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The CERENIA® (maropitant citrate) Injectable label has been updated to include intravenous admin- istration for use in dogs and cats 4 months of age and older, increasing the ability to customize patient care while providing 24 hours of reliable treatment and prevention of vomiting. "The IV label change gives us more in-clinic flexibility regarding how we can treat patients with maropitant," said Tamara Grubb, DVM, Ph.D., DACVAA, assistant professor of anesthesia and pain management, Washington State University College of Veterinary Medicine.* "Flexibility is important because we all know how a day in a veterinary hospital can be very unpredictable, and we don't always want to treat a patient orally or subcutaneously." As the first and only FDA-approved medication for the prevention of acute emesis in dogs and cats, CERENIA, when used intravenously, provides the same demonstrated safety and efficacy as when used subcutaneously, delivering the reliable prevention and treatment of vomiting that you trust. Emetogenic agents such as opioids can cause acute emesis, and a significant number of dogs experience vomiting following the administration of some opioids as preanesthetics. 1 "We commonly premedicate our patients with very potent opioids, and we don't want to give those drugs up because they provide profound analgesia," said Dr. Grubb. "However, they often cause vomiting, which can be a problem for the anesthetist and possibly unpleasant for the patient. If the patient is very sedate from premedications or has an upper airway dysfunction, it could aspirate material into its lungs." Intravenous Administration of Maropitant Improves Flexibility for In-Clinic Protocols LABEL UPDATE CERENIA-treated group placebo group vs. † Return to normal feeding was the time at which 1OO grams of food was consumed. Normal feeding † 2O hours postoperative 9O.9 % 41.7 % vs. O % 93.8 % vs. Incidence of vomiting 19O grams 39.1 grams vs. Mean total food consumption