咨询描述:我的狗狗三个多月 打了疫苗八联第三天吃了***晚上肚子、后退抽就开始抽,第二天伴有哼唧,近日开始抽一下叫一下……
回复总结:狗狗吃驱虫药后出现抽搐的症状,可能是药物中毒引发的,但不能排除神经型犬瘟的可能。处理办法上,建议先带狗狗去宠物医院排查犬瘟的问题。如果不是犬瘟,可以确定是驱虫药中毒引起的脑水肿导致的狗狗抽搐的症状。处理办法上,建议给狗狗口服含有泼尼松龙成分的药物,抑制炎症发展,同时配合服用利尿的药物,排除脑部水肿。然后,还需要口服抗生素类药物。
问题大致一样,细节不同?
陆文健
执业兽医师
根据您讲到的狗狗***驱虫后后腿出现抽搐现象,从表面上来看似乎是药物中毒,但不能排除神经型犬瘟的可能。但仅仅根据您目前提供的信息,还不能做出进一步的判断。我还有几个问题需要向您核实一下:
1、狗狗已经打了三针疫苗了吗?
2、您的狗狗什么品种?体重多少公斤?口服了多少剂量的犬心保?
3、狗狗口服犬心保到今天是第几天了?狗狗抽搐症状有没有越来越严重?
4、狗狗不抽搐的时候精神状态怎么样?吃食怎么样?还有没有其他症状?比如发烧、鼻头干、咳嗽、拉稀等?
5、有没有检测犬瘟病毒?
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。
做过全温检测 阴性
疫苗已经打全 ****一颗
所有该做的检查都做了,在附近宠物医院也治疗了一周不见好!每秒钟都在哼唧喊叫
昨天这的医生建议试试***,给了1/10丸,半小时后平静睡了1个半小时,虽然也抽但不喊叫……但今早给药也没用
刚才看到你们这里说的这个情况很像所以想问问有什么治疗方法,能让狗狗好受些,听着它喊叫很哼很难受!
为保护用户隐私不显示图片/视频
陆文健
执业兽医师
目前您的狗狗可以确定的是神经症状,但不能确定引起神经症状的原因,一般***是可以给包括边牧服用,似乎有不像是***引起,犬瘟化验又是阴性,说明还不是神经型犬瘟。如果单纯控制狗狗抽搐和嚎叫,可以使用苯巴比妥药物,您把狗狗体重告诉我,我给您的狗狗开个处方给您。
我的狗狗跟图片中说的第二种情况很像,怎么办?!急3.2公斤
我的狗狗身体特别小,之前有接受了两三次感冒、拉肚子的治疗刚回复三天就接受了疫苗、***
这一周我们做了各种问诊排查,它应该就是对疫苗弱毒和***产生了反应
这个是它这四天打的针每天中午去打,口服***三分之一片
陆文健
执业兽医师
医院的治疗是按犬瘟进行治疗的啊,您的狗狗有没有化验犬瘟病毒,把化验报告发给我看一下。
这个医院用小机器测的说是犬瘟,后有送检权威检测证明是阴性的,这个医院说她们的机器有问题
为保护用户隐私不显示图片/视频
陆文健
执业兽医师
看了您发来的化验报告,血常规和血液生化值基本上是正常的,血气化验报告,有些数据偏高或者偏低,但也没有大的问题,那个仁宠医院的是检测狗狗体内的犬瘟、细小、传染性感染病毒的抗体水平,虽然抗体水平很高,但也不能就确定是犬瘟感染。那个国际动物医院PCR检测犬瘟是阴性。从以上的情况来看,狗狗神经型犬瘟的可能性很小。
从您发来的医院治疗处方来看,基本上是按犬瘟进行治疗,其中也使用了***(主要成分是苯巴比妥),是控制狗狗抽搐的一种比较有效的药物。
目前可以确定的是狗狗是大脑中枢问题导致的抽搐症状,但不能确定是脑炎(根据化验数据不像),还是由于使用犬心保中毒引起的脑水肿(脑积水)导致的狗狗抽搐的症状。
根据化验报告,犬瘟病毒感染导致狗狗抽搐的症状可能性比较小,我给您的建议是,可以尝试针对由于驱虫药中毒可能导致的脑水肿(脑积水)进行治疗。治疗用药如下:1、口服泼尼松龙,抑制炎症发展;2、口服***,利尿,排除脑部水肿;3、口服抗生素***。
如果您考虑尝试对狗狗按照脑水肿进行治疗的话,我下面给您的狗狗开个处方,供您参考。
好想请问一下,它难受的哼唧的嘶叫,就是这个这个脑水肿引起的抽搐所致吧?另外,它喜欢吃鸡蛋黄,食欲、拉尿都很好
陆文健
执业兽医师
我现在只能是怀疑由于药物中毒导致脑水肿,但还不能确定,下面我给您的开的处方,如果狗狗是脑水肿导致的抽搐,可能会有效,您自己考虑是否需要尝试进行治疗。您家里的***还有没有?一片苯巴比妥剂量是多少mg的?
我也认为是疫苗、驱虫药物中毒,您开吧,***是每天去打针的时候她们给一片,让我分成三分之一早晚为一次,所以家里没有,也不知道片剂的含量
陆文健
执业兽医师
建议处方:
1、***(阿莫西林克拉维酸钾片),50mg×10片/板,一次口服1片,一天2次,连用5-7天;
2、***泼尼松龙 P5,5mg×100片/瓶,一次口服1/3片、一天2次,连用5-7天;
3、***片,20mg×7片×5板/盒,一次口服0.5片,一天1次,连用3-5天;
4、***苯巴比妥片30mg×8片×2板/盒,一次口服1/3片,一天2次,连用5-7天。
陆文健
执业兽医师
几点说明:
1、我给您开的处方是按照狗狗中毒引起的脑水肿开的药物,由于目前还不能确定狗狗是脑水肿,只能是怀疑,所以您自己考虑是否使用我开的处方的药物;
2、如果您的狗狗使用我开的处方的药物,里面有利尿药物,狗狗可能会出现小便增多,饮水增多的现象,一定要保持饮水充足,另外呋塞米的使用天数不要超过5天;
3、那个苯巴比妥,目前使用是一天2次,如果用药有效,狗狗抽搐能得到控制的话,可以一天使用1次。
4、请用药3天后复诊,根据您的狗狗恢复的情况再来考虑是否需要调整治疗方案,有问题可随时在线联系。
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
{"379079":{"id":379079,"case_id":43701,"user_id":1388751,"to_user_id":2080131,"type":3,"content":"建议处方:\n1、***(阿莫西林克拉维酸钾片),50mg×10片\/板,一次口服1片,一天2次,连用5-7天;\n2、***泼尼松龙 P5,5mg×100片\/瓶,一次口服1\/3片、一天2次,连用5-7天;\n3、***片,20mg×7片×5板\/盒,一次口服0.5片,一天1次,连用3-5天;\n4、***苯巴比妥片30mg×8片×2板\/盒,一次口服1\/3片,一天2次,连用5-7天。","media":{"images":{},"videos":{},"business_params":{"prescription_id":119021}},"is_doctor":1,"status":1,"created_at":"2022-07-28 10:29:37","show_rx":true,"rx_info":{"id":119021,"rx_no":2.02207281028475e+24,"user_id":2080131,"doctor_user_id":1388751,"is_independent":0,"case_id":2839077,"pet_info":{"pet_id":315125,"pet_name":"小边牧","pet_nickname":"啦啦","pet_gender":2,"pet_birth":"0-3","pet_weight":3,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"3个月"},"diagnose":"怀疑药物中毒导致脑水肿,引起比较严重的抽搐。","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-07-28 10:28:47","updated_at":"2022-07-28 10:29:37","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":42275,"prescription_id":119021,"doctor_user_id":1388751,"product_id":712,"product_sku_id":755,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":2,"remark":"饭后或者和食物混合一起给予","created_at":"2022-07-28 10:28:47","updated_at":"2022-07-28 10:28:47","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":1718,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-21 13:36:29","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":9249,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1808,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-21 22:49:09"}},"1":{"id":42276,"prescription_id":119021,"doctor_user_id":1388751,"product_id":774,"product_sku_id":816,"dose":0.3,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"饭后或者和食物混合一起给予","created_at":"2022-07-28 10:28:47","updated_at":"2022-07-28 10:28:47","product_info":{"id":774,"hash_id":"7GDJdPpkE6gWkR6K","class_ids":{"0":1,"1":2},"category_ids":{"0":173},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":63,"sell_point":"摩登狗泼尼松龙 P5 5mg","title":"摩登狗泼尼松龙 P5 5mg×100片\/瓶","recommend_reason":{"0":"用于犬猫消炎和抗过敏","1":"用于炎症、风湿病、关节炎、过敏性皮炎等炎症"},"baike_guide_text":"","baike_article_hash_id":"","advword":"炎症,风湿病,关节炎,过敏性皮炎,犬心丝虫性肺炎,犬窝咳,先天性食欲不振,淋巴浆细胞增多性肠炎,狄氏鼠药中毒,脑脊髓炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"100片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/07\/21f23c6705d1e32cd9325344b3429055.