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Ask Dr. Susan Your Own Question
Dr. Susan
Dr. Susan, Veterinarian
Category: Vet
Satisfied Customers: 6785
Experience:  8 years of clinical experience with specialty in veterinary pain management, urology, and geriatrics
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My 6 month old has eaten a weeks worth of my ellesse

Resolved Question:

My 6 month old bitch has eaten a weeks worth of my ellesse duet hrt while we were out tonight. Is she in any danger?
Submitted: 2 years ago.
Category: Vet
Expert:  Dr. Susan replied 2 years ago.
Dr. Susan :

Hi, I can help you with your question today.

Dr. Susan :

How much does Nula weigh?

Customer:

About 11kilos

Dr. Susan :

OK, and are you taking the 1mg or 2mg tablets?

Dr. Susan :

If you're not sure, one comes in a white/green combo and the other is orange/gray.

Customer:

2mg it was 4 of the white tablets and 3 of the orange

Dr. Susan :

OK, just a moment

Dr. Susan :

Ok, how long ago did she ingest these?

Customer:

We found parts of a couple of tablets

Dr. Susan :

Good, she is right around the dose where we begin to worry about bone marrow suppression from the estradiol though.

Customer:

more than I hour less than 4

Dr. Susan :

OK, let's try to induce vomiting to reduce risk of bone marrow damage.

Dr. Susan :

You can give her 24 ml (about 5 teaspoons) of 3% hydrogen peroxide.

Dr. Susan :

Mix it with a small amount of milk to encourage her to drink it.

Dr. Susan :

Then take her for a brisk walk to mix her stomach contents. She should vomit within 20 minutes.

Dr. Susan :

If not, we can repeat the dose one time.

Customer:

I don't have any hy perox. Isn't that bleach?

Dr. Susan :

If we do not retrieve a significant amount of the tablets, I recommend having her evaluated by your local vet. I would start with a baseline CBC (complete blood count) today then repeat in 4 days, 7 days (looking for downward trend in white blood cells during that time), 14 days (look for downward trend in platelets) and 30 days (look for downward trend in red blood cells)--more frequent intervals of testing if downward trends are noted. If levels get really low, we need to consider bone marrow stimulants.

Dr. Susan :

NO NO NO! No bleach.

Dr. Susan :

Hydrogen peroxide has some whitening properties, but it is not the same as bleach.

Customer:

Thank heavens for that

Dr. Susan :

Is there a 24 hour pharmacy that you could get peroxide from?

Customer:

Not where I live. Should I put my fingers down her throat?

Dr. Susan :

Unfortunately, I don't think that will work.

Dr. Susan :

Our choices are to take her to a 24 hour vet to induce vomiting, or if that isn't possible, we will need to follow up on the timeline I listed above for testing her blood cell counts.

Dr. Susan :

We worry any time a dose of 1 mg/kg of estradiol is reached. Her dose of 7 tablets is greater than that, nearing 1.3 mg/kg.

Dr. Susan :

Hopefully she will not be affected, but I don't want to risk that.

Customer:

Okay I've just weighed her and she's 14.3 which must help?

Customer:

Growing faster than I realised despite her death wish!

Dr. Susan :

Yes, that gets us closer to 1 mg/kg. She ingested about 14 mg estradiol.

Dr. Susan :

Since you found those broken pills, hopefully that means she ingested even less than that.

Customer:

Okay thanks I will contact my vet for blood tests as soon as they open

Dr. Susan :

Everything else will be a best guess. I certainly hope she won't be affected, but the only way to know with certainty will be by monitoring her lab work.

Dr. Susan :

Perfect. You shouldn't see any problems before then. It will take longer for us to see the effects on the bone marrow, if any.

Dr. Susan and other Vet Specialists are ready to help you