To all, My very first baby with insulinoma was given the oral, she would gag, sling, it bothered her belly so she wouldn't eat well, it was upsetting for both her and I, so it made her stressed on top of it all. She only survived for about 5 months with that situation and she was only 5 yrs old, but the seizures were every day! Then, when I learned of the transdermal, I used it for 4 other kids with insulinoma and every one of them did so well it was amazing! Very good appetites, no seizures, no problems whatsoever, and they all survived for a year or more on the transdermal way and were much older! My albino was on transdermal for 1 and a half years and finally lost the battle at almost 8 yrs old, it works so much better! Plus, being in the medical field, I am extremely concerned with the aspiration into the lungs, because with how tiny these kids are, it is beyond easy for that to happen!! This is where you absolutely MUST ask the pharmacy to show you the proper dosage, of course is of utmost importance. They should be concentrated so much that it should be in 1cc syringes, which is a total of 10 doses at 0.01cc. Your dosage should be 0.005cc rubbed on inner ear twice per day, just on the skin of the big part of the ear, not deep into the ear, be sure to alternate ears, left one in a.m and right one in p.m. for example. You can wear a finger cot (like a rubber glove, but for one finger) they should give them to you with the meds. 0.005cc is a very small amount, so when you depress the plunger, you will do it very very slowly and gently. Ask the pharmacy to show you which markings are 0.05cc, it is going to be halfway between each 0.1cc mark. Insist that they show you, it is very important that dosage is correct. You will just rub this cream on the inside of the ear and it will just slowly absorb through the skin Be sure to gently wash the inner ear about once every 2 or 3 days to wash off the build up. Many medications can be compounded into a transdermal med, some cannot, be sure to inquire. I have a little secret. Request that your vet call in the 1 month prescription as a cc amount of 2 months worth, most vets will do this Lisa Silverstein Silver Lining Ferret Sanctuary You can't change the world by saving one animal, but for that one animal, you change it's world. [Posted in FML 7709]