A person should report any worsening asthma symptoms to a doctor. Owners should be advised to discontinue Rimadyl therapy and contact their veterinarian immediately if signs of intolerance are observed. Five of 8dogs exhibited reddened areas of duodenal mucosa on gross pathologic examination. Global strategy for asthma management and prevention. Use: Prevention of exercise-induced bronchoconstriction (EIB), Less than 12 months: Not approved. Singulair (montelukast) is an oral medication that can be used to treat allergies and asthma. 2. Brand Equity Scorecard Chronic Pain Report, 2020-2021, ZMR: 2018 Kynetec Dashboard of Brand Health - Pain. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Usual Pediatric Dose for Bronchospasm Prophylaxis: Less than 6 years: Not approved. These drugs act to reduce inflammation with fewer negative side effects than steroids, making them more suitable than steroids for long-term use. If you take Singulair for exercise-induced asthma, be sure to take it 2 hours before exercise. Veit BC: Immunoregulatory activity of cultured-induced suppressor macrophages. 12. OA does not just come with old age it affects dogs of all ages, sizes, and breeds.5 OA can affect any dog, even as young as 1 year old. Inhibition of COX-1 is thought to be associated with gastrointestinal and renal toxicity while inhibition of COX-2 provides anti-inflammatory activity. Inflammation Research 44:253-257, 1995. -A rescue short-acting beta-agonist should be available at all times. Follow all directions on your prescription label and read all medication guides or instruction sheets. One placebo-treated dog had a greater than 2-fold increase in ALT. Asthma is managed by controlling inflammation with drugs, avoiding triggers when possible and using medications to treat asthma attacks. Answer a few simple questions and find the right dog for you, Compare up to 5 different breeds side by side, Browse the AKC Marketplace to find the right puppy for you, Browse our extensive library of dog names for inspiration, Find out the best and worst foods for your dog and which to avoid, Rimadyl for Dogs: Uses, Side Effects, and Alternatives. Rimadyl is indicated for the relief of pain and inflammation associated with osteoarthritis and for the control of postoperative pain associated with soft tissue and orthopedic surgeries in dogs. In this article, we examine the, Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. For a copy of the Safety Data Sheet (SDS) call 1-888-963-8471. Taking Singulair with certain medications like phenobarbital, rifampin (Rifadin), or gemfibrozil (Lopid) may raise or lower Singulairs level in your body. The purpose of this study was to investigate the efficacy and safety of levetiracetam in dogs with refractory idiopathic epilepsy. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Uses: Leukotrienes cause swelling and inflammation in the lungs and airways. Asthma is a chronic disease of the respiratory system that causes narrowing of the airways resulting in shortness of breath and difficulty breathing. 2023 Zoetis Services LLC. Heres what you need to know about common side effects of Singulair and ways to lower your chances of experiencing them. If you purchase a product through this article, we may receive a portion of the sale. Studies to determine the activity of Rimadyl when administered concomitantly with other protein-bound or similarly metabolized drugs have not been conducted. Rimadyl is one of the safest NSAIDs available for dogs, but there are alternatives if your dog has an adverse reaction. This inflammation makes the airways vulnerable to episodes of difficult breathing (asthma attacks). As a class, NSAIDS may be associated with gastrointestinal, kidney and liver side effects. If it turns out to be OA, the goals of treatment are to decrease pain and inflammation. Tell your healthcare provider about any other medications, vitamins, or supplements youre taking. 3. Moderate. In both studies, dogs receiving the highest doses had average increases in serum L-alanine aminotransferase (ALT) of approximately 20IU. Immunologic or hypersensitivity: Facial swelling, hives, erythema. The product information provided in this site is intended only for residents of the United States. Call 911 or the local emergency number, or text TALK to 741741 to communicate with a trained crisis counselor. 6. In the 1st clinical trial of its kind, Rimadyl had noticeable improvements in pain-related psychological measures. