C10009177 / invoice 10000

ANIMAL PRESCRIPTION
This prescription is for ANIMAL USE ONLY

PRESCRIPTION MEDICINE
Drug Name: Azarga (Brinzolamide + Timolol)

Strength: 1%-0.5%

Quantity to be dispensed on each occasion: 5mL

Dose: Please put ONE drop in RIGHT eye THREE times daily and ONE drop in LEFT eye TWO times daily

Route: Into eye


Number of repeat supplies: 6


Expiry Date: 09/03/2027



Prescribing veterinarian: Dr Adeline Choi



 

s/o


Much happier in himself more energy and seems comfortable

Healed v well ! 
Sutures removed --- used muzzle & owner helped restrain, worked well

Revisit in 3-6m for T4 check and check up 

Admitted: 
9am d/o CONFIRMED
Eye enucleation-  right eye 
Estimate on file E2350
pab, ivf, nails
o gave stress free last night and this morning + thyroid and eye meds 7:30am

250mg traz PO 
O gave 1200mg gaba last night and this morning, little effect

Had 1/2 insulin dose this AM but no food
PAB - BG 2.4
T4>129
Remainder biochem WNL

Start IVFT 1 bag of saline with 50IU insulin added set at 0.5ml/kg/hr 
 + 5% glucose solution with 40mmol KCL added at 6ml/kg/hr

Procedure: Eye enucleation IOP >99 R eye non visual

Anaesthetic Procedure
Predmed: Medetomidine 17mcg/kg & Methadone 0.3mg/kg SC
Induction: Alfaxan CD drawn up @ 2mg/kg and given IV to effect
Maintenance: Isoflurane via endotracheal tube
Recovery: Smooth, see anaesthetic record for more details

Retrobulbar nerve block instilled 5ml lignocaine 

Surgery:
Transpalpebral approach performed
Minimal haemmorhage, controlled with cautery
Subcutaneous tissue closed with 3-0 filaxyn
Skin closed with 4-0 dermalon top ends left long for removal 
BG monitored throughout day
Ears checked -- nil d/c, suspect was rubbing due to eye pain

Plan:   
 - sutures out in 14 days
 - ecollar & cold compress next 48hrs 
 - carprofen 100mg BID for 7d
 - current T4 dose is 5 tablets daily, reduce to 3 tablets daily (1.5 mornign & night) and recheck T4 levels in 2-4 weeks
 - consider testing urine dipsticks daily, may require dose drop

:: Added by Vanessa Wong, Tuesday 3rd February 2026 11:21 AM ::
LMOM to call if any concerns. O called back at 11.42am. VW called back and LMOM.