Help Your Pet(s) Have a Fabulous Fourth

As the holiday approaches, take some time out to consider the safety and comfort of your pet(s). While the Fourth of July is a time for fireworks and celebration, for many pets and their owners it can be a nightmare. As many pet lovers know, fireworks and thunderstorms can cause a great deal of stress and anxiety for some animals. Fear of loud noises such as fireworks, thunder, and gunshots is called noise phobia. Nervous behaviors include: shaking, trembling, whimpering, panting, excessive drooling, howling, barking, refusing to eat, trying to hide or get into/out of the house/fence/or other enclosure, losing control of bladder or bowels or experiencing stress diarrhea. Your anxious pet cannot control its reactions in these situations. Fortunately, many therapies are available to help with this condition. Behavior modification techniques alone work well for some pets, while others may need medications or other supplemental therapies in addition to behavior modification to stay safe and not injure themselves trying to “escape” the noise. As always, the staff at Hope Animal Medical Center is happy to answer any questions or concerns you may have regarding noise phobias in your pet.

Here are a few safety tips regarding fireworks and other noises: 

1. Leave your pets at home and indoors. While it may be tempting to bring your pets along so everyone can enjoy the fun, loud noises are not usually fun for pets. Most pets are afraid of fireworks and may try to run away.
2. Close all doors and windows while keeping your pet indoors. Keep your pets safe from the noise in a quiet, sheltered and escape-proof area at home. Close curtains and blinds to block the flashing lights. Try putting on classical music or other soothing background music as a distraction.
3. Provide a safe “escape” place. It is important that your pet has a place they consider safe if they become stressed. Many times pets seek out den-like places (like a crate) when they become fearful. If you do have a crate, try to create a comfortable place and familiarize your pet with it before it’s needed.
4. Try to distract your pet with chew toys and busy games, or try a thundershirt (www.thundershirt.com) , or play with another pet that does not have fear and anxiety.
5. Use a leash or carrier. If you must be outside with your pet, keep your pet on a leash or in a carrier at all times.
6. Take your pet for a walk ahead of time. If time, make sure your pet has time to use the restroom before the fireworks start. Some pets become afraid once fireworks start and this may lead to an accident later.
7. Make sure your pet is wearing the proper identification tags or it has a microchip. It is important that this information is current and visible in case your pet gets frightened and runs away. This will help local authorities find and identify your pet.
8. If you can plan ahead, desensitize your pet to the noise. Try using appropriate sound CDs such as thunder, fireworks, trains, and/or sirens to help pets get used to the noise at a lower volume. Then, as they become more comfortable, gradually increase the volume.
9. Never use fireworks around pets! Practice fire safety. Keep your pet away from matches, lighter fuel, open fires, and fireworks. Your curious pet may try to sniff at the fireworks, and pet hair can easily catch on fire. While exposure to lit fireworks can potentially result in severe burns and/or trauma to the face and paws of curious pets, even unused fireworks can pose a danger. Many types contain potentially toxic substances, including potassium nitrate, arsenic and other heavy metals.
10. Speak with the staff at Hope Animal Medical Center. If you believe your pet has noise phobias, call or come in to discuss the variety of remedies we have available. We have natural homeopathic remedies, as well as anti-anxiety medications that can help keep your pet calm during the fireworks and thunderstorm seasons.

In addition to the “fun” of fireworks humans enjoy on the Fourth of July, we also like to celebrate the holiday by lounging with family and friends, grilling foods and enjoying some tasty beverages. While it may seem like a great idea to reward your pet with scraps from the grill, in reality some festive foods and products can be potentially hazardous to your pets. The ASPCA Animal Poison Control Center offers the following tips:

