By Dr. Sara Lash
Below is a list of the top 10 human medications most frequently ingested by pets, along with some tips on how to prevent pet poisoning from human medications. This list comes from calls received at Pet Poison Helpline.
NSAIDs
Topping the list are common household medications called nonsteroidal anti-inflammatories, which include common names such as ibuprofen (e.g., Advil and some types of Motrin) and naproxen (Aleve). While these medications are safe for people, even one or two pills can cause serious harm to a pet. Dogs, cats, birds and other small mammals (ferrets, gerbils and hamsters) may develop serious stomach and intestinal ulcers as well as kidney failure.
Acetaminophen
When it comes to pain medications, acetaminophen (e.g., Tylenol) is certainly popular. Even though this drug is safe, even for children, this is not true for pets — especially cats. One regular strength tablet of acetaminophen may cause damage to a cat’s red blood cells, limiting their ability to carry oxygen. In dogs, acetaminophen leads to liver failure and, in large doses, red blood cell damage.
Antidepressants
While antidepressant drugs are occasionally used in pets, overdoses can lead to serious neurological problems such as sedation, incoordination, tremors and seizures. Some antidepressants also have a stimulant effect, leading to a dangerously elevated heart rate, blood pressure and body temperature. Pets, especially cats, seem to enjoy the taste of Effexor and often eat the entire pill. Unfortunately, just one pill can cause serious poisoning.
ADD/ADHD medications
Medications used to treat attention deficit disorder or attention deficit/hyperactivity disorder contain potent stimulants such as amphetamines and methylphenidate. Even minimal ingestions of these medications by pets can cause life-threatening tremors, seizures, elevated body temperatures and heart problems.
Benzodiazepines and sleep aids
Sleep medications (e.g., Xanax, Klonopin, Ambien and Lunesta) are designed to reduce anxiety and help people sleep better. In pets, however, they may have the opposite effect. About half of the dogs who ingest sleep aids become agitated instead of sedate. In addition, these drugs may cause severe lethargy, incoordination (including walking “drunk”) and slowed breathing in pets. In cats, some forms of benzodiazepines can cause liver failure when ingested.
Birth control
Birth control pills (e.g., estrogen, estradiol and progesterone) often come in packages that dogs find irresistible. Thankfully, small ingestions of these medications typically do not cause trouble. But large ingestions of estrogen and estradiol can cause bone marrow suppression, particularly in birds. Additionally, female pets that are not spayed are at an increased risk of side effects from estrogen poisoning.
ACE inhibitors
Angiotensin-converting enzyme inhibitors (e.g., Zestril and Altace) are commonly used to treat high blood pressure in people and occasionally pets. Though overdoses can cause low blood pressure, dizziness and weakness, this category of medication is typically quite safe. Pets ingesting small amounts of this medication can potentially be monitored at home, unless they have kidney failure or heart disease. All heart medications should be kept out of reach of pets.
Beta-blockers
Beta-blockers (e.g., Tenormin, Toprol and Coreg) are also used to treat high blood pressure but, unlike the ACE inhibitors, small ingestions of these drugs may cause serious poisoning in pets. Overdoses can cause life-threatening decreases in blood pressure and a very slow heart rate.
Thyroid hormones
Pets — especially dogs — get underactive thyroids too. Interestingly, the dose of thyroid hormone needed to treat dogs is much higher than a person’s dose. Therefore, if dogs accidentally get into thyroid hormones (e.g., Armour desiccated thyroid and Synthroid) at home, it rarely results in problems. However, large acute overdoses in cats and dogs can cause muscle tremors, nervousness, panting, a rapid heart rate and aggression.
Cholesterol-lowering agents
Often called “statins,” cholesterol-lowering agents (e.g., Lipitor, Zocor and Crestor) are commonly used in the U.S. While pets do not typically get high cholesterol, they may still get into the pill bottle. Thankfully, most statin ingestions only cause mild vomiting or diarrhea. Serious side effects from these drugs come with long-term use, not one-time ingestions.
Always keep medications safely out of reach and never administer a medication to a pet without first consulting your veterinarian. Never leave loose pills in a plastic bag; the bags are too easy to chew into. Make sure visiting houseguests do the same, keeping their medications high up or out of reach. If you place your medication in a weekly pill container, make sure to store the container in a cabinet out of reach of your pets. Unfortunately, if they get a hold of it, some pets might consider the pill container a plastic chew toy.
Never store your medications near your pet’s medications; veterinarians frequently receive calls from concerned pet owners who inadvertently give their own medication to their pet.
Hang your purse up. Inquisitive pets will explore the contents of your bag, and simply placing your purse up and out of reach can help to avoid exposure to any potentially dangerous medications. It is also important to note that while a medication may be safe for children, it may not be safe for animals. Pets metabolize medications very differently from people. Even seemingly benign over-the-counter or herbal medications may cause serious poisoning in pets.
If your pet has ingested a human over-the-counter or prescription medication, please call your veterinarian immediately.
Dr. Sara Lash is a veterinarian with Healthy Pets Mobile Vet.
We believe that reader interaction is a valuable feature on our website and aim to foster an online community that is enriching, robust and respectful. We reserve the right to remove any comment that contains profanity or obscenity; is an advertisement for services or a solicitation of funds; contains a personal attack or a threat; or is unrelated to the story.