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  • Neuroendocrine tumors are a group of tumors that develop from the cells of the neuroendocrine system, and include insulinomas, gastrinomas, glucagonomas, carcinoids, medullary thyroid carcinomas, small-cell lung carcinomas, pheochromocytomas, chemodectomas, and Merkel cell carcinomas. Some of these tumors are functional, while others are non-functional. The signs of disease in dogs and cats depend on the type of growth, location of the tumor, its size, the degree of infiltration in the surrounding tissues, whether it has metastasized, and whether it is functional. A definitive diagnosis requires tissue biopsy and histopathology, often with histochemical staining and electron microscopy. Staging is highly recommended for these tumors. Treatment may involve surgery, chemotherapy, radiation therapy, and medical and dietary management.

  • Neutering and castration are the common terms used to describe the surgical procedure during which both testicles are removed to sterilize a male cat. Neutering is recommended to prevent urine marking and other territorial behavior, such as roaming and fighting with other cats, which increases the risk of contracting disease. Spaying and neutering our pets is a vital step in reducing overpopulation and crowding of shelters.

  • Nitenpyram is given by mouth and is used on and off label to treat adult flea infestations and fly larvae infestations. Give as directed by your veterinarian. The most common side effect is itchiness. Do not use in pets that are allergic to it, in pets that weigh less than 2 pounds, or in pets younger than 4 weeks old. If a negative reaction occurs, please call your veterinary office.

  • Nitrofurantoin is an antibiotic used to treat bacterial urinary bladder infections. It is typically used as a second-line antibiotic, when broad-spectrum antibiotics have not cleared the infection. It is used “off label” or “extra label” in veterinary medicine. Nitrofurantoin comes in capsule or liquid forms given orally. Never use in food-producing animals or animals intended for food.

  • Nitrofurazone topical (brand names Fura-Septin®, Furazone, others), is an antimicrobial used to treat surface bacterial infections, wounds, and skin ulcers in dogs. Some products may be labeled for use in cats. Nitrofurazone topical comes in ointment and powder forms. It is prohibited for use in food-producing animals.

  • Nose Bleeds (Epistaxis) in cats can be extremely unsettling for the pet owner. Most acute (sudden) nosebleeds are caused by simple trauma or by upper respiratory tract infections. This handout discusses nosebleeds in cats, the various causes of this condition, first aid recommendations and possible testing to find the root cause of the problem.

  • Nonsteroidal anti-inflammatory drugs (NSAIDs) are most often used to reduce pain, inflammation, and fever, much like how ibuprofen and naproxen are used by humans. In pets, they are most used around surgical procedures, after injury, or to help manage chronic pain such as that of osteoarthritis. Risks and potential side effects are discussed.

  • The term 'nutraceutical' was coined to represent compounds found in food and herbs that are not technically considered nutrients, such as vitamins or minerals, but may have a profoundly beneficial impact on the health of the body. Common examples of nutraceuticals include glucosamine, which is used in the treatment of arthritic conditions for both dogs and cats, and antioxidant compounds, that help in the prevention of cancer.

  • A nutraceutical is a food or food product that reportedly provides health and/or medical benefits. In addition to diet modifications, exercise, weight loss, and medications, joint support nutraceuticals are also helpful in an osteoarthritis management program. Nutraceuticals are not subjected to the same testing and regulation as pharmaceuticals. Your veterinarian can advise you on products that have been evaluated and have yielded positive effects.

  • Nutritional changes can improve the management and treatment of pancreatic diseases in cats. Diet type and pancreatitis in cats may not be as crucial as in dogs. Diet factors for managing pancreatitis, exocrine pancreatic insufficiency, diabetes mellitus, and insulinoma are discussed. Recommendations for feeding diabetic cats and approaching hypoglycemia are also described.