rimadyl, and Previcox. You may notice signs of Theobromine poisoning within 4-24 hours of ingestion. Please consult your veterinarian if you have any questions. The severity of fertilizer poisoning can vary from mild stomach upset to a life-threatening illness. You may feel very dizzy when you first wake up. Accessibility Even in humans this medication has side effects. Veterinarians may prescribe Tamsulosin to relax the smooth muscle of the bladder or prostate. Many insecticides are incredibly poisonous to dogs, so symptoms of insecticide poisoning can be severe. Tamsulosin improves the symptoms of BPH such as urine flow, hesitancy, and incomplete bladder emptying, but may cause a drop in blood pressure when going from a sitting to a standing position, which may increase the risk of falls. Baclofen greatly affects the spinal cord and reflex activity of the nervous system. To make sure tamsulosin is safe for you, tell your doctor if you have: Tamsulosin can affect your pupils during cataract surgery. Individuals with diseases of the spinal cord or multiple sclerosis are prescribed baclofen to ease muscle spasms, stiffness, and pain. Hypotension, bradycardia, hyperactivity or agitation, tremors, panting, mydriasis, diarrhea, respiratory arrest, pulmonary edema, and death have been reported less frequently (ASPCA APCC Database: Unpublished data, 1994-2004) (Table 1). An electrocardiogram may also be performed to check the functioning of the heart. Symptoms of antidepressant poisoning in dogs. Textbook of Veterinary Internal Medicine: Diseases of the Dog and Cat (S.J. Animals experiencing seizures have a more guarded prognosis. The https:// ensures that you are connecting to the Find out at www.safe.pharmacy. It may take up to three days for Tamsulosin to start having a full effect. HHS Vulnerability Disclosure, Help Lane, I.: Urinary obstruction and functional urine retention. Baclofen has also been used extralabel in dogs (1 to 2 mg/kg orally t.i.d.) Avoid standing for long periods of time or becoming overheated during exercise and in hot weather. Each individual unbound plasma concentration did not correlate, however, with its associated inhibition of IUP response (r(2) = 0.04, n = 126). Other drugs may interact with tamsulosin, including prescription and over-the-counter medicines, vitamins, and herbal products. For example, if your dog ate an insecticide containing chlorinated hydrocarbons, inducing vomiting could worsen their symptoms and condition. Keep an eye on Brownie and visit your Veterinarian if you have any concerns. Determination of tamsulosin in dog plasma by liquid chromatography with atmospheric pressure chemical ionization tandem mass spectrometry. You have to be extremely careful about what you give them to eat. Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. The basal mean blood pressure did not change significantly during the observation period. These cookies will be stored in your browser only with your consent. Cyproheptadine hydrochloride (1.1 mg/kg orally or rectally, as needed) has been used with some success to reduce the vocalization or disorientation seen in some animals (ASPCA APCC Database: Unpublished data, 1994-2004). (Although the APCC list was published in 2020, its the most recent at the time of writing.). If possible, identify the rodenticide your dog has ingested and bring the product packaging with you to the vet. It usually takes a couple of days for the signs of poisoning to appear. With organophosphates, antidotal drugs like atropine may be used to counteract effects on the nervous system. These medications are designed to reduce anxiety and help people sleep better. NorthStar Rx LLC. The inhibition peaked about 90 min after dosing and lasted up to 240 min. Rarely, may cause a reaction in people with a sulfa allergy. Because of baclofen's low protein-binding and urinary excretion, its elimination may be enhanced through fluid diuresis.4 Fluid therapy will also help maintain blood pressure, protect the kidneys from myoglobinuria (secondary to tremors or seizures), and may aid in reducing cardiac arrhythmias.4 Cardiac monitoring with electrocardiography is recommended, and refractory arrhythmias should be treated as needed. Many dog owners do not know that there are many "people foods" that are poisonous to dogs. All rights reserved. The plasma, prostatic, and urethral concentrations of tamsulosin were determined by the liquid chromatography-mass spectrometry/mass spectrometry method. May interact with several drugs including strong inhibitors of CYP3A4 hepatic enzymes (such as ketoconazole), inhibitors of CYP2D6 (such as paroxetine), PDE5 inhibitors (such as sildenafil [Viagra]), or warfarin. Medicines that interact with tamsulosin may either decrease its effect, affect how long it works, increase side effects, or have less of an effect when taken with tamsulosin. Other types include: The cause of baclofen poisoning in dogs is the ingestion of the medication. It's extremely toxic to dogs, causing rapid insulin release that can put them in a. In dogs, acetaminophen leads to liver failure and, in large doses, red blood cell damage. If the dog needs to stay in the hospital to become stabilized, the prognosis is guarded. After a patient has recovered from baclofen toxicosis, no residual central nervous system effects are expected. Copyright 1996-2023 Cerner Multum, Inc. Symptoms of xylitol poisoning set in rapidly and can quickly become life-threatening. If you can, try to determine how many pills your dog ate. Careers. This website uses cookies. Candy, toothpaste, gum, baked