咨询描述:猫咪两个半月,有支原体,疱疹不确定,之前眼睛睁不开,用了更昔洛韦滴眼液好转,仍然眼泪多,打喷嚏
回复总结:猫咪有眼泪多、打喷嚏的症状,常见的原因是支原体感染,也不排除存在疱疹病毒的因素。针对这种情况,建议使用抑制病毒感染的滴眼液控制症状,同时配合口服含有盐酸多西环素的药物。如果猫咪的眼睛已经没有炎症,但依然存在分泌物,可以使用具有抑菌作用的洗眼液进行清理。
问题大致一样,细节不同?
周琪林
执业兽医师
根据您提供的信息,我对它的病情有一个大致了解。如果您使用******滴眼液针对眼部治疗有效果,控制住了结膜炎的问题,那它可能确实存在疱疹病毒感染,加上支原体的问题,所以才会出现呼吸道症状和眼部症状。因为******是抗病毒药物,但对支原体治疗并不理想,所以针对它后续打喷嚏的问题,我们通常还是需要口服针对支原体的药物进行治疗,比如*****、****这类药物。
医院的医生开了****,需要搭配**嘛,疱疹的问题呢,医生建议可以吃*****,目前是一天半颗,眼部滴眼液有建议吗,
周琪林
执业兽医师
****单独使用即可,不需要配合**使用。而****幼猫建议低用量,通常幼猫的使用量是单次15-30毫克,一天两次给药。
从照片上来看,它的眼部已经没有明显炎症了,所以不需要再针对眼部单独使用眼药治疗。
照片是我给她清理了,一天不弄就会有红褐色分泌物,眼睛周围都是,****0.125g的,医生说一天半颗,目前就吃这两种药嘛
周琪林
执业兽医师
每次量62.5-125毫克是成年猫咪的给药量,幼猫量建议减少,毕竟猫咪体重太轻了,过度给予****,可能会存在一定副作用。
如果它眼睛已经没有炎症,但依然存在分泌物,可以考虑使用洗眼液进行清理。因为您给它口服了******+****,除了对呼吸道症状有治疗效果,同时也可以直接眼部问题,所以没有必要再单独针对眼部使用抗菌消炎的眼药了,洗眼液通常已经可以满足抑菌和减少分泌物的作用了。
这两种药可以同时治疗疱疹和支原体嘛?不需要另外的药治疱疹嘛,眼部泪痕重,可以用*****滴眼睛嘛,
周琪林
执业兽医师
*****就是专门针对病毒的药物,尤其是疱疹病毒。而****对细菌、支原体、衣原体感染均有好的治疗效果,所以这两种药物就可以满足治疗疱疹病毒和支原体病。
*****滴眼液主要是针对细菌性感染引起的结膜炎、角膜炎等感染性眼病,目前它的眼睛炎症已经消失,分泌物的清理和抑菌建议用更温和的洗眼液处理。
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
{"303438":{"id":303438,"case_id":35871,"user_id":1012848,"to_user_id":1973747,"type":3,"content":"*****就是专门针对病毒的药物,尤其是疱疹病毒。而****对细菌、支原体、衣原体感染均有好的治疗效果,所以这两种药物就可以满足治疗疱疹病毒和支原体病。\n*****滴眼液主要是针对细菌性感染引起的结膜炎、角膜炎等感染性眼病,目前它的眼睛炎症已经消失,分泌物的清理和抑菌建议用更温和的洗眼液处理。","media":{"images":{},"videos":{},"business_params":{"prescription_id":110817}},"is_doctor":1,"status":1,"created_at":"2022-05-07 00:07:37","show_rx":true,"rx_info":{"id":110817,"rx_no":2.0220507000733502e+24,"user_id":1973747,"doctor_user_id":1012848,"is_independent":0,"case_id":2727793,"pet_info":{"pet_id":292097,"pet_name":"英短银渐层","pet_nickname":"四月","pet_gender":2,"pet_birth":"0-2","pet_weight":1,"pet_vaccination_status":0,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"2个月"},"diagnose":"支原体+疱疹病毒","signature":"","deadline":null,"status":1,"send_status":1,"use_status":1,"created_at":"2022-05-07 00:07:33","updated_at":"2022-05-07 00:17:55","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":24026,"prescription_id":110817,"doctor_user_id":1012848,"product_id":734,"product_sku_id":776,"dose":0.5,"dose_unit":"ml","use_method":"滴眼","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2022-05-07 00:07:33","updated_at":"2022-05-07 00:07:33","product_info":{"id":734,"hash_id":"e0l3wrpKR0xV9GjN","class_ids":{"0":1,"1":2},"category_ids":{"20":181},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":82,"sell_point":"眼净眼部生理清洗液","title":"维克眼净 眼部生理清洗液 60ml\/瓶\/盒","recommend_reason":{"0":"用于清洁犬猫眼部及其周围","1":"清除眼部异物(灰尘、沙粒、碎花、花粉、及其他过敏原和刺激物)"},"baike_guide_text":"","baike_article_hash_id":"","advword":"眼部异物,冲洗眼部,眼疾","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/c16cca0a276169617f8e2c59b0b08418.