狗便血呕吐是怎么回事

{"282504":{"id":282504,"case_id":33650,"user_id":1874045,"to_user_id":1943835,"type":3,"content":"这是疼痛的表现，每天多让狗狗喝水，建议改成肾脏处方粮。处方中的药：***，止吐药。****，抗感染药。** ，帮助消化同时对胰腺炎有帮助。***，利尿，加速肾衰引发的高氮、高磷，高肌酐的恢复。","media":{"images":{},"videos":{},"business_params":{"prescription_id":108514}},"is_doctor":1,"status":1,"created_at":"2022-04-14 10:56:26","show_rx":true,"rx_info":{"id":108514,"rx_no":2.02204141050155e+24,"user_id":1943835,"doctor_user_id":1874045,"is_independent":0,"case_id":2695814,"pet_info":{"pet_id":286111,"pet_name":"泰迪","pet_nickname":"葱花","pet_gender":1,"pet_birth":"9-3","pet_weight":3,"pet_vaccination_status":1,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"9岁3个月"},"diagnose":"肾衰","signature":"","deadline":null,"status":1,"send_status":1,"use_status":1,"created_at":"2022-04-14 10:50:15","updated_at":"2022-04-14 10:59:27","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":18865,"prescription_id":108514,"doctor_user_id":1874045,"product_id":794,"product_sku_id":836,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2022-04-14 10:50:15","updated_at":"2022-04-14 10:50:15","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":18866,"prescription_id":108514,"doctor_user_id":1874045,"product_id":759,"product_sku_id":801,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2022-04-14 10:50:15","updated_at":"2022-04-14 10:50:15","product_info":{"id":759,"hash_id":"0JmBZRxqWl4nYK6j","class_ids":{"0":1,"1":2},"category_ids":{"5":166},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":88,"sell_point":"肾倍健 宠物营养补充剂","title":"欧博方肾倍健 宠物营养补充剂 0.5g×30片\/盒","recommend_reason":{"0":"有效降低血磷、肌酐，尿素氮指标，让犬猫告别萎靡","1":"慢性肾衰后期必须服用磷结合剂","2":"降低服用抗生素等化学药物引起的肾损伤"},"baike_guide_text":"","baike_article_hash_id":"","advword":"血磷,肌酐,尿素氮,肾衰,肾损伤","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"30粒盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/fb7eaf3752af26a342a223e890b92c10.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":148,"max_price":148,"sale_count":22,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 14:23:28","updated_at":"2024-03-29 22:48:11","ins":{"id":88,"hash_id":"","class_ids":"[\u00221\u0022]","title":"","common_name":"宠物营养补充剂","trade_name":"肾倍健","en_name":"Prokidney","brand_name":"欧博方","is_prescription":0,"cover":"\/drug\/2020\/11\/687a0d355364837ce81c6782d43a7009.JPG","specification":"0.5g×30片\/盒","reference_price":180,"component":"壳寡糖,碳酸钙,维生素B,泛酸钙,烟酰胺,生物素,叶酸","indication":"1.有效降低血磷、肌酐，尿素氮指标，让犬猫告别萎靡。\n2.慢性肾衰后期必须服用磷结合剂。\n3.降低服用抗生素等化学药物引起的肾损伤。","usage_dosage":"根据体重，建议10kg及以下，1片\/日；10-30kg，2片\/日；30kg及以上，3片\/日。