Animal Health Solutions

28 Covetrus | ph: 855.724.3461 | fx: 888.329.3861 | northamerica.covetrus.com Plan to go multimodal Current data tell us pain is best managed from a multimodal perspective. If we think of the patient at the center of a wheel, then each modality serves as a spoke on the wheel of care. The key to managing inflammation is to choose modalities that best complement each other. Pharmaceuticals A non-steroidal anti-inflammatory drug (NSAID) is an example of a pharmaceutical modality. Complementing it is gabapentin, which is uniquely suited to address the maladaptive aspect of chronic inflammation and pain. Other options include corticosteroids, PSGAGS (polysulfated glycosaminoglycans), and nerve-growth factor inhibitors. Nutraceuticals These are nutritional compounds that, for the most part, act like pharmaceuticals without being drugs. This is an area of pain management that continues to expand along with veterinarians' interest and the need for evidence to support their use. Physical medicine modalities A host of physical therapy techniques have been successfully adapted for veterinary patients. These include acupuncture, targeted pulsed electromagnetic field (tPEMF) therapy, photobiomodulation (or laser therapy), heat and cold therapy, and hydrotherapy in an underwater treadmill. Adaptive devices With joints and other tissues, it's a case of "use it or lose it." Mobility devices make an important contribution to mobility to help decrease inflammation and pain. Think long-term NSAIDs and corticosteroids continue to serve as a cornerstone of multimodal pain management in patients with chronic inflammation and pain in its initial stages. While they're safe and effective, they do present potential risks for an adverse event. So there are advantages in thinking long-term, eliminating the everyday dose of an NSAID, and reserving their use for episodes of acute pain. Take a naturally smart defense Given the risk of side effects that may come with corticosteroids and NSAIDs, many pet owners now prefer a more natural approach. 1 One option is MicroLactin, ® the active ingredient in Duralactin ® nutritional supplements. Microlactin is a specialized milk protein concentrate that's shown to inhibit neutrophils before they multiply, migrate and amplify the inflammatory process. Duralactin ® is supported by more than 14 years of clinical use with very few side effects reported, suitable for high-risk animals under veterinary care, and ideal for long-term use. It is a well-tolerated alternative for the long-term management of musculoskeletal conditions and can be taken as part of a daily regimen to help manage inflammation. It is not believed to interact with NSAIDs or steroids. Learn more about long-term management of inflammation at duralactin.com/inflammation. 1. "Pet owners prefer to give their pets natural and organic products." Pet Supplements in the U.S., 7th Edition, April 30, 2019. freedoniagroup.com/packaged-facts. SPONSORED BY PRN

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