- In the case of accidental ingestion or overdose, apply glucose syrup or honey to your pet’s gums and contact your veterinarian. Any animal that is experiencing seizures or loss of consciousness should be taken to your veterinarian immediately. Minor overdoses may be managed by close monitoring and feeding small, frequent meals to keep blood glucose elevated.
OTHER NAMES
Glimepiride, glipizide, glyburide, chloropropamide, sulfonylurea, tolazamide
TOXICITY
MODERATE
CLINICAL SIGNS
Clinical signs occur in minutes to hours, but may be delayed up to 24 hours.
- Vomiting
- Inappetence
- depression
- Weakness
- Uncoordinated gait (ataxia)
- Behavioural changes
- Seizures
- Coma
In cats, other signs may include yellow skin or mucous membranes due to liver toxicity.
EFFECTS OF TOXICITY
Sulphonylureas trigger the release of insulin, which can cause potentially fatal low blood glucose (hypoglycaemia). It may also cause liver injury in cats.
TREATMENT
Veterinary care may involve decontamination (for example, inducing vomiting), as well as blood glucose measurement and supplementation as required. Anti-convulsants are administered as required. Blood tests may be recommended to monitor liver function.
REFERENCES
Gwaltney-Brant, S (2011) Prescription drugs. In: Small Animal Toxicology Essentials ed. RH Poppenga and SM Gwaltney-Brant. London: Wiley-Blackwell. Pp241-251.