症状严重的，推荐剂量加倍，直接饲喂或拌在食物里均可。","contraindication":"","adverse_reaction":"","attention":"仅用于宠物，避免儿童和动物主动接触。","interaction":"","approval_no":"鲁饲预字（2018）073002","storage_method":"密封，干燥保存。","validity":"2年","manufacturer":"青岛欧博方医药科技有限公司","status":1,"created_at":"2020-11-10 16:27:36","updated_at":"2020-11-10 16:27:36"}},"product_sku_info":{"id":801,"product_id":759,"title":"欧博方肾倍健 宠物营养补充剂 0.5g×30片\/盒","advword":null,"price":148,"market_price":180,"cost_price":0,"stock":76,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30粒盒装"}},"cover":null,"thumb":"","sale_count":24,"status":1,"delete_status":0,"created_at":"2021-12-20 14:23:28","updated_at":"2024-03-29 21:16:45"}},"2":{"id":18867,"prescription_id":108514,"doctor_user_id":1874045,"product_id":712,"product_sku_id":755,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-04-14 10:50:15","updated_at":"2022-04-14 10:50:15","product_info":{"id":712,"hash_id":"VjX39W4z2B4Q0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":3,"sell_point":"速诺（阿莫西林克拉维酸钾片）50mg","title":"辉瑞速诺（阿莫西林克拉维酸钾片） 50mg×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":"50mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26f5438f35ed21efc2894dffea9f399f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":1375,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-05-14 13:39:57","ins":{"id":3,"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\/46c3ccae52804b92b0e341800e809e95.JPG","specification":"50mg×10片×10板\/盒","reference_price":800,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬猫由敏感细菌引起的各种感染，及治疗犬猫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1-2kg，吃半粒； \n体重3-5kg，吃1粒； \n体重6-9kg，吃2粒；\n体重10-13kg，吃3粒;\n体重14-18kg，吃4粒；\n体重≥19kg，请购买同品250mg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10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":"2020-10-21 13:48:10","updated_at":"2020-10-23 15:55:39"}},"product_sku_info":{"id":755,"product_id":712,"title":"辉瑞速诺（阿莫西林克拉维酸钾片） 50mg×10片\/板","advword":null,"price":48,"market_price":59,"cost_price":0,"stock":9609,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1448,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-05-14 19:54:52"}},"3":{"id":18868,"prescription_id":108514,"doctor_user_id":1874045,"product_id":720,"product_sku_id":762,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2022-04-14 10:50:15","updated_at":"2022-04-14 10:50:15","product_info":{"id":720,"hash_id":"R0LPkmpM33g3bVXD","class_ids":{"0":1,"1":2},"category_ids":{"27":186},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":193,"sell_point":"维艾宁呋塞米片","title":"汉维宠仕维艾宁呋塞米片20mg×8片×5板\/盒","recommend_reason":{"0":"治疗心力衰竭，非心源性水肿、急性肾衰和高血压等","1":"心力衰竭治疗不推荐单独长期应用利尿剂，联合匹莫苯丹等临床反应更好"},"baike_guide_text":"","baike_article_hash_id":"","advword":"利尿","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"20mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/11\/507bbb75537f6cdec5d5649cc1ded5ee.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":148,"max_price":148,"sale_count":60,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 14:46:46","updated_at":"2024-03-14 09:07:14","ins":{"id":193,"hash_id":"650KvV4Qn0gWXBEd","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"汉维宠仕维艾宁呋塞米片","common_name":"维艾宁","trade_name":"呋塞米片","en_name":"Furosemide Tablets","brand_name":"汉维宠仕","is_prescription":1,"cover":"\/drug\/2021\/12\/a393976e258b3a2e0a37d7af8e9e820b.jpeg","specification":"20mg×7片×5板\/盒","reference_price":350,"component":"呋塞米","indication":"利尿药。