咨询描述:患病时长:4个月
医院检查:无
用药情况:各种皮肤药
症状描述:
回复总结:猫咪猫癣一直没好建议选择口服抗真菌药物,因为喷涂药物有一定限制,主要是因为无法对于深层真菌和没有涂抹药物的地方进行预防。真菌的感染扩散速度实际上很快,所以需要佩戴伊丽莎白圈。此外,猫咪患处如果有着色的情况,这种情况绝大部分都是长时间使用含有激素的喷剂造成。最后,当猫癣的症状消失后也应该继续用药一周防止发生复发,平时尽量多带猫咪晒太阳。
问题大致一样,细节不同?
徐灿
执业兽医师
晚上好,家长,我已经看到了照片,我先问一下你是否长时间给他使用抗真菌药物?是不是长时间使用外用喷剂?他平时表现出来的症状是不是特别瘙痒呢?有没有什么其他异常?请详细的描述一下发病历史等基本信息,还有用药情况。
长时间用了抗真菌药物,有了外喷的,也有服用的,也打了针,并没有瘙痒迹象,涂了药就好,好了其他地方还犯
徐灿
执业兽医师
这种情况实际上还是比较常见的,以这种情况来说,一般个人建议都是选择口服药物,因为喷涂药物有一定限制,主要是因为无法对于深层真菌和一些地方进行预防,而且他现在有着色的情况,这种情况绝大部分都是长时间使用含有激素的喷剂造成的。所以如果有需要的话,我可以帮你开一个常规方案,另外,真菌的感染扩散速度实际上很快,所以要佩戴伊丽莎白圈。
徐灿
执业兽医师
因为你有过驱虫物历史,所以绝大部分都是真菌的感染,也就是猫癣,然后后续因为长时间使用激素类药物造成的皮肤的一些角质化以及着色,所以一般来说,还是建议更改为口服的药物比较稳妥。
徐灿
执业兽医师
对于这种情况来说,一定要长时间用药,记得就算是症状消失了,也应该继续用药一周,防止发生复发,而且她的皮肤实际上已经由于长时间用外用药物产生了问题,所以我帮你开了一个辅助恢复的营养药物,你需要和抗真菌药物共同使用。一般来说,可能得3到6周左右才能完全恢复。平时尽量多晒太阳即可佩戴伊丽莎白圈。
徐灿
执业兽医师
没事,不用谢,后续如果有其他问题的话,联系我就可以,后续一定要记得定时用药,坚持治疗。
感谢您对蘑菇宠医的信任,如果我的回答能够帮助到您,请您在咨询结束后留下5星评论。
后续宠物有其它问题,您可以到“蘑菇宠医”官方微信公众号找到我的医生继续向我提问。
谢谢您的支持和鼓励,祝您的爱宠早日康复!
医生建议及处方根据当前病情给出,仅适用于本次问诊
蘑菇宠医处方笺
用法用量需根据患宠的年龄、体重等信息开具,此处方暂不展示
{"247841":{"id":247841,"case_id":29796,"user_id":1296147,"to_user_id":1874975,"type":3,"content":"对于这种情况来说,一定要长时间用药,记得就算是症状消失了,也应该继续用药一周,防止发生复发,而且她的皮肤实际上已经由于长时间用外用药物产生了问题,所以我帮你开了一个辅助恢复的营养药物,你需要和抗真菌药物共同使用。一般来说,可能得3到6周左右才能完全恢复。平时尽量多晒太阳即可佩戴伊丽莎白圈。","media":{"images":{},"videos":{},"business_params":{"prescription_id":103205}},"is_doctor":1,"status":1,"created_at":"2022-02-12 22:22:10","show_rx":true,"rx_info":{"id":103205,"rx_no":2.02202122222015e+24,"user_id":1874975,"doctor_user_id":1296147,"is_independent":0,"case_id":2620514,"pet_info":{"pet_id":273358,"pet_name":"金吉拉","pet_nickname":"上财","pet_gender":1,"pet_birth":"0-10","pet_weight":0,"pet_vaccination_status":0,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"10个月"},"diagnose":"真菌感染","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-02-12 22:22:01","updated_at":"2022-02-12 22:22:10","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":7112,"prescription_id":103205,"doctor_user_id":1296147,"product_id":722,"product_sku_id":764,"dose":10,"dose_unit":"mg","use_method":"口服","frequency":"每天1次","days":30,"number":1,"remark":"每公斤十毫克一天一次","created_at":"2022-02-12 22:22:01","updated_at":"2022-02-12 22:22:01","product_info":{"id":722,"hash_id":"QKNDzP4DrKxewlnv","class_ids":{"0":1,"1":2},"category_ids":{"10":171},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":28,"sell_point":"真菌灭盐酸特比萘芬片 100mg","title":"保灵真菌灭 盐酸特比萘芬片 100mg×8片×2板\/盒","recommend_reason":{"0":"用于治疗犬小孢子菌等的真菌感染","1":"用于治疗马拉色菌和念球菌引起的犬猫真菌病"},"baike_guide_text":"","baike_article_hash_id":"","advword":"猫癣,皮肤病,真菌感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"100mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/7075da208931de424d29695b18293a65.