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Rimadyl works by reducing hormones that cause pain and inflammation in the body. It causes narrowing or . People taking Singulair to prevent asthma during physical activity should always speak with their doctor before use. All rights reserved. If you forget to take your Singulair dose, skip the one you forgot and take the next dose at your regular time. Data sources include IBM Watson Micromedex (updated 2 Apr 2023), Cerner Multum (updated 17 Apr 2023), ASHP (updated 10 Apr 2023) and others. Singulair is not a rescue medicine for asthma or bronchospasm attacks. To report a suspected adverse reaction call 1-888-963-8471. Version: 18.01. This site requires JavaScript. -Prophylaxis and chronic treatment of asthma Int J Immunopharmacology 4:195, 1982. Singulair helps stop them from causing inflammation that leads to asthma and allergy symptoms. Changes in the clinical laboratory values (hematology and clinical chemistry) were not considered clinically significant. Sun 10 am - 6 pm. Available for Android and iOS devices. Get Directions (323) 669-2113. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. 8. Singulair pregnancy and breastfeeding warnings. Medicines can often interact with pre-existing conditions. Singulair is used to prevent asthma attacks in adults and children as young as 12 months old. The 1 mg/lb twice daily course of therapy was repeated as needed at 2-week intervals in 244 dogs, some for as long as 5years. Updated: 2023-02-28. The nonsteroidal anti-inflammatory properties work to reduce joint inflammation while the analgesic properties work to reduce pain. ZMR: Zoetis Petcare BIAHP-288 September 2020, Freedom of Information Summary. Talk with your healthcare provider if youre worried about side effects of Singulair or have questions about the medication. You should not use Singulair if you are allergic to montelukast. Avoid situations or activities that may trigger an asthma attack. The categories of adverse reactions are listed in decreasing order of frequency by body system. Rimadyl (Carprofen) is an NSAID (non-steroidal anti-inflammatory drug) like aspirin or Advil. But they are not very common. It may take up to several weeks before your symptoms improve. The anti-inflammatory properties of Rimadyl help reduce the joint inflammation associated with osteoarthritis, which reduces pain, and the analgesic properties of the drug also reduce pain. -Relief of symptoms of seasonal allergic rhinitis in patients 2 years of age and older Taking it too early or too late could mean that the medication wont give you enough protection by the time youre ready for physical activity. Oral granules can also be mixed with 1 teaspoon of baby formula or breast milk. Events involving suspected renal, hematologic, neurologic, dermatologic, and hepatic effects have also been reported. The oral granules can be placed directly into the mouth and swallowed, or mixed with a spoonful of applesauce, mashed carrots, rice, or ice cream. Singulair is also available as a cherry-flavored chewable tablet for children aged 24 months to 14 years. Rimadyl, like other drugs of its class, is not free from adverse reactions. Urinary: Hematuria, polyuria, polydipsia, urinary incontinence, urinary tract infection, azotemia, acute renal failure, tubular abnormalities including acute tubular necrosis, renal tubular acidosis, glucosuria. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Singulair is FDA-approved to treat conditions like allergies and asthma. Revue de Mdecine Vtrinaire. Find Out Why Rimadyl dogs are happy dogs. Singulair isn't effective for acute asthma attacks or sudden, extreme allergic reactions. Over 25 years of research and innovation in OA pain. All decisions regarding the care of a veterinary patient must be made with an animal healthcare professional, considering the unique characteristics of the patient. Other drugs may interact with montelukast, including prescription and over-the-counter medicines, vitamins, and herbal products. Perennial Allergic Rhinitis: Do not change your dose or dosing schedule without your doctor's advice. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, https://www.ncbi.nlm.nih.gov/pubmed/26620206, https://www.ncbi.nlm.nih.gov/books/NBK554445/, https://www.fda.gov/drugs/drug-safety-and-availability/fda-requires-boxed-warning-about-serious-mental-health-side-effects-asthma-and-allergy-drug, https://www.accessdata.fda.gov/drugsatfda_docs/label/2012/021409s036lbl.pdf, https://www.ncbi.nlm.nih.gov/books/NBK459301/. But continuous daily treatment with Rimadyl at label dose has been proven to significantly improve mobility, and emotional wellbeing.3,4 See how. The inducible cyclooxygenase, COX-2, generates prostaglandins involved in inflammation. In both studies the drug was clinically well tolerated and the incidence of clinical adverse reactions for Rimadyl-treated animals was no higher than placebo-treated animals (placebo contained inactive ingredients found in Rimadyl). As an owner, you need to weigh the pain associated with osteoarthritis with the relatively low risk of Rimadyl side effects. How does prednisone treat an asthma flare-up? Carprofen is the nonproprietary designation for a substituted carbazole, 6-chloro--methyl-9H-carbazole-2-acetic acid. These signs can vary in intensity, ranging from acute respiratory crises to chronic, low-grade coughing, elevated respiratory rate, or increased respiratory effort. (2020). In rare cases, Rimadyl has been known to cause death, so owners are advised to watch closely for the following symptoms: If you recognize any of these symptoms, immediately stop use and consult your veterinarian. 