狗狗突然呕吐

{"280596":{"id":280596,"case_id":33471,"user_id":1046848,"to_user_id":1643600,"type":3,"content":"好的主人，那我这边根据宝贝的体重15公斤给您开具药物处方。您可以参考看一下。确定宝贝的体重是15kg哈？\n当然了，您说的这些塑料的这些都能导致异物的。严重的有可能会手术治疗的。所以肯定是要避免的。","media":{"images":{},"videos":{},"business_params":{"prescription_id":107881}},"is_doctor":1,"status":1,"created_at":"2022-04-07 11:33:26","show_rx":true,"rx_info":{"id":107881,"rx_no":2.0220407113245503e+24,"user_id":1643600,"doctor_user_id":1046848,"is_independent":0,"case_id":2686712,"pet_info":{"pet_id":240144,"pet_name":"柴犬","pet_nickname":"柴","pet_gender":1,"pet_birth":"1-6","pet_weight":15,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"1岁6个月"},"diagnose":"胃肠道症状","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-04-07 11:32:45","updated_at":"2022-04-07 11:33:25","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":17459,"prescription_id":107881,"doctor_user_id":1046848,"product_id":709,"product_sku_id":752,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-04-07 11:32:45","updated_at":"2022-04-07 11:32:45","product_info":{"id":709,"hash_id":"lazo6rxWXWpOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":5,"sell_point":"速诺（阿莫西林克拉维酸钾片）250mg","title":"辉瑞速诺（阿莫西林克拉维酸钾片）250mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染，如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"250mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c5606ffe97cfdbe080e7c31980a047d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":553,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-05-11 14:29:11","ins":{"id":5,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/b4e16954b19120b0d777543dde23b1da.JPG","specification":"250mg×10片×10板\/盒","reference_price":2200,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬由敏感细菌引起的各种感染，及治疗犬革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染，如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染，如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染，如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次，连用5-7天。每次用量如下：\n体重9-12kg，吃0.5片；\n体重13-15kg，吃0.75片；\n体重16-22kg，吃1片；\n体重23-30kg，吃1.5片；\n体重31-40kg，吃2片；\n体重41kg及以上请购买同品500mg规格的产品。\n\n注：一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物，若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素，因其胃肠道吸收可能不可靠，这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹，给药前不要取出。\n4.对青霉素过敏者如果不慎接触，应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性，与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"（2018）外兽药证字11号","storage_method":"密封，在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-23 12:09:57","updated_at":"2020-10-23 16:00:00"}},"product_sku_info":{"id":752,"product_id":709,"title":"辉瑞速诺（阿莫西林克拉维酸钾片）250mg×10片\/板","advword":null,"price":98,"market_price":119,"cost_price":0,"stock":857,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":584,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-05-11 13:29:32"}},"1":{"id":17460,"prescription_id":107881,"doctor_user_id":1046848,"product_id":795,"product_sku_id":837,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":4,"number":1,"remark":"","created_at":"2022-04-07 