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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 28526
Experience:  University of California at Davis graduate veterinarian with 45 years of experience
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My 4.5lb puppy just ate a preparation H 25mg suppository...

Customer Question

My 4.5lb puppy just ate a preparation H 25mg suppository... Not sure what to do?!?! Is this toxic?
JA: I'm sorry to hear that. Did you see what the dog ate?
Customer: Yes a Preparation H suppository 25mg
JA: Is there anything else important you think the Veterinarian should know about the dog?
Customer: Hydrocortisone acetate 25 mg suppository
JA: OK. Got it. I'm sending you to a secure page on JustAnswer so you can place the $5 fully-refundable deposit now. While you're filling out that form, I'll tell the Veterinarian about your situation and then connect you two.
Submitted: 1 year ago.
Category: Dog Veterinary
Expert:  Dr. Michael Salkin replied 1 year ago.

Beth, is there another active ingredient such as phenylephrine in that suppository? I'm not aware of a Preparation H suppository containing hydrocortisone although other brands do. If that's the only ingredient nothing need be done because hydrocortisone is a very weak glucocorticosteroid and the most I'd expect in your pup is transient gastrointestinal distress in the form of inappetence, vomiting and/or diarrhea after ingesting such an unusual "food".

Customer: replied 1 year ago.
Cocoa butter, shark liver oil and phenyl epitome hcl
Customer: replied 1 year ago.
Should I induce vommiting
Expert:  Dr. Michael Salkin replied 1 year ago.

Yes, with just 5 mL (one measuring teaspoon) of 3% hydrogen peroxide given with an eyedropper or small poultry baster between your puppy's cheek teeth and cheek. He/she should vomit within 15 minutes. If not, repeat the same dose.

Customer: replied 1 year ago.
Then what after she vomits?
Expert:  Dr. Michael Salkin replied 1 year ago.

Nothing is needed to be done after she vomits. My primary concern is the phenylephrine but its bioavailability by the oral route is very small and so I expect your puppy to remain safe.

Customer: replied 1 year ago.
I have no hydrogen peroxide & I looked closely at the suppository looks like she probably only got about 1/2 of it... She is sleeping peacefully & hearttste is normal... I will have her sleep in my room
Expert:  Dr. Michael Salkin replied 1 year ago.

I agree. Leave her alone. She should do nicely. I can't set a follow-up in this venue so please return to our conversation - even after rating - with an update at your convenience. You can bookmark this page for ease of return.

Expert:  Dr. Michael Salkin replied 1 year ago.

I'm just following up on our conversation about your pet. How is everything going?

Dr. Michael Salkin