咨询描述:泰迪四岁,体重5斤半,狗狗在一岁时因为寄养被传染病毒性气管炎,治疗一个月才好 ,留下爱咳嗽的病根到现在,昨天突然拉肚子,呕吐,我喂了********颗粒三分之一袋、***一袋,今天中午又喂了这两种药,精神状态无异常,晚上七点吐了一次 ,然后出现呼吸急促,精神萎靡,留透明鼻涕,于是带着狗狗去宠物医院拍了片子,显示心脏肥大,医生说是肺炎,给打了两针,请医生看一下是心脏肥大治不好吗?或者需要怎样治疗,狗狗刚配完狗,改怎样处理
回复总结:狗狗出现吐黄色液体的症状,有可能是十二指肠炎导致。建议主人带狗狗去宠物医院做抽血化验,重点排除胰腺炎,再根据确诊结果对症治疗。如果狗狗之前有吃过异物的情况,最好到宠物医院做腹腔影像。如果暂时不方便就医,建议主人给狗狗服用特效的止吐药和胃肠修复药。
问题大致一样,细节不同?
赵一强
执业兽医师
主人您好,首先宝贝的X光片子侧位上来看,没有特别明显的心脏肥大的问题,其次,宝贝的正位X光片拍的拍的太不规范了,看着有点偏,但是可以看到宝贝的肺脏影像还是不错的,总体来说,宝贝所谓的肺炎和这个心脏肥大的问题,目前看着不是特别典型。如果怀疑宝贝的心脏功能有问题的话,可以做一下心脏彩超的检查。
那么总体来说,实际上宝贝的呕吐和拉稀的症状更为典型,那么结合宝贝后续又出现您描述的这种呼吸急促的表现,其实我这边的建议是您可以做一下全面的抽血化验,看一下宝贝有没有一些中老年内科疾病的问题?比如说胰腺炎的可能性。因为宝贝目前的症状总体来说和胰腺炎的症状表现比较相似。
所以我想和您再确认一下,宝贝今天呕吐和拉稀的症状还明显吗?宝贝发病以后精神状态怎么样?还能正常吃喝有食欲吗?有没有特别明显的弓臂的表现?或者前腿趴着,屁股撅着的表现?
您除了给宝贝拍x光片以外,有没有给他做一下全面的抽血化验呢?如果有抽血化验的结果的话,可以发上来,我看一下。
那么考虑宝贝的体重特别轻,才三公斤不到。那么您给宝贝吃的消炎药,头孢克肟的规格可以发上来,我给您看一下,看看有没有剂量太大的问题?
那么宝贝的呕吐物详细形容一下颜色,内容物,呕吐频率?腹泻物业详细形容一下颜色形态内容物?
喝水和排尿有没有异常?有多饮多尿少饮少尿或者尿黄的表现?
可以给宝贝测个体温,水银体温计顶在大腿根内侧,顶紧点测5分钟。告诉我温度。
宝贝的舌色怎么样?是发红还是发紫?还是发白还是发黄?
要仔细回答每一条,不要有遗漏,描述的越详细越好。
昨天拉了六七次后来三次带血丝,吐了五次,颜色是黄绿色,但是吃了***和****和***之后,晚上没有再吐和拉,断水断食了,早上热水泡了一小把的狗粮,加了半袋乳酸菌,都吃了,中午下去遛狗,尿了几次,但是都是一点点,到现在都没有再拉,就是晚上吐了一次黄绿水,然后就听着呼吸有声音了呼呼的声音,白天精神不错,晚上发病后,精神不好,不躺着,就是坐着,没有撅屁股的状态,发屁特别臭 ,也没有食欲,下午还精神不错,自己去吃了狗粮,昨天腹泻是有的时候是黄色,有的时候是有的发黑,都是水状,昨天早上还是粑粑条呢,昨天中午开始的,舌头是粉色啊,体温38.5度。****是50mg每袋,没有抽血化验,也没有特别明显的弓臂
赵一强
执业兽医师
主人你好,那按照您的描述,宝贝呕吐的内容物当中有明显的黄色粘液,提示宝贝呕吐的内容物当中有胃酸胃液混合着胆汁。这种情况一般多见于一些12指肠炎,12指肠梗阻的问题。考虑宝贝同时也有拉稀的情况。所以我想和您确认一下宝贝的日常饮食主要吃什么狗粮是什么牌子的,下来多少钱一斤?发病之前有没有吃过人吃的饭菜或者骨头之类的?有没有接触过其他的或者可能误食的异物?
