Wednesday, September 30, 2009

Are Generic Drugs Safe For Cats? Dr. Plotnick Elaborates

Some of you may have seen the recent web article on generic drugs for cats, and whether they're safe for cats. In my practice, I tend to prescribe generic drugs when I can, for several reasons. I really do think that most generic drugs work just as well as brand name drugs. The generics are cheaper, and it allows me to pass on the savings to my clients. Here are a few paragraphs from the original article:





       “When you buy the brand, you buy the fancy packaging,” says Arnold Plotnick, DVM, a board-certified feline specialist in New York City. He says generic drugs work perfectly on both cats and humans. Two key points to remember are:

A generic drug is the same as the brand-name version. It must be bio-equivalent to the original, meaning that the active ingredients are identical. It also has to have the same strength and address the same symptoms. Additionally, generic drugs should be metabolized by the body in a similar way.

A human drug can be approved for use in pets, providing owners with generic medication options. To market a human drug specifically for cats, a company must file a “new drug” application through the FDA’s Center for Veterinary Medicine. The ingredients and manufacturing process are tested, just as they were during the original testing of the human drug. Dosages may then change to match a cat’s needs.

A generic drug made for a human might not go down so well with a stubborn cat. The few generics on the market specifically for cats are often flavored or coated to help cats swallow them. But because the majority of drugs that veterinarians use are of the human variety -- be they generic or brand name -- they’re often bitter to a cat. Dr. Plotnick often chops or grinds the pills to make them somewhat palatable for kitty. “I’ll make it up as a liquid so I can squirt it into the cat’s mouth,” he says. “Since I know the generic works, I don’t have any fear of it not being effective.”


I know from my own personal experience that generic drugs are effective. I've taken Ambien for insomnia (I'm a terrible sleeper), and I've taken the generic, and both work perfectly fine. I take generic ibuprofen when I'm at work (we have a bottle of it in our "human medicine" section), and I take Advil when at home (the spouse bought a big bottle of it recently). No difference. All you're paying for the packaging, I believe.

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Tuesday, September 29, 2009

Bloggin' in Budapest

Hello from Budapest! Actually, as I write this, I’m sitting on a train at Budapest’s Keleti Station. It’s 12:33 p.m. on Saturday. The train (very modern, sleek, comfortable) is set to pull out of the station at 1:10 p.m. and arrive in Vienna at 4:00 p.m.

Our stay in Budapest has been wonderful, although it got off to a rocky start. At JFK airport, our plane left the gate and was taxiing on the runway when the pilot said that we were experiencing a minor mechanical problem and that we were heading back to the gate where repairmen should have it fixed in a jiffy. Two hours later, he informs us that the problem couldn’t be repaired, and we were going to de-plane, and get on a different plane. As the passengers let out a collective groan, we trudged over to the adjacent gate, and waited for the new plane to arrive. Thankfully,

boarding was relatively quick, but for some reason, we remained on the runway, sitting and sitting. Then the pilot announced that the delay was due to some passengers who decided not to travel with us on our plane, and they needed to get their luggage from the cargo hold. That took a while. Finally, almost four hours after we were supposed to leave, the plane left the ground, and the rest of the flight was uneventful. In fact, for our troubles, they said that alcoholic drinks were complimentary! Woo-hoo!

As it turns out, arriving late was not a disaster, because the weather in Budapest was horrible. Despite the steady downpour, we decided to make the best of it, and grabbing our umbrellas, we left our perfectly-located hotel and strolled over the modern Elisabeth bridge to Gellert Hill.
The climb up Gellert Hill was exhausting, but we were rewarded with an amazing view of the Danube, the bridges that span it, and the city of Pest. At the top of the Hill, we saw the dramatic Liberation Monument, featuring a woman holding aloft a giant palm branch. Behind her was the Citadella, a fortress at the top of the hill. After admiring the view for another half hour or so, we made our way down the hill slowly and gravitated toward the Gellert Baths, where we experienced a luxurious bath experience in a truly elegant setting. After a four hour delay, an eight hour flight, very little sleep, and being cruelly rained on, a leisurely soak in a scorching 38 degree Celsius thermal bath is just what the doctor ordered. After that, it was off to stroll the Danube embankment, Pest’s breezy riverfront promenade. We made our way to Spoon, a restaurant located on a boat moored in front of the Intercontinental hotel, and had a great meal. I skipped dessert at the restaurant, and made my way to Gerbeaud, the most famous café/pastry shop in Budapest, where I had a heavenly bowl of vanilla ice-cream with chestnut puree. Then, back to the hotel, where I slept like a dead man.