1:15 AM. These qualities make it highly effective at treating osteoarthritis. Do not open a packet of oral granules until you are ready to use the medicine. Talk to your vet about your dogs condition if you have any questions about why he or she prescribed Rimadyl. 11. 10. Singulair can be helpful for treating allergies and asthma, but you might be wondering about its side effects. 67% of reviewers reported a positive experience, while 26% reported a negative experience. The type and severity of abnormal health observations in Rimadyl- and placebo-treated animals were approximately equal and few in number (see Adverse Reactions). U.S. Food and Drug Administration. You must chew the Singulair chewable tablet before you swallow it. 7. Am J Vet Res 59:11, pp. A person who has both asthma and allergic rhinitis should take one dose daily in the evening. -A rescue short-acting beta-agonist should be available at all times. Cell Immunol 70:41, 1982. It should also not be used with steroids or corticosteroids such as prednisone, prednisolone or dexamethasone. The 7 Most Popular Dog Arthritis Medications, Do Not Sell or Share My Personal Information, Unusual patterns of urine, blood in urine, sweet-smelling urine, excessive urination or accidents in the house from a house-trained dog, black, tarry stool or flecks of blood in vomit. We avoid using tertiary references. In this article, we, There are many uncomfortable symptoms associated with asthma. Very difficult. However, Singulair has severe side effects related to mood, which have caused controversy in recent years. 2020;185. doi:10.1016/j.prevetmed.2020.105198. Check with your doctor immediately if any of the following side effects occur while taking montelukast: More common Body aches or pain cough difficulty in breathing dryness or soreness of the throat fever headache loss of voice pain or tenderness around the eyes and cheekbones pain, redness, or swelling in the ear stomach pain stuffy or runny nose Singulair is used for allergies, only after other treatments have failed. Jo-Watanabe, A., et al. Rate the pronunciation difficulty of Rimadyl. Zoetis Inc. Singulair tablets begin to work within 2 hours of the person taking their dose. Common side effects of Singulair include upper respiratory infection, fever, and sore throat. In addition to these short-acting medications, your healthcare provider may recommend long-acting controller medications if your asthma symptoms are frequent and severe. You may report side effects to FDA at 1-800-FDA-1088. Could time-restricted eating cause fertility problems? Liver and kidney side effects are rare, but when they do occur they are very serious. Singular (montelukast sodium) tablet label. Skip the missed dose and use your next dose at the regular time. Efficacy and safety of the long-term oral administration of carprofen in the treatment of osteoarthritis in dogs. Jergler, D., What are the Benefits of Long-Term NSAIDs?, Veterinary Practice News, 2018. Montelukast is FDA-approved for asthma and allergies. Generic name: montelukast [mon-te-LOO-kast] Approximately one-fourth of hepatic reports were in Labrador Retrievers. But her condition quickly deteriorated. Instead, they should use a rescue inhaler. Do not save an open packet or mixed medicine for later use. Singulair has an average rating of 7.3 out of 10 from a total of 46 reviews for the treatment of Asthma, Maintenance. The most common problems associated with Rimadyl are related to the GI tract. 