Veterinary Medicine - November 2007 - (Page L5) FLEA BITE FACTS Q&A topical, prevents feeding. The effect may be by repelling, incapacitating, or killing the fleas. The preferred product is the one that limits flea feeding the most, especially for flea allergic pets. Ihrke: Preventing feeding is crucial for flea allergic animals because flea salivary antigens are deposited into the skin each time a flea feeds. Dryden: The feeding activity of fleas is so rapid that for years I was doubtful that any insecticide could stop flea bites. Studies have now demonstrated that neither topical nor systemic insecticides can stop this initial biting and feeding.4-6 But systemically active insecticides appear to decrease blood feeding more rapidly and more profoundly than topically active insecticides.6 Blagburn: Both topical and systemic flea control products can affect flea feeding quickly and dramatically. However, neither will inhibit feeding altogether. Some systemic products can achieve greater than 90% flea control within three to four hours. Some topicals take a bit longer, achieving 80% to 90% efficacy within six to 12 hours. Studies demonstrate that the size of the blood meal taken by fleas is greatly reduced by both systemic and topical products. A corollary to reduced feeding is the introduction of less flea salivary antigen into the host. This reduces the likelihood of allergic reactions to fleas. “When cat fleas infest a dog or cat, most begin feeding within seconds to minutes, with upwards of 89% being blood fed within five minutes.” —Dr. Michael Dryden does this issue affect your recommendations regarding application frequency? Dryden: This is difficult to answer. There are many possible variables, such as the level of infestation, hair coat length and density, where the pet’s weight falls within the unit dosing range, and exposure to water or bathing. However, given all these variables, it has been my perception that heavy flea infestations can impact the performance of topical flea products. This may be real or perceived, but I often recommend either increasing the frequency of application from four weeks to three weeks or administering short-acting nitenpyram. The orally administered and systemically active nitenpyram does not seem to be affected by flea numbers. Blagburn: I agree that this is a difficult question because efficacy and residual activity of topical products vary. In the laboratory, efficacies of 100% can usually be achieved in 12 to 24 hours and usually maintained above 90% for 28 days. In reality, wetting, bathing, the types of shampoos used in bathing, the weight of the animal, and chemistry of the active ingredient and formulation can all affect Flea Trax I Each time a flea feeds, flea salivary antigens are deposited into the skin. I Preventing feeding is critical for all flea-infested dogs and cats, especially those with flea allergy dermatitis. I Systemic products appear to decrease feeding more rapidly than topical products. I The size of the blood meal taken is greatly reduced by both systemic and topical products. How long do flea products maintain efficacy in heavy flea infestations? How 3 5
Table of Contents Feed for the Digital Edition of Veterinary Medicine - November 2007 Veterinary Medicine - November 2007 Contents Leading Off The Veterinary Medicine Interview: Dr. Lila Miller Clinical Exposures Idea Exchange A Challenging Case: Uveitis and Secondary Glaucoma in a Cat Is it Immune-Mediated Neutropenia? Pimobendan Treatment in Dogs with Congestive Heart Failure CE Form Product Preview Advertiser Index Marketplace/Classifieds Mind Over Miller Special Supplement by Lilly: Flea Bite Facts Q&A Veterinary Medicine - November 2007 Veterinary Medicine - November 2007 - Veterinary Medicine - November 2007 (Page Cover1) Veterinary Medicine - November 2007 - Veterinary Medicine - November 2007 (Page Cover2) Veterinary Medicine - November 2007 - Contents (Page 699) Veterinary Medicine - November 2007 - Contents (Page 700) Veterinary Medicine - November 2007 - Contents (Page 701) Veterinary Medicine - November 2007 - Contents (Page 702) Veterinary Medicine - November 2007 - Contents (Page 703) Veterinary Medicine - November 2007 - Leading Off (Page 704) Veterinary Medicine - November 2007 - Leading Off (Page 705) Veterinary Medicine - November 2007 - The Veterinary Medicine Interview: Dr. Lila Miller (Page 706) Veterinary Medicine - November 2007 - The Veterinary Medicine Interview: Dr. Lila Miller (Page 707) Veterinary Medicine - November 2007 - Clinical Exposures (Page 708) Veterinary Medicine - November 2007 - Clinical Exposures (Page 709) Veterinary Medicine - November 2007 - Clinical Exposures (Page 710) Veterinary Medicine - November 2007 - Clinical Exposures (Page 711) Veterinary Medicine - November 2007 - Idea Exchange (Page 712) Veterinary Medicine - November 2007 - Idea Exchange (Page 713) Veterinary Medicine - November 2007 - A Challenging