Changes

"[[File:Chocolate.jpg|thumb|Chocolate]]"

"[[File:Chocolate.jpg|thumb|Chocolate]]"

==Introduction==

==Introduction==

Toxicity is due to the presence of methylxanthines such as theobromine and caffeine in chocolate <ref name="multiples"> '''BSAVA Manual of Canine and Feline Emergency and Critical Care'''Chapter 19, Second Edition,2007 </ref>. Concentrations ranging from of 100-250mg/kg of theobromine and 110-200mg/kg of caffeine have been reported to cause fatalities <ref name="multiples"> '''BSAVA Manual of Canine and Feline Emergency and Critical Care'''Chapter 19, Second Edition,2007 </ref>.  The consumption of more than 20mg/kg of total methylxanthines, the dose at which mild signs such as vomiting, diarrhoea and polyuria are induced <ref name="multiples" http://www.merckvetmanual.com/mvm/index </ref>, is considered the cut-off point in deciding whether or not to treat <ref name="multiples"> '''Dietary intoxications, Chocolate (Theobromine and Caffeine)''', Warman SM, p253,''BSAVA Congress 2007 Scientific Proceedings, Veterinary Programme'' </ref>. The concentration of methylxanthines differs between products <ref name=multiples> Tilley, Smith'''The 5-Minute Veterinary Consult Canine and Feline''' (Second Edition), ''Lippencott, Williams and Wilkins''</ref> and therefore the number of grammes required to reach this threshold vary according to the product; in a 10kg dog 5000g of white chocolate provides the equivalent 20mg/kg dose of methylxanthines that 12-40g of plain chocolate, 83-117g of milk chocolate or 7-25g of cocoa powder does <ref name="multiples"> '''Dietary intoxications, Chocolate (Theobromine and Caffeine)''', Warman SM, p253,''BSAVA Congress 2007 Scientific Proceedings, Veterinary Programme'' </ref>.  

Toxicity is due to the presence of methylxanthines such as theobromine and caffeine in chocolate <ref name="multiples"> '''BSAVA Manual of Canine and Feline Emergency and Critical Care'''Chapter 19, Second Edition,2007 </ref>. Concentrations ranging from of 100-250mg/kg of theobromine and 110-200mg/kg of caffeine have been reported to cause fatalities <ref name="multiples"> '''BSAVA Manual of Canine and Feline Emergency and Critical Care'''Chapter 19, Second Edition,2007 </ref>.  The consumption of more than 20mg/kg of total methylxanthines, the dose at which mild signs such as vomiting, diarrhoea and polyuria are induced <ref name="multiples"> http://www.merckvetmanual.com/mvm/index </ref>, is considered the cut-off point in deciding whether or not to treat <ref name="multiples"> '''Dietary intoxications, Chocolate (Theobromine and Caffeine)''', Warman SM, p253,''BSAVA Congress 2007 Scientific Proceedings, Veterinary Programme'' </ref>. The concentration of methylxanthines differs between products <ref name=multiples> Tilley, Smith'''The 5-Minute Veterinary Consult Canine and Feline''' (Second Edition), ''Lippencott, Williams and Wilkins''</ref> and therefore the number of grammes required to reach this threshold vary according to the product; in a 10kg dog 5000g of white chocolate provides the equivalent 20mg/kg dose of methylxanthines that 12-40g of plain chocolate, 83-117g of milk chocolate or 7-25g of cocoa powder does <ref name="multiples"> '''Dietary intoxications, Chocolate (Theobromine and Caffeine)''', Warman SM, p253,''BSAVA Congress 2007 Scientific Proceedings, Veterinary Programme'' </ref>.  

Methylxanthines are also present in beverages and foods other than chocolates <ref name="multiples"> '''BSAVA Manual of Canine and Feline Emergency and Critical Care'''Chapter 19, Second Edition,2007 </ref>.

Methylxanthines are also present in beverages and foods other than chocolates <ref name="multiples"> '''BSAVA Manual of Canine and Feline Emergency and Critical Care'''Chapter 19, Second Edition,2007 </ref>.