Dog Veterinary

Ask a Dog Vet and Get Answers to Your Dog Health Questions

Ask a Dog Veterinarian,
Get an Answer ASAP!

Dog Veterinary

My 10-year old female Shih Tzu/Bichon Frise mix was

Customer Question
diagnosed a few weeks ago...
My 10-year old female Shih Tzu/Bichon Frise mix was diagnosed a few weeks ago with Keratoconjunctivitis Sicca (KCS). My veterinarian prescribed Optimmune, and my pet's eyes responded well to the treatment. However, I am a 66 year old man living alone, and my pet struggles violently when I administer treatment. Her sister has been on compounded Cyclosporine 1.0 % ophthalmic solution for over 3 years for KCS, and is doing very well. I have 2 questions: (1) Is there a compounded Cyclosporine dosage equivalent (e.g., 0.2%, 1.0 %, etc.) for Optimmune? (2) Is there any medical reason or matter of law why my pet could not be switched from Optimmune to compounded Cyclosporine after responding favorably to Optimmune?
Submitted: 1 year ago.Category: Dog Veterinary
Show More
Show Less
Ask Your Own Dog Veterinary Question
Answered in 3 minutes by:
11/15/2016
Dog Veterinarian: Kelly Hill, Dog Veterinarian replied 1 year ago
Kelly Hill
Kelly Hill, Dog Veterinarian
Category: Dog Veterinary
Satisfied Customers: 701
Experience: full time veterinarian at Tender Touch Veterinary Hospital
Verified

Hi this is Dr. Hill. There is no legal reason why you cannot switch Frisky over to the compounded version. How it is compounded may make a mild difference in response. The only way to know is to do a trial with the compounded medication in the same concentration as the opt immune. Many dogs do well with the compounded generic. Please ask any follow up questions. You can continue posting on this thread for several days, even after rating my response. Take care.

Ask Your Own Dog Veterinary Question
Customer reply replied 1 year ago
Going back to my 1st question, Optimmune is 0.2% in units "w/w" while compounded Cyclosporine is in units "w/v." So, what is the % compounded Cyclosporine equivalent to Optimmune? Regarding my 2nd question, there is a federal statute, 21 CFR 530.13, that basically states that if there is an FDA-approved drug that works, you can't switch to a compounded version. So, if my veterinarian has already demonstrated that Optimmune works, does this law prevent us from switching from Optimmune to a compounded Cyclosporine? The law is quoted below:21 CFR 530§530.13 Extralabel use from compounding of approved new animal and approved human drugs.(a) This part applies to compounding of a product from approved animal or human drugs by a veterinarian or a pharmacist on the order of a veterinarian within the practice of veterinary medicine…(b) Extralabel use from compounding of approved new animal or human drugs is permitted if:

(2) There is no approved new animal or approved new human drug that, when used as labeled or in conformity with criteria established in this part, will, in the available dosage form and concentration, appropriately treat the condition diagnosed.
Ask Kelly Hill Your Own Question
Kelly Hill
Kelly Hill
Kelly Hill, Dog Veterinarian
Category: Dog Veterinary
Satisfied Customers: 701
701 Satisfied Customers
Experience: full time veterinarian at Tender Touch Veterinary Hospital

Kelly Hill is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found "JustAnswer" on my Google search -- you are now in my "Favorites" list! And, yes we do love our kitty - she makes our life complete!

Bev & GeorgeBoca Raton, FL

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Debbie

Dr. Debbie

Dog Veterinarian

902 satisfied customers

Companion animal veterinarian practicing for over 10 years.

Dr. Andy

Dr. Andy

Medical Director

16,087 satisfied customers

UC Davis graduate, emphasis in dermatology, internal medicine, pain management

Dr. Gary

Dr. Gary

Dog Veterinarian

9,949 satisfied customers

DVM, Emergency Veterinarian, BS (Physiology)

Dr Scott Nimmo

Dr Scott Nimmo

Dog Veterinarian

9,704 satisfied customers

BVMS, MRCVS. { Glasgow UK }

Dr. Scott

Dr. Scott

Veterinarian

9,615 satisfied customers

15 years of small animal, equine and pocket pet medicine and surgery.

Dr. Bruce

Dr. Bruce

Veterinarian

8,945 satisfied customers

15 years of experience as a small animal veterinarian

Rebecca

Rebecca

Dog Veterinarian

7,442 satisfied customers

More than 30 years of companion animal practice.