• Never leave alcoholic drinks unattended where pets can reach them. Alcoholic beverages have the potential to poison pets. If ingested, the animal could become very intoxicated and weak, severely depressed or could go into a coma. Death from respiratory failure is also a possibility in severe cases.
• Always keep matches and lighter fluid out of your pets’ reach. Certain types of matches contain chlorates, which could potentially damage blood cells and result in difficulty breathing – or even kidney disease in severe cases. Lighter fluid can be irritating to skin, and if ingested can produce gastrointestinal irritation and central nervous system depression. If lighter fluid is inhaled, aspiration pneumonia and breathing problems could develop.
• Do not apply any sunscreen or insect repellant product to your pet that is not labeled specifically for use on animals (or use baby-safe products). Ingestion of sunscreen products can result in drooling, vomiting, diarrhea, excessive thirst and lethargy. The misuse of insect repellant that contains DEET can lead to neurological problems.
• Keep citronella candles, insect coils and oil products out of reach. Ingestion can produce stomach irritation and possibly even central nervous system depression. If inhaled, the oils could cause aspiration pneumonia in pets.
• Do not put glow jewelry on your pets, and do not allow them to play with it. While the luminescent substance contained in these products is not highly toxic, excessive drooling and gastrointestinal irritation could still result from ingestion, and intestinal blockage could occur from swallowing large pieces of the plastic containers.
• Keep your pets on their normal diet. Any change, even for one meal, can give your pets severe indigestion and diarrhea. This is particularly true for older animals that have more delicate digestive systems and nutritional requirements. And, keep in mind that foods such as onions, chocolate, coffee, avocado, macadamia nuts, grapes and raisins, salt and yeast dough can all be potentially toxic to companion animals.

We hope all of you have a wonderful and safe holiday this Monday, July 4th, 2011!

Pet Overpopulation

Approximately 17 million dogs and cats are turned over to animal shelters per year. Only 1 in 10 animals successfully find a home. The suffering and sorrow associated with pet overpopulation is overwhelming. The tragedy is that much of it could be eliminated by simple operations. Spaying and neutering surgeries are performed under general anesthesia and are helpful in many ways. By spaying and neutering pets, people can help lower the numbers of unwanted and homeless dogs and cats. By helping to keep the pet population in check, you increase the chances of adoption for already homeless animals.

Spaying your Female Pet

A spay, or ovariohysterectomy, refers to the sterilization of a female pet, and involves the surgical removal of the uterus and both ovaries. This surgery requires your pet to be placed under general anesthesia. The most common reason to perform a spay is to prevent estrus (heat cycles) and unwanted offspring. Other reasons include prevention of mammary tumors or hereditary/congenital defects, prevention and treatment of pyometra (infection of the uterus), neoplasia (cancer of the ovaries, uterus, or vagina), or other disease processes (such as uterine torsion, uterine prolapse, vaginal prolapse, and control of some endocrine abnormalities like diabetes and epilepsy and dermatoses like generalized demodex).

Special Information Regarding Mammary Tumors In Dogs & Cats

Dogs

• Approximately 50% of mammary tumors are malignant (cancerous), and approximately 50% are benign (non-cancerous).
• Any breed is susceptible, however there is an increased predisposition in Poodles,Cocker Spaniels, Dachshunds, Terriers, and German Shepherd dogs. 
• The development of mammary tumors in the dog is clearly hormone dependent. 
• The risk for malignant tumors in dogs spayed prior to the 1st estrus (before their 1st heat cycle) is 0.05%.
• The risk for malignant tumors in dogs spayed after the 1st estrus (between their 1st and 2nd heat cycles) is 8%.
• HOWEVER, the risk for malignant tumors in dogs spayed after the 2nd estrus (after their 2nd heat cycle) rises to 26%. 

Later spaying does NOT reduce the risk for malignant tumors, while the risk for benign tumors seems reduced by ovariectomy even at a later age. Spaying your dog eliminates the risk of uterine and ovarian cancers, as well as eliminates the risk of pyometra (infection of the uterus). THEREFORE, IT IS STRONGLY RECOMMENDED TO SPAY YOUR DOG BEFORE ITS FIRST ESTRUS CYCLE FOR THE MOST HEALTH BENEFITS. SPAYING YOUR PET EARLY IN LIFE HAS PROVEN TO HAVE THE MOST HEALTH BENEFIT IN REDUCING THE RISK FOR MALIGNANT TUMORS. 

Cats
Approximately 90% of mammary tumors in cats are malignant. 
Any breed is susceptible, however there is an increased incidence in Siamese and domestic short-haired cats.
Hormonal influences seem to be involved in the development of mammary tumors in the cat. A study found that cats spayed (ovariectomized) at 6 months of age had an approximately 7-fold REDUCED risk of mammary cancer compared to intact cats. More recent studies have also been able to show that spayed cats have a 40% to 60% lower risk of developing mammary cancer than intact cats.
THEREFORE, IT IS STRONGLY RECOMMENDED TO SPAY YOUR CAT. 