治疗心力衰竭(急性和慢性)，非心源性水肿、高钙尿性肾病、急性肾衰竭、高钾血症和高血压。心力衰竭治疗中不推荐单独长期应用利尿剂，因为联合治疗患病动物(例如ACE抑制剂、匹莫苯丹)可得到较好的临床反应。","usage_dosage":"以呋塞米计。内服：犬、猫2.5-5mg\/kg\/次。或遵医嘱。","contraindication":"1.脱水和无尿禁用。\n2.禁用于脱水或高尿酸血症的鸟类。\n3.对于电解质严重损耗、肝衰竭和糖尿病的动物应谨慎使用。","adverse_reaction":"容易发生低血钾症、低氯血症、低钙血症、低镁血症和低钠血症、脱水、多尿\/多饮和肾前性氮血症。严重肺部疾病、低输出量性心力衰竭、肥厚型心肌病、心包或心肌异常、心脏压塞和严重高血压的动物可出现心输出量显著降低。其他不良反应包括耳毒性(尤其在猫)、胃肠道紊乱、白细胞减少症、贫血、虚弱和坐立不安。","attention":"","interaction":"氨基糖苷类药物相关的肾毒性\/耳毒性在同时使用呋塞米时可加强。呋塞米可介导低钾血症,因此增加了地高辛毒性的风险。如果呋塞米和乙酰唑胺、皮质类固醇、噻嗪类药物以及茶碱同时给药可增加低钾血症的风险。因为阿司匹林和呋塞米竞争肾脏的排泄位点，所以二者同时使用会降低排泄,可能需要减少剂量。呋塞米可抑制筒箭毒碱的肌肉松弛效果，但可增强琥珀胆碱的作用。","approval_no":"兽药字（2016）090241179","storage_method":"遮光，密封，在干燥处保存。","validity":"2年","manufacturer":"上海汉维生物医药有限公司","status":1,"created_at":"2021-12-22 18:16:29","updated_at":"2021-12-22 18:16:29"}},"product_sku_info":{"id":762,"product_id":720,"title":"汉维宠仕维艾宁呋塞米片20mg×8片×5板\/盒","advword":null,"price":148,"market_price":198,"cost_price":0,"stock":70,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"20mg盒装"}},"cover":null,"thumb":"","sale_count":63,"status":1,"delete_status":0,"created_at":"2021-12-17 14:46:46","updated_at":"2024-03-13 18:34:06"}},"4":{"id":18869,"prescription_id":108514,"doctor_user_id":1874045,"product_id":827,"product_sku_id":869,"dose":0.5,"dose_unit":"袋","use_method":"口服","frequency":"每天1次","days":14,"number":1,"remark":"","created_at":"2022-04-14 10:50:15","updated_at":"2022-04-14 10:50:15","product_info":{"id":827,"hash_id":"LEd98jx1XJgZaNMK","class_ids":{"0":1,"1":2},"category_ids":{"28":187},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":59,"sell_point":"拜恩复合消化酵素10袋装","title":"拜恩复合消化酵素5g×10包\/拆零","recommend_reason":{"0":"犬猫胰腺外分泌不足","1":"改善犬猫肠胃肠道，改善脂肪泻"},"baike_guide_text":"","baike_article_hash_id":"","advword":"胰腺,肠胃,肠道,脂肪泻","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10袋装\/拆零"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/5cda62f78939a8d196a9665901fe09f2.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":58,"max_price":58,"sale_count":55,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 18:09:40","updated_at":"2024-04-30 09:10:46","ins":{"id":59,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复合消化酵素","trade_name":"复合消化酵素","en_name":"","brand_name":"拜恩","is_prescription":0,"cover":"\/drug\/2020\/11\/f15cf80a843bc1e9eb0315c7c7a737cd.JPG","specification":"5g×10包\/盒","reference_price":120,"component":"菠萝蛋白酶、木瓜蛋白酶、纤维素蛋白酶、淀粉酶，蛋白酶，脂肪酶，维生素B12、枯草芽孢杆菌、凝结芽孢杆菌等。","indication":"犬猫胰腺外分泌不足、改善犬猫肠胃肠道，改善脂肪泻。","usage_dosage":"1. 体重5kg以下，每次2.5g；5kg以上，每次5g。\n2. 每日1次，用不高于45℃的温水冲服，也可以拌食饲喂。\n3. 