Introduction to Ask Dr. Paola Series
Welcome to our “Ask Dr. Paola” series, where every Monday we bring expert advice straight from Dr. Paola Cuevas (MVZ) to help our readers better understand their dog’s health and well-being. Whether you’re a new pet parent or a seasoned dog lover, Dr. Paola is here to provide answers to your most pressing questions. From nutrition tips and preventive care to troubleshooting common behavioral issues, Dr. Paola is ready to offer insights that will keep your furry friend happy and healthy.
Help! My Dog Still Has Her Nipples!
A concerned dog owner, Norman, asked about his Miniature Schnauzer, Tarot, and when she would lose her nipples. Dr. Paola explained that nipples are a normal part of a dog’s anatomy and remain throughout life in both males and females, regardless of whether they have been spayed or have had puppies. They only change significantly if there is an underlying medical condition affecting the skin or mammary tissue. If Norman has noticed any changes in Tarot’s nipples, such as swelling, crusting, discharge, or ulceration, these could be signs of a dermatologic issue, hormonal fluctuation, or mammary gland disorder.
Help! My Dog Had an Adverse Reaction to Librela!
Donna, another worried dog owner, reached out to Dr. Paola about her 5-year-old Sheltie, who had an adverse reaction to Librela injections. The dog had surgery months ago because of bilateral torn ACLs in his back knees, but after continuous physical therapy, he continued to get worse. Dr. Paola explained that Librela (bedinvetmab) is a monoclonal antibody approved to manage osteoarthritis pain by targeting nerve growth factor (NGF). While it was generally well tolerated in clinical trials, the FDA has received over 3,600 adverse event reports since its U.S. approval in 2023. These include neurologic signs such as ataxia, paresis, paralysis, recumbency, and in some cases, death or euthanasia.
Help! I Need a More Affordable Option!
Lynne asked Dr. Paola about a more affordable option for her dog, Hunter, who gets a Librela shot every month at a cost of $80. Dr. Paola explained that there is no FDA-approved alternative available without a prescription that offers the same targeted effect as Librela. Over-the-counter support for arthritis typically includes joint supplements like glucosamine, chondroitin, omega-3 fatty acids from fish oil, or green-lipped mussel extract. These may help support cartilage health and reduce inflammation, but they do not directly control pain, and their benefits tend to develop gradually and vary between individuals.
Conclusion
In conclusion, Dr. Paola’s expert advice provides valuable insights into various dog health issues, from nipples to adverse reactions to Librela and affordable options for managing arthritis. By sharing her knowledge and experience, Dr. Paola helps dog owners make informed decisions and provide the best possible care for their canine companions. If you have a question or concern about your dog’s health, don’t hesitate to reach out to Dr. Paola or consult with your veterinarian for personalized advice. Remember, every dog is unique, and what works for one dog may not work for another. Always prioritize your dog’s health and well-being, and seek professional help when needed.