The following day (Friday), despite the ominous warnings on the Weather Channel’s website, it was beautifully sunny. On the agenda was an exploration of the Jewish quarter and a tour of Parliament. The Jewish quarter was close to the hotel, and we were soon at the Great Synagogue, the second largest in the world. The architecture was amazing, but to my dismay, the synagogue was closed for Rosh Hashannah. (Ooooh, our train is just leaving the station…Vienna, here we come!). I strolled the rest of the Jewish quarter, taking in some stunning monuments and intriguing buildings.

Next, we were on our way to Parliament. The building is Gothic, but has a Renaissance dome on top. A real mish-mash of architecture, but amazing nonetheless. As (bad) luck would have it, the 12:00 and 2:00 tours were cancelled, as some type of diplomatic function was going on. The building would open at 3:00, we were told. It was only 12:00 noon; I wasn’t going to wait 3 hours. So, off we went to visit some prominent statues and memorials in the area. This included a contemplative statue of Imre Nagy, the hero of the 1956 Uprising, a statue of the pensive Attila Josef looking over the Danube, a popular modern poet who committed suicide at the age of 32. The most striking monument was the relatively new Holocaust Monument, consisting of 50 pairs of bronze shoes lining the embankment of the Danube. The monument commemorates the Jews who were killed by the Arrow Cross, the Nazi’s puppet government, when they came to power in 1944. Many Jews were massacred right on the embankment; they were shot, their bodies falling into the freezing Danube. I took many photos of this monument, one of which I’m going to post.

Next on the agenda were several picturesque squares. We strolled from Deak Square, to Erzsebet Square, to Vorosmarty Square, the most popular of the three. After photographing the statue of the lions keeping guard over the fountain, and another very cool statue of Mihaly Vorosmarty, Hungary’s favorite poet and patriot, we strolled down Vaci utca, the hopping pedestrian boulevard and tourist magnet. At the end of the street we arrived at the Great Market Hall, a colorful Old World mall with lots of stalls selling souvenirs (including mountains of paprika, packaged every way you can imagine), and food stalls. Back to the hotel to rest up, shower, and then off to St. Istvan Basilica, for a classical music concert, then dinner at a wonderful outdoor cafe in St. Istvan’s square. The only distressing thing about the trip so far: no cats. Sigh. I was missing my own kitties back home, and was in need of a cat fix. Thankfully, when I got back to the hotel, I checked my e-mail and saw a message from Leslie Kaufman, cat-sitter extraordinaire, who assured me that my cats were doing great. This news made for a perfect ending to a perfect day.

Saturday was our last full day in Budapest, and the agenda was ambitious. We started with another quick stroll along the Danube embankment, to the beautiful Chain Bridge. The bridge is lovely, and a stroll across is great fun, very much like a stroll across the Brooklyn Bridge. On the other side is a funicular that takes you to the top of Castle Hill. At the top of the hill is the Turul, a big bird statue. The Turul is the mythical bird of Magyar folktales who watches over the royal palace. The Turul supposedly led the Hungarian migrations in the ninth century. He dropped his sword in the Carpathian Basin, indicating that this was to be the permanent home of the Magyar people. After photographing the big bird, we were off to explore the royal palace, and photograph some amazing statues, including the truly marvelous King Matthias Fountain. After strolling the palace grounds, we passed Sandor Palace (the official residence of the President), the National Dance Theater, the Ministry of War, Disz (Parade) Square, and arrived at Fisherman’s Bastion, a fantasy rampart offering wonderful views over the Danube, to Pest. The seven towers on the rampart represent the seven Magyar tribes. After that, we went inside the Matthias Church, a landmark neo-Gothic church that was unfortunately undergoing extensive exterior renovations, so much of it was covered by scaffolding.

We took the funicular back down to the Chain Bridge, and headed over to Andrassy Ut, Budapest’s main boulevard, lined with shops, theaters, and cafés. Budapesters like to say it’s like the Champs-Elysees and Broadway rolled into one. Having strolled on both, I’d say that’s stretching it a bit, but it is a very beautiful street, with some fantastic architecture and many points of interest, including the Postal Museum, the gorgeous Hungarian State Opera House, leafy and serene Franz Liszt Square, the fascinating (and disturbing) House of Terror Museum (the former headquarters and torture site of the Nazis and communist secret police), and the breathtaking Heroes Square, which marks the end of Andrassy Ut. This square is a mammoth tribute to many of Hungary’s historic figures.

