DL-Methionine 200mg (per tablet) (Manufacturer may vary)

Ammonil Urinary Supplement is a dl-methionine supplement for use as a urinary acidifier in cats and dogs.

Key Benefits

• A urinary acidifier used to prevent and treat certain types of kidney and bladder stones
• A prescription is required for this medication
• Given by mouth

Reasons for prescribing:

• Used to acidify the urine of dogs and cats
• May be useful in preventing the return of certain bladder stones

How It Works

DL-Methionine is used to acidify urine in both dogs and cats. Urinary acidifiers are used when the pH of the urine is too high, causing struvite stone and crystal formation. It may help in dissolving struvite stones with time and preventing stone recurrence. DL-Methionine is available as a flavored tablet in 200 mg or 500 mg strengths and as an oral gel.

Indications

For use as a urinary acidifier in cats and dogs

• Read and follow the prescription label carefully.
• Give the exact amount prescribed by your veterinarian and only as often as directed.
• Product directions vary from product to product. Always follow your veterinarian’s instructions.
• Drug dosage should be adjusted to maintain urine pH consistently below 6.6.
• Not intended for use in kittens.
• Give this medication for as long as your veterinarian directs. Do not skip doses or stop giving the medication without consulting your veterinarian.
• Your veterinarian will assess how this medication is working by your pet’s response.
• Your veterinarian will also routinely check urine pH values to ensure proper dosing.
• Dose adjustments may be made based upon these results and an assessment of how your dog or cat is responding clinically.
• Call ahead for refills.
• Ideally, give medication at the same time(s) daily.

If you miss giving a dose: If a dose is missed, give it as soon as you can. If it is time already for the next dose, skip the missed dose and go back to the normal schedule. Do not give two doses at the same time

Possible side effects of Spironolactone/HCTZ:

• May cause Heinz body anemia in cats
• Large doses may cause gastrointestinal upset when fed on an empty stomach, therefore give with food
• Side effects are generally mild and may include vomiting, loss of appetite and diarrhea
• If these symptoms persist or you notice anything else unusual, contact your veterinarian

What dogs/cats should not take this medication?

• Animals with liver, pancreatic or kidney disease
• Animals with metabolic acidosis, or those with urate kidney or bladder stones
• Not for use in animals less than 1 year of age
• Not intended for pregnant or nursing animals
• Animals on an urine acidifying diet unless directed by your veterinarian
• Animals with a known hypersensitivity or allergy to this DL-Methionine should not take this medication