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Salkin only* Salkin, Just a couple questions/concerns i

Customer Question
for Dr. Salkin only* Hey Dr...
for Dr. Salkin only*
Hey Dr. Salkin,
Just a couple questions/concerns i needed to address.
One being the potential side effects of capstar and comfortis. They sound pretty awful : (
The second being that comfortis is something like $120 and capstar is like $30 for the 6 pills.
Thoughts?
Submitted: 2 years ago.Category: Dog Veterinary
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Answered in 13 minutes by:
1/15/2016
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 2 years ago
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 31,773
Experience: University of California at Davis graduate veterinarian with 45 years of experience
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The following is from Plumb's Veterinary Drug Handbook, 8th Ed., Plumb, 2015...

Capstar: "Nitenpyram is usually tolerated well, but serious adverse effects have been reported. Based on poast=approval adverse drug experience reporting, the following adverse events (listed in decreasing order of frequency) have been reported: Lethargy/depression, vomiting, itching, decreased appetite, diarrhea, hyperactivity, incoordination, trembling, seizures, panting ,allergic reactions including hives, vocalization, salivation, fever, and nervousness. The frequency of serious signs, including neurologic signs and death, was greater in animals under 2 pounds of body weight, less than 8 weeks of age, and/or reported to be in poor body condition."

Comfortis: "Spinosad appears to be very well tolerated in dogs...will not show any adverse effects after dosing. The following adverse reactions are possible and based on post-approval adverse drug event reporting (listed in decreasing order of frequency): vomiting, depression/lethargy, anorexia, ataxia, diarrhea, pruritis, trembling, hypersalivation and seizures."

$120/month (you should be able to find it for less) for Comfortis. $30 for every other day dosing for 12 days or $75 for every other day dosing/month.

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Customer reply replied 2 years ago
Every other day dosing? I thought comfortis was one pill a month?
So as far as the side effects go, should i be concerned or am i most likely good to go with either one?
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 2 years ago

Sorry. The Comfortis is once monthly. The Capstar can work well when given every other day.

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Customer reply replied 2 years ago
I really dont like the idea of him having seizures or anything else for that matter just to kill fleas. That makes NO sense to me. Its just causing more, larger problems than the original issue.
Customer reply replied 2 years ago
the capstar is every other day? So the 6 pills would be per month not for 6 months?
This is all superbly beginning to stress me out, i really dont know what to do at this point. I almost feel like hes better off the way he is than going down either of those roads.
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 2 years ago

6 pills every other day carries him through 12 days. 15 pills every other day carries him through the month. Yes, it's a matter of picking your poison.

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Customer reply replied 2 years ago
Wait, what do you mean 15 pills every other day? I thought it was 6 pills with capstar and 1 a month with comfortis?
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 2 years ago

If you want to treat for a full month every other day, you'll need 15 Capstars. There's no rule how long to treat. You may find that just 6 pills every other day does the trick. You don't have a choice with Comfortis. One dose is going to last a month.

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Customer reply replied 2 years ago
Jesus thats too many pills with the capstar. Do you see any of the side effects actually come about with the comfortis though?
Im seriously wondering if i should even risk either of em.
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 2 years ago

The most common side effect I see with spinosads is vomiting soon after administration. It usually passes within 24 hours.

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Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 2 years ago
Hi,
I'm just following up on our conversation about your pet. How is everything going?
Dr. Michael Salkin
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Dr. Michael Salkin
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 31,773
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Experience: University of California at Davis graduate veterinarian with 45 years of experience

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