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":118,"max_price":118,"sale_count":67,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-17 15:16:44","updated_at":"2023-01-31 10:09:26","ins":{"id":28,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"盐酸特比萘芬片","trade_name":"真菌灭片","en_name":"Terbinafine Hydrochloride Tablet","brand_name":"保灵","is_prescription":0,"cover":"\/drug\/2020\/10\/caa310f5026533cdeca9aab3d44092ce.JPG","specification":"100mg×8片×2板\/盒","reference_price":200,"component":"1.盐酸特比萘芬(丙烯胺类抗真菌药,口服吸收快速良好,在毛囊、毛发、皮肤等处长时间维持较高浓度)\n2.VB2(细胞生长并不可缺的一类物质)","indication":"主要用于治疗犬小孢子菌等的真菌感染,也可用于治疗马拉色菌和念球菌等引起的犬猫皮肤真菌病和内脏真菌病。","usage_dosage":"1.口服10mg\/kg,每日一次,首次剂量加倍,14-30天为一个疗程,连用2个月安全。\n2.综合考虑起效剂量和肝肾损伤,真菌灭中盐酸特比萘芬的治疗剂量为10mg\/kg\/日。\n3.三到六月龄宠物减半服用。","contraindication":"","adverse_reaction":"不良反应轻微,常见胃肠道反应,较少发生肝炎和皮疹。","attention":"3月龄以下慎用。","interaction":"","approval_no":"","storage_method":"常温,避光,密封保存","validity":"2年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-10-28 10:30:28","updated_at":"2020-10-28 10:32:50"}},"product_sku_info":{"id":764,"product_id":722,"title":"保灵真菌灭 盐酸特比萘芬片 100mg×8片×2板\/盒","advword":null,"price":118,"market_price":138,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"100mg盒装"}},"cover":null,"thumb":"","sale_count":74,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:16:44","updated_at":"2023-01-31 10:09:26"}},"1":{"id":7113,"prescription_id":103205,"doctor_user_id":1296147,"product_id":874,"product_sku_id":915,"dose":1,"dose_unit":"ml","use_method":"口服","frequency":"每天1次","days":30,"number":1,"remark":"按照指导计量使用","created_at":"2022-02-12 22:22:01","updated_at":"2022-02-12 22:22:01","product_info":{"id":874,"hash_id":"7GDJdPpkrLxWkR6K","class_ids":{"0":1,"1":2},"category_ids":{"9":170},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":118,"sell_point":"遇上阿萌 养毛护肤乳化鱼油 宠物营养补充剂 50ml\/瓶","title":"遇上阿萌 养毛护肤乳化鱼油 宠物营养补充剂 50ml\/瓶","recommend_reason":{"0":"用于猫咪红疹皮癣、非季节性脱毛","1":"用于猫咪毛发稀疏、毛色干枯无光","2":"用于猫咪眼神无光"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,修复皮肤屏障,毛发干枯,毛黄,掉毛,脱毛","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/09\/1283b0b0d39efc1eb0dcec3ab3cbd6ab.jpg","images":{"1":"https:\/\/cdn.moguvet.com\/shop\/2023\/09\/ceab749eb9b24f24c1e9575e217a681c.jpg","2":"https:\/\/cdn.moguvet.com\/shop\/2023\/09\/b41c2c08318f1c6bd2b4a292cb280c96.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":59,"max_price":59,"sale_count":80,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-01-11 16:15:04","updated_at":"2024-11-22 09:22:26","ins":{"id":118,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"遇上阿萌 养毛护肤乳化鱼油 宠物营养补充剂 50ml\/瓶","common_name":"宠物营养补充剂","trade_name":"养毛护肤乳化鱼油","en_name":"EMULSIFIED DISH OIL","brand_name":"遇上阿萌","is_prescription":0,"cover":"\/drug\/2023\/09\/66d40511dbdf0772d17d9e98f211a6d0.jpg","specification":"50ml\/瓶","reference_price":98,"component":"深海鱼油、纯净水、虾油、鸡油、糊精、蔓越莓粉等","indication":"1.