Neutering Your Male Pet

Neutering should be considered if you are keeping any male dog or cat as a pet. A neuter, or castration, refers to the sterilization of a male pet, and involves the surgical removal of both testicles. This surgery requires your pet to be placed under general anesthesia. Neutering, or castration, reduces overpopulation by inhibiting male fertility and decreases male aggressiveness, roaming, and undesirable urination behavior. It helps prevent prostatic diseases, perianal adenomas, and perineal hernias. Other indications for castration include congenital abnormalities, testicular or epididymal abnormalities, scrotal neoplasia (cancer), trauma or abscesses, hernias, epilepsy control, and control of endocrine abnormalities. Neutering helps to eliminate the risk of testicular cancers and torsion, and helps to decrease the risk of prostatic disease.

Preoperative and Postoperative Care

Here at Hope Animal Medical Center, we recommend spaying and neutering your pet at 4 to 6 months of age for the most health and behavior benefits. We will advise you to withhold food and water from your pet the night before surgery is scheduled in order to decrease the risk of nausea and/or vomiting during or after surgery. Preoperatively, we perform pre-anesthetic bloodwork to screen for any pre-existing abnormalities that may cause complications during surgery. If all bloodwork results are normal, then we proceed with surgery. We offer a complimentary overnight stay for all of our spay and neuter patients; however, most of our patients are able to go home the same night after surgery. Postoperatively, the veterinarian and veterinary technician will review instructions and advice that should be followed to ensure a safe and healthy recovery of your pet. Once a pet has fully recovered, you can feel confident that you have helped your companion to live a longer, happier, healthier life while not contributing to the overpopulation of animals.

Please call us at 706-546-7879 if you are interested in having your pet spayed or neutered. During the month of June 2011, we are offering a 20% discount off all our spay and neuter surgeries.

May is such a busy month, school is ending, Mother's Day is upon us, pools are opening, and the weather lures all creatures outside.  If you need an air conditioned break check out these pet events happening this month:

National Service Dog Eye Exam Month hosted by the American College of Veterinary Ophthalmologists and Merial.

National Pet Week - May 1-7, 2011

National Dog Bite Prevention Week - May 15-21, 2011

Stay tuned for our May Newsletter: Benefits of Spaying and Neutering!

Happy May from Hope Animal Medical Center!

April is Heartworm Awareness Month

Heartworms are transmitted to dogs and cats by mosquitoes . Heartworm disease develops when a dog or cat is bitten by a mosquito carrying microscopic heartworm larvae (juvenile worms) of a parasite called Dirofilaria immitis . As a mosquito feeds, these larvae are deposited on the pet’s skin and quickly penetrate the skin to begin their migration into the pet’s bloodstream. The larvae migrate through the bloodstream and tissues, eventually reaching the heart and lungs. Adult heartworms can grow 10 to 12 inches in length and make their home in the right side of the heart and pulmonary (lung) arteries, often causing lung disease and heart failure.

Heartworm disease is a major health problem for dogs living in the United States and throughout the temperate and tropical regions of the world. Once thought to be only a disease of dogs and other wild canids (foxes, wolves, and coyotes), recent studies indicate that heartworm infection in cats is more common then ever believed. Without the protect ion of a heartworm preventive, your pet could get heartworm disease – a potentially deadly illness of the heart and lungs. While there is treatment available for dogs that get infected with heartworms, treatment can be expensive, difficult and can lead to serious side effects. However, there is no approved treatment for feline heartworm infection. Therefore, heartworm prevention given to your pet once monthly year-round is strongly advised to protect your pet from contracting this potentially fatal disease.

The good news is that heartworm disease is essentially 100% preventable! Various heartworm preventives are available, including monthly oral and topical formulations. Heartworm preventives are effective when given properly and on a timely schedule. All heartworm preventive medications work by killing heartworm larvae acquired during the previous month and do not continue to protect pets from future infection. This is why it is important to administer heartworm preventives to your pet once every month year-round. All approved heartworm preventives are highly effective, safe, easy to use, relatively inexpensive, and often provide treatment for additional parasites. Please remember, it is your responsibility to faithfully maintain the preventive program you have selected in consultation with your veterinarian. The best way to eliminate the risk of heartworm infection in your pet is to institute a year-round prevention program. Prevention is always more safe and affordable than treating dogs with adult heartworm infections.

