Several medications, both prescription and over-the-counter, have the potential to cause liver damage in pets if misused or in excessive doses. Here are some medications commonly associated with liver toxicity in pets:
- Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Common NSAIDs like ibuprofen, naproxen, and aspirin can cause liver damage and gastrointestinal issues in pets, especially if ingested in large quantities or over a prolonged period.
 - Acetaminophen (Tylenol): Acetaminophen can be highly toxic to pets, particularly cats and dogs, leading to severe liver damage and even death. Even small doses of acetaminophen can cause liver failure in pets.
 - Chemotherapy Drugs: Some chemotherapy drugs used in veterinary medicine to treat cancer, such as certain types of alkylating agents and antimetabolites, can cause liver toxicity as a side effect.
 - Antifungal Medications: Certain antifungal drugs, including ketoconazole and itraconazole, can potentially cause liver damage in pets, particularly if used at high doses or for an extended period.
 - Antibiotics: While uncommon, some antibiotics, such as tetracyclines and sulfonamides, can cause liver toxicity in pets, especially if administered at high doses or for prolonged periods.
 - Anticonvulsant Medications: Some anticonvulsant drugs used to manage seizures in pets, such as phenobarbital and valproic acid, may have hepatotoxic effects if not properly monitored.
 - Steroids: Long-term use of corticosteroids like prednisone or dexamethasone can lead to liver damage in pets, particularly if administered at high doses or for extended periods.
 - Anesthesia Drugs: Certain anesthesia drugs, particularly those metabolized by the liver, can cause liver damage as a side effect, especially in pets with pre-existing liver conditions.
 - Heartworm Preventatives: Although rare, some heartworm preventatives containing the active ingredient ivermectin can cause liver toxicity, especially in certain dog breeds with a genetic sensitivity to ivermectin.
 
It’s essential for pet owners to administer medications only as directed by a veterinarian and to be aware of potential side effects, including liver toxicity.
Things to look out for:
- Itchy Skin: Pruritus, or itchy skin, can occur due to the buildup of toxins in the blood as a result of impaired liver function.
 - Jaundice: Yellowing of the skin and eyes due to elevated levels of bilirubin, a yellow pigment, in the blood.
 - Fatigue: Persistent tiredness or weakness, which can be a sign of decreased liver function.
 - Abdominal Pain or Swelling: Discomfort, tenderness, or swelling in the abdomen, often due to liver enlargement or fluid accumulation.
 - Dark Urine: Urine that appears darker than usual, can indicate liver problems.
 - Pale Stools: Stools that are lighter in color than normal, often due to decreased bile production by the liver.
 - Nausea and Vomiting: Persistent nausea, vomiting, or loss of appetite can be symptoms of liver dysfunction.
 - Unexplained Weight Loss: Sudden or unexplained weight loss without changes in diet or exercise habits can indicate liver issues.
 - Easy Bruising or Bleeding: Liver damage can affect blood clotting factors, leading to easy bruising or bleeding.
 - Confusion or Cognitive Impairment: Severe liver damage can lead to hepatic encephalopathy, causing confusion, difficulty concentrating, and other cognitive symptoms.
 