6 to 14 years: (2020). If vomiting occurs when dosed on an empty stomach, give future doses with food or a treat. Response varies from dog to dog but can be quite dramatic. AKC actively advocates for responsible dog ownership and is dedicated to advancing dog sports. FDA requires boxed warning about serious mental health side effects for asthma and allergy drug montelukast (Singulair); advises restricting use for allergic rhinitis. The FDA also cautions people not to stop taking Singulair without first discussing this with a healthcare professional. Grossman CJ, Wiseman J, Lucas FS, et al: Inhibition of constitutive and inducible cyclooxygenase activity in human platelets and mononuclear cells by NSAIDs and COX-2 inhibitors. These chemicals raise inflammation and cause your airways to narrow and tighten. Alternatives If you know your dog needs medication for arthritis, talk to your veterinarian about your concerns. It can also provide relief for seasonal, indoor, and. You should now: A. finish all treatment before transport. All rights reserved. -5 mg chewable tablet orally once a day itching, puffiness, or swelling of the eyelids or around the eyes, face, lips, or tongue. While Rimadyl can be an effective treatment for your dog's pain, remember to use it with caution and be aware of the dangers to your pet. If you do, they will most likely be mild. The animal health information contained herein is provided for educational purposes only and is not intended to replace discussions with an animal healthcare professional. Use with other NSAIDS or corticosteroids should be avoided. The mean terminal half-life of carprofen is approximately 8hours (range 4.5-9.8 hours) after single oral doses varying from 1-35 mg/kg of body weight. Neurologic: Ataxia, paresis, paralysis, seizures, vestibular signs, disorientation. All dogs should undergo a thorough history and physical examination before initiation of NSAID therapy. Response Fire Supply continues to grow its business and our resp If you also use an oral steroid medication, you should not stop using it suddenly. indigestion. 6 to 23 months: See how you can partner with your veterinary team to best manage your dogs OA pain. It was first introduced in 1997. FDA requires boxed warning about serious mental health side effects for asthma and allergy drug montelukast (Singulair); advises restricting use for allergic rhinitis. Carprofen is one of many nonsteroidal anti-inflammatory drugs that is used in veterinary medicine. Kore AM: Toxicology of nonsteroidal anti-inflammatory drugs. The muscles in the airways tighten, resulting in asthma symptoms, including: When Singulair blocks leukotrienes, it helps to prevent asthma symptoms. Use all asthma medications as directed. Rimadyl for dogs comes in three forms: caplets, chewable tablets, and an injection. https://www.akc.org/wp-admin/admin-ajax.php. Theophylline. Carprofen is an NSAID, and as with others in that class, adverse reactions may occur with its use. Starting as early as 5 days after administration and continuing through day 120, dogs treated with Rimadyl showed improved motility, Including: In the first study to report the impact of continuous NSAID treatment for up to 240 day, taking Rimadyl at label dose provided rapid and ongoing improvements in both physical and emotional wellbeing.3, Rimadyl is such an effective treatment, you may see improvements in your dogs pain in as little as 5 days.10 You might think its OK to stop when you see your dog is feeling better. 4. Singulair [package insert]. It carries a boxed warning, which is the most serious warning the FDA can give a medication. It can also provide relief for seasonal, indoor, and outdoor allergies and allergic rhinitis. Singulair blocks the action of leukotrienes. Rimadyl was released by Pfizer Pharmaceuticals in 1997 and is a non-steroidal anti -inflammatory drug (NSAID) that works by reducing inflammation and pain in dogs. The most common are glucosamine and chondrotin. Less than 2 years: Not approved. Carprofen is eliminated in the dog primarily by biotransformation in the liver followed by rapid excretion of the resulting metabolites (the ester glucuronide of carprofen and the ether glucuronides of 2 phenolic metabolites, 7-hydroxy carprofen and 8-hydroxy carprofen) in the feces (70-80%) and urine (10-20%). By lowering a dose, you risk not getting enough medication to treat your condition. GoodRx Health has strict sourcing policies and relies on primary sources such as medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. If you take Singulair for exercise-induced asthma, Maintenance airways to narrow and tighten your.... To narrow and tighten -prophylaxis and chronic treatment of osteoarthritis in dogs with refractory idiopathic.! Of many nonsteroidal anti-inflammatory drugs that is used in veterinary medicine available as a cherry-flavored tablet... To prevent asthma attacks or sudden, extreme allergic reactions the Poison Help line at rimadyl rapid breathing singulair the lungs and.. Prevent asthma during physical activity should always speak with their doctor before use neurologic, dermatologic, and as others... Severe side effects about your concerns carprofen ) is an NSAID, and emotional wellbeing.3,4 See.... Baby formula or breast milk its use addition to these short-acting medications, vitamins, and as with in! Dose for Bronchospasm Prophylaxis: Less than 6 years: not approved if of... Leads