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This drug information sheet is to be used as a guide to counsel patients on the use and side effects of this medication.

Medication
Greyhound Corn/Callus Cream

Use:
Greyhound Corn/Callus Cream (a Murray Avenue Apothecary proprietary formula) - helps soften and heal the skin, promote removal of corns and calluses, and has anti-inflammatory/anti-pain properties, anti-viral, anti-fungal, and antiseptic properties.

Administration:

• Apply a small amount of  Hyaluronic acid serum on the paw, cover with a baggie or saran and Therapaw for 20 minutes.  (Hyaluronic acid holds 1000x its weight in water and is a better hydrator than Olive Oil/ Water soaks or Epsom salts soaks which actually draws out fluid from the tissue). The Hyaluronic acid serum product and Therapaws (in various sizes) may be purchased through the apothecary upon request.  When you sign up for our Healthy Rewards Card we will load $10 onto your card when all three items are purchased together (Greyhound Corn/Callus Cream, Hyaluronic acid serum, and Therapaw).
• The softer the pad the better the cream will work.
• SHAKE THE Corn/Callus Cream tube WELL before use.
• Apply the Corn/Callus cream to the affected pad (corn) and massage in well-the cream will appear to be white when rubbed on the pad, keep rubbing until the cream is gone. Wrap the area with saran wrap or a baggie, use a bootie for at least 20 minutes following application to occlude the area and allow the cream to be well absorbed.
• The cream may be applied into a hulled pad to soften the “hull” to help prevent re-growth of the corn. Sometimes the corn will fall out on its own.  Please talk to your vet about pulling out a corn that seems ready to come out before doing this on your own. Most people tell us that when they do pull out the dead corn it is black on the bottom-this is exactly what we want to see-death of the root.
• Optimal results are typically seen with twice a day applications.
• Resolution has been seen in as little as 3 days for mild cases. Treatment may take up to 5 months or more for severe cases with repeated use.

• Cream may be used for prevention or maintenance. Application varies but may be applied 1-5 times per week- observe animals walking pattern and response.
• Store the medicine at room temperature. Do not refrigerate or freeze.
  
  Side Effects:
  

This cream is non-toxic if used properly and the paw is occluded for 20 minutes after application.
To date, no side effects have been reported, but it is possible that the following mild reaction may occur: mild localized irritation to surrounding skin or possible sloughing of old skin on the pad.

Precautions:

·        For topical use only.
·        Avoid contact with eyes, lips, and mucous membranes.
·        If you do get medicine in your eyes, rinse your eyes with water and call your doctor.
·        Wash your hands with soap and water after using this medicine.
·        Keep all medicine out of the reach of children.

For more information, please feel free to call the Pharmacist/Owner Susan Merenstein or PharmD Erica Trimble between the hours of 9a and 5p at 412-421-4996. Questions can also be sent by e-mail to Erica@MAAPgh.com or SusanM@MAAPgh.com . You can also visit our website http://www.murrayavenuerx.com/animals.html.

NOTE: All greyhounds using the cream will be entered into our Greyhound Corn/Callus Study Prospective Trial with Dr. Couto of Ohio State University.  We appreciate feedback, results, and before and after pictures.  This will assist us in compiling our study data and results.  We are also contacting all vets regarding this cream to increase awareness of this new treatment.   Please complete this survey http://survey.constantcontact.com/survey/a07e5m9kvtxgyrpj4gh/start so that we may follow the progress of your greyhound on this treatment.  Please report this information to Erica@MAAPgh.com, or SusanM@MAAPgh.com. We appreciate your support in this important endeavor to increase quality of life of our “greyt” friends.