Clinical signs of heartworm disease in dogs and cats can vary. Recently infected dogs may show no signs of the disease. Some common signs of heartworm infection in dogs include coughing, difficulty breathing, exercise intolerance, decreased appetite, weight loss and lethargy. Left untreated, heartworm disease may be fatal to your dog as it can cause “caval syndrome”, a sudden obstruction of blood flow through the heart and lungs, or development of heart failure. Signs of heartworm disease in cats range tremendously, from mild and subtle in appearance to severe and life threatening. Symptoms of feline Heartworm Associated Respiratory Disease (HARD) can mimic many common diseases of cats such as hairballs, asthma, or pneumonia . Signs of disease may include loss of appetite, sluggishness, intermittent vomiting (not associated with eating), coughing, wheezing, and respiratory distress. The presence of just one heartworm may result in permanent damage – or even death – to a cat or kitten. In fact, sudden death may be the first and only sign of heartworm infection in some cats.

Detecting heartworm disease in both dogs and cats involve   simple blood tests; however, heartworm disease in dogs and cats do have some differences. Numerous blood tests are available for detecting heartworm infections in dogs, and your veterinarian will perform the test most appropriate for your dog. Tests cannot consistently detect infection until heartworms are at least six to seven months old. Moreover, tests are unable to detect infections if only male worms are present or if there are only one or two female worms.   All dogs more than six months of age should be tested for heartworm infection before starting a preventive program. Annual heartworm testing is recommended for monitoring the success of any heartworm prevention program in dogs. If your dog tests positive for heartworm disease, then your veterinarian will need to perform a thorough physical examination, blood tests (e.g. a CBC and chemistry profile), and radiographs to assess your dog’s level of risk and stage of disease. To reduce complications, your veterinarian will educate you in great detail before beginning treatment. While the heartworm medication melarsomine dihydrochloride (Immiticide) is extremely effective in eliminating adult worms, some dogs will not be completely cleared with a single course of treatment. Testing is recommended six months after treatment to ensure all heartworms were killed. If tests are positive, additional adulticidal treatment may be indicated.

For the feline population, two blood tests are currently available to assist in diagnosing heartworms in cats . Unfortunately, test results do not always produce clear answers, even with professional interpretation. Positive tests indicate heartworms were present, but do not necessarily mean the pet is still infected. Moreover, since tests cannot diagnose very early infection or those infections cause by only one or two worms, negative test results are not always accurate. Even when heartworm disease is highly suspected, confirming a diagnosis through testing in the cat can be difficult. Multiple blood tests along with chest x-rays and ultrasound imaging of the heart and lungs are often needed to make a diagnosis. Since no safe treatment exists for the elimination of heartworms   in cats, the best option is the routine use of heartworm preventives to inhibit development of infection.

All dogs are at risk for heartworm disease no matter where they live. Cats are at risk wherever dogs are at risk. The prevalence of heartworm disease has increased steadily since it was first identified. It now affects dogs in all 50 states. Even indoor cats can get heartworm disease. Some people think that indoor cats are safe from heartworm disease, but mosquitoes can get indoors, and cats can get out. Please visit the website of the American Heartworm Society ( www.heartwormsociety.org) for more in-depth information regarding prevention, diagnosis, and treatment of heartworm disease.

FOR DOGS: 

• Heartgard = Ivermectin/Pyrantel pamoate, oral heartworm prevention plus intestinal parasite control (hookworms and roundworms), lasts 1 month
• Trifexis = Spinosad/Milbemycin Oxime, oral flea control plus heartworm prevention, intestinal parasite control (hookworms, roundworms, and whipworms), lasts 1 month (DOGS ONLY)
• Iverhart Plus = Ivermectin/Pyrantel pamoate, oral heartworm prevention plus intestinal parasite control (hookworms and roundworms), lasts 1 month (DOGS ONLY)
• Interceptor = Milbemycin Oxime, oral heartworm prevention plus intestinal parasite control (hookworms, roundworms, and whipworms), lasts 1 month 
• Sentinel = Lufenuron/Milbemycin Oxime, oral flea sterilizer plus heartworm prevention,intestinal parasite control (hookworms, roundworms and whipworms), lasts 1 month (DOGS ONLY)
• Revolution = Selamectin, topical flea/tick control plus heartworm prevention, lasts 1 month 

FOR CATS :

• Advantage Multi = Imidacloprid/Moxidectin, topical flea control plus heartworm prevention, intestinal parasite control (hookworms and roundworms), and earmite treatment/prevention, lasts 1 month
• Revolution = Selamectin, topical flea control plus heartworm prevention, intestinal parasite control (hookworms and roundworms), and earmite treatment/prevention, lasts 1 month.
• Heartgard = Ivermectin, oral heartworm prevention plus hookworm intestinal parasite control, lasts 1 month

Please call us at 706-546-7879 for more information or visit our clinic’s website at www.hopeamc.com. 