特殊情况可酌情增减用量，具体请遵遗嘱。","contraindication":"","adverse_reaction":"如果部分宠物食用后有应激反应（拉稀现象）属于正常现象，须减少酵素的食用量和次数，待动物体内慢慢适应后再增加用量。","attention":"","interaction":"","approval_no":"苏饲预（2017）13006","storage_method":"应储存在干燥，避光，通风，清洁的环境，不得与有毒有害等污染物混储。","validity":"2年","manufacturer":"江苏益品实业有限公司","status":1,"created_at":"2020-11-05 18:31:12","updated_at":"2020-11-05 18:31:12"}},"product_sku_info":{"id":869,"product_id":827,"title":"拜恩复合消化酵素5g×10包\/拆零","advword":null,"price":58,"market_price":100,"cost_price":0,"stock":44,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10袋装\/拆零"}},"cover":null,"thumb":"","sale_count":56,"status":1,"delete_status":0,"created_at":"2021-12-21 18:09:40","updated_at":"2024-04-30 07:31:39"}}},"drug_data_bak":{"0":{"id":18865,"prescription_id":108514,"doctor_user_id":1874045,"product_id":794,"product_sku_id":836,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2022-04-14 10:50:15","updated_at":"2022-04-14 10:50:15","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":18866,"prescription_id":108514,"doctor_user_id":1874045,"product_id":759,"product_sku_id":801,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2022-04-14 10:50:15","updated_at":"2022-04-14 10:50:15","product_info":{"id":759,"hash_id":"0JmBZRxqWl4nYK6j","class_ids":{"0":1,"1":2},"category_ids":{"5":166},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":88,"sell_point":"肾倍健 宠物营养补充剂","title":"欧博方肾倍健 宠物营养补充剂 0.5g×30片\/盒","recommend_reason":{"0":"有效降低血磷、肌酐，尿素氮指标，让犬猫告别萎靡","1":"慢性肾衰后期必须服用磷结合剂","2":"降低服用抗生素等化学药物引起的肾损伤"},"baike_guide_text":"","baike_article_hash_id":"","advword":"血磷,肌酐,尿素氮,肾衰,肾损伤","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"30粒盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/fb7eaf3752af26a342a223e890b92c10.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":148,"max_price":148,"sale_count":22,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 14:23:28","updated_at":"2024-03-29 22:48:11","ins":{"id":88,"hash_id":"","class_ids":"[\u00221\u0022]","title":"","common_name":"宠物营养补充剂","trade_name":"肾倍健","en_name":"Prokidney","brand_name":"欧博方","is_prescription":0,"cover":"\/drug\/2020\/11\/687a0d355364837ce81c6782d43a7009.JPG","specification":"0.5g×30片\/盒","reference_price":180,"component":"壳寡糖,碳酸钙,维生素B,泛酸钙,烟酰胺,生物素,叶酸","indication":"1.有效降低血磷、肌酐，尿素氮指标，让犬猫告别萎靡。\n2.慢性肾衰后期必须服用磷结合剂。\n3.降低服用抗生素等化学药物引起的肾损伤。","usage_dosage":"根据体重，建议10kg及以下，1片\/日；10-30kg，2片\/日；30kg及以上，3片\/日。症状严重的，推荐剂量加倍，直接饲喂或拌在食物里均可。","contraindication":"","adverse_reaction":"","attention":"仅用于宠物，避免儿童和动物主动接触。","interaction":"","approval_no":"鲁饲预字（2018）073002","storage_method":"密封，干燥保存。","validity":"2年","manufacturer":"青岛欧博方医药科技有限公司","status":1,"created_at":"2020-11-10 16:27:36","updated_at":"2020-11-10 16:27:36"}},"product_sku_info":{"id":801,"product_id":759,"title":"欧博方肾倍健 宠物营养补充剂 0.5g×30片\/盒","advword":null,"price":148,"market_price":180,"cost_price":0,"stock":76,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30粒盒装"}},"cover":null,"thumb":"","sale_count":24,"status":1,"delete_status":0,"created_at":"2021-12-20 14:23:28","updated_at":"2024-03-29 21:16:45"}},"2":{"id":18867,"prescription_id":108514,"doctor_user_id":1874045,"product_id":712,"product_sku_id":755,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-04-14 