Use cautiously or not at all in patients with liver or kidney disease, hypothyroidism, hypoadrenocorticicism (Addison's disease), head trauma, central nervous system conditions or
hydrocephalus Use with caution in older or debilitated patients Pregnant and nursing pets Patients with heartworm disease Patients with pneumonia or other respiratory conditions where a lot of mucus is
produced Pets known to have had an allergic reaction to butorphanol or like products Directions: