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Dr. Coates is a veterinarian based in the other “Sunshine State” – that's Colorado to the rest of you – where she lives and plays with a varied range of animals. She shares her professional and personal experiences, Monday through Friday, here on petMD's blog, the Fully Vetted. Log in for your daily dose of her insight and wisdom.

 

Flea collar how-to's'¦better yet, flea collar how never's

March 31, 2007 / (20) comments


Right up front I’ll say it: I detest flea collars. I think I’d rather have fleas on my person than risk my dogs’ health with flea collars.

I’ll probably get in hot water for saying it (I’m sure to get at least one terse email from an industry spokesperson). I know from experience: When I filled out a survey for Hartz last January at a vet conference, I was met with a [polite] dressing-down when I ticked off the box that indicated I had a sub-one out of ten level of respect for their products. They are, after all, the number-one, flea-product offenders in the industry.

For starters, they don’t do what they’re supposed to. Sure, they kill fleas remarkably well up front (in the first few days), but leave the sucker on for more than a week and the product’s efficacy diminishes rapidly.

As if that wasn’t problematic enough (its action’s poor longevity drives the daily expense of a flea collar up well beyond the so-called, “veterinary” products and gives owners a false sense of security), flea collars don’t release well on cats at risk for getting hung up on fences and, what’s worse, they can be toxic.

Today I met with a new client who wanted a complete neurological exam for her dog. After finding no obvious problem, she explained that her dog had suddenly gone deaf. I had met her dog, Killer (a malapropism for a relatively easy-going Yorkie if I ever heard one), at her second-hand shop a few times in the past and the warning barks announcing my arrival had always seemed appropriately timed to the ringing of the door’s bell. So why the sudden deafness?

She explained that the only new item had been the flea collar. As Killer had “never, ever” had fleas before, she was unacquainted with the veterinary products and had taken the old-school, supermarket flea collar approach.

Her claim was that Killer had gone deaf very suddenly, over a period of days, after the flea collar had been applied. She noted that the large amount of powder on the collar had worried her but that she had trusted in the safety of such a popular mode of parasite control. Do you blame her? (Not everyone is super-savvy about flea control, not even in the year-round flea-heaven that is South Florida.)

A couple of months had already transpired by the time she came to see me. Her original vet had already signed off on Killer’s malady and she was frustrated at the outcome. Too bad I couldn’t offer her more help. A visit with the audio-oriented neurologist in Palm Beach? An MRI? Short of that, we weren’t about to get anywhere. The big expense was not in her budget.

On Monday I plan to call the company but I don’t expect any financial satisfaction for the owner. After all, Killer is over ten years-old and deafness is relatively common at his age. But sudden deafness? That’s her take on it. Having had no clinical testing prior to the episode means there’s precious little evidence to support her claim.

And, to be fair, owners often do note deafness in dogs suddenly: “Omigod, why did he just jump when he saw me? Could it be he’s losing his hearing?” And the recognition of symptoms in some owners may come months after the initial problem manifests.

Nonetheless, I believe it’s quite possible that Killer’s hearing loss could be a result of the collar. When a creature weighs less than ten pounds, it’s not unusual to assume the worst when acute neurological changes come about after the use of organophosphate-based products. In fact, that’s how these products kill fleas—by affecting their neurologic systems. Moreover, the effects we see in our patients almost always involve neurotoxicity. Seizures are most common, but subtle changes in more localized neural networks aren’t always easy to see immediately.

Older pets and our youngest are most at risk (due to the susceptibility of maturing or degenerating neurons to chemical insult). Even tick collars and the pyrethrins-containing Advantix, stronger medicine than any of the other “vet-only” products we carry, give me pause. I only use these in non-cat households where inter-dog play (when the collar or freshly-applied liquid product may be ingested) is not an issue, and when pets are of sound health and appropriate ages.

And pets are not the only ones at risk. Households with young children, pregnant or nursing moms and the elderly should be careful as well. Personally, I strongly advise against any pesticide collars if kids are around. Ever had a toddler? Everything goes in their mouths.

Maybe I worry unduly, but Killer’s issue does strike a chord with me. I don’t like to take unnecessary risks, especially when other products exist to help decrease external parasite loads. Consider Frontline, Advantage and Revolution. I feel far safer with these products.

One thing that always concerns me, though: I hate to feel like a used car salesman. Consequently, I’m always aware of the possibility that a pet-owner might think I just want their money for myself by selling the higher-priced products we vets carry.

Not so—I’m one of those vets who recommends online purchases. I’m no pharmacy. I’m in this business to offer my services and if I make extra when I sell products [for your convenience] then sure, I’ll take it. But it won’t make or break me. What’s more, I’m pleased to retain my reputation as an independent adviser when people ask for a script or an online referral. You won’t get an argument from me.

But the OTC supermarket stuff? No way. If you say you don’t have the cash then consider: safer, more effective products are the frugal pet owner’s true ally, not the mislabeled crap they sell at the big-box superstores.

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COMMENTS (20)
1
by on 07/25/2007 06:18pm

I know I'm late to this post - but I just found your blog and am reading past posts. Im quite enjoying it. I HATE hartz.. with a passion. I won't even buy their cat toys any more.. I jumped for joy and posted the recall notice everywhere I could when they finally recalled the flea drops. I was shocked they brought out another version so quickly.

as for buying frontline/advantage on line.. Since the manufactures of these products won't sell directly to online suppliers, anyone buying them on line run the risk of getting counterfit products. A lot of people have, and had some major problems with the counterfits... ranging from simply not working to seizures.. I understand wanting to save a buck - as I am one of the most "frugal" people I know, but I will not risk my cat's life to save just a few dollars.

2
by on 06/05/2007 02:29pm

Hi I am new to your blog and don't know where to put this. I just want to say I love your blog. I am really learning a lot from digging into every one of your posts. Keep up the good work!

3
by on 05/03/2007 12:55pm

We had a scare with our 9 month old kitten last night. Three weeks ago I bought a pair of "safe for kittens" flea collars for her and her old buddy cat. They had fleas and I treated them and the house.
She wore the collar for a couple weeks with no problems and eventually did the normal berserker kitten thing and lost it in the house. So I ran across it while cleaning yesterday and put the collar back on. Within an hour I noticed she was shaking, panting and scratching herself with all four paws. So I picked her up and ran her to the 24hour ER vet. They basically gave her an 85 dollar bath with Dawn dish soap and the symptoms went away. So I brought her home and pulled the collar off old buddy cat just to be safe.
The vet says he gets three of four cases like this a week. You'd think more people would know about the risk but like myself I had no idea. I am spreading the word though on several forums I attend.
I stayed up watching her last night and she seems ok now. I wish I had read this blog a couple weeks ago, thanks. I learned something.

4
by on 04/17/2007 10:27pm

I hope you are right about the Preventic collar. I’ve had an awful time dealing with ticks for the last 6 months or so. I do the topical treatments every month, and usually rotate between Frontline + and K9 Advantix every three months. I conduct pesticide applicator trainings as part of my job, so I’m more than a little aware of the term “resistance” . Anyway, the topicals seem to work great on the fleas, but I’ve not had much luck with them controlling the ticks with the same effectiveness. Mainly brown dog ticks. I went to my vet yesterday to consult, and they said ticks have been really bad lately. They recommended the collar, and it’s been on for about 24 hours now. I’ve picked off 4 ticks crawling on my dog during that time period (a couple of which obviously had some sort of physiological “problems” going on). I’m hoping it works. I’ve got a 4 year old Springer Spaniel, and keeping her away from large bushy things where birds and lizards may be hiding is really not an option.

5
by on 04/04/2007 01:28am

I'm not surprized about the dressing down. Hartz donates heavily to all Vet schools and many other pet associated charities. They do that rather than pull flea products which are approved by the EPA off the market when they start injuring and killing pets. Old story has happened with many of their flea products. Check out www.hartzvictims.com

6
by on 04/01/2007 02:01pm

We :( flea collars. They're the first place my wife looks for (and usually finds) fleas on cats. And they give her migraines. If we have a cat in the clinic that has a flea collar on, my wife will smell it from yards away. Every year we'll treat three or four cats that have had an allergic reaction to their flea collar. Hartz is definitely On Notice with us.

7
by on 04/01/2007 01:32pm

Stacy, thanks for the link. In the first P, it says, "Some of the less toxic compounds are used as systemic insecticides in animals against internal and external parasites." I don't see the compound listed (it's called Rabon), but I also don't know Rabon's chemical name.

The product was called Equitrol. After riding 25 miles on a dangerously unpredictable creature that was different than the horse I had ridden for thousands of miles, it came to me in the middle of the night that the one thing that was different was that she was being given Equitrol. I googled it and came up with story after story describing symptoms and reactions that could have been my horse. It was anecdotal evidence, but it was convincing enough to me!

I know Dr. Patty (and most vets) want to see hard research and science, but I think that the research and science often lags what is happening in the real world. I also question research methods that use artificial environments and conditions. According to the research, Rabon is safe. (BTW, it's still available as a feedblock and is labelled for cattle. Not recommended for dairy cattle, but since you can buy it at the farm supply store, who's to say it isn't in milk and dairy products.)

