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Welcome to Justanswer! I am Dr. Altman and happy to assist you both this eveningFrom what I have reviewed of this cough drop there is no xylitol nor benzocaine is this correct?
While many times cough drop exposures will amount to nothing more than gastrointestinal upset, the drops can contain ingredients that create more serious consequences.
Most cough drops contain sugar, menthol, eucalyptus oil, colors, and flavors – ingredients that all may cause gastrointestinal upset. Obstruction may be a concern as well, depending on the number of drops ingested, the size of the pet and whether wrappers were also ingested.
Infrequently, xylitol may be found in cough drops. Xylitol can cause hypoglycemia and possible liver injury depending on the amount present in the cough drops and how many were ingested.
Another ingredient of concern is benzocaine. Benzocaine most often causes gastrointestinal upset; however, benzocaine is metabolized into compounds which are capable of causing methemoglobinemia at high doses.
Being a local anesthetic, benzocaine will numb the throat when swallowed or the mouth if chewed. This can pose a risk for aspiration, particularly in those patients that may be more susceptible to aspiration.
So we can elect to induce vomiting to remove the drops from her stomach and minimize the gi side effects the next 24-48 hours with 1 tbsp 3% hydrogen peroxide or simply elect to monitor as long as there is no xylitol nor benzocaine within the productIf you elect to monitor please no food tonight, water in moderation is alright- Pepcid 10 mg every 12 hours x 3 days to settle the stomach- Bland diet of white rice and lean boiled meat such as chicken the next few days which is bland yet bulkingIf there is any gi upset then it should pass in the next few days but if there is continued vomiting, diarrhea, blood in the vomit or diarrhea, lethargy, reduced appetite please consider a veterinary examI hope this information makes sense but please let me know how else I can assist you both tonight. I am online another 15 minutes this evening
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Good afternoon, I wanted to check in on you both to see how your Boston is doing after ingesting the cough drops yesterday? Was there any gi upset? I would love an update when you are able and if you could please rate with the stars on the top of the screen or type out your rating (excellent, good, fair) in our chat I would appreciate it so I can be compensated for my time.Thank you!