Case: Uveitis and Secondary Glaucoma in a Cat (Page 714) Veterinary Medicine - November 2007 - Special Supplement by Lilly: Flea Bite Facts Q&A (Page L1) Veterinary Medicine - November 2007 - Special Supplement by Lilly: Flea Bite Facts Q&A (Page L2) Veterinary Medicine - November 2007 - Special Supplement by Lilly: Flea Bite Facts Q&A (Page L3) Veterinary Medicine - November 2007 - Special Supplement by Lilly: Flea Bite Facts Q&A (Page L4) Veterinary Medicine - November 2007 - Special Supplement by Lilly: Flea Bite Facts Q&A (Page L5) Veterinary Medicine - November 2007 - Special Supplement by Lilly: Flea Bite Facts Q&A (Page L6) Veterinary Medicine - November 2007 - Special Supplement by Lilly: Flea Bite Facts Q&A (Page L7) Veterinary Medicine - November 2007 - Special Supplement by Lilly: Flea Bite Facts Q&A (Page L8) Veterinary Medicine - November 2007 - Special Supplement by Lilly: Flea Bite Facts Q&A (Page L9) Veterinary Medicine - November 2007 - Special Supplement by Lilly: Flea Bite Facts Q&A (Page L10) Veterinary Medicine - November 2007 - Special Supplement by Lilly: Flea Bite Facts Q&A (Page L11) Veterinary Medicine - November 2007 - Special Supplement by Lilly: Flea Bite Facts Q&A (Page L12) Veterinary Medicine - November 2007 - Special Supplement by Lilly: Flea Bite Facts Q&A (Page L13) Veterinary Medicine - November 2007 - Special Supplement by Lilly: Flea Bite Facts Q&A (Page L14) Veterinary Medicine - November 2007 - Special Supplement by Lilly: Flea Bite Facts Q&A (Page L15) Veterinary Medicine - November 2007 - Special Supplement by Lilly: Flea Bite Facts Q&A (Page L16) Veterinary Medicine - November 2007 - Special Supplement by Lilly: Flea Bite Facts Q&A (Page 715) Veterinary Medicine - November 2007 - Special Supplement by Lilly: Flea Bite Facts Q&A (Page 716) Veterinary Medicine - November 2007 - Special Supplement by Lilly: Flea Bite Facts Q&A (Page 717) Veterinary Medicine - November 2007 - Special Supplement by Lilly: Flea Bite Facts Q&A (Page 718) Veterinary Medicine - November 2007 - Special Supplement by Lilly: Flea Bite Facts Q&A (Page 719) Veterinary Medicine - November 2007 - Special Supplement by Lilly: Flea Bite Facts Q&A (Page 720) Veterinary Medicine - November 2007 - Special Supplement by Lilly: Flea Bite Facts Q&A (Page 721) Veterinary Medicine - November 2007 - Special Supplement by Lilly: Flea Bite Facts Q&A (Page 722) Veterinary Medicine - November 2007 - Special Supplement by Lilly: Flea Bite Facts Q&A (Page 723) Veterinary Medicine - November 2007 - Is it Immune-Mediated Neutropenia? (Page 724) Veterinary Medicine - November 2007 - Is it Immune-Mediated Neutropenia? (Page 725) Veterinary Medicine - November 2007 - Is it Immune-Mediated Neutropenia? (Page 726) Veterinary Medicine - November 2007 - Is it Immune-Mediated Neutropenia? (Page 727) Veterinary Medicine - November 2007 - Is it Immune-Mediated Neutropenia? (Page 728) Veterinary Medicine - November 2007 - Is it Immune-Mediated Neutropenia? (Page 729) Veterinary Medicine - November 2007 - Is it Immune-Mediated Neutropenia? (Page 730) Veterinary Medicine - November 2007 - Is it Immune-Mediated Neutropenia? (Page 731) Veterinary Medicine - November 2007 - Is it Immune-Mediated Neutropenia? (Page 732) Veterinary Medicine - November 2007 - Is it Immune-Mediated Neutropenia? (Page 733) Veterinary Medicine - November 2007 - Is it Immune-Mediated Neutropenia? (Page 734) Veterinary Medicine - November 2007 - Is it Immune-Mediated Neutropenia? (Page 735) Veterinary Medicine - November 2007 - Pimobendan Treatment in Dogs with Congestive Heart Failure (Page 736) Veterinary Medicine - November 2007 - Pimobendan Treatment in Dogs with Congestive Heart Failure (Page 737) Veterinary Medicine - November 2007 - Pimobendan Treatment in Dogs with Congestive Heart Failure (Page 738) Veterinary Medicine - November 2007 - Pimobendan Treatment in Dogs with Congestive Heart Failure (Page 739) Veterinary Medicine - November 2007 - Pimobendan Treatment in Dogs with Congestive Heart Failure (Page 740) Veterinary Medicine - November 2007 - Pimobendan Treatment in Dogs with Congestive Heart Failure (Page 741) Veterinary Medicine - November 2007 - CE Form (Page 742) Veterinary Medicine - November 2007 - Product Preview (Page 743) Veterinary Medicine - November 2007 - Advertiser Index (Page 744) Veterinary Medicine - November 2007 - Marketplace/Classifieds (Page 745) Veterinary Medicine - November 2007 - Marketplace/Classifieds (Page 746) Veterinary Medicine - November 2007 - Marketplace/Classifieds (Page 747) Veterinary Medicine - November 2007 - Marketplace/Classifieds (Page 748) Veterinary Medicine - November 2007 - Marketplace/Classifieds (Page 749) Veterinary Medicine - November 2007 - Mind Over Miller (Page 750) Veterinary Medicine - November 2007 - Mind Over Miller (Page Cover3) Veterinary Medicine - November 2007 - Mind Over Miller (Page Cover4)
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