8
by on 04/01/2007 10:29am

Being multiple chemical sensitive myself, I am not using anything on my pets to which I will react. This includes flea collars and Skin So Soft (a pleasant fragrance to some, but I hack and wheeze for hours). I've only had to Frontline everyone in the house once, and I like to keep it that way. The Basset came to us *coated* in fleas. I scritched him, and came away with a flea caught in my fingernail. He went to the vet immediately, had a lovely treatment that killed everything on him and then had a good bath. Then we used the frontline on all of the cats and Dog.

I only worry about fleas when I get fleabites too. Ticks, on the other hand, we comb for when Kenya Dog goes up north into the woods with us.

9
by on 03/31/2007 07:26pm

Ugh! The entire link didn't post for some reason. The copy and pasted version works though.

10
by on 03/31/2007 07:24pm

Deanna...that's some seriously nasty stuff! You're lucky that you didn't hurt yourself or your horse.

http://www.michigan.gov/dnr/1,1607,7-153-10370_12150_12220-27249--,00.html

11
by on 03/31/2007 02:54pm

The word "organophosphate" leaped out at me. I had a bad experience 2 years ago with a feed-through fly control organophosphate product (since pulled from the market) for my horse. I was just about getting killed with every ride. My horse had become dangerously skittish (we call it "spooky") over the smallish stimuli and was dumping me hard, even at a walk. (Picture a 1,000 lb. animal with the quickness and agility of a cat and scared out of its mind that it will be eaten by a patch of sunlight filtering through the trees.) It clearly was doing a number on my horse's brain AND she became susceptible to all sorts of skin problems. The product was removed from her feed and 3 months later I had my horse back.

So I run as fast as I can in the other direction when I see the word "organophosphate."

12
by on 03/31/2007 02:42pm

I love this blog. One of the reasons I began reading it is because I hope (this year) to get a dog (I'll visit animal shelters in the area), and I want to learn as much reliable info as I can to give it the best care. This post is so excellent. I'm saving it and the comments section. Thank you.

13
by on 03/31/2007 02:26pm

For years I used to use a "bird protector" with my cockatiel - this's a perforated metal container that goes on the side of the cage and releases something toxic to bugs and is supposed to protect the bird from the bugs. And then I realized that if household cleaners and Teflon cookware are toxic to birds, there's a good chance that the "bird protector" was as well. Others have since confirmed my guess; thankfully I figured it out without any direct noticable injury to my bird.

14
by on 03/31/2007 02:02pm

I believe Frontline made one of my dogs quite sick a couple of years ago. Both dogs had a few fleas that were bothering them, and I was about to travel about 900 miles south with one dog, so I applied Frontline to both about a week before I left. I ran out of time and didn't bathe Ms. Fluff before we left. I did bathe her when we got to our destination (national specialty), but couldn't get her feeling clean with the single shampooing I had time to do. Her hair was extraordinarily greasy (think human teenager in the worst of adolescent hormones), and she was extremely quiet and subdued for her. She was just shy of 9 years old at the time.

I got her home a week later, and it took THREE shampooings with a filthy dog shampoo to cut the grease and get her feeling sort of clean. She greased up again pretty quickly. I talked to my vet, and she felt that Fluff's liver had been overwhelmed so she had to use her skin to try to get rid of toxins in her system. We added some liver cleansing supplements to her diet, and she did get back to normal. I've never used Frontline on her since, and I've not seen that kind of greasy skin and coat since.

Fortunately, she has very limited exposure to ticks (I've taken less than 5 off her in 10 and a half years). 20 Mule Team Borax in the house seemed to take care of the fleas, too.

15
by on 03/31/2007 01:30pm

"I admit Gil, that site scares me. Right at the top of the page they start carrying on about flea collars."

Sorry I scared you, Stacy, but I began with the Preventic collar since it "is" the standard by which all tick preventives are measured. My TBD dog was extremely sensitive to Amitraz so I never used it, but I did use Frontline TopSpot, realizing that no preventive, however good it is (with the possible exception of the Preventic collar) is a complete guarantee against tick-borne disease.

"I've also read where people have stated that tick bourne diseases are not found in their area."

TBD may be less common some places than others, particularly were ticks are scarce, but in this mobile society in which dogs often travel with their owners, it's not so smart to believe that they can't pick up a TBD.

I hope you read the rest of the page on things you can do around the house to keep down ticks.

16
by on 03/31/2007 01:10pm

I admit Gil, that site scares me. Right at the top of the page they start carrying on about flea collars. I also cannot use any products that contain Permethrin as I have cats, one of which is very fond of my dogs. Not only does he graze from their food dishes, but he also loves to rub all over them.

I've also read where people have stated that tick bourne diseases are not found in their area. One of them went as far to say that TBD's were everywhere expect for the town she lived in. I'm still trying to figure that one out. The only thing I can come up with is perhaps this person lives in a giant bubble?

Regardless, TBD's are becoming a serious problem. Both of my mother's dogs have Lyme Disease, one one of my vet's dogs had it and it seems like every other patient she sees has it as well. I'll end up with buying and applying Frontline, I just don't like doing it.

