咨询描述:金毛狗,6岁,癫痫,一月发作一次,怎么办?
回复总结:如果狗狗癫痫病发作频率比较高,并且发作持续时间比较长,治疗方面建议给狗狗使用含有苯巴比妥成分的药物进行控制。如果狗狗癫痫发作频率不是很高,持续时间也不长,症状也不是很严重,不需要使用苯巴比妥等药物,因为这些药物副作用比较严重,长期使用对于狗狗的身体还是影响比较大,可以使用维生素B1、B12,起到营养神经系统的作用。
问题大致一样,细节不同?
陆文健
执业兽医师
狗狗的癫痫主要是使用药物进行控制,比如苯巴比妥、加巴喷丁等药物,目前还没有治愈狗狗癫痫的药物。我还有几个问题需要向您了解一下:
1、狗狗曾经感染过犬瘟或者得过脑炎吗?也就是狗狗的癫痫是天生的还是原来感染神经型疾病的后遗症?
2、狗狗一月发作一次,一般持续时间有多长?发生癫痫时主要有哪些症状?比如强力抽搐、呕吐、大小便失禁等?
3、您有没有使用药物进行控制或者治疗?什么药物?效果?
以上这些情况您仔细回忆后详细的描述给我,对我给狗狗目前情况做判断以及制定治疗方案有非常大的帮助,感谢您的配合。
从小没得过脑部疾病,最近一年开始出现这个症状,发作时四肢抽搐,小便失禁,但很快缓解后无症状,精神可,服用维生素B,我要怎么做呢?给它开苯巴比妥?
陆文健
执业兽医师
目前狗狗癫痫主要是药物控制,目前还没有治愈的药物。
我的观点是,如果狗狗癫痫发作频率比较高(一个月2次或者数次),或者发作持续时间比较长,超过1分钟以上,或者发作的时候症状比较严重,可以考虑使用苯巴比妥药物进行控制。
如果狗狗癫痫发作频率不是很高,持续时间也不长,症状也不是很严重的话,我的观点不需要使用苯巴比妥等药物,毕竟这些药物副作用比较严重,长期使用对于狗狗的身体还是影响比较大。
如果狗狗癫痫发作频率、持续时间、症状等比较轻的话,我的建议主要还是使用维生素B1、B12(或者甲钴胺),营养神经系统,平时将可能减少狗狗的刺激和应激,尽可能减少狗狗癫痫发作的频率和严重程度。
以上我做了一些分析和建议,您自己考虑一下,如果您需要开苯巴比妥的话,我可以开给您。
陆文健
执业兽医师
苯巴比妥对于肝脏具有一定的毒性,所以如果肝功能异常是不能使用的,另外这个药物的副作用也比较多,常见的不良反应有镇静、共济失调、多食、多饮、多尿等,您可以自己百度。下面我开个处方供您参考。
陆文健
执业兽医师
建议处方:
***安苯巴比妥片,100mg×8片×2板/盒,
第1-5天:一次口服2/3片,一天2次。
第5-10天,一次口服1/2片,一天2次。
刚才我家人跟我说它现在瘦了,只有30公斤了药量需要调整吗医生
陆文健
执业兽医师
关于苯巴比妥的一些不良反应上面我给您进行了说明,由于这个药物副作用比较大,所以我不建议长期用药。
如果您的狗狗癫痫发作频率、持续时间、症状变严重的话,可以使用大概10天左右。
如果您的狗狗的癫痫频率、持续时间、症状不出现严重倾向的话,可以暂时不使用这个药物,给狗狗口服维生素B1和维生素B12(或者甲钴胺)。
我给您的建议是,您可以家里备一盒苯巴比妥的药物,以防万一狗狗抽搐严重的时候需要使用。
我给您的狗狗处方开的药物剂量是偏低的,狗狗体重30公斤还可以按照我开的药物剂量使用,或者稍微减少一些就可以了。
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
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