Ivermectin & Fenbendazole For Canine Cancer – What Pet Owners Need To Know

Integrative Veterinary Medicine

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By Dr Dan Beatty

When exploring unconventional treatments for canine cancer, it’s crucial to understand the tools in your arsenal. I have had three clients in the past couple of weeks ask about Ivermectin and Fenbendazole for their dogs diagnosed with cancer. Although both drugs have a background in treating parasites, they are now being studied for their potential effects on cancer.

Fenbendazole is a common choice for addressing intestinal parasites in dogs; however, after a few anecdotal stories about its affect on cancer, it is now being considered by some pet parents as an option for cancer treatment. Research indicates it might inhibit microtubule formation, much like some chemotherapy drugs, thereby disturbing cancer cell growth. Additionally, it could disrupt glucose metabolism in cancer cells, starving them of energy to proliferate. There’s even speculation about its role in modulating the immune system to better recognize and combat cancer cells.

Most dog parents are familiar with ivermectin as a prevention or treatment for heartworm and external parasites. What is interesting is that it might make some chemotherapy drugs work better by blocking P-glycoprotein, a protein that can push drugs out of cells, including cancer cells, making the drugs less effective. By blocking this protein, Ivermectin may keep chemotherapy agents inside the cells longer, possibly improving their impact. With that said, there are also suggestions that it might disrupt cancer cells’ survival mechanisms on its own and provide anti-inflammatory benefits.

Though these drugs show promise, it’s important for pet owners to remember these are not traditional cancer treatments, and it is still too early for veterinarians to be recommending these as stand alone treatments for cancer. There is still a significant gap in long-term safety information and effectiveness in multiple types of cancer. It is crucial to approach these treatments with an open mind but take cautious steps. Ensuring a conversation with a veterinarian who understands these drugs’ potential and pitfalls is a necessary part of any treatment plan. With appropriate guidance, exploring these options could possibly be part of a broader treatment plan to improve quality of life or extend the time, but it is still far from wide acceptance.

Rethinking Protocols: Using Ivermectin and Fenbendazole Together

Pet owners exploring alternative cancer treatments often face the challenge of navigating uncharted territory. While the idea of using Ivermectin and Fenbendazole together has been pushed online, it’s important to note that no standardized veterinary protocol exists for this combination. Anecdotal reports suggest a regimen that mirrors the Joe Tippens Protocol for fenbendazole, involving a cycle of three days on and four days off; however, this is based largely on individual experimentation rather than clinical guidelines.

The dosing of Ivermectin requires careful consideration due to its variability depending on your dog’s weight and breed sensitivity. Some herding breeds, particularly those with the MDR1 gene mutation, like Collies and Australian Shepherds, can react adversely to standard doses, requiring further customization of treatment plans. This is an area where the guidance of a veterinarian experienced in these medications can provide invaluable insight.

Without a universally accepted protocol, you must rely heavily on active monitoring and lab tests to ensure your dog’s safety. Regular vet visits should include discussions on whether the current dosing remains appropriate, and adjustments should be based on ongoing health assessments rather than predefined schedules.

Choosing between traditional and experimental treatments requires balancing hope and health. While innovative options can be appealing, they need careful oversight and collaboration with your veterinarian. With proper precautions, these medications may support your dog’s cancer care, but a cautious approach is essential.

Navigating Potential Risks and Side Effects

Trying new treatments always involves weighing the potential risks and side effects. Both Ivermectin and Fenbendazole, while offering hopeful possibilities, can pose significant challenges when used for extended periods or in combination. Understanding these risks can help you make informed choices.

Breeds with the MDR1 gene mutation, like Collies and Australian Shepherds, are particularly vulnerable to neurological side effects from Ivermectin. Symptoms to watch for include tremors, an unsteady gait, or more severe reactions like seizures. Promptly addressing any signs of neurological distress with your vet is crucial.

The gut microbiome plays a critical role in your dog’s health. Fenbendazole can disrupt beneficial bacteria. Similarly with Ivermectin, which has its own antimicrobial effects, also contributing to an unbalanced microbiome. This disruption could cause problems with the immune system, like making allergies worse, or with the digestive system, like diarrhea or bloating. This implies that we must closely monitor the dog, adjust the treatment, and/or potentially add probiotics, or test the microbiome for imbalance. 

The burden on the liver and kidneys cannot be overstated. Both drugs require metabolic processing, increasing stress on these organs. Elevated liver enzymes or impaired kidney function are serious concerns, so watching for signs like jaundice or unusual thirst is key. Regular blood tests are essential in monitoring organ health during treatment.

Drug interactions present another layer of complexity. Ivermectin inhibits P-glycoprotein, which can alter how other drugs are processed in your dog’s system. This increases the risk of toxicity if your pet is already on chemotherapy, steroids, or certain antibiotics. Your veterinarian can help manage these risks, discussing any medications your dog is currently taking to prevent adverse interactions.

Balancing potential side effects with treatment benefits is a dynamic process that requires careful oversight. This requires more time and more study to determine the safety factors of giving these drugs over an extended period of time. The drugs are considered safe for short periods of time, but that does not necessarily transfer to long term use. 

