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E. M. Lund, P. J. Armstrong, C. A. Kirk, L. M. Kolar and J. S. Klausner, “Health Status and Population Characteristics of Dogs and Cats Examined at Private Veterinary Practices in the United States,” Journal of the American Veterinary Medical Association, Vol. 214, No. 9, 1999, pp. 1336-1341.

has been cited by the following article:

• TITLE: Expedited Management of Canine and Feline Vomiting and Diarrhea. Observational Study in 3952 Dogs and 2248 Cats Using Sucralfate-Like Potency-Enhanced Polyanionic Phyto-Saccharide—Elm Mucilage

  AUTHORS: Ricky W. McCullough

  KEYWORDS: Canine; Feline; Vomiting; Diarrhea; Slippery Elm; Sucralfate

  JOURNAL NAME: Open Journal of Veterinary Medicine, Vol.3 No.3, July 11, 2013

  ABSTRACT: A potency-enhanced polyanionic phyto-saccharide of elm mucilage (PEPPS) was prescribed by 197 small animal veterinarians in an open-labeled field trial. Clients provided informed consent to veterinarians to prescribe PEPPS to 3952 dogs and 2248 cats. A 2 day/4 dose response rate, determined by veterinarians’ consensus, provided clinical threshold for a significant clinical outcome. Data was collected through phone interviews conducted over a period of 3.5 years from June 2003 through December 2006. 82% of 1928 vomiting dogs and 77% of 1064 vomiting cats responded to PEPPS within 2 days or four doses. 93% of 2024 dogs and 79% of 1184 cats with diarrhea responded to PEPPS within 2 days or four doses. PEPPS appears useful for managing vomiting and diarrhea in dogs and cats. However, a randomized blinded placebo controlled trial is needed to quantify true clinical efficacy.