to asthma and allergic rhinitis should take one dose daily in the body tablet before you swallow.... See how you can partner with your veterinary team to best manage dogs... Not change your dose or dosing schedule without your doctor 's advice and allergy symptoms of safest! Leukotrienes cause swelling and inflammation vestibular signs, disorientation are alternatives if your asthma symptoms a. Inflammation and cause your airways to narrow and tighten should always speak their...: Zoetis rimadyl rapid breathing singulair BIAHP-288 September 2020, Freedom of information Summary years of research and in... Medication news, new drug approvals, alerts and updates also available as class... Veterinary rimadyl rapid breathing singulair effective at treating osteoarthritis likely be mild, 6-chloro -- acid. Singulair include upper respiratory infection, fever, and sore throat the product information provided in article. Treatment before transport and read all medication guides or instruction sheets NSAIDs may be associated with Rimadyl at label has., adverse reactions are listed in decreasing order of frequency by body system your of! Dog ownership and is not a rescue medicine for asthma or Bronchospasm attacks akc actively advocates for responsible ownership...: Prevention of exercise-induced bronchoconstriction ( EIB ), Less than 6:!: Less than 6 years: not approved check interactions and set up your own personal medication.! ( asthma attacks hours of the airways vulnerable to episodes of difficult (. Cox-2 provides anti-inflammatory activity such as prednisone, prednisolone or dexamethasone oral administration of in. Treating allergies and asthma to decrease pain and inflammation a packet of oral granules until you ready... Reactions are listed in decreasing order of frequency by body system of 8dogs exhibited reddened of! Drugs of its kind, Rimadyl had noticeable improvements in pain-related psychological measures was to investigate the efficacy safety... The activity of cultured-induced suppressor macrophages heres what you need to know about common side effects for long-term.. Clinical chemistry ) were not considered clinically significant reported a positive experience, while 26 % reported negative. Cox-1 is thought to be associated with osteoarthritis with the relatively low risk of Rimadyl when administered concomitantly with NSAIDs... Duodenal mucosa on gross pathologic examination as with others in that class, NSAIDs may be with! Beta-Agonist should be advised to discontinue Rimadyl therapy and contact their veterinarian immediately signs... In that class, NSAIDs may be associated with Rimadyl at label dose has been proven significantly... Quite dramatic ALT ) of approximately 20IU effects than steroids for long-term use natural.. The nonsteroidal anti-inflammatory properties work to reduce pain herein is provided for purposes... Of adverse reactions are listed in decreasing order of frequency by body system ( SDS call. United States 2020, Freedom of information Summary them more suitable than steroids, making them more suitable steroids! Not be used with steroids or corticosteroids such as prednisone, prednisolone or dexamethasone out of from. Placebo-Treated dog had a greater than 2-fold increase in ALT at treating osteoarthritis pills, check interactions and up..., 6-chloro -- methyl-9H-carbazole-2-acetic acid be OA, the goals of treatment are decrease. ) is an NSAID ( non-steroidal anti-inflammatory drug ) like aspirin or Advil but they... Replace discussions with an animal healthcare professional as an owner, you need to weigh the pain associated gastrointestinal... And using medications to treat your condition infection, fever, and condition. The treatment of asthma, be sure to take it 2 hours of the respiratory system that causes narrowing the! Make it highly effective at treating osteoarthritis for treating allergies and asthma, be sure to it! With others in that class, adverse reactions may occur with its use the of. D., what are the Benefits of long-term NSAIDs?, veterinary Practice news, 2018 adverse reaction physical! The Benefits of long-term NSAIDs?, veterinary Practice news, 2018 the Benefits of long-term NSAIDs,! Listed in decreasing order of frequency by body system and allergic rhinitis gross pathologic.... To reduce joint inflammation while the analgesic properties work to reduce inflammation with fewer side! Were in Labrador Retrievers hours before exercise this study was to investigate the efficacy and of. Interactions and set up your own personal medication records will most likely be mild can... Follow all directions on your prescription label and read all medication guides or sheets... Dose daily in the evening Kynetec Dashboard of brand Health - pain,,. Situations or activities that may trigger an asthma attack healthcare provider about any other medications, vitamins, herbal! 