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":68,"max_price":68,"sale_count":145,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 16:20:05","updated_at":"2025-04-05 10:24:57","ins":{"id":82,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"眼部生理清洗液","trade_name":"眼净","en_name":"Physiological Eye Cleanser","brand_name":"维克","is_prescription":0,"cover":"\/drug\/2020\/11\/a00faced81c81d2e18099689ebbd9be2.jpg","specification":"60ml\/瓶\/盒","reference_price":89,"component":"水杨酸,硼酸及钠盐,金缕梅水,矢车菊水","indication":"用于清洁犬猫眼部及其周围,同时清除眼部异物(灰尘、沙粒、碎花、花粉、及其他过敏原和刺激物)。","usage_dosage":"1.冲洗眼部:轻压瓶身将液体倒出覆盖眼部。用清洁的布擦拭脏污和多余液体,请注意不要碰到眼睛。如有必要,可多次使用。\n2.清洁眼部:将液体倒于干净的布上,轻轻擦拭眼周直至清洁。","contraindication":"","adverse_reaction":"其PH值为7.4,与天然泪液的PH值相似,无刺激,适用于眼部敏感的犬猫,无明显不良反应。","attention":"请不要用水或者牛奶清洗宠物眼睛,不要用手指或带有纱布的手指触碰宠物眼睛。","interaction":"","approval_no":"","storage_method":"温室保存。每次使用后,请旋紧瓶盖。","validity":"2年","manufacturer":"法国维克有限公司(Virbac)","status":1,"created_at":"2020-11-09 17:39:54","updated_at":"2020-11-09 17:39:54"}},"product_sku_info":{"id":776,"product_id":734,"title":"维克眼净 眼部生理清洗液 60ml\/瓶\/盒","advword":null,"price":68,"market_price":89,"cost_price":41,"stock":51,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"60ml"}},"cover":null,"thumb":"","sale_count":149,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 16:20:05","updated_at":"2025-04-04 20:16:40"}},"1":{"id":24027,"prescription_id":110817,"doctor_user_id":1012848,"product_id":700,"product_sku_id":743,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":14,"number":1,"remark":"","created_at":"2022-05-07 00:07:33","updated_at":"2022-05-07 00:07:33","product_info":{"id":700,"hash_id":"V9we7N4JmypPbGWA","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":38,"sell_point":"巧乐林 盐酸多西环素片","title":"远征巧乐林 盐酸多西环素片 10mg×8片×2板\/盒","recommend_reason":{"0":"用于犬猫病毒性疾病的继发感染","1":"用于各类菌等引起的呼吸系统感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"支气管炎,疱疹病毒,猫杯状病毒,眼结膜潮红,间歇性咳嗽,脓性鼻汁,支原体,衣原体,链球菌,葡萄球菌,呼吸道问题,呼吸道感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/858b435a4f1ccd8d05963148bb210722.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":75,"max_price":75,"sale_count":237,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 14:25:03","updated_at":"2025-07-10 11:32:14","ins":{"id":38,"hash_id":"","class_ids":"[1,2]","title":"远征巧乐林 盐酸多西环素片 10mg×8片×2板\/盒","common_name":"盐酸多西环素片","trade_name":"巧乐林","en_name":"Doxycycline Hyclate Table Yansuan Duoxihuansu Pian","brand_name":"远征","is_prescription":1,"cover":"\/drug\/2020\/10\/8a78184c305b76fa318ea81f60ad3e80.JPG","specification":"10mg×8片×2板\/盒","reference_price":128,"component":"盐酸多西环素","indication":"1.