Hope Animal Medical Center strives to provide exceptional care for your exceptional pets. Recently, there has been a growing concern in the medical community regarding errors in filling prescriptions via telephone or fax machine. Verbal communication over the phone can often be misunderstood or misconstrued and the resulting effect can be an incorrect dosing of a medication or the wrong medication altogether. Prescriptions that are faxed to online distributors using their pre-set forms have been altered without our authorization by these companies, which again, results in our patients getting incorrect medication.

For this reason, beginning April 1, 2011, all prescriptions for outside pharmacies will now require a written script that owners must pick up and take or send to the pharmacy of their choice. Alternatively, prescriptions for medications that we carry can easily be filled here at the hospital. For the safety and well-being of your pet, we will no longer call or fax prescriptions to outside pharmacies.

The exception to this will be prescriptions filled through Road Runner Pharmacy, our trusted compounding pharmacy in Arizona. We work closely with this compounding pharmacy to obtain specifically dosed medications for our patients, and they provide excellent customer service. We will handle the paperwork involved in filling these prescriptions. These prescriptions will still be shipped directly to our clients; however, the prescriptions from Road Runner Pharmacy will now be billed through our hospital to protect the privacy of our clients’ billing information.

We hope you understand why this action is necessary. Please feel free to call us at 706-546-7879 if you have any questions or concerns.

We Do! We recycle paper, cardboard, aluminum cans, glass, plastics, plastic bags, and styrofoam coolers and trays. We also shred our computer-generated paper and re-use it as paper litter for our cats’ litter boxes. Here’s what’s new for this spring!

Cans for CrittersWhat is Cans for Critters?
The critters at Bear Hollow Wildlife Trail need new or expanded habitats! You can help by recycling aluminum cans! We here at Hope Animal Medical Center are contributing all of our cans to the program, and want to spread the word!

To raise the funds for these habitats, Athens-Clarke County Recycling Division and Athens-Clarke County Leisure Services (Bear Hollow Wildlife Trail) will be challenging the community to collect as many aluminum cans as possible. The collection began in January, but will run through April, which is Earth Month . The proceeds from can recycling during this period will go toward improved animal habitats at Bear Hollow Wildlife Trail. One needed habitat is a night enclosure for the new bear cubs. The collection goal is $1,000, which is approximately 2,000 pounds (1 ton) of aluminum cans.

Where can we drop off the cans for the collection?

Aluminum cans may be dropped off at Bear Hollow Wildlife Trail, 293 Gran Ellen Drive (within Memorial Park). Another location is the ACC Solid Waste Department, 725 Hancock Industrial Way. And, if you live close to our clinic, you may also drop clean, empty aluminum cans here at Hope Animal Medical Center, 1150 Mitchell Bridge Road. We have arranged with the ACC Recycling Division to have our aluminum cans picked up from our clinic.

Why participate?

• Recycling diverts recyclables from our local landfill.
• It provides raw material to industry.
• This collection provides funding for Bear Hollow Wildlife Trail.
• The new habitats will improve the lives of the animals at Bear Hollow.
• A cleaner planet makes for happier, healthier animals and people.

Please recycle! And, donate your cans for the critters!

Spring has sprung! 

We all want to wish you a Happy March! With the warmer weather, we officially mark the beginning of flea and tick season. Fleas and ticks are external parasites that affect dogs, cats and humans too. The harmful effects of fleas and ticks can include more than just itchiness and discomfort. In fact, both fleas and ticks can carry serious diseases that are dangerous to both owner and pet. Thankfully, today there are a variety of products available through veterinarians that can help ensure protection from these pesky parasites.

Fleas 
In addition to itchiness, or pruritus, fleas can cause numerous health problems in our pets. Fleas are small, brown, wingless insects that bite the skin and feed on blood. Because they feed on blood, flea infestations can lead to anemia. When a flea bites a pet, it injects small amounts of saliva into the skin that works to prevent blood clotting and allows it to better siphon blood. Some pets are allergic to the flea saliva, which can cause severe skin reactions, known as flea allergy dermatitis (FAD) or flea bite hypersensitivity. Fleas can also carry tapeworm larvae, which a pet can ingest and become infected with tapeworms and then pass through its feces (often looks like “pieces of rice”). Plus, fleas can carry the organism Bartonella henselae , one of the causes of “cat-scratch disease (CSD)” in humans.