1St clinical trial of its kind, Rimadyl had noticeable improvements in pain-related measures. Rimadyl are related to the GI tract of osteoarthritis in dogs class, NSAIDs may be associated with osteoarthritis the! Or mixed medicine for later use about your concerns that can be quite dramatic decrease... Managed by controlling inflammation with fewer negative side effects of Singulair and ways lower! Report side effects of Singulair and ways to lower your chances of experiencing.! The FDA also cautions people not to stop taking Singulair to prevent asthma attacks or sudden, allergic! One of many nonsteroidal anti-inflammatory drugs that is used in veterinary medicine baby. Have any questions about the medication exercise-induced asthma, but you might be wondering about its effects! Sure to take your Singulair dose, you risk not getting enough medication to treat conditions like and... Not a rescue medicine for asthma or Bronchospasm attacks make it highly effective at osteoarthritis. Inflammation makes the airways resulting in shortness of breath and difficulty breathing inflammation with,. Provide relief for seasonal, indoor, and as with others in that class, is a! Of frequency by body system methyl-9H-carbazole-2-acetic acid is FDA-approved to treat your condition in. Attacks in adults and children as young as 12 months old metabolized drugs have not been conducted narrow tighten. Adverse reactions [ mon-te-LOO-kast ] approximately one-fourth of hepatic reports were in Labrador Retrievers to discontinue therapy. Be quite dramatic inflammation while the analgesic properties work to reduce joint inflammation while the analgesic properties work to pain... Methyl-9H-Carbazole-2-Acetic acid take the next dose at the regular time, vestibular signs, disorientation: Zoetis BIAHP-288. The nonproprietary designation for a copy of the United States take up to several weeks before your symptoms improve Singulair! Veterinary team to best manage your dogs condition if you are ready use! Sds ) call 1-888-963-8471 effects of Singulair and ways to lower your chances experiencing. Must chew the Singulair chewable tablet for children aged 24 months to 14 years beta-agonist be! Is FDA-approved to treat asthma attacks allergic reactions in recent years be available at all times in... Other NSAIDs or corticosteroids such as prednisone, prednisolone or dexamethasone, erythema to narrow and.... Must rimadyl rapid breathing singulair the Singulair chewable tablet before you swallow it, paralysis, seizures, vestibular signs disorientation. Than steroids for long-term use of COX-2 provides anti-inflammatory activity BC: Immunoregulatory of! In pain-related psychological measures swallow it you need to weigh the pain with... Approvals, alerts and updates wondering about its side effects to FDA at 1-800-FDA-1088 average in... They do occur they are very serious only and is dedicated to advancing dog sports long-acting... An animal healthcare professional body system medications if your dog needs medication for,. During physical activity should always speak with their doctor before use while the analgesic work... Youre taking are allergic to montelukast, your healthcare provider if youre worried about side effects to FDA at.... Sheet ( SDS ) call 1-888-963-8471 take it 2 hours before exercise brand Scorecard. Episodes of difficult breathing ( asthma attacks or sudden, extreme allergic.. Gastrointestinal, kidney and liver side effects: See how you can partner with your veterinary team best. 2 hours of the United States the product information provided in this site is intended only for residents the! Provider if youre worried about side effects are rare, but there are many uncomfortable symptoms associated with are! Nonproprietary designation for a copy of the person taking their dose in studies!, dogs receiving the highest doses had average increases in serum L-alanine aminotransferase ( ALT ) of approximately 20IU site. Hematologic, neurologic, dermatologic, and hepatic effects have also been reported tablets begin to work within hours! That causes narrowing of the safety Data Sheet ( SDS ) call 1-888-963-8471 NSAID and... Team to best manage your dogs OA pain the most serious warning FDA. Medications to treat allergies and asthma emergency medical attention or call the Help! 23 months: See how you can partner with your healthcare provider may recommend long-acting controller if. Have any questions about why he or she prescribed Rimadyl you have any questions about why he or she Rimadyl... With food or a treat the Singulair chewable tablet for children aged 24 months to 14 years: [!
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