Vigilant Health Monitoring and Supportive Care

Before diving into any treatment, establishing a baseline for your dog’s health is essential. Going for comprehensive bloodwork can give you and your vet a solid understanding of your pup’s liver, kidney function, and overall health. For breeds at risk, an MDR1 genetic test can prevent unforeseen complications later on.

Regular monitoring is a cornerstone of managing any treatment plan involving Ivermectin and Fenbendazole. Setting up blood tests every 6 to 8 weeks helps keep tabs on how well your dog’s system is coping. Liver and kidney functions, in particular, should be checked to catch any potential issues early.

Aside from medical tests, keeping a close eye on your dog’s daily behavior and wellbeing can provide critical insights. Watch for changes in energy levels, appetite, neurological signs like tremors or an unsteady walk, and any gastrointestinal symptoms such as vomiting or diarrhea. Noticing jaundice or excessive thirst early on could prevent serious setbacks.

Supportive care plays a substantial role in managing side effects. Probiotics can help maintain a healthy gut microbiome, while liver support supplements like milk thistle can mitigate liver stress. Antioxidants are also worth considering to combat oxidative stress that may arise during treatment.

Remember, if you notice anything unusual or concerning, don’t hesitate to reach out to your vet. Being proactive ensures you can tweak treatments or supportive measures promptly, keeping your dog’s comfort and health front and center throughout this journey.

Can Parasites Actually Cause Cancer?

Although I have pointed out the research that suggests how these two drugs have the potential to treat cancer outside of their anti-parasite function, there is another theory that parasites are actually the underlying cause of cancers. While the idea that parasites cause cancer remains controversial, scientific research has confirmed links between certain parasitic infections and cancer development. The International Agency for Research on Cancer (IARC) has classified some parasites as Group 1 carcinogens, meaning they have sufficient evidence of being cancer-causing in humans.

In veterinary medicine, one of the clearest examples is Spirocerca lupi, a nematode that infects dogs and has been shown to induce esophageal tumors. This supports the idea that chronic parasitic infections could create conditions favorable for cancer development. While not all cancers are caused by parasites, the connection between chronic inflammation, immune suppression, and long-term infections may explain why some holistic practitioners believe that anti-parasitic drugs like fenbendazole and ivermectin may help certain cancer patients.

This brings up another concern, parasite resistance to drugs like fenbendazole and ivermectin. Already a growing concern in both veterinary and human medicine. Over time, widespread and indiscriminate use of these medications, for prolonged periods, can drive the evolution of drug-resistant parasites. This means that the very treatments we rely on to manage parasitic infections in animals and humans could become less effective or even completely ineffective. In agriculture and livestock management, resistance to dewormers has already led to significant challenges, requiring more aggressive treatments and alternative strategies to control parasites. If the trend continues in dogs, we could see a rise in untreatable parasitic infections, making routine parasite control far more difficult. Responsible use of these medications is crucial to ensure they remain viable for both parasite management and their potential off-label applications, including cancer treatment.

When to Reassess or Discontinue Treatment

It’s vital to continually reassess whether ongoing treatment with Ivermectin and Fenbendazole is the right path for your dog. While these drugs offer potential benefits, there are definite signs that should prompt reconsideration or even stopping treatment altogether.

If your dog shows neurological symptoms, such as tremors or difficulty walking, despite efforts to alleviate these side effects, it might be time to pause and regroup on the treatment strategy. Persistent neurological issues are serious and warrant immediate consultation with your veterinarian.

Paying attention to bloodwork results provides another indicator. Increased liver enzymes or impaired kidney function could signify that your dog’s body is under too much strain from the medication. These results might mean scaling back or stopping the drugs to prevent further harm.

A marked decline in weight or appetite is a call to action. If your dog’s everyday wellbeing starts deteriorating, consider revisiting the treatment plan. Sometimes the potential risks of continuing on a certain route outweigh the benefits.

Finally, if there seems to be no improvement in your dog’s cancer progression, despite consistent treatment, it might be worth exploring alternative therapies or supportive care options. Working closely with your vet ensures that treatment decisions are driven by your dog’s specific health needs and circumstances.

Weighing the balance between continuing and pausing treatment can be challenging. However, by reflecting on how your dog responds and maintaining open communication with your vet, you can make informed, compassionate choices that prioritize your pet’s health and quality of life.

While research suggests that ivermectin and fenbendazole may have some anti-cancer effects, their precise mechanisms remain poorly understood, and there are no long-term safety studies evaluating their prolonged use in dogs. Some studies show that these drugs may change the metabolism of cancer cells, damage microtubules, or make chemotherapy work better, but they have not yet been proven to work as stand-alone cancer treatments. Also, possible risks like neurological side effects, microbiome imbalances, liver and kidney stress, and drug interactions make it even more important to be careful and closely watch how it is used. Additionally, widespread and indiscriminate use of these medications could contribute to parasite resistance, making them less effective for their original purpose. While these drugs may have a role in broader cancer treatment strategies, we need more rigorous studies to determine their true viability and safety before they can be widely recommended for long-term cancer care in dogs. Until then, their use should be approached with careful oversight from a veterinarian and considered as part of a comprehensive treatment plan rather than a guaranteed cure.

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