Miscellaneous Drugs for Reptiles

Drug

Dosage

Condition

Allopurinol

10–50 mg/kg, PO, q 24 h

Gout, decreases uric acid production

Aluminium hydroxide

100 mg/kg, PO, q 12–24 h

Decreases phosphorus absorption and may lower blood phosphorus levels

Aminophylline

2–4 mg/kg, IM

Respiratory disease when bronchodilation required

Arginine vasotocin

0.01–1 mcg/kg, IV

Egg binding (more potent than oxytocin)

Calcitonin

1.5 U/kg, SC, q 8 h

50 units/kg, IM, repeat q 1–2 wk for 3 treatments

Hypercalcemia, fluid therapy also recommended

Secondary hyperparathyroidism. Do not give unless normocalcemic.

Calcium gluconate (10 mg/mL)

100 mg/kg, IM, q 6 h, or 400 mg/kg, IV, intraosseous, given over 24 h

PO as needed

Hypocalcemia in iguanas; high phosphorus concentration may cause soft tissue mineralization.

Calcium carbonate

PO as needed

Dietary supplement to correct Ca:P imbalances for herbivores, omnivores, and insectivores

Cimetidine

4 mg/kg, PO, q 8–12 h

Regurgitation, vomiting, gastritis, GI ulceration

Cisapride

0.5–2 mg/kg, PO, q 24 h

GI motility modification; not recommended to use with clarithromycin in tortoises

Dexamethasone

0.3–1.5 mg/kg, IM, IV, intraosseous

Inflammation, shock, beware of immunosuppression, rarely indicated

Dinoprost (prostaglandin)

0.5 mg/kg, IM or per cloaca, once

Nonobstructive dystocia, typically used in combination with oxytocin or vasotocin

Ketoprofen

2 mg/kg, SC, IM, q 24–48 h

Inflammation, pain

Furosemide

2–5 mg/kg, IM, IV, q 12–24 h

Diuresis (effective despite lack of loop of Henle in reptiles)

Iodine

2–4 mg/kg, PO, q 7 d

Prophylaxis for goitrogenic diets

Iron

12 mg/kg, IM, q 7 d (alligators)

Anemia in alligators

Metoclopramide

1–10 mg/kg, PO, q 24 h for 7 d

Unproven efficacy

Prednisolone

1–5 mg/kg, PO

Anti-inflammatory,decreased nephrocalcinosis, beware of immunosuppression, rarely indicated

Selenium

0.028 mg/kg, IM

Deficiency in lizards

Sucralfate

500–1000 mg/kg, PO, q 8–24 h

Gastric irritation/ulceration

Thiamine

50–100 mg/kg, IM

Thiamine deficiency

Vitamin A

5,000 units/kg, PO, q 7 d

Hypovitaminosis A (iatrogenic hypervitaminosis A may result from repeated treatment)