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":148,"max_price":148,"sale_count":474,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 15:45:20","updated_at":"2024-11-22 14:25:20","ins":{"id":63,"hash_id":"","class_ids":"[1,2]","title":"摩登狗泼尼松龙 P5 100片\/瓶","common_name":"泼尼松龙 P5","trade_name":"P5","en_name":"Prednisolone for dog&cat","brand_name":"摩登狗","is_prescription":1,"cover":"\/drug\/2024\/07\/5433d10a8357e0b122a0954fe0825c65.jpg","specification":"5mg×100片\/瓶","reference_price":180,"component":"泼尼松龙","indication":"1.用于犬猫消炎和抗过敏。\n2.适用于炎症、风湿病、关节炎、过敏性皮炎、犬恶心丝虫性肺炎、犬窝咳、猫先天性食欲不振、淋巴浆细胞增多性肠炎、狄氏鼠药中毒、肉芽肿型脑膜脑脊髓炎。","usage_dosage":"1.常规每公斤体重0.5-2.5mg,或每10公斤体重1-2片。\n2.过敏性皮炎:0.5-1mg\/kg体重,每天2次,连用5-7天;然后按2mg\/kg体重,每隔一天的上午7-10点给药;之后每隔一周剂量减半,直至维持控制病情的最低剂量。\n3.心丝虫性肺炎:1mg\/kg体重,隔天用药一次,持续三个月。\n4.淋巴浆细胞增多性肠炎、狄氏鼠药中毒、肉芽肿型脑膜脑脊髓炎:1-2mg\/kg体重,每天1-2次,根据情况选择不同的治疗方案。","contraindication":"","adverse_reaction":"","attention":"(新老包装随机发货)","interaction":"","approval_no":"兽药字031801589","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"秦皇岛摩登狗生物科技有限公司","status":1,"created_at":"2020-11-05 19:14:53","updated_at":"2024-07-09 09:17:28"}},"product_sku_info":{"id":816,"product_id":774,"title":"摩登狗泼尼松龙 P5 5mg×100片\/瓶","advword":null,"price":148,"market_price":180,"cost_price":0,"stock":2,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"100片盒装"}},"cover":null,"thumb":"","sale_count":499,"status":1,"delete_status":0,"cloud_repo_id":1,"cloud_repo_goods_id":"yaopin110","sort":1,"created_at":"2021-12-20 15:45:20","updated_at":"2024-11-22 14:25:20"}},"2":{"id":42277,"prescription_id":119021,"doctor_user_id":1388751,"product_id":720,"product_sku_id":762,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":5,"number":1,"remark":"饭后或者和食物混合一起给予","created_at":"2022-07-28 10:28:47","updated_at":"2022-07-28 10:28:47","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":76,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 14:46:46","updated_at":"2024-11-18 14:56:55","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":53,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"20mg盒装"}},"cover":null,"thumb":"","sale_count":80,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 14:46:46","updated_at":"2024-11-18 14:53:40"}},"3":{"id":42278,"prescription_id":119021,"doctor_user_id":1388751,"product_id":903,"product_sku_id":944,"dose":0.3,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"饭后或者和食物混合一起给予","created_at":"2022-07-28 10:28:47","updated_at":"2022-07-28 10:28:47","product_info":{"id":903,"hash_id":"yZ893BxE2zpE2mkO","class_ids":{"0":2},"category_ids":{"0":199},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":208,"sell_point":"拜维安苯巴比妥片 30mg","title":"拜卡拜维安苯巴比妥片 