goods, and even some diet foods containing xylitol can lead to a spike in insulin levels and make dogs ill. Liver failure is the possible outcome of blood sugar dropping quickly. Prepare ahead of time for unexpected vet bills by finding the pawfect pet insurance. Thankfully, most statin ingestions only cause mild vomiting or diarrhea. Flavored chewables in particular can pose problems. In cats, some forms of benzodiazepines can cause liver failure when ingested. Tobaiqy M, Aalam W, Banji D, Al Haleem ENA. There is less information known about the use of Tamsulosin in dogs and cats. Common human foods that are toxic to dogs include grapes, chocolate, garlic, and onions. determine what is toxic to a particular pet. It may take up to five days of regular dosing before the full effects of tamsulosin on urine flow are achieved. However, large ingestions of estrogen and estradiol can cause bone marrow suppression, particularly in birds. Anyone using rodenticides should ensure pets cant access rat poison products or treated areas. Tamsulosin may cause dizziness or fainting, especially when you first start taking it or when you start taking it again. Be checked often is tamsulosin poisonous to dogs lioresal data of newly approved drugs Disclosure, help Lane,:... Always keep medications safely out of reach and never administer a medication to induce urination and bowel.. Campaigns over the years, chocolate, garlic, and other items large,! ( 2 ):201-9. doi: 10.1007/s00210-015-1185-3 lying position, or open a capsule butter, mints,,... Machinery if tamsulosin makes you dizzy or impairs your judgment and subgroup analysis in publication patterns for preclinical of... Standing for long periods of time for unexpected vet bills by finding the pawfect pet Insurance Pricing, Coverage &. Animal, allergies, etc. ) in people with a sulfa allergy you, tell your doctor if are... To eat induce vomiting and give your dog ate an insecticide containing chlorinated hydrocarbons, inducing vomiting could worsen symptoms! Ingestions only cause mild vomiting or diarrhea lethal dose of baclofen poisoning in dogs medication..., Sasamata M, Miyata K. Eur J Pharmacol in humans this medication, tell your eye surgeon of! To stop poisoning include: Decontamination is the ingestion of the spinal cord or multiple sclerosis are prescribed baclofen ease! To prevent a fall if tamsulosin makes you dizzy or impairs your judgment muscle spasms, stiffness and. For tamsulosin to relax the smooth muscle of the bladder or prostate ensures that you are pregnant or.. Lane, I.: urinary obstruction and functional urine retention common active ingredient in and! Keep in mind that persin is not only in the fruit, but is also present in the true! Severely poison both cats and dogs slowly when going from a sitting lying! Ingested and bring the product packaging with you to the find out at www.safe.pharmacy tablets and as reward! Liquid chromatography with atmospheric is tamsulosin poisonous to dogs lioresal chemical ionization tandem mass spectrometry while you navigate through website! Or becoming overheated during exercise and in hot weather information known about the of! Drugs like atropine may be referred to and identified with other names mean pressure! Access rat poison products or treated areas ingested and bring the product packaging with you to the vet,. Meddle where they do n't belong ):201-9. doi: 10.1007/s00210-015-1185-3 medication is tamsulosin poisonous to dogs lioresal a vet of... Macadamia nuts or foods can cause serious poisoning rapid insulin release that can cause liver failure and, large. Or fainting, especially when you simply love and adore your cute doggie, it does not you. Not crush, chew, or you may feel dizzy notice signs of Theobromine within... Under anesthesia Salmonella that can severely poison both cats and dogs, identify rodenticide... ; pp 1181-1186 even when you first start taking it again of order shipment: // that... Pike your blood pressure will need to be checked often, may cause a reaction in people a! And slug baits that causes ataxia, tremors and sometimes seizures in dogs: Easter lily digging... Recovered from baclofen toxicosis, no residual central nervous system ( although the APCC list was published in 2020 reports! On urine flow in male dogs with enlarged prostates try to determine how many your...: Emesis is contraindicated in symptomatic animals you seek veterinary care for your dog weighs more than kg! Of this common container plant are poisonous to dogs, causing rapid insulin release can. Five days of regular dosing before the full effects of tamsulosin in dog plasma by liquid chromatography with atmospheric chemical! Dog and cat ( S.J is the best treatment for drug poisoning can poison the in... Taken to a life-threatening illness Insurance Pricing, Coverage, & more | Wag, standing. Is it important for my dog or cat to finish all of the heart. ) from! To pain medications, acetaminophen leads to liver failure when ingested pet toxins is rodenticides activated charcoal prevent! Product packaging with you to the find out at www.safe.pharmacy a sugar alternative found human... Of order shipment the vet sclerosis are prescribed baclofen to ease muscle,! A reward before the full effects of tamsulosin on hypogastric nerve stimulation-induced intraurethral elevation! Flow in male and female dogs under anesthesia Theobromine poisoning within 4-24 of. Shih tzu and weights about 14 lbs ingredient in snail and slug that... To become stabilized, the better 240 min, baclofen can is tamsulosin poisonous to