11:32:45","updated_at":"2022-04-07 11:32:45","product_info":{"id":795,"hash_id":"3a0E6Qpj6mp2b9Rk","class_ids":{"0":1,"1":2},"category_ids":{"29":188},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":19,"sell_point":"赛瑞宁 枸橼酸马罗匹坦片24mg","title":"辉瑞赛瑞宁 枸橼酸马罗匹坦片 24mg×4片\/盒","recommend_reason":{"0":"预防化疗药物引起的呕吐","1":"治疗和预防除运动性呕吐以外的呕吐"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呕吐,止吐","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"4片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/23b20684e8d2ecaaaf654d7079c9bdc8.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":198,"max_price":198,"sale_count":9,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 19:03:48","updated_at":"2024-04-15 09:07:09","ins":{"id":19,"hash_id":"","class_ids":"[\u00221\u0022]","title":"","common_name":"枸橼酸马罗匹坦片","trade_name":"赛瑞宁片","en_name":"Cerenia Maropitant","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/c53a4874b795a415f4619f4360bfe6a7.JPG","specification":"24mg×4片\/盒","reference_price":260,"component":"枸橼酸马罗匹坦","indication":"1.预防化疗药物引起的呕吐。\n2.治疗和预防除运动性呕吐以外的呕吐。","usage_dosage":"1.用于8周龄及以上的犬。\n2.以马罗匹坦计。内服用药，2.0mg\/kg\/次\/日。最多连用5日。","contraindication":"1.马罗匹坦对钙和钾离子通道有亲和性，患有心脏疾病的犬镇用，且不能与钙离子拮抗剂合用。\n2.肝功能障碍的犬慎用。","adverse_reaction":"1.推荐剂量可引起嗜睡(8%)、多涎(5%)、食欲不振(2%)，偶见如稀便、镇静或抑郁、肠胃胀气等情况。\n2.高剂量上述多种不良反应可同时发生，但程度均较轻，停药后不良反应的症状会逐渐消除。\n3.对小于11周龄的犬，可增加骨髓细胞减少症的发生。","attention":"1.仅在兽医指导下用药。\n2.严重呕吐可先使用马罗匹坦注射液一次或两次控制呕吐，症状减轻后使用马罗匹坦片。\n3.仅用于犬。\n4.不能将本品包在食物中给药，否则会延迟本品的溶解而影响药效。\n5.对处于发情期、妊娠或哺乳期的雌犬，以及胃肠道梗阻和中毒的犬，未进行靶动物安全性研究。\n6.可导致采食量和体重下降，应给予补液、补充营养等支持治疗。\n7.置于儿童不可触及处。\n8.个别人群接触药物后会引起皮肤局部过敏，长期或多次接触药物也可导致皮肤致敏，使用时做好防护，意外接触时可用肥皂水或清水清洗。","interaction":"马罗匹坦与血浆蛋白的结合率大于996，但未进行本品与其他高血浆蛋白结合率药物联合用药试验。应谨慎与其他高血浆蛋白结合率药物联合使用。临床上常用的高血浆蛋白结合率药物有非甾体类抗炎药、抗心律失常药、抗凝血药、抗惊厥药等。","approval_no":"（2016）外兽药证字22号","storage_method":"15-30°C保存。片剂打开铝箔包装的药片，在2天内使用完。","validity":"2年","manufacturer":"法瑞瓦公司法国生产厂( Areva Amboise)","status":1,"created_at":"2020-10-27 14:23:00","updated_at":"2020-10-27 14:23:00"}},"product_sku_info":{"id":837,"product_id":795,"title":"辉瑞赛瑞宁 枸橼酸马罗匹坦片 24mg×4片\/盒","advword":null,"price":198,"market_price":260,"cost_price":0,"stock":87,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"4片盒装"}},"cover":null,"thumb":"","sale_count":13,"status":1,"delete_status":0,"created_at":"2021-12-20 19:03:48","updated_at":"2024-04-14 11:37:31"}},"2":{"id":17461,"prescription_id":107881,"doctor_user_id":1046848,"product_id":726,"product_sku_id":768,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-04-07 11:32:45","updated_at":"2022-04-07 11:32:45","product_info":{"id":726,"hash_id":"ZXn76zg92bx9boBN","class_ids":{"0":1,"1":2,"2":3,"5":6},"category_ids":{"30":189},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":25,"sell_point":"米丁宁 西咪替丁片 0.1g","title":"保灵米丁宁 西咪替丁片 0.1g×64片\/盒","recommend_reason":{"0":"用于治疗和预防胃、十二指肠溃疡及反流性食管炎","1":"用于化学刺激引起的糜烂性胃炎、应激性溃疡和上消化道出血","2":"降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"慢性胃炎,溃疡,便血","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.1g盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/f16a8ae34e3870e56b0d54252f62ee1a.