30mg×8片×2板\/盒","recommend_reason":{"0":"具有镇静、抗惊厥抗癫痫的作用","1":"用于缓解脑炎、破伤风、中毒所致的惊厥等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"猫癫痫,脑炎,惊厥,镇静","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"16片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/01\/9d9b0af67cc19392cd6943afe5e82a0a.JPG","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":68,"max_price":68,"sale_count":1537,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2022-01-14 11:42:41","updated_at":"2024-10-02 14:26:23","ins":{"id":208,"hash_id":"ekz3bB4vX6xdKJMv","class_ids":"{\u00221\u0022:2}","title":"拜维安苯巴比妥片","common_name":"苯巴比妥片","trade_name":"拜维安","en_name":"phenobarbital tablets","brand_name":"拜卡","is_prescription":1,"cover":"\/drug\/2022\/01\/643dfa4475b613f3c9df415d1cd500bd.JPG","specification":"30mg×8片×2板\/盒","reference_price":110,"component":"苯巴比妥","indication":"1.具有镇静、抗惊厥抗癫痫的作用。\n2.还用于缓解脑炎、破伤风、中毒所致的惊厥等。","usage_dosage":"用于抗癫痫治疗时,犬的口服推荐剂量是2.5-3mg\/kg,每天2次;猫的口服推荐剂量是1-2mg\/kg,每天2次。\n另外:\n1.用于镇静:2.2-6.6mg\/kg 口服,每天2次\n2.治疗肠应激综合征:2.2mg\/kg,口服,每天2次\n3.强迫症的支持治疗:2-20mg\/kg,每12-24小时一次\n4.精神性皮肤病:犬:0.5-2.2mg\/kg 猫:每只15mg,每周2次\n5.控制猫应激时的吼叫(如驾车时):2-3mg\/kg,口服\n6.抗破伤风等导致的惊厥:1-4mg\/kg,口服,每天2次","contraindication":"肝肾功能不全、支气管哮喘或呼吸抑制的患病动物禁用。严重贫血、心脏疾患的患病动物及怀孕动物慎用。","adverse_reaction":"常见的不良反应有镇静、共济失调、多食、多饮、多尿等,相对犬而言,猫的多饮多尿较为少见。体重的增加是服用苯巴比妥药物的常见问题,而且这可能是个无法避免的副作用,要控制饮食,尽管宠物表现的很饿。肝毒性进展是一种罕见的并发症,显着的肝毒性的临床特征包括厌食、沉郁、腹水和偶见的黄疸,偶见肝性皮肤病,极少数病例可引起贫血、血小板减少和中性粒细胞的减少,其它不常见副反应有面部或全身性的瘙痒、免疫介导的超敏反应,如发烧、皮疹和淋巴结增大,引起胰腺炎、猫假性淋巴瘤(罕见),通常这些不良反应在停药和适当的治疗后,是可逆的。","attention":"1.中毒时可用安钠咖、戊四氮、尼可刹米等中枢兴奋药解救。\n2.内服中毒的初期,可先用1:2000的高锰酸钾洗胃,再以硫酸钠(忌用硫酸镁)导泻,并结合用碳酸氢钠碱化尿液以加速药物排泄。","interaction":"","approval_no":"兽药字150041224","storage_method":"常温通风的环境。","validity":"3年","manufacturer":"济宁万禾生物科技有限公司","status":0,"created_at":"2022-01-14 11:40:13","updated_at":"2024-10-10 10:53:01"}},"product_sku_info":{"id":944,"product_id":903,"title":"拜卡拜维安苯巴比妥片 30mg×8片×2板\/盒","advword":null,"price":68,"market_price":110,"cost_price":0,"stock":786,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"16片盒装"}},"cover":null,"thumb":"","sale_count":1571,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-01-14 11:42:41","updated_at":"2024-10-02 13:20:05"}}},"drug_data_bak":{"0":{"id":42275,"prescription_id":119021,"doctor_user_id":1388751,"product_id":712,"product_sku_id":755,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":2,"remark":"饭后或者和食物混合一起给予","created_at":"2022-07-28 10:28:47","updated_at":"2022-07-28 10:28:47","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":1718,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-21 13:36:29","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":9249,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1808,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-21 