咨询描述：猫嘴一边掉毛发红，按压，猫痛苦表情。封城期间，就吐了碘酒，*****，好像没什么用。最近，换了猫粮，被母猫打了，不知道是否受伤。找猫藓的灯没有。1岁不到，公猫加菲，没绝育。喜欢玩水。昨天发现，今天好像严重了。出不去，上海可能封到五一。
回复总结：猫咪嘴边出现掉毛的症状，可能是真菌感染导致的，也有可能是寄生虫感染引发的。针对这种情况，治疗方面建议使用含有盐酸特比萘芬成分的口服药进行治疗。注意在治疗期间，给猫咪戴一段时间伊丽莎白圈，防止猫咪抓挠患处引起继发感染。另外，建议增加一次体外驱虫预防寄生虫感染。
问题大致一样，细节不同？
徐灿
执业兽医师
根据照片来看，比较接近于真菌或者是寄生虫的感染，但是目前来说不确定，我需要了解一下它的驱虫历史，上一次做体外驱虫是什么时候？有没有抓挠的行为？检查一下下巴等位置有没有黑点和斑秃毛楂楂。另外，现在所用的药物都是治疗常规外伤或者是感染的，对于寄生虫和真菌是无效的。所以用药之后无效是正常的。
2个月之前，前几天刚吃了体内驱虫药，就正常抓耳朵，但是舔毛洗脸频率比之前高没黑点，秃的地方都是红的，一碰就感觉它很。因为前天换了一把剪刀给它剪指甲，有点毛躁，就想会不会是自己抓伤了
徐灿
执业兽医师
这种情况主要考虑的就是真菌感染，一般来说，在临床上也比较常见，通常来说，需要长时间使用药物进行治疗。并且建议增加一次体外驱虫进行预防，如果你需要的话，我可以帮你开一个常规方案，但是需要提出处方申请。
医生，目前，我这边封城，买不了兽药，有没有人药可以代替用。就是可能人药都有点买不到。我们要封到五一。
徐灿
执业兽医师
一般来说，常用的成分是盐酸特比萘芬，这都比较常用，最好是选择口服，因为位置比较特殊，没有办法上药膏，后续的话，最好是佩戴一段时间的伊丽莎白圈。一般来说，成分相同即可。我帮你开一个常用的动物用药处方，实在找不到，你可以找点替代品。
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
{"296389":{"id":296389,"case_id":35121,"user_id":1296147,"to_user_id":1785186,"type":3,"content":"一般来说，常用的成分是盐酸特比萘芬，这都比较常用，最好是选择口服，因为位置比较特殊，没有办法上药膏，后续的话，最好是佩戴一段时间的伊丽莎白圈。一般来说，成分相同即可。我帮你开一个常用的动物用药处方，实在找不到，你可以找点替代品。","media":{"images":{},"videos":{},"business_params":{"prescription_id":108665}},"is_doctor":1,"status":1,"created_at":"2022-04-16 00:15:55","show_rx":true,"rx_info":{"id":108665,"rx_no":2.02204160015525e+24,"user_id":1785186,"doctor_user_id":1296147,"is_independent":0,"case_id":2698102,"pet_info":{"pet_id":259001,"pet_name":"加菲猫","pet_nickname":"皮皮","pet_gender":1,"pet_birth":"0-11","pet_weight":4,"pet_vaccination_status":0,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"11个月"},"diagnose":"真菌","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-04-16 00:15:52","updated_at":"2022-04-16 00:15:55","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":19247,"prescription_id":108665,"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":"2022-04-16 00:15:52","updated_at":"2022-04-16 00:15:52","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":48,"max_price":48,"sale_count":47,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-01-11 16:15:04","updated_at":"2024-04-26 13:33:23","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":48,"market_price":68,"cost_price":0,"stock":84,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50ml"}},"cover":null,"thumb":"","sale_count":47,"status":1,"delete_status":0,"created_at":"2022-01-11 16:15:04","updated_at":"2024-04-26 13:26:32"}},"1":{"id":19248,"prescription_id":108665,"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":"2022-04-16 00:15:52","updated_at":"2022-04-16 00:15:52","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,"created_at":"2021-12-17 15:16:44","updated_at":"2023-01-31 10:09:26"}}},"drug_data_bak":{"0":{"id":19247,"prescription_id":108665,"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":"2022-04-16 00:15:52","updated_at":"2022-04-16 00:15:52","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":48,"max_price":48,"sale_count":47,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-01-11 16:15:04","updated_at":"2024-04-26 13:33:23","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":48,"market_price":68,"cost_price":0,"stock":84,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50ml"}},"cover":null,"thumb":"","sale_count":47,"status":1,"delete_status":0,"created_at":"2022-01-11 16:15:04","updated_at":"2024-04-26 13:26:32"}},"1":{"id":19248,"prescription_id":108665,"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":"2022-04-16 00:15:52","updated_at":"2022-04-16 00:15:52","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,"created_at":"2021-12-17 15:16:44","updated_at":"2023-01-31 10:09:26"}}}}}}
微信扫一扫
立即问宠医
