Please look at http://www.dermapet.com to see our many updates, Protocols including the popular TrizEDTA Bacterial Otitis Protocol (Step 6 in the SEVEN Steps to Treating Ears), the Pruritic Clinical Trial, previous Newsletters and articles. THE NEW BROCHURE IS ON LINE. This month, Lou Gotthelf has contributed a short essay on Zithromax use in vet med. By popular demand, the Malassezia vs Pseudomonas otitis protocols will be repeated.
Please go to http://www.dermapet.com or call 800-755-4738 for DIRECT sales. We also sell via select distributors such as Burns (http://www.burnsvet.com,) NLS (http://www.nlsanimalhealth.com), MWI (http//www.mwivet.com), Penn Vet, PVP, Merritt, Premier, R.. Weinstein (Hawaii), TW Vet Supply, Vet Med Supply and Vetpo. We now can provide you a dominant distributor anywhere you may be in the USA (including Alaska and Hawaii). We are also available in Japan, Thailand, Taiwan, Korea and soon in Europe.
We hope to see you at The NAVC in Orlando (Booth 714). We are pleased to announce that DermaPet will be the sponsor of the Ear DLE (Defined Learning Experience) at the The NAVC this year. We will be at the Penn Conference on January 31, the Texas VMA meeting (booth 318) in Houston on February 1-4, the Western States meeting (First Level Booth 812) in Las Vegas and then the Midwest meeting in Columbus, OH (Booth # 627).
ZITHROMAX USE IN DOGS AND CATS
Lou Gotthelf DVM
Author of "Small Animal Ear Diseases: An Illustrated Guide" by Saunders
In the fight against bacterial ear disease, many practitioners want a good systemic antibiotic to choose. Many prescribe a fluoroquinolone such as Baytril (Bayer) or Orbax (Schering-Plough) or even Zenequin (Pfizer).
For non-Pseudomoans ear disease in dogs and cats, I sometimes use a new antibiotic called Zithromax (Pfizer). It is a macrolide antibiotic very closely related to erythromycin with some major differences. First, Zithromax does not cause the GI side effects see with erythromycin. Second, it has a very long half-life and can be given every other day in the cat and every 3rd day in the dog. And third, it is an intracellular antibiotic. It has a low serum level, but a very high tissue level. It is found in high concentrations in neutrophils, so it can be delivered into a site of inflammation readily.
It is indicated for infections caused by Staph, Strep, and many gram negative infections. In addition it is indicated for many intracellular organisms such as Chlamydia and Mycoplasma, and has a bactericidal effect against Bordetella.
It is used in dogs for Staphylococci skin infections at a dose of 5mg/lb. every three days. Zithromax tablets contain 250mg of azithromycin so one tablet every 3 days will treat a Staph. pyoderma.
For cats with suspected Chlamydia or otitis, pediatric Zithromax suspension is available which contains either 600mg or 1200 mg azithromycin. Small aliquots of 80mg of the dry powder can be pre made. When ready for use 1 1/2 cc of sterile water is added to make 2cc of zithromax. Then 1cc per 8lbs. is given for 2 doses.
Many cases of bacterial otitis and pyoderma will resolve when Zithromax is used as the antibiotic. It has become my treatment of choice for chronic snuffling cats. It is especially useful for the hard to treat patient because it can be given infrequently.
New Products **DentAcetic * *Wet Wipes in Clinic Size**
DentAcetic(tm) Natural Toothgel with Sodium hexametaphosphate. You may ask, "Why vinegar in a dental product? " DentAcetic will be the FIRST BRIGHTENER on the pet market, it has a broad range of antimicrobial activity, is an excellent degreaser and non-toxic-especially as compared to chlorhexidine which also has been reported to cause teeth staining as well as miscellaneous tissue reactions. The Sodium hexametaphosphate is to prevent calculus formation. As a side note, this product has been under development and testing for over 2 years with veterinary dentists.