17
by on 03/31/2007 01:07pm

I've never been a fan of OTC flea-and-tick products. Here in PA fleas can become problematic in a particularly warm, wet summer, but usually are a minor nuisance. I'm not sure if any studies have ever been done on this, but my former old-fashioned, keep-it-simple type vet once recommended Avon Skin-So-Soft for dog flea prevention, and also helps repel mosquitoes (not sure about cats,though, since my cats are never outdoors). After bathing, I add about 1/4 capful of Skin-So-Soft bath oil to a 2-gallon bucket of warm water, pour it over my dogs, work it thoroughly through their coats down to the skin, and then rinse well to remove any oily residue, and dry the dog as usual. I have been doing this for at least 15 years, and have NEVER seen a flea on any of my dogs; and besides, they have a nice clean smell. None of the ingredients listed on the bottle are toxic (unless ingested in large quantities, then they could cause some GI symptoms like vomiting or diarrhea). The insect-repellent qualities of Skin-So-Soft also works for humans; I use it myself when camping in mosquito-prone areas, and it works pretty well. BTW, I have never used any chemical lawn treatments; I believe these chemicals are far too toxic to risk my pets' health.

18
by on 03/31/2007 11:47am

"They insisted that if their pet is being treated that there couldn't possibly be fleas in their carpets and such? As I've always understood it, treating the pet is only one step of the process."

You're right. Fleas live most of their lives "off" the dog, laying eggs in any tiny crevice they can find in furniture, carpet, even the cracks in hardwood floors. A commercial product, FleaBusters, works very well at drying the eggs out and making it impossible for them to hatch. It should be used in conjunction with a good commercial flea and tick preventive.

"I should start treating the dogs with Frontline though for no other reason than to ward off Lymes Disease. Is there any form of prevention I can use that is just as effective?"

There are worse tick-borne diseases than Lyme (singular) Disease. Lyme seldom causes fatalities but Ehrlichia of several species, Babesia and Rocky Mountain Spotted Fever are extremely serious and that makes tick prevention a priority for dogs all over the country. TBD is spreading and it is foolish to let anyone tell you "it can't happen here". An online friend in Ontario was told there was no incidence of TBD there and the vets at the renowned clinic to which she took her bull terrier refused to consider TBD further after a simple Snap test came back negative. He was in ICU, severely ill, before a vet agreed to give him a course of doxycycline, the drug of choice for ehrlichiosis. In 24 hours, the dog was dragging his vet techs down the hall and playing ball with his IV unit attached. Tick-borne disease is there. I have stories like that from everywhere, though not all with such a good outcome.

The death of my dog from an erhlichial disease now known as Neorickettsia risticii was the impetus for my website on tick-borne diseases, treatment and prevention. There's a page here on preventives if you'd like to read it.
http://blackgsd.googlepages.com/prevention

19
by on 03/31/2007 11:04am

This is completely off topic, but I just found it and thought it was worth posting.

Hill's prescription diet M/D has been recalled for the use of wheat gluten.

http://www.avma.org/aa/menufoodsrecall/breaking_ne...

20
by on 03/31/2007 10:25am

I think any pet owner that forces their pet to wear a flea collar should wear one themselves. I feel as though they should know what it's like to have that nasty smell invade their noses for a few days and see how they feel. Blech!

They may be "effective" for the fleas around the neck, but what about the ones that bite and breed around the base of the tail?

Why is that people think that because their pet is being treated for fleas that they don't have to treat and clean their house? I got into this arguement with somebody last week. They insisted that if their pet is being treated that there couldn't possibly be fleas in their carpets and such? As I've always understod it, treating the pet is only one step of the process.

I haven't used any type of flea prevention on my pets in many years as I haven't had a flea problem. I should start treating the dogs with Frontline though for no other reason than to ward off Lymes Disease. Is there any form of prevention I can use that is just as effective? This has nothing to do with being cheap, I just don't like putting that kind of stuff on my pets.

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About fully vetted

Patty Khuly, VMD, MBA

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Dr. Khuly is a former petMD blogger and small animal veterinarian in Miami, Florida, where she practices medicine at Sunset Animal Clinic and serves on the board of the South Florida Veterinary Medical Association. She is a graduate of Wellesley College, the University of Pennsylvania School of Veterinary Medicine, and The Wharton School of Business.

As a significant sideline, she writes...a lot. She authors pet health columns for USA Today, The Miami Herald and Vetstreet. She also writes a popular monthly column for Veterinary Practice News and serves as regular contributor to Veterinary Economics, The Bark, and the Veterinary News Network.

Dr. Khuly lives in South Miami with her brood of hens, goats, dogs, cats...and humans.

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