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":138,"max_price":138,"sale_count":253,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:28:36","updated_at":"2024-02-18 05:26:58","ins":{"id":25,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022,\u00223\u0022,\u00226\u0022]","title":"","common_name":"西咪替丁片","trade_name":"西替康","en_name":"Cimetidine Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/10\/b7a07a9ce5a0dd3d0787924c3a5744d6.PNG","specification":"0.1g×24片\/盒","reference_price":110,"component":"西咪替丁","indication":"1.用于治疗和预防胃、十二指肠溃疡及反流性食管炎。\n2.用于化学刺激引起的糜烂性胃炎。\n3.应激性溃疡和上消化道出血。\n4.降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。","usage_dosage":"内服：6~10kg的犬猫使用1\/2片，体重10~20kg的犬使用1片，一日3次。连用28日。","contraindication":"对该药过敏者禁用。","adverse_reaction":"1.可能引起性犬的乳房暂时性轻微肿胀或雄性犬乳房发育症。\n2.雄犬可能出现前列腺减重,该现象可逆并对生殖功能无影响。","attention":"1.本品仅用于对症治疗,建议出现持续性呕吐症状的犬猫在治疗前进行适当的检查以诊断病因。\n2.对于肾功能不全的犬,需适当调整给药剂量。\n3.本品未进行妊娠期和乳期靶动物的相关研究，应在执业兽医指导下进行妊娠期和哺乳期用药。\n4.本品可能与β受体拮抗剂、钙通道拮抗剂、苯二氮卓类、巴比妥类、苯妥英、茶碱、氨茶碱、华法林和利多卡因等药物产生临床相互作用，当含并用药时，应减低这些药物的使用剂量。\n5.本品可能引起胃酸升高导致药物吸收降低，需要借助酸性介质促进吸收。与氢氧化铝或氢氧化镁、甲氧氯普胺、地高辛和酮康唑的用药间隔至少为2小时。\n6.本品开封后.剩余药片应放在泡罩包装中避光保存。\n7.置儿至无法触及处。","interaction":"1.本品若与氢氧化铝、氧化镁等抗酸剂合用时,本品的吸收可能减少,故一般不提倡同用。\n2.本品与硝西泮(硝基安定)、地西泮(安定)、茶碱、普蔡洛尔(心得安)、苯妥英钠、阿司匹林等同用时。均可使这些药物的血药浓度升高,作用增强,出现不良反应,甚至是毒性反应,故本品不宜与这些药物共同使用。\n3.本品与氨基糖苷类抗生素如庆大霉素等同用时可能导致呼吸抑制或呼吸停止。","approval_no":"兽药字020167014","storage_method":"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":"2020-10-27 17:58:14","updated_at":"2020-10-27 18:18:40"}},"product_sku_info":{"id":768,"product_id":726,"title":"保灵米丁宁 西咪替丁片 0.1g×64片\/盒","advword":null,"price":138,"market_price":240,"cost_price":0,"stock":161,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.1g盒装"}},"cover":null,"thumb":"","sale_count":267,"status":1,"delete_status":0,"created_at":"2021-12-17 15:28:36","updated_at":"2024-05-07 10:37:24"}}},"drug_data_bak":{"0":{"id":17459,"prescription_id":107881,"doctor_user_id":1046848,"product_id":709,"product_sku_id":752,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-04-07 11:32:45","updated_at":"2022-04-07 11:32:45","product_info":{"id":709,"hash_id":"lazo6rxWXWpOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":5,"sell_point":"速诺（阿莫西林克拉维酸钾片）250mg","title":"辉瑞速诺（阿莫西林克拉维酸钾片）250mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染，如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"250mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c5606ffe97cfdbe080e7c31980a047d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":553,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-05-11 14:29:11","ins":{"id":5,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/b4e16954b19120b0d777543dde23b1da.JPG","specification":"250mg×10片×10板\/盒","reference_price":2200,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬由敏感细菌引起的各种感染，及治疗犬革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染，如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染，如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染，如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次，连用5-7天。