Behind Heroes Square is City Park, a lovely 300 acre park that is Budapest’s backyard. The park contains a zoo, a replica of a Transylvanian castle, an amusement park, and the famous Szechenyi Baths. In my past travels, big parks like this have been a good source for catspotting, and I met some great cats in parks like this in Buenos Aires, Santiago, and Bangkok. We spent a good three hours in the park, relaxing on benches by the lake, strolling through the castle (it’s actually a collection buildings designed to look like a castle), and meandering through tree-lined paths, but alas, no cats. We ended our park adventure with dinner at Robinson, a restaurant stranded on an island in the park’s lake. I had made reservations by e-mail about two months beforehand, asking for a lakefront table. They proceeded to lead us to what was the absolute best table, overlooking the peaceful waters, upon which a few ducks were quietly drifting. It was a fantastic way to spend my last night in Budapest.


This morning, we awoke early and tried to squeeze in a few sights before heading to the train station. We took the metro to Liberty Square, one of Budapest’s most picturesque squares. Most Budapesters are still in bed on a Sunday morning at 8:30, and we had the entire square to ourselves. The buildings surrounding the square are architectural masterpieces, and I stood there with my camera, mouth agape. After taking many photos, and admiring more monuments, we decided to stroll to the Jewish quarter once more, to see if we could get into the Great Synagogue. Sadly, again it was closed to tourists. With an hour left to kill, we headed back to Gerbeaud, where I had a cup of hot chocolate that was as thick as pudding, before taking a cab to the train station. And so, the Budapest part of the trip comes to a close. No kitties to speak of (unless you count the stray I saw peering out from under a car in the Jewish quarter. The photo I took actually came out pretty nice). Maybe I’ll have better luck in Vienna. According to my watch, we’ll be there in less than two hours.

Tuesday, September 15, 2009

Finding Cats in Eastern Europe


Today is my last day at work before I leave for vacation. A few years ago, after my little coronary incident, I decided that life was short, the world was big, and there was a lot of the world that I needed to see. I made a goal to try to see the world's major cities. As I started to do that, I discovered that these cities had their own outdoor cat populations, and my camera lens naturally gravitated to them. I took great photos of cats in Buenos Aires, Argentina and Santiago, Chile, and Greece was a dream come true, with tons of cats everywhere I went. Lots of cats in Bangkok, as well. Tomorrow I leave for Eastern Europe. First stop: Budapest. Then comes Vienna, and finally, Prague. In Vienna, I'll definitely be popping by Katze and Kater, a gift shop that has trinkets and tchotchkes of all things feline. Of course, I'll be sharing many of my photos right here.

Yesterday I received, at work, a letter addressed to me from a Mr. Don Johnson. No return address, but the postmark was California. The letter was very brief. One sentence, in fact. But the one sentence was very flattering, as was the other item in the envelope. So, Mr. Johnson, whoever you are, thank you very much, and yes, I will continue the good work I do for our feline friends for many years to come.

Cats Rule
Arnold Plotnick
Cat Man Do

Sunday, September 13, 2009

You Gotta Start Somewhere


Welcome to my blog!

This is something I’ve been meaning to do for several years now, and I’m finally getting my ducks in a row and getting things going. Being a cat veterinarian is a great job. After all, I get paid to play with kitties all day. It’s kinda a dream come true. But as you can imagine, there’s much more to it. The job is a real emotional rollercoaster, with some truly wonderful highs, and some horribly depressing lows. I get to meet some wonderful clients, watch my talented staff in action, and of course, get to meet the most absolutely wonderful cats in the world. I’ll make sure you get to meet them, too.

As many of you know, I do a lot of writing in addition to my veterinary work. I author a monthly “Ask the Vet” column in Cat Fancy magazine, and I’m one of the feline advice experts on CatChannel.com. On CatChannel, I answer one question a week, submitted from our readers. I’m the medical editor for Catnip magazine. In Catnip, you’ll usually find either an article written by me, or a reader’s question answered by me, in nearly every issue. I like sharing my interesting medical cases and observations with others, and I’ll be doing that here. To maintain the anonymity of my clients and their cats, their names will be altered. Everything else, though, will be totally honest and accurate. There are a lot of philosophical issues a veterinarian has to deal with, and these will be interesting to share. I’m sure they’ll generate some commentary, and perhaps help me gain some perspective.

By now, you realize that cats rule my life. That’s a good thing. When school ruled my life, I used to think of my life as being divided into segments based on schooling. There were the high school years, the undergrad years, the master’s degree years, the vet school years. Now, as I get older, I see my life in terms of the cats I’ve had. There are the Brandy and Gigi years, the Gigi and Ethel years, the Ethel and Crispy years, and now the Crispy and Mittens years. I think we group our lives this way because our cats often become the only consistent thing in our lives sometimes. Over the course of a few years, we may change jobs, change addresses, go through marriages, separations, divorces… our lives can be literally turned upside down by events beyond our control. But at the end of it all, we walk through the door, and who can we count on to be there, day after day. Reliably. Dependably. Can you guess?

Cats Rule
Dr. Arnold Plotnick
Cat Man Do
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