Ticks 
Ticks are another blood-sucking parasite of the arachnid family related to mites and spiders. Ticks are most commonly found on the ears or in between the toes, but they can be found anywhere on the body. Ticks can be harmful in small or large numbers, as they can transmit serious diseases to both animals and humans. Tick-borne diseases include: Ehrlichia, Rocky Mountain Spotted Fever, and Lyme disease. Erhlichia can cause anemia, low platelet counts, bleeding, fever, lethargy, neurologic disease and multiple leg arthritis. Rocky Mountain Spotted Fever can cause fever, neurologic disease, breathing difficulty, bleeding disorders and anemia. Lyme disease, caused by the organism Borrelia burgdorferi , is transmitted by the deer tick and can cause multiple leg arthritis, weight loss, lack of appetite, lethargy and fever. Ticks can also cause localized inflammatory lesions of the skin, and occasionally, a syndrome called tick-bite paralysis: weakness or paralysis associated with a toxin the tick secretes as it feeds.

Signs of Infestation 
Often times pet owners will find fleas or ticks on their pets; however, some pets with flea allergy dermatitis/flea bite hypersensitivity may just be itchy, but no fleas are visible. Finding an adult flea is just the “tip of the iceberg” as the flea has other life-cycle stages that are more numerous and often times too small to see easily. Fleas lay eggs that fall off the pet into the surrounding environment. These eggs hatch into larval-stage fleas then form a pupa before maturing into an adult flea. Other signs of flea infestation are finding pepper-like debris (flea feces) in the pet’s fur, pruritus (itching/scratching/over-grooming), and irritated skin. Flea infestations can lead to secondary skin infections as well. Another indicator of a flea or tick problem is if pet owners find a tick or small bites on themselves.

Flea and Tick Preventives 
Fortunately, there are a variety of flea and tick preventives available through your veterinarian. These products are safe and effective, and come in either topical or oral formulations. It is crucial that products designed for dogs should never be used for cats and vice-versa. The use of over-the-counter products is not recommended as they can have harsher ingredients and harmful side effects, especially if used incorrectly. Harmful side effects can include: allergic reactions, muscle tremors, seizures, and in severe cases, death for a pet. We have a variety of products here at Hope Animal Medical Center that can help you and your pet. We recommend using flea/tick control products once monthly year-round as insects are a year-round problem here in the south. Below is a brief explanation of the different products available.

FOR DOGS: 
Capstar = Nitenpyram, oral flea control, kills fleas quickly,lasts 1 day only
Comfortis = Spinosad, oral flea control, lasts 1 month (DOGS ONLY)
Advantage = Imidacloprid, topical flea control, lasts 1 month 
K9Advantix = Imidacloprid/Permethrin, topical flea/tick control, lasts 1 month (DOGS ONLY)
Frontline = Fipronil/S-Methoprene, topical flea/tick control, lasts 1 month
Preventic Collar = Amitraz, tick collar, lasts 3 months (DOGSONLY)
Trifexis = Spinosad/Milbemycin Oxime, oral flea control plus heartworm prevention, intestinal parasite control, lasts 1 month (DOGS ONLY)
Sentinel = Lufenuron/Milbemycin Oxime, oral flea sterilizer plus heartworm prevention, intestinal parasite control, lasts 1 month (DOGS ONLY)
Revolution = Selamectin, topical flea/tick control plus heartworm prevention, lasts 1 month

FOR CATS: 
Capstar = Nitenpyram, oral flea control, kills fleas quickly,lasts 1 day only 
Advantage = Imidacloprid, topical flea control, lasts 1 month
Advantage Multi = Imidacloprid/Moxidectin, topical flea control plus heartworm prevention, intestinal parasite control, and ear mite treatment/prevention, lasts 1 month
Frontline = Fipronil, topical flea/tick control, lasts 1 month
Revolution = Selamectin, topical flea control plus heartworm prevention, intestinal parasite control, and earmite treatment/prevention, lasts 1 month.

Please call for more information or visit our clinic’s website at www.HopeAMC.com. 

Come celebrate dental health with us and enjoy 20% off dental scaling and polishing procedures. (Discount does not include blood work, extractions, medications, or any additional services).

Give your pet the gift of oral health for Valentine's Day !!