猫狗红疹皮癣。\n2.毛色干枯无光。\n3.猫狗毛发稀疏。\n4.猫狗非季节性脱毛。\n5.猫狗眼神无光。","usage_dosage":"1)看直接喂食,或放置于饲粮\/湿粮上喂食。\n2)每日每2kg体重喂食1ml。\n3)泵头完成按压1次约1ml。","contraindication":"","adverse_reaction":"","attention":"应避免儿童接触。不得饲喂反刍动物","interaction":"","approval_no":"鲁饲预(2021)16288","storage_method":"本产品应储存于干燥、阴凉、通风、清洁处,防止高温、潮湿、暴晒","validity":"2年","manufacturer":"山东奥奈生物医药有限公司","status":1,"created_at":"2020-11-26 15:38:09","updated_at":"2023-09-12 14:34:04"}},"product_sku_info":{"id":915,"product_id":874,"title":"遇上阿萌 养毛护肤乳化鱼油 宠物营养补充剂 50ml\/瓶","advword":null,"price":59,"market_price":68,"cost_price":0,"stock":50,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50ml"}},"cover":null,"thumb":"","sale_count":81,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-01-11 16:15:04","updated_at":"2024-11-21 22:33:29"}}},"drug_data_bak":{"0":{"id":7112,"prescription_id":103205,"doctor_user_id":1296147,"product_id":722,"product_sku_id":764,"dose":10,"dose_unit":"mg","use_method":"口服","frequency":"每天1次","days":30,"number":1,"remark":"每公斤十毫克一天一次","created_at":"2022-02-12 22:22:01","updated_at":"2022-02-12 22:22:01","product_info":{"id":722,"hash_id":"QKNDzP4DrKxewlnv","class_ids":{"0":1,"1":2},"category_ids":{"10":171},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":28,"sell_point":"真菌灭盐酸特比萘芬片 100mg","title":"保灵真菌灭 盐酸特比萘芬片 100mg×8片×2板\/盒","recommend_reason":{"0":"用于治疗犬小孢子菌等的真菌感染","1":"用于治疗马拉色菌和念球菌引起的犬猫真菌病"},"baike_guide_text":"","baike_article_hash_id":"","advword":"猫癣,皮肤病,真菌感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"100mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/7075da208931de424d29695b18293a65.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":118,"max_price":118,"sale_count":67,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-17 15:16:44","updated_at":"2023-01-31 10:09:26","ins":{"id":28,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"盐酸特比萘芬片","trade_name":"真菌灭片","en_name":"Terbinafine Hydrochloride Tablet","brand_name":"保灵","is_prescription":0,"cover":"\/drug\/2020\/10\/caa310f5026533cdeca9aab3d44092ce.JPG","specification":"100mg×8片×2板\/盒","reference_price":200,"component":"1.盐酸特比萘芬(丙烯胺类抗真菌药,口服吸收快速良好,在毛囊、毛发、皮肤等处长时间维持较高浓度)\n2.VB2(细胞生长并不可缺的一类物质)","indication":"主要用于治疗犬小孢子菌等的真菌感染,也可用于治疗马拉色菌和念球菌等引起的犬猫皮肤真菌病和内脏真菌病。","usage_dosage":"1.口服10mg\/kg,每日一次,首次剂量加倍,14-30天为一个疗程,连用2个月安全。\n2.综合考虑起效剂量和肝肾损伤,真菌灭中盐酸特比萘芬的治疗剂量为10mg\/kg\/日。\n3.