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Decongestants in Animals

By

Patricia M. Dowling

, DVM, MSc, DACVIM, DACVCP, Veterinary Clinical Pharmacology, Western College of Veterinary Medicine, University of Saskatchewan

Last full review/revision Jan 2022 | Content last modified Jan 2022

Decongestants are commonly used in humans to treat allergic rhinitis, but they are rarely used for this purpose in animals. The alpha-adrenergic agonist drugs cause local vasoconstriction in mucous membranes, which reduces swelling and edema. They are used topically as nasal decongestants in allergic and viral rhinitis, or systemically in combination with antihistamines as respiratory tract decongestants. Antihistamines are effective for treatment of allergic rhinitis in humans when combined with the alpha-adrenergic agonist drugs, but their effectiveness in animals has not been demonstrated. The topical alpha-adrenergic agonist drugs act within minutes with few adverse effects, but extended use may cause rebound hyperemia and mucosal damage. Systemic administration can result in hypertension, cardiac stimulation, urinary retention, CNS stimulation, and mydriasis. Systemic administration of antihistamines often causes sedation.

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Systemic Pharmacotherapeutics of the Cardiovascular System
Dogs and cats with left-side congestive heart failure (CHF) can develop respiratory distress due to pulmonary edema. Which of the following intravenous diuretics is the most appropriate treatment for life-threatening pulmonary edema caused by CHF?
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