10:50:15","updated_at":"2022-04-14 10:50:15","product_info":{"id":712,"hash_id":"VjX39W4z2B4Q0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":3,"sell_point":"速诺（阿莫西林克拉维酸钾片）50mg","title":"辉瑞速诺（阿莫西林克拉维酸钾片） 50mg×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":"50mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26f5438f35ed21efc2894dffea9f399f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":1375,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-05-14 13:39:57","ins":{"id":3,"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\/46c3ccae52804b92b0e341800e809e95.JPG","specification":"50mg×10片×10板\/盒","reference_price":800,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬猫由敏感细菌引起的各种感染，及治疗犬猫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1-2kg，吃半粒； \n体重3-5kg，吃1粒； \n体重6-9kg，吃2粒；\n体重10-13kg，吃3粒;\n体重14-18kg，吃4粒；\n体重≥19kg，请购买同品250mg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10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":"2020-10-21 13:48:10","updated_at":"2020-10-23 15:55:39"}},"product_sku_info":{"id":755,"product_id":712,"title":"辉瑞速诺（阿莫西林克拉维酸钾片） 50mg×10片\/板","advword":null,"price":48,"market_price":59,"cost_price":0,"stock":9609,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1448,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-05-14 19:54:52"}},"3":{"id":18868,"prescription_id":108514,"doctor_user_id":1874045,"product_id":720,"product_sku_id":762,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2022-04-14 10:50:15","updated_at":"2022-04-14 10:50:15","product_info":{"id":720,"hash_id":"R0LPkmpM33g3bVXD","class_ids":{"0":1,"1":2},"category_ids":{"27":186},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":193,"sell_point":"维艾宁呋塞米片","title":"汉维宠仕维艾宁呋塞米片20mg×8片×5板\/盒","recommend_reason":{"0":"治疗心力衰竭，非心源性水肿、急性肾衰和高血压等","1":"心力衰竭治疗不推荐单独长期应用利尿剂，联合匹莫苯丹等临床反应更好"},"baike_guide_text":"","baike_article_hash_id":"","advword":"利尿","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"20mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/11\/507bbb75537f6cdec5d5649cc1ded5ee.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":148,"max_price":148,"sale_count":60,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 14:46:46","updated_at":"2024-03-14 09:07:14","ins":{"id":193,"hash_id":"650KvV4Qn0gWXBEd","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"汉维宠仕维艾宁呋塞米片","common_name":"维艾宁","trade_name":"呋塞米片","en_name":"Furosemide Tablets","brand_name":"汉维宠仕","is_prescription":1,"cover":"\/drug\/2021\/12\/a393976e258b3a2e0a37d7af8e9e820b.jpeg","specification":"20mg×7片×5板\/盒","reference_price":350,"component":"呋塞米","indication":"利尿药。治疗心力衰竭(急性和慢性)，非心源性水肿、高钙尿性肾病、急性肾衰竭、高钾血症和高血压。心力衰竭治疗中不推荐单独长期应用利尿剂，因为联合治疗患病动物(例如ACE抑制剂、匹莫苯丹)可得到较好的临床反应。","usage_dosage":"以呋塞米计。内服：犬、猫2.5-5mg\/kg\/次。或遵医嘱。","contraindication":"1.脱水和无尿禁用。\n2.禁用于脱水或高尿酸血症的鸟类。\n3.对于电解质严重损耗、肝衰竭和糖尿病的动物应谨慎使用。","adverse_reaction":"容易发生低血钾症、低氯血症、低钙血症、低镁血症和低钠血症、脱水、多尿\/多饮和肾前性氮血症。