22:49:09"}},"1":{"id":42276,"prescription_id":119021,"doctor_user_id":1388751,"product_id":774,"product_sku_id":816,"dose":0.3,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"饭后或者和食物混合一起给予","created_at":"2022-07-28 10:28:47","updated_at":"2022-07-28 10:28:47","product_info":{"id":774,"hash_id":"7GDJdPpkE6gWkR6K","class_ids":{"0":1,"1":2},"category_ids":{"0":173},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":63,"sell_point":"摩登狗泼尼松龙 P5 5mg","title":"摩登狗泼尼松龙 P5 5mg×100片\/瓶","recommend_reason":{"0":"用于犬猫消炎和抗过敏","1":"用于炎症、风湿病、关节炎、过敏性皮炎等炎症"},"baike_guide_text":"","baike_article_hash_id":"","advword":"炎症,风湿病,关节炎,过敏性皮炎,犬心丝虫性肺炎,犬窝咳,先天性食欲不振,淋巴浆细胞增多性肠炎,狄氏鼠药中毒,脑脊髓炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"100片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/07\/21f23c6705d1e32cd9325344b3429055.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":148,"max_price":148,"sale_count":474,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 15:45:20","updated_at":"2024-11-22 14:25:20","ins":{"id":63,"hash_id":"","class_ids":"[1,2]","title":"摩登狗泼尼松龙 P5 100片\/瓶","common_name":"泼尼松龙 P5","trade_name":"P5","en_name":"Prednisolone for dog&cat","brand_name":"摩登狗","is_prescription":1,"cover":"\/drug\/2024\/07\/5433d10a8357e0b122a0954fe0825c65.jpg","specification":"5mg×100片\/瓶","reference_price":180,"component":"泼尼松龙","indication":"1.用于犬猫消炎和抗过敏。\n2.适用于炎症、风湿病、关节炎、过敏性皮炎、犬恶心丝虫性肺炎、犬窝咳、猫先天性食欲不振、淋巴浆细胞增多性肠炎、狄氏鼠药中毒、肉芽肿型脑膜脑脊髓炎。","usage_dosage":"1.常规每公斤体重0.5-2.5mg,或每10公斤体重1-2片。\n2.过敏性皮炎:0.5-1mg\/kg体重,每天2次,连用5-7天;然后按2mg\/kg体重,每隔一天的上午7-10点给药;之后每隔一周剂量减半,直至维持控制病情的最低剂量。\n3.心丝虫性肺炎:1mg\/kg体重,隔天用药一次,持续三个月。\n4.淋巴浆细胞增多性肠炎、狄氏鼠药中毒、肉芽肿型脑膜脑脊髓炎:1-2mg\/kg体重,每天1-2次,根据情况选择不同的治疗方案。","contraindication":"","adverse_reaction":"","attention":"(新老包装随机发货)","interaction":"","approval_no":"兽药字031801589","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"秦皇岛摩登狗生物科技有限公司","status":1,"created_at":"2020-11-05 19:14:53","updated_at":"2024-07-09 09:17:28"}},"product_sku_info":{"id":816,"product_id":774,"title":"摩登狗泼尼松龙 P5 5mg×100片\/瓶","advword":null,"price":148,"market_price":180,"cost_price":0,"stock":2,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"100片盒装"}},"cover":null,"thumb":"","sale_count":499,"status":1,"delete_status":0,"cloud_repo_id":1,"cloud_repo_goods_id":"yaopin110","sort":1,"created_at":"2021-12-20 15:45:20","updated_at":"2024-11-22 14:25:20"}},"2":{"id":42277,"prescription_id":119021,"doctor_user_id":1388751,"product_id":720,"product_sku_id":762,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":5,"number":1,"remark":"饭后或者和食物混合一起给予","created_at":"2022-07-28 10:28:47","updated_at":"2022-07-28 10:28:47","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":76,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 14:46:46","updated_at":"2024-11-18 14:56:55","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":53,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"20mg盒装"}},"cover":null,"thumb":"","sale_count":80,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 