每次用量如下：\n体重9-12kg，吃0.5片；\n体重13-15kg，吃0.75片；\n体重16-22kg，吃1片；\n体重23-30kg，吃1.5片；\n体重31-40kg，吃2片；\n体重41kg及以上请购买同品500mg规格的产品。\n\n注：一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物，若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素，因其胃肠道吸收可能不可靠，这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹，给药前不要取出。\n4.对青霉素过敏者如果不慎接触，应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性，与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"（2018）外兽药证字11号","storage_method":"密封，在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-23 12:09:57","updated_at":"2020-10-23 16:00:00"}},"product_sku_info":{"id":752,"product_id":709,"title":"辉瑞速诺（阿莫西林克拉维酸钾片）250mg×10片\/板","advword":null,"price":98,"market_price":119,"cost_price":0,"stock":857,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":584,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-05-11 13:29:32"}},"1":{"id":17460,"prescription_id":107881,"doctor_user_id":1046848,"product_id":795,"product_sku_id":837,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":4,"number":1,"remark":"","created_at":"2022-04-07 11:32:45","updated_at":"2022-04-07 11:32:45","product_info":{"id":795,"hash_id":"3a0E6Qpj6mp2b9Rk","class_ids":{"0":1,"1":2},"category_ids":{"29":188},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":19,"sell_point":"赛瑞宁 枸橼酸马罗匹坦片24mg","title":"辉瑞赛瑞宁 枸橼酸马罗匹坦片 24mg×4片\/盒","recommend_reason":{"0":"预防化疗药物引起的呕吐","1":"治疗和预防除运动性呕吐以外的呕吐"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呕吐,止吐","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"4片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/23b20684e8d2ecaaaf654d7079c9bdc8.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":198,"max_price":198,"sale_count":9,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 19:03:48","updated_at":"2024-04-15 09:07:09","ins":{"id":19,"hash_id":"","class_ids":"[\u00221\u0022]","title":"","common_name":"枸橼酸马罗匹坦片","trade_name":"赛瑞宁片","en_name":"Cerenia Maropitant","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/c53a4874b795a415f4619f4360bfe6a7.JPG","specification":"24mg×4片\/盒","reference_price":260,"component":"枸橼酸马罗匹坦","indication":"1.预防化疗药物引起的呕吐。\n2.治疗和预防除运动性呕吐以外的呕吐。","usage_dosage":"1.用于8周龄及以上的犬。\n2.以马罗匹坦计。内服用药，2.0mg\/kg\/次\/日。最多连用5日。","contraindication":"1.马罗匹坦对钙和钾离子通道有亲和性，患有心脏疾病的犬镇用，且不能与钙离子拮抗剂合用。\n2.肝功能障碍的犬慎用。","adverse_reaction":"1.推荐剂量可引起嗜睡(8%)、多涎(5%)、食欲不振(2%)，偶见如稀便、镇静或抑郁、肠胃胀气等情况。\n2.高剂量上述多种不良反应可同时发生，但程度均较轻，停药后不良反应的症状会逐渐消除。\n3.对小于11周龄的犬，可增加骨髓细胞减少症的发生。","attention":"1.仅在兽医指导下用药。\n2.严重呕吐可先使用马罗匹坦注射液一次或两次控制呕吐，症状减轻后使用马罗匹坦片。\n3.仅用于犬。\n4.不能将本品包在食物中给药，否则会延迟本品的溶解而影响药效。\n5.对处于发情期、妊娠或哺乳期的雌犬，以及胃肠道梗阻和中毒的犬，未进行靶动物安全性研究。\n6.可导致采食量和体重下降，应给予补液、补充营养等支持治疗。\n7.置于儿童不可触及处。\n8.个别人群接触药物后会引起皮肤局部过敏，长期或多次接触药物也可导致皮肤致敏，使用时做好防护，意外接触时可用肥皂水或清水清洗。","interaction":"马罗匹坦与血浆蛋白的结合率大于996，但未进行本品与其他高血浆蛋白结合率药物联合用药试验。应谨慎与其他高血浆蛋白结合率药物联合使用。临床上常用的高血浆蛋白结合率药物有非甾体类抗炎药、抗心律失常药、抗凝血药、抗惊厥药等。","approval_no":"（2016）外兽药证字22号","storage_method":"15-30°C保存。