应用于病毒性疾病(如犬副流感、犬传染性支气管炎、猫疱疹病毒、猫杯状病毒等)的继发感染。\n2.支原体、衣原体、链球菌、葡萄球菌、巴氏杄菌和支气管败血性博德特菌等引起的呼吸系统感染,钩端螺旋体、立克次氏体、弓形体、埃利希氏体和血巴尔通体等疾病的治疗。","usage_dosage":"以多西环素计。内服:一次量,每1kg体重,犬、猫5~10mg。一日1次,连用3~5日。或遵医嘱。","contraindication":"对多西环素过敏的动物禁用。","adverse_reaction":"","attention":"孕宠慎用。","interaction":"四环素类抗生素。用于革兰氏阳性菌、阴性菌和支原体等的感染。","approval_no":"兽药字030462604","storage_method":"置于阴凉干燥处保存","validity":"2年","manufacturer":"河北远征药业有限公司","status":1,"created_at":"2020-10-30 17:26:57","updated_at":"2024-12-18 14:19:17"}},"product_sku_info":{"id":743,"product_id":700,"title":"远征巧乐林 盐酸多西环素片 10mg×8片×2板\/盒","advword":null,"price":75,"market_price":128,"cost_price":30,"stock":71,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10mg盒装"}},"cover":null,"thumb":"","sale_count":243,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 14:25:03","updated_at":"2025-07-09 19:57:23"}}},"drug_data_bak":{"0":{"id":24026,"prescription_id":110817,"doctor_user_id":1012848,"product_id":734,"product_sku_id":776,"dose":0.5,"dose_unit":"ml","use_method":"滴眼","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2022-05-07 00:07:33","updated_at":"2022-05-07 00:07:33","product_info":{"id":734,"hash_id":"e0l3wrpKR0xV9GjN","class_ids":{"0":1,"1":2},"category_ids":{"20":181},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":82,"sell_point":"眼净眼部生理清洗液","title":"维克眼净 眼部生理清洗液 60ml\/瓶\/盒","recommend_reason":{"0":"用于清洁犬猫眼部及其周围","1":"清除眼部异物(灰尘、沙粒、碎花、花粉、及其他过敏原和刺激物)"},"baike_guide_text":"","baike_article_hash_id":"","advword":"眼部异物,冲洗眼部,眼疾","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/c16cca0a276169617f8e2c59b0b08418.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":68,"max_price":68,"sale_count":145,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 16:20:05","updated_at":"2025-04-05 10:24:57","ins":{"id":82,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"眼部生理清洗液","trade_name":"眼净","en_name":"Physiological Eye Cleanser","brand_name":"维克","is_prescription":0,"cover":"\/drug\/2020\/11\/a00faced81c81d2e18099689ebbd9be2.jpg","specification":"60ml\/瓶\/盒","reference_price":89,"component":"水杨酸,硼酸及钠盐,金缕梅水,矢车菊水","indication":"用于清洁犬猫眼部及其周围,同时清除眼部异物(灰尘、沙粒、碎花、花粉、及其他过敏原和刺激物)。","usage_dosage":"1.冲洗眼部:轻压瓶身将液体倒出覆盖眼部。用清洁的布擦拭脏污和多余液体,请注意不要碰到眼睛。如有必要,可多次使用。\n2.清洁眼部:将液体倒于干净的布上,轻轻擦拭眼周直至清洁。","contraindication":"","adverse_reaction":"其PH值为7.4,与天然泪液的PH值相似,无刺激,适用于眼部敏感的犬猫,无明显不良反应。","attention":"请不要用水或者牛奶清洗宠物眼睛,不要用手指或带有纱布的手指触碰宠物眼睛。","interaction":"","approval_no":"","storage_method":"温室保存。