至于****的剂量,总体来说问题不大,一般是按照每公斤体重3mg给予。宝贝一次吃10mg,1/5其实就行了。按1/3的剂量给予略微高一些,但是问题总体不大。那么宝贝喘的问题主要还是考虑宝贝有可能呕吐,腹泻引起了一些脱水的问题,导致这种喘息,也有可能只是有一些轻微的腹痛,不舒服,。感觉和心肺方面的关系不大。我这边的建议是您如果方便的话,最好抽血化验排除一下胰腺炎。如果宝贝有吃过异物的话,最好拍片子看一下腹腔影像。
如果您暂时确实不方便就医的话,那么我这边也建议您最好还是对症治疗给予特效的止吐和保护胃肠,止泻配合消炎治疗。
您看看,就是这样,早上尿的也可以,还是不吃不喝,精神比昨天晚上稍微好一点
为保护用户隐私不显示图片/视频
赵一强
执业兽医师
主人你好,宝贝的这个视频症状感觉有点像呕吐以后胃酸,胃液反上来的时候,对咽喉那块的刺激腐蚀导致的咽喉不舒服的表现。当然如果宝贝还是有一些恶心,反胃,想吐的情况下,也会出现类似的这种症状。像宝贝这个年龄不吃不喝三五天是一点事儿没有的。如果怕宝贝出现脱水的话,可以适当的输输液。那么当下的话,我还是建议您先按照胃肠道的症状给予对症的消炎,止吐,保护胃肠的药物调理看一下。
赵一强
执业兽医师
好的主人,那我可以按照宝贝的体重目前最好的宠物专用的止吐药和调理肠胃的药给您开出来,您可以点击下方处方查看详情,里面有具体的用药剂量和用药方法,您可以参考看一下。
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
{"280723":{"id":280723,"case_id":33482,"user_id":1046848,"to_user_id":1930200,"type":3,"content":"好的主人,那我可以按照宝贝的体重目前最好的宠物专用的止吐药和调理肠胃的药给您开出来,您可以点击下方处方查看详情,里面有具体的用药剂量和用药方法,您可以参考看一下。","media":{"images":{},"videos":{},"business_params":{"prescription_id":107536}},"is_doctor":1,"status":1,"created_at":"2022-04-03 11:03:18","show_rx":true,"rx_info":{"id":107536,"rx_no":2.0220403110254502e+24,"user_id":1930200,"doctor_user_id":1046848,"is_independent":0,"case_id":2681324,"pet_info":{"pet_id":283475,"pet_name":"泰迪","pet_nickname":"波妞","pet_gender":2,"pet_birth":"3-3","pet_weight":3,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"3岁3个月"},"diagnose":"止吐药和调理肠胃的药。","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-04-03 11:02:54","updated_at":"2022-04-03 11:03:18","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":16722,"prescription_id":107536,"doctor_user_id":1046848,"product_id":794,"product_sku_id":836,"dose":0.33,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":5,"number":1,"remark":"","created_at":"2022-04-03 11:02:54","updated_at":"2022-04-03 11:02:54","product_info":{"id":794,"hash_id":"ay8LblpOPV49EdBq","class_ids":{"0":1,"1":2},"category_ids":{"29":188},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":18,"sell_point":"赛瑞宁 枸橼酸马罗匹坦片16mg","title":"辉瑞赛瑞宁 枸橼酸马罗匹坦片 16mg×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\/be2dd9e4acac77d870258b0cfeafe3c5.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":168,"max_price":168,"sale_count":47,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 19:02:13","updated_at":"2024-05-13 16:12:06","ins":{"id":18,"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\/5ae2095030031dfc147b1aba304a73a8.JPG","specification":"16mg×4片\/盒","reference_price":210,"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21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 14:13:38","updated_at":"2020-10-27 14:36:06"}},"product_sku_info":{"id":836,"product_id":794,"title":"辉瑞赛瑞宁 枸橼酸马罗匹坦片 16mg×4片\/盒","advword":null,"price":168,"market_price":220,"cost_price":0,"stock":60,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"4片盒装"}},"cover":null,"thumb":"","sale_count":56,"status":1,"delete_status":0,"created_at":"2021-12-20 19:02:13","updated_at":"2024-05-13 16:06:57"}},"1":{"id":16723,"prescription_id":107536,"doctor_user_id":1046848,"product_id":726,"product_sku_id":768,"dose":0.25,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-04-03 11:02:54","updated_at":"2022-04-03 11:02:54","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":160,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.1g盒装"}},"cover":null,"thumb":"","sale_count":268,"status":1,"delete_status":0,"created_at":"2021-12-17 15:28:36","updated_at":"2024-05-17 22:34:48"}}},"drug_data_bak":{"0":{"id":16722,"prescription_id":107536,"doctor_user_id":1046848,"product_id":794,"product_sku_id":836,"dose":0.33,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":5,"number":1,"remark":"","created_at":"2022-04-03 11:02:54","updated_at":"2022-04-03 11:02:54","product_info":{"id":794,"hash_id":"ay8LblpOPV49EdBq","class_ids":{"0":1,"1":2},"category_ids":{"29":188},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":18,"sell_point":"赛瑞宁 枸橼酸马罗匹坦片16mg","title":"辉瑞赛瑞宁 枸橼酸马罗匹坦片 16mg×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\/be2dd9e4acac77d870258b0cfeafe3c5.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":168,"max_price":168,"sale_count":47,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 19:02:13","updated_at":"2024-05-13 16:12:06","ins":{"id":18,"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\/5ae2095030031dfc147b1aba304a73a8.JPG","specification":"16mg×4片\/盒","reference_price":210,"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21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 14:13:38","updated_at":"2020-10-27 14:36:06"}},"product_sku_info":{"id":836,"product_id":794,"title":"辉瑞赛瑞宁 枸橼酸马罗匹坦片 16mg×4片\/盒","advword":null,"price":168,"market_price":220,"cost_price":0,"stock":60,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"4片盒装"}},"cover":null,"thumb":"","sale_count":56,"status":1,"delete_status":0,"created_at":"2021-12-20 19:02:13","updated_at":"2024-05-13 16:06:57"}},"1":{"id":16723,"prescription_id":107536,"doctor_user_id":1046848,"product_id":726,"product_sku_id":768,"dose":0.25,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-04-03 11:02:54","updated_at":"2022-04-03 11:02:54","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":160,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.1g盒装"}},"cover":null,"thumb":"","sale_count":268,"status":1,"delete_status":0,"created_at":"2021-12-17 15:28:36","updated_at":"2024-05-17 22:34:48"}}}}}}
微信扫一扫
立即问宠医