< Previous | Next >

Related Dog Veterinary Questions
I took my shih tzu Katie to the ver. She was & is congested
She was & is congested in her sinuses, with one nostril running, so she gave her clinacin because she thought that it may be a tooth problem since her gums by the one tooth have receeded a bit. However since starting the Clinacin, her appetite has decreased drastically now, which wasn't the case prior to the meds she was eating great, she sounded like she had a cold, but now she's showing labored breathing, and is what seems like falling asleep sitting g up then falls over … read more
Dr. John
Dr. John
Veterinarian
Doctor of Veterinary Medicine
5,046 satisfied customers
My shin tzu is shaking and panting. Shih tzu. Ma'am.
She seems like she's having discomfort. Her tongue is really warm and she keeps on trying to find spots on my bed to get comfortable but she ends up coming to me and sitting on me. I can tell she's not feeling well just by her panting and shaking. I know she's trying to tell me something I just don't know what though… read more
DocPaul
DocPaul
Doctoral Degree
664 satisfied customers
My 7 month old Shih Tzu is drinking an excessive amount of
My 7 month old Shih Tzu is drinking an excessive amount of water and urinating in the house. It's been going on for about a week. … read more
Dr. Altman
Dr. Altman
Veterinarian
Doctoral Degree
9 satisfied customers
My 18 yr. old shih Tzu has been coughing and wheezing for
My 18 yr. old shih Tzu has been coughing and wheezing for about an hour. He has done this before but for very short periods of time. … read more
Dr. B.
Dr. B.
Veterinary Degree (BVMS)
3,439 satisfied customers
My shih Tzu Riley has had ear infections off and on... he
My shih Tzu Riley has had ear infections off and on... he had an episode last night where his eyes darted back and forth … read more
Dr. John
Dr. John
Veterinarian
Doctor of Veterinary Medicine
5,046 satisfied customers
My shih tzu ate a bottle of perscription eye drops it is
My shih tzu ate a bottle of perscription eye drops it is called Polytrim eye antibiotic. … read more
Dr. Gabby
Dr. Gabby
Veterinarian
Doctoral Degree
4,408 satisfied customers
My female bichon frise is chewing hair off her lower back
My female bichon frise is chewing hair off her lower back and tail. … read more
DakotaSouthFive
DakotaSouthFive
Independent Contractor
High School or GED
9 satisfied customers
I accidentally gave my 21 pound Shih Tzu a Vetoryl pill
I accidentally gave my 21 pound Shih Tzu a Vetoryl pill meant for my 41 pound beagle. I induced vomiting with hydrogen peroxide but do not see the pill although he vomitted quite a bit. Please advise.… read more
Dr. B.
Dr. B.
Veterinary Degree (BVMS)
3,439 satisfied customers
My 5 year old male bichon frise has a cataract in his left
My 5 year old male bichon frise has a cataract in his left eye. His right eye is fine. We are contemplating cataract surgery, but I've read that bichon frise's are more prone to post-surgery complicat… read more
Dr. Bruce
Dr. Bruce
Veterinarian
Doctor of Veterinary Medicine
8,945 satisfied customers
My bichon frise is approx 8kg in weight. last night he ate
my bichon frise is approx 8kg in weight. last night he ate 2/3 small black grapes by accident. I am frantic with worry. … read more
Dr. Peter
Dr. Peter
Doctors Degree
14,316 satisfied customers
He is a 16 year old Bichon Frise. His back is bothering him.
He is a 16 year old Bichon Frise. His back is bothering him. I know he is very old. I am trying to keep him in one room so that he does not walk. Yesterday he seemed very uncomfortable. I had some Med… read more
Dr Linda
Dr Linda
Doctor of Veterinary Medicine
Doctoral Degree
1,249 satisfied customers
I have a 9 week old bichon frise and she keeps making a
Hi, I have a 9 week old bichon frise and she keeps making a hacking noise like shes choking at random times throughout the day and night. she will usually do it for a minute then end it with a final h… read more
Dr. John
Dr. John
Veterinarian
Doctor of Veterinary Medicine
5,046 satisfied customers
My shih tzu went to the groomer Monday and was infested with
My shih tzu went to the groomer Monday and was infested with fleas so she shaved her real short. Since this she has been acting depressed and sleeping all day and night. Eating only 1 meal a day and w… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
Unbalanced and foaming at the mouth, shih tzu, Dog,
Unbalanced and foaming at the mouth JA: What sort of animal are we talking about? Customer: shih tzu JA: Maybe I'm confused. I thought you had a problem with a pet. Is that correct? Customer: Dog JA: … read more
Dr. John
Dr. John
Veterinarian
Doctor of Veterinary Medicine
5,046 satisfied customers
My 16 week old Bichon Frise are woodbine. Actually she
My 16 week old Bichon Frise are woodbine. Actually she picked the app from a whopping fit branch. Do I need to do something for her? … read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
8,629 satisfied customers
Our Bichon Frise, Jasper, has come down with a cough and has
Hello. Our Bichon Frise, Jasper, has come down with a cough and has coughed up white and yellow foam multiple times this afternoon. He already has an appointment scheduled for tomorrow for his rabies … read more
Hilary Humm-Beatty
Hilary Humm-Beatty
Locum Veterinarian
Doctor of Veterinary Medicine
71 satisfied customers
Weight loss. He was 7.2kgs now he is 4.5kgs. Bichon frise.
Weight loss. He was 7.2kgs now he is 4.5kgs. Bichon frise. 13 yrs old. He had slowly been eating less and less. We change his food and now he is eating well but still losing weight. Lost .3kg in 2 wee… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
Bichon frise 7 years ate dental floss and a pantiliner,
Bichon frise 7 years ate dental floss and a pantiliner … read more
Dr. B.
Dr. B.
Veterinary Degree (BVMS)
3,439 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x