Red Light, Green Light: Phenylpropanolamine Extended-Release Tablets

ArticleQuizFebruary 20261 min readSponsored
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Although urinary incontinence can affect dogs of any age, sex, or breed, it is most common in spayed females.1 The estimated prevalence of incontinence varies, depending on study design, but it is estimated to affect ≤20% of spayed female dogs.1 Most of these patients are affected with urethral sphincter mechanism incontinence (USMI),1 which is often, though not always, associated with alternations in sex hormones following gonadectomy.1

According to the ACVIM 2024 consensus statement on canine urinary incontinence, alpha agonists (eg, phenylpropanolamine [PPA]) and estrogen compounds (eg, diethylstilbestrol, estriol)1 are the recommended first-line treatment options for female dogs with USMI.1 However, 8 out of 8 ACVIM panelists stated that they select PPA as their initial treatment for dogs with USMI.1


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