The MalAcetic Wet Wipes are NOW available as Laser Wipes (conceived of by DANIEL FIELDS of ESC/ Sharplan aka Luxar). They are also in a CLINIC SIZE which will be 33% stronger and 25% larger at 6 by 7 inches in 100 towelette containers. We are taking orders for the Clinic Size MalAcetic Wet Wipes NOW. The Special Introductory price is $13.99 per bottle in boxes of 6. **BUY 5 and get the 6th FREE**
Yada, Yada, Yada
The DermaPet booth at the The NAVC will be "guest-staffed" at least part time by Jessica Melman (UP'03) who will attend with other Penn classmates. Congratulations to Paul Pion and all VINers on their 10th anniversary, which they will celebrate at a party at The NAVC.
ALAN GARETT'S (Corpus Christi) very own web page http://www.ihatealangarett.com is doing well. Alan will be at the DermaPet booth for the TVMA (Houston), AAHA (San Antonio) and Las Vegas (Western States) this year.
The AVSAB (American Veterinary Small Animal Behaviorists) have been maintaining a list-serv. For those of you want to join it contact creaturecope@netzero.net and/or subscribe to avsab@egroups.com.
MedRx is offering CE doing their EAR Seminars on the road next in Cincinnati on March 4. Be there to hear LOU GOTTHELF teach you the latest, state of the art otology. Ears represent the #1 complaint of pet owners to vets (VPI insurance claims, 2000). Call Kenny Keith at 888-392-1234 to register or find out when one is coming near you.
Malassezia and Bacterial Otitis PROTOCOLS
While it is true that the acetic/boric acid products have efficacy against Pseudomonas, they are actually FIRST LINE topical treatment while the TrizEDTA (Step 6) remains the best protocol for treatment after the acetic/boric acid is used using Step 3b or Step 4 (See the Seven Steps to Treating Ears under Protocols at http://www.dermapet.com). BOTH OF THESE PRODUCTS CAN BE USED IF THERE IS A RUPTURED TYMPANUM.
For prevention of Pseudomonas, one could use a variety of protocols. My favorite is a mixture of TrizEDTA on days 1 and 4 and the Ear/Skin (acetic/boric acids) on days 3 and 6. This also gives you prevention AND maintenance therapy against Malassezia.
Malassezia protocols use Steps 1 through 4 which use the acetic/boric acid product. For prevention of SWIMMER'S EAR and most Malassezia cases, it is best to clean the ear once or twice weekly with the acetic/boric acid Ear/Skin Cleanser.
The addition of BORIC acid to the acetic acid is what adds cidal ability to the normal static killing ability of acetic acid. This is proven in-vivo in Benson's article (See ARTICLES at the web site).
Do NOT be misled by various forms of misinformation as to why certain companies do not use boric acid with acetic acid. The reality is that DermaPet holds a patent on this combination.
SPECIALS
NEW *** BUY ANY FIVE 16 ounce bottles and/or the NEW CLINIC Size MalAcetic Wet Wipes and our NEW 16 ounce MalAcetic Shampoo and Conditioner and get the 6th FREE**** (not including the Ear/Skin Cleanser)
Buy 10 new Laser Wipes and get 2 FREE
Mix and match any of our gallons - Buy 3 get 1 FREE -
Plus Buy 3 cases of any 2 Products and receive a FREE Book, Skin Diseases of Dogs and Cats.
Buy 5 cases of anything and receive the FREE book (one time only) and a FREE Gallon of MalAcetic Shampoo.
JOB OPPORTUNITY If you are looking to be our rep in Texas (Southwest) or California (West Coast) and do not work for one of our distributors then please contact us.
DermaPet IS the largest veterinary dermatologic company in virtual reality and the fastest growing. Our Newsletter list, now approaching 11,000 is the largest in the industry with another 7,000 posted indirectly and countless more that read it reposted in newsgroups or lists. Those who receive this newsletter and wish to pass it along to colleagues, please do.
And from out good friends at VIN:
"Don't forget to look for DermaPet as a Featured Company on VIN's Industry Partners Site, an electronic exhibit hall providing 6,000 plus VIN members and all online veterinarians, access to current information from over 900 companies, manufacturers and distributors of the products and services they use daily.
| Steven Melman VMD DermaPet Animal Dermatology and Behavior Clinics Potomac, MD 20854 |
dermapet@aol.com http://www.dermapet.com 800-755-4738 fax 301-365-0191 |
8909 Iverleigh Court 
Potomac, Maryland 20854
301-983-8387 800-755-4738 Fax 301-365-0191
E-mail dermapet@aol.com