Phenylpropanolamine (Proin, Propalin)  
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Propalin (PhenylpropanolamineSyrup
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Phenylpropanolamine (Proin, Propalin) Ships from Pacific Health
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Proin Chewables
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Phenylpropanolamine (Proin, Propalin)Ships from upstate New York

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Proin

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💊 What Proin and Propalin are

Both Proin® and Propalin® are brand names for phenylpropanolamine (PPA).

They are sympathomimetic drugs that work by:

  • Stimulating alpha-adrenergic receptors

  • Increasing tone of the urethral sphincter

  • Helping keep the bladder outlet tightly closed

They are not hormones and not sedatives.


✅ Key differences between Proin and Propalin

Proin

  • Usually used in North America

  • Comes as flavored chewable tablets or extended-release tablets (Proin ER)

Propalin

  • More common in Europe and other countries

  • Comes mainly as an oral liquid (syrup)

Despite the different brand names and forms, the active drug is the same.


🐶 Main veterinary use

Dogs

PPA is mainly prescribed to treat:

Urethral sphincter mechanism incompetence (USMI)
This is the classic spay incontinence seen in:

  • Spayed female dogs

  • Especially medium to large breeds

  • Usually middle-aged or older

Typical signs:

  • Urine leaking during sleep

  • Wet bedding

  • Dribbling without awareness

PPA helps strengthen the sphincter and prevent leakage.


🐱 Use in cats

  • Used much less commonly in cats

  • Occasionally used off-label for true urinary incontinence

  • Cats are more sensitive to stimulant side effects


🧪 Typical dosing (educational ranges only)

General veterinary reference ranges — NOT a prescription.

Dogs

Immediate-release PPA:

  • About 1–2 mg per lb (2–4 mg/kg) per day

  • Divided into 2–3 doses

Extended-release (Proin ER):

  • Often once daily dosing

Liquid Propalin:

  • Dosed by ml/kg according to the specific formulation strength

Actual dose is tailored by the vet.


⏱️ How fast it works

  • Can start improving urine control within hours to days

  • Full effect often seen within several days


⚠️ Common side effects

More common

  • Restlessness

  • Panting

  • Nervousness / anxiety

  • Loss of appetite

  • Mild increase in heart rate

Less common but serious

  • High blood pressure

  • Heart rhythm problems

  • Tremors

  • Aggression or marked behavior changes


🚨 Use with caution or avoid if your pet has

  • Heart disease or murmurs

  • High blood pressure

  • Hyperthyroidism (especially in cats)

  • Glaucoma

  • Seizure disorders

  • Prostate disease (in intact male dogs)


Drug interactions

Be cautious combining PPA with:

  • Tricyclic antidepressants

  • MAO inhibitors

  • Other stimulants

  • Decongestants


Proin / Propalin vs hormone therapy

PPA drugs:
✅ Non-hormonal
✅ Often first-line for spay incontinence

Hormonal options like estriol (Incurin®):
✅ Work well in many spayed females
⚠️ Can have hormonal side effects

Some dogs need both together for best results.


🧭 Monitoring while on PPA

Vets often recommend:

  • Blood pressure checks

  • Monitoring heart rate and behavior

  • Periodic rechecks, especially in older dogs


Bottom line

Proin (US) and Propalin (EU and elsewhere) are essentially the same medication — phenylpropanolamine — and are highly effective for canine urinary incontinence caused by weak urethral sphincter tone, especially in spayed female dogs.

They are fast-acting and very helpful when properly dosed and monitored.


 

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