每次使用后,请旋紧瓶盖。","validity":"2年","manufacturer":"法国维克有限公司(Virbac)","status":1,"created_at":"2020-11-09 17:39:54","updated_at":"2020-11-09 17:39:54"}},"product_sku_info":{"id":776,"product_id":734,"title":"维克眼净 眼部生理清洗液 60ml\/瓶\/盒","advword":null,"price":68,"market_price":89,"cost_price":41,"stock":51,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"60ml"}},"cover":null,"thumb":"","sale_count":149,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 16:20:05","updated_at":"2025-04-04 20:16:40"}},"1":{"id":24027,"prescription_id":110817,"doctor_user_id":1012848,"product_id":700,"product_sku_id":743,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":14,"number":1,"remark":"","created_at":"2022-05-07 00:07:33","updated_at":"2022-05-07 00:07:33","product_info":{"id":700,"hash_id":"V9we7N4JmypPbGWA","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":38,"sell_point":"巧乐林 盐酸多西环素片","title":"远征巧乐林 盐酸多西环素片 10mg×8片×2板\/盒","recommend_reason":{"0":"用于犬猫病毒性疾病的继发感染","1":"用于各类菌等引起的呼吸系统感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"支气管炎,疱疹病毒,猫杯状病毒,眼结膜潮红,间歇性咳嗽,脓性鼻汁,支原体,衣原体,链球菌,葡萄球菌,呼吸道问题,呼吸道感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/858b435a4f1ccd8d05963148bb210722.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":75,"max_price":75,"sale_count":237,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 14:25:03","updated_at":"2025-07-10 11:32:14","ins":{"id":38,"hash_id":"","class_ids":"[1,2]","title":"远征巧乐林 盐酸多西环素片 10mg×8片×2板\/盒","common_name":"盐酸多西环素片","trade_name":"巧乐林","en_name":"Doxycycline Hyclate Table Yansuan Duoxihuansu Pian","brand_name":"远征","is_prescription":1,"cover":"\/drug\/2020\/10\/8a78184c305b76fa318ea81f60ad3e80.JPG","specification":"10mg×8片×2板\/盒","reference_price":128,"component":"盐酸多西环素","indication":"1.应用于病毒性疾病(如犬副流感、犬传染性支气管炎、猫疱疹病毒、猫杯状病毒等)的继发感染。\n2.支原体、衣原体、链球菌、葡萄球菌、巴氏杄菌和支气管败血性博德特菌等引起的呼吸系统感染,钩端螺旋体、立克次氏体、弓形体、埃利希氏体和血巴尔通体等疾病的治疗。","usage_dosage":"以多西环素计。内服:一次量,每1kg体重,犬、猫5~10mg。一日1次,连用3~5日。或遵医嘱。","contraindication":"对多西环素过敏的动物禁用。","adverse_reaction":"","attention":"孕宠慎用。","interaction":"四环素类抗生素。用于革兰氏阳性菌、阴性菌和支原体等的感染。","approval_no":"兽药字030462604","storage_method":"置于阴凉干燥处保存","validity":"2年","manufacturer":"河北远征药业有限公司","status":1,"created_at":"2020-10-30 17:26:57","updated_at":"2024-12-18 14:19:17"}},"product_sku_info":{"id":743,"product_id":700,"title":"远征巧乐林 盐酸多西环素片 10mg×8片×2板\/盒","advword":null,"price":75,"market_price":128,"cost_price":30,"stock":71,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10mg盒装"}},"cover":null,"thumb":"","sale_count":243,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 14:25:03","updated_at":"2025-07-09 19:57:23"}}}}}}
微信扫一扫
立即问宠医