严重肺部疾病、低输出量性心力衰竭、肥厚型心肌病、心包或心肌异常、心脏压塞和严重高血压的动物可出现心输出量显著降低。其他不良反应包括耳毒性(尤其在猫)、胃肠道紊乱、白细胞减少症、贫血、虚弱和坐立不安。","attention":"","interaction":"氨基糖苷类药物相关的肾毒性\/耳毒性在同时使用呋塞米时可加强。呋塞米可介导低钾血症,因此增加了地高辛毒性的风险。如果呋塞米和乙酰唑胺、皮质类固醇、噻嗪类药物以及茶碱同时给药可增加低钾血症的风险。因为阿司匹林和呋塞米竞争肾脏的排泄位点，所以二者同时使用会降低排泄,可能需要减少剂量。呋塞米可抑制筒箭毒碱的肌肉松弛效果，但可增强琥珀胆碱的作用。","approval_no":"兽药字（2016）090241179","storage_method":"遮光，密封，在干燥处保存。","validity":"2年","manufacturer":"上海汉维生物医药有限公司","status":1,"created_at":"2021-12-22 18:16:29","updated_at":"2021-12-22 18:16:29"}},"product_sku_info":{"id":762,"product_id":720,"title":"汉维宠仕维艾宁呋塞米片20mg×8片×5板\/盒","advword":null,"price":148,"market_price":198,"cost_price":0,"stock":70,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"20mg盒装"}},"cover":null,"thumb":"","sale_count":63,"status":1,"delete_status":0,"created_at":"2021-12-17 14:46:46","updated_at":"2024-03-13 18:34:06"}},"4":{"id":18869,"prescription_id":108514,"doctor_user_id":1874045,"product_id":827,"product_sku_id":869,"dose":0.5,"dose_unit":"袋","use_method":"口服","frequency":"每天1次","days":14,"number":1,"remark":"","created_at":"2022-04-14 10:50:15","updated_at":"2022-04-14 10:50:15","product_info":{"id":827,"hash_id":"LEd98jx1XJgZaNMK","class_ids":{"0":1,"1":2},"category_ids":{"28":187},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":59,"sell_point":"拜恩复合消化酵素10袋装","title":"拜恩复合消化酵素5g×10包\/拆零","recommend_reason":{"0":"犬猫胰腺外分泌不足","1":"改善犬猫肠胃肠道，改善脂肪泻"},"baike_guide_text":"","baike_article_hash_id":"","advword":"胰腺,肠胃,肠道,脂肪泻","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10袋装\/拆零"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/5cda62f78939a8d196a9665901fe09f2.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":58,"max_price":58,"sale_count":55,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 18:09:40","updated_at":"2024-04-30 09:10:46","ins":{"id":59,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复合消化酵素","trade_name":"复合消化酵素","en_name":"","brand_name":"拜恩","is_prescription":0,"cover":"\/drug\/2020\/11\/f15cf80a843bc1e9eb0315c7c7a737cd.JPG","specification":"5g×10包\/盒","reference_price":120,"component":"菠萝蛋白酶、木瓜蛋白酶、纤维素蛋白酶、淀粉酶，蛋白酶，脂肪酶，维生素B12、枯草芽孢杆菌、凝结芽孢杆菌等。","indication":"犬猫胰腺外分泌不足、改善犬猫肠胃肠道，改善脂肪泻。","usage_dosage":"1. 体重5kg以下，每次2.5g；5kg以上，每次5g。\n2. 每日1次，用不高于45℃的温水冲服，也可以拌食饲喂。\n3. 特殊情况可酌情增减用量，具体请遵遗嘱。","contraindication":"","adverse_reaction":"如果部分宠物食用后有应激反应（拉稀现象）属于正常现象，须减少酵素的食用量和次数，待动物体内慢慢适应后再增加用量。","attention":"","interaction":"","approval_no":"苏饲预（2017）13006","storage_method":"应储存在干燥，避光，通风，清洁的环境，不得与有毒有害等污染物混储。","validity":"2年","manufacturer":"江苏益品实业有限公司","status":1,"created_at":"2020-11-05 18:31:12","updated_at":"2020-11-05 18:31:12"}},"product_sku_info":{"id":869,"product_id":827,"title":"拜恩复合消化酵素5g×10包\/拆零","advword":null,"price":58,"market_price":100,"cost_price":0,"stock":44,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10袋装\/拆零"}},"cover":null,"thumb":"","sale_count":56,"status":1,"delete_status":0,"created_at":"2021-12-21 18:09:40","updated_at":"2024-04-30 07:31:39"}}}}}}