Single-agent or evidence-based dual protocols remain the safer starting point
Kori M, Aydn B, Unal S, Arga KY, Kazan D
Support is as per MTR by optimising dietary or supplemented vitamin B12 (especially methyl B12) and zinc as a cofactor

Canine Rx Calculator 15-Feb-2025 Canine Rx Calculator CALCULATORS ARE FOR GENERAL GUIDELINES ONLY NOT INTENDED TO REPLACE CLINICAL INSTRUCTIONS Class: ANTIBIOTIC/VIRAL/FUNGAL Amoxicillin Dosage: 20 mg/kg No selected calculator Azithromycin Dosage: 10 mg/kg No selected calculator Baytril (enrofloxacin) Dosage: 5 mg/kg No selected calculator Cefpoderm (cefpodoxime) Dosage: 5 mg/kg No selected calculator Cephalexin Dosage: 22 mg/kg No selected calculator Clavamox (amoxicillin/clavulanate) Dosage: 20 mg/kg No selected calculator ClindamycinDosage: 15 mg/kg No selected calculator Convenia (cefovecin sodium) Dosage: 8 mg/kg No selected calculator Doxycycline Dosage: 5 mg/kg No selected calculator Famciclovir Dosage: 90 mg/kg No selected calculator Flagyl (metronidazole) Dosage: 15 mg/kg No selected calculator Class: CORTICOSTEROIDS Class: GASTROINTESTINAL Class: PAIN MANAGEMENT Class: PARASITICIDE
Treatment Treatment for this condition involves replacing the missing vitamin B12
Inquiry should be made regarding a history of kidney stone , since a patient with gout and kidney stones will likely require faster and more aggressive lowering of uric acid (see below) than one without stones, to try and prevent recurrent stone formation