片剂打开铝箔包装的药片，在2天内使用完。","validity":"2年","manufacturer":"法瑞瓦公司法国生产厂( Areva Amboise)","status":1,"created_at":"2020-10-27 14:23:00","updated_at":"2020-10-27 14:23:00"}},"product_sku_info":{"id":837,"product_id":795,"title":"辉瑞赛瑞宁 枸橼酸马罗匹坦片 24mg×4片\/盒","advword":null,"price":198,"market_price":260,"cost_price":0,"stock":87,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"4片盒装"}},"cover":null,"thumb":"","sale_count":13,"status":1,"delete_status":0,"created_at":"2021-12-20 19:03:48","updated_at":"2024-04-14 11:37:31"}},"2":{"id":17461,"prescription_id":107881,"doctor_user_id":1046848,"product_id":726,"product_sku_id":768,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-04-07 11:32:45","updated_at":"2022-04-07 11:32:45","product_info":{"id":726,"hash_id":"ZXn76zg92bx9boBN","class_ids":{"0":1,"1":2,"2":3,"5":6},"category_ids":{"30":189},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":25,"sell_point":"米丁宁 西咪替丁片 0.1g","title":"保灵米丁宁 西咪替丁片 0.1g×64片\/盒","recommend_reason":{"0":"用于治疗和预防胃、十二指肠溃疡及反流性食管炎","1":"用于化学刺激引起的糜烂性胃炎、应激性溃疡和上消化道出血","2":"降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"慢性胃炎,溃疡,便血","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.1g盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/f16a8ae34e3870e56b0d54252f62ee1a.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":138,"max_price":138,"sale_count":253,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:28:36","updated_at":"2024-02-18 05:26:58","ins":{"id":25,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022,\u00223\u0022,\u00226\u0022]","title":"","common_name":"西咪替丁片","trade_name":"西替康","en_name":"Cimetidine Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/10\/b7a07a9ce5a0dd3d0787924c3a5744d6.PNG","specification":"0.1g×24片\/盒","reference_price":110,"component":"西咪替丁","indication":"1.用于治疗和预防胃、十二指肠溃疡及反流性食管炎。\n2.用于化学刺激引起的糜烂性胃炎。\n3.应激性溃疡和上消化道出血。\n4.降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。","usage_dosage":"内服：6~10kg的犬猫使用1\/2片，体重10~20kg的犬使用1片，一日3次。连用28日。","contraindication":"对该药过敏者禁用。","adverse_reaction":"1.可能引起性犬的乳房暂时性轻微肿胀或雄性犬乳房发育症。\n2.雄犬可能出现前列腺减重,该现象可逆并对生殖功能无影响。","attention":"1.本品仅用于对症治疗,建议出现持续性呕吐症状的犬猫在治疗前进行适当的检查以诊断病因。\n2.对于肾功能不全的犬,需适当调整给药剂量。\n3.本品未进行妊娠期和乳期靶动物的相关研究，应在执业兽医指导下进行妊娠期和哺乳期用药。\n4.本品可能与β受体拮抗剂、钙通道拮抗剂、苯二氮卓类、巴比妥类、苯妥英、茶碱、氨茶碱、华法林和利多卡因等药物产生临床相互作用，当含并用药时，应减低这些药物的使用剂量。\n5.本品可能引起胃酸升高导致药物吸收降低，需要借助酸性介质促进吸收。与氢氧化铝或氢氧化镁、甲氧氯普胺、地高辛和酮康唑的用药间隔至少为2小时。\n6.本品开封后.剩余药片应放在泡罩包装中避光保存。\n7.置儿至无法触及处。","interaction":"1.本品若与氢氧化铝、氧化镁等抗酸剂合用时,本品的吸收可能减少,故一般不提倡同用。\n2.本品与硝西泮(硝基安定)、地西泮(安定)、茶碱、普蔡洛尔(心得安)、苯妥英钠、阿司匹林等同用时。均可使这些药物的血药浓度升高,作用增强,出现不良反应,甚至是毒性反应,故本品不宜与这些药物共同使用。\n3.本品与氨基糖苷类抗生素如庆大霉素等同用时可能导致呼吸抑制或呼吸停止。","approval_no":"兽药字020167014","storage_method":"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":"2020-10-27 17:58:14","updated_at":"2020-10-27 18:18:40"}},"product_sku_info":{"id":768,"product_id":726,"title":"保灵米丁宁 西咪替丁片 0.1g×64片\/盒","advword":null,"price":138,"market_price":240,"cost_price":0,"stock":161,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.1g盒装"}},"cover":null,"thumb":"","sale_count":267,"status":1,"delete_status":0,"created_at":"2021-12-17 15:28:36","updated_at":"2024-05-07 10:37:24"}}}}}}