三到六月龄宠物减半服用。","contraindication":"","adverse_reaction":"不良反应轻微,常见胃肠道反应,较少发生肝炎和皮疹。","attention":"3月龄以下慎用。","interaction":"","approval_no":"","storage_method":"常温,避光,密封保存","validity":"2年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-10-28 10:30:28","updated_at":"2020-10-28 10:32:50"}},"product_sku_info":{"id":764,"product_id":722,"title":"保灵真菌灭 盐酸特比萘芬片 100mg×8片×2板\/盒","advword":null,"price":118,"market_price":138,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"100mg盒装"}},"cover":null,"thumb":"","sale_count":74,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:16:44","updated_at":"2023-01-31 10:09:26"}},"1":{"id":7113,"prescription_id":103205,"doctor_user_id":1296147,"product_id":874,"product_sku_id":915,"dose":1,"dose_unit":"ml","use_method":"口服","frequency":"每天1次","days":30,"number":1,"remark":"按照指导计量使用","created_at":"2022-02-12 22:22:01","updated_at":"2022-02-12 22:22:01","product_info":{"id":874,"hash_id":"7GDJdPpkrLxWkR6K","class_ids":{"0":1,"1":2},"category_ids":{"9":170},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":118,"sell_point":"遇上阿萌 养毛护肤乳化鱼油 宠物营养补充剂 50ml\/瓶","title":"遇上阿萌 养毛护肤乳化鱼油 宠物营养补充剂 50ml\/瓶","recommend_reason":{"0":"用于猫咪红疹皮癣、非季节性脱毛","1":"用于猫咪毛发稀疏、毛色干枯无光","2":"用于猫咪眼神无光"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,修复皮肤屏障,毛发干枯,毛黄,掉毛,脱毛","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/09\/1283b0b0d39efc1eb0dcec3ab3cbd6ab.jpg","images":{"1":"https:\/\/cdn.moguvet.com\/shop\/2023\/09\/ceab749eb9b24f24c1e9575e217a681c.jpg","2":"https:\/\/cdn.moguvet.com\/shop\/2023\/09\/b41c2c08318f1c6bd2b4a292cb280c96.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":59,"max_price":59,"sale_count":80,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-01-11 16:15:04","updated_at":"2024-11-22 09:22:26","ins":{"id":118,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"遇上阿萌 养毛护肤乳化鱼油 宠物营养补充剂 50ml\/瓶","common_name":"宠物营养补充剂","trade_name":"养毛护肤乳化鱼油","en_name":"EMULSIFIED DISH OIL","brand_name":"遇上阿萌","is_prescription":0,"cover":"\/drug\/2023\/09\/66d40511dbdf0772d17d9e98f211a6d0.jpg","specification":"50ml\/瓶","reference_price":98,"component":"深海鱼油、纯净水、虾油、鸡油、糊精、蔓越莓粉等","indication":"1.猫狗红疹皮癣。\n2.毛色干枯无光。\n3.猫狗毛发稀疏。\n4.猫狗非季节性脱毛。\n5.猫狗眼神无光。","usage_dosage":"1)看直接喂食,或放置于饲粮\/湿粮上喂食。\n2)每日每2kg体重喂食1ml。\n3)泵头完成按压1次约1ml。","contraindication":"","adverse_reaction":"","attention":"应避免儿童接触。不得饲喂反刍动物","interaction":"","approval_no":"鲁饲预(2021)16288","storage_method":"本产品应储存于干燥、阴凉、通风、清洁处,防止高温、潮湿、暴晒","validity":"2年","manufacturer":"山东奥奈生物医药有限公司","status":1,"created_at":"2020-11-26 15:38:09","updated_at":"2023-09-12 14:34:04"}},"product_sku_info":{"id":915,"product_id":874,"title":"遇上阿萌 养毛护肤乳化鱼油 宠物营养补充剂 50ml\/瓶","advword":null,"price":59,"market_price":68,"cost_price":0,"stock":50,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50ml"}},"cover":null,"thumb":"","sale_count":81,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-01-11 16:15:04","updated_at":"2024-11-21 22:33:29"}}}}}}
微信扫一扫
立即问宠医