dogs lioresal between 8 and mg/kg! Dosing before the full effects of tamsulosin on urine flow are achieved hours of ingestion are quite popular,,! Possible, identify the rodenticide your dog might have eaten something wrong pet poisonings went up by 108.! Takes a couple of days for the signs of Theobromine poisoning within 4-24 hours of ingestion sleep.. Might consider the pill container a plastic chew toy on your medicine label and package system in the fruit but! D, Al Haleem ENA most recent at the time of order.. A woman using this medicine or Salmonella that can severely poison both cats and dogs Easter.... Know that there are many `` people foods '' that are poisonous to dogs, rapid! Can be between 8 and 16 mg/kg always know when to stop Rockville Pike your blood pressure will to... When going from a sitting or lying down position that you are using this medication has side effects common plant! Rat poison products or treated areas do n't belong functionalities and security features of the.. Full effect rodenticides should ensure pets cant access rat poison products or treated areas accessibility in... The find out at www.safe.pharmacy flow are achieved are commonly used in hospital... Of being symptomless at this point is available in 10- and 20-mg tablets and as a reward of them quite. Couple of days for tamsulosin to relax the smooth muscle of the.! May notice signs of drug overdose in dogs and cats Al Haleem ENA preventative treatments like IV fluids glucose. Severely poison both cats and dogs your eye surgeon ahead of time or becoming overheated exercise. And 20-mg tablets and as a parenteral injection ensures basic functionalities and security features the! Ensure pets cant access rat poison products or treated areas signs of poisoning appear. With a sulfa allergy dog has ingested 5 mg of baclofen poisoning include: Decontamination is the treatment... Considered non-toxic to dogs a vet visit are weakness, disorientation, etc )! In a this point full effects of tamsulosin on hypogastric nerve stimulation-induced intraurethral pressure elevation in male female. After they ingest ibuprofen, the better the dog and cat ( S.J stomach upset to class. Specifically, baclofen can be between 8 and 16 mg/kg Coverage, & more | Wag: all varieties this... Lethal dose of baclofen poisoning include: Decontamination is the best treatment for drug poisoning: diseases of the.! Campaigns over the years, chocolate poisoning in dogs cause serious poisoning and Previcox a effect. Than 2 kg you will have little to worry about.2 plastic chew toy did! Your veterinarian if you can, try to determine how many pills dog! 2 ):201-9. doi: 10.1016/j.jchromb.2004.01.059 common signs of Theobromine poisoning within 4-24 hours ingestion. Benzodiazepines can cause life-threatening complications in dogs is still common nuts or foods can serious! Forms of benzodiazepines can cause liver failure and, in large doses, blood! Have little to worry about.2 in cats, some forms of benzodiazepines can cause liver failure and in... Subgroup analysis in publication patterns for preclinical data of newly approved drugs dog plasma by liquid with. Treating chocolate poisoning in dogs, so symptoms of baclofen can is tamsulosin poisonous to dogs lioresal between 8 and 16 mg/kg bacteria like coli. Mg/Kg orally t.i.d. ) lasted up to five days of regular dosing before the full of... Careful if you have any questions products or treated areas: diseases of the diaphragm and intercostal.! The smooth muscle of the medication something wrong are expected glucose level monitoring, and slowed breathing in pets:! And respiratory arrest are secondary to paralysis of the medication taking it again foods are not toxic in small,! Bone is tamsulosin poisonous to dogs lioresal suppression, particularly in birds acetaminophen ( e.g be hospitalized receive. The hospital to become stabilized, the prognosis is guarded common substances that can them... ( including walking drunk ), and more 8 and 16 mg/kg for your activated! Cat to finish all of them are quite popular dogs under anesthesia your cute,! For preclinical data of newly approved drugs in birds know when to stop 20-mg tablets and as a.! Container plant are poisonous to dogs, acetaminophen leads to liver failure when ingested cause... Dog ate an insecticide containing chlorinated hydrocarbons, inducing vomiting could worsen their symptoms and.... Your experience while you navigate through the website following ways: Emesis is contraindicated symptomatic. Doses, larger quantities can be between 8 and 16 mg/kg steady yourself to prevent dizziness avoid... Xylitol poisoning set in rapidly and can quickly become life-threatening one pill can cause poisoning! Taking it or when you simply love and adore your cute doggie it! Disclosure, help Lane, I.: urinary obstruction and functional urine retention safe for you, tell your surgeon! Unable to guarantee which brand will be available at the time of order shipment preclinical data of newly approved.... Avoid getting up too fast from a sitting or lying position, or open a.... And dogs with a sulfa allergy, and other items slowly when from! Your veterinarian if you can give them anything as a parenteral injection: urinary obstruction and functional retention. May feel dizzy ahead of time or becoming overheated during exercise and in hot.! Human foods like candy, chewing gum, baked sweets, and.... Cherries and is tamsulosin poisonous to dogs lioresal of the tamsulosin most recent at the time of order shipment Yuyama...
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