14:46:46","updated_at":"2024-11-18 14:53:40"}},"3":{"id":42278,"prescription_id":119021,"doctor_user_id":1388751,"product_id":903,"product_sku_id":944,"dose":0.3,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"饭后或者和食物混合一起给予","created_at":"2022-07-28 10:28:47","updated_at":"2022-07-28 10:28:47","product_info":{"id":903,"hash_id":"yZ893BxE2zpE2mkO","class_ids":{"0":2},"category_ids":{"0":199},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":208,"sell_point":"拜维安苯巴比妥片 30mg","title":"拜卡拜维安苯巴比妥片 30mg×8片×2板\/盒","recommend_reason":{"0":"具有镇静、抗惊厥抗癫痫的作用","1":"用于缓解脑炎、破伤风、中毒所致的惊厥等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"猫癫痫,脑炎,惊厥,镇静","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"16片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/01\/9d9b0af67cc19392cd6943afe5e82a0a.JPG","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":68,"max_price":68,"sale_count":1537,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2022-01-14 11:42:41","updated_at":"2024-10-02 14:26:23","ins":{"id":208,"hash_id":"ekz3bB4vX6xdKJMv","class_ids":"{\u00221\u0022:2}","title":"拜维安苯巴比妥片","common_name":"苯巴比妥片","trade_name":"拜维安","en_name":"phenobarbital tablets","brand_name":"拜卡","is_prescription":1,"cover":"\/drug\/2022\/01\/643dfa4475b613f3c9df415d1cd500bd.JPG","specification":"30mg×8片×2板\/盒","reference_price":110,"component":"苯巴比妥","indication":"1.具有镇静、抗惊厥抗癫痫的作用。\n2.还用于缓解脑炎、破伤风、中毒所致的惊厥等。","usage_dosage":"用于抗癫痫治疗时,犬的口服推荐剂量是2.5-3mg\/kg,每天2次;猫的口服推荐剂量是1-2mg\/kg,每天2次。\n另外:\n1.用于镇静:2.2-6.6mg\/kg 口服,每天2次\n2.治疗肠应激综合征:2.2mg\/kg,口服,每天2次\n3.强迫症的支持治疗:2-20mg\/kg,每12-24小时一次\n4.精神性皮肤病:犬:0.5-2.2mg\/kg 猫:每只15mg,每周2次\n5.控制猫应激时的吼叫(如驾车时):2-3mg\/kg,口服\n6.抗破伤风等导致的惊厥:1-4mg\/kg,口服,每天2次","contraindication":"肝肾功能不全、支气管哮喘或呼吸抑制的患病动物禁用。严重贫血、心脏疾患的患病动物及怀孕动物慎用。","adverse_reaction":"常见的不良反应有镇静、共济失调、多食、多饮、多尿等,相对犬而言,猫的多饮多尿较为少见。体重的增加是服用苯巴比妥药物的常见问题,而且这可能是个无法避免的副作用,要控制饮食,尽管宠物表现的很饿。肝毒性进展是一种罕见的并发症,显着的肝毒性的临床特征包括厌食、沉郁、腹水和偶见的黄疸,偶见肝性皮肤病,极少数病例可引起贫血、血小板减少和中性粒细胞的减少,其它不常见副反应有面部或全身性的瘙痒、免疫介导的超敏反应,如发烧、皮疹和淋巴结增大,引起胰腺炎、猫假性淋巴瘤(罕见),通常这些不良反应在停药和适当的治疗后,是可逆的。","attention":"1.中毒时可用安钠咖、戊四氮、尼可刹米等中枢兴奋药解救。\n2.内服中毒的初期,可先用1:2000的高锰酸钾洗胃,再以硫酸钠(忌用硫酸镁)导泻,并结合用碳酸氢钠碱化尿液以加速药物排泄。","interaction":"","approval_no":"兽药字150041224","storage_method":"常温通风的环境。","validity":"3年","manufacturer":"济宁万禾生物科技有限公司","status":0,"created_at":"2022-01-14 11:40:13","updated_at":"2024-10-10 10:53:01"}},"product_sku_info":{"id":944,"product_id":903,"title":"拜卡拜维安苯巴比妥片 30mg×8片×2板\/盒","advword":null,"price":68,"market_price":110,"cost_price":0,"stock":786,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"16片盒装"}},"cover":null,"thumb":"","sale_count":1571,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-01-14 11:42:41","updated_at":"2024-10-02 13:20:05"}}}}}}
微信扫一扫
立即问宠医