OTC Drugs in Veterinary Medicine

Year 2021, , 203 - 210, 12.12.2021

Erdem Gülersoy , Canberk Balıkçı , Mutlu Sevinç

https://doi.org/10.31196/huvfd.907363

Abstract

There are many over‐the‐counter (OTC) drugs in pet medicine that are potentially toxic and their use is increasing day by day. Most OTC drugs are inexpensive and widely available in the market and can be purchased without a prescription in the absence of physician control. In veterinary medicine, when purchased by the owner without the control of the veterinarian/physician, these drugs can be used therapeutically wrong due to confusion or pronunciation errors, as well as for abuse or suicide in human medicine. In children and pet animals, OTC drug poisoning develops due to accidental ingestion or drug exposure without an attendant’s supervision. Today, the deliberate misuse of OTC drugs still maintains its
importance in both veterinary and human medicine. Therefore, necessary precautions should be taken to prevent pets’ exposure, especially cats and dogs, to intoxication with OTC drugs that may result in death. To prevent recurrence attendants, animal breeders, and owners should be informed. In this review, the toxicity of OTC drugs which are widely used and easily accessible non steroidal anti inflammatories such as aspirin, ibuprofen, acetaminophen; gastric protectants such as H2 receptor antagonists; proton pump inhibitors; emetics such as ipecac syrup; antihistamines such as diphenhydramine, loratidine; decongestants, eye drops, vitamins, laxatives along with anti tussives, and clinical consequences resulting from their misuse and environmental risk factors that may cause intoxication with these drugs, as well as treatment options that can be applied in case of exposure to these drugs, were examined.

Keywords

Cat, Dog, Intoxication, Non-prescription drug, OTC drug, Symptom

Veteriner Hekimlikte OTC İlaçlar

Abstract

Pet hayvanı hekimliğinde potansiyel olarak toksik olan ve kullanımı günden güne artan çok sayıda tezgah üstü (Over the counter / OTC) ilaç bulunmaktadır. OTC grubu ilaçların çoğu, piyasada yaygın olarak bulunan, ucuz ve hekim kontrolü olmadan reçetesiz satın alınabilinen ilaçlardır. Bu ilaçlar, veteriner hekimlikte hekim kontrolü dışında hasta sahibi tarafından satın alındığında kafa karışıklığına veya telaffuz hatalarına bağlı olarak yapılan terapötik yanlışlıkların yanı sıra beşeri hekimlikte suistimal veya intihar amaçlı da kullanılabilmektedir. Çocuklarda ve ev hayvanlarında OTC ilaç zehirlenmeleri, kazara yutma veya bakıcının gözetimi dışında ilaca maruz kalma sonucu gelişmektedir. Günümüzde hem veteriner hekimliğinde hem de beşeri hekimlikte OTC grubu ilaçların kasıtlı yanlış kullanımı halen önemini korumaktadır. Bu sebeple ev hayvanlarının, özellikle kedi ve köpeklerin, ölümle sonuçlanabilen OTC grubu ilaç intoksikasyonlarına maruz kalmasının önüne geçmek ve tekrar oluşumunu önlemek için gerekli önlemler alınmalı; bakıcılar, yetiştiriciler ve hayvan sahipleri bu konuda bilgilendirilmelidir. Bu derlemede yaygın kullanılan ve kolay erişilebilen aspirin, ibuprofen, asetaminofen gibi nonsteroid antienflamatuvarlar, H2 reseptör antagonistleri, proton pompa inhibitörleri gibi gastrik protektanlar, ipekak şurubu gibi emetikler, difenhidramin, loratidin gibi antihistaminikler ve dekonjestanlar, göz damlaları, vitaminler, laksatifler, antidiyaretikler ile anti tüssifler gibi OTC grubu ilaçların toksisiteleri, yanlış kullanımı sonucu ortaya çıkan klinik sonuçları ve bu ilaçlarla intoksikasyona sebep olabilen çevresel risk faktörleri ile birlikte bu ilaçlara maruz kalma durumunda uygulanabilecek tedavi seçenekleri incelenmiştir.

Keywords

intoksikasyon, kedi, köpek, OTC ilaç, Reçetesiz İlaç, Semotom

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