咨询描述：不足两岁的拉布拉多母犬，两个前肘部局部皮肤发黑发硬，脱毛，已经有一年了，去年曾用过***扎了一个疗程后，发黑部位明显变小，只剩下一点点了。停药后又慢慢变回用药前的样子了，我用过多种涂抹的药膏效果都如意。去过宠物医院说是真菌感染，我网购***现在自己在家给它注射，每六、七天一次已经扎了四次了，虽然发黑部位有点变小，但效果不明显。有劳您给看看是不是单纯的真菌感染？该怎么治疗？另外这个狗狗最近生理期，前天我发现它与一只小公狗交配了，请问有办法事后补救不让它怀孕吗？
回复总结：狗狗皮肤出现发黑、脱毛的症状，引发的原因是真菌感染，需要给狗狗口服治疗真菌的药，外喷治疗真菌的喷剂。如果狗狗毛毛比较长，建议给狗狗把肘部毛毛剃掉，用药效果比较好。另外，建议每三个月给狗狗做一次体内驱虫，每个月做一次体外驱虫，做体外驱虫可以很好的降低狗狗真菌感染的风险。注意，用药期间最好给狗狗除了吃饭喝水戴上嘴套子，再把狗狗的指甲修剪平整，防止狗狗抓挠、舔舐。
问题大致一样，细节不同？
刘文飞
执业兽医师
狗狗有没有肘部着地经常摩擦的情况，住在笼子里吗，真菌感染用药多久了，狗狗是前天配的嘛
狗狗不住笼子，在客厅沙发或者垫子上，前肘趴地的情况有但是都不会长时间。去年在我乡下住过一段时间，那里有一条满是垃圾甚至农药瓶子的小河，有时注意不到它总跑到那里游泳，不知道和这个有没有关。它是前天晚上喝和我家一只小公狗交配的，我给它吃了人用的左炔诺孕酮片，剂量是人用的两倍，服了两次，今天中午又一次交配了，我再次给服用了孕酮并直接把小公狗送去做绝育了。
刘文飞
执业兽医师
您好，狗狗主人，收到您的详细描述，根据您的描述结合您发的狗狗患部的照片来看，狗狗是真菌感染，需要给狗狗口服治疗真菌的药，外喷治疗真菌的喷剂，狗狗毛毛比较长，加上感染时间比较久了，建议给狗狗把肘部毛毛剃掉，用药效果比较好，真菌感染治疗周期比较长，一般需要用药一个月左右才会逐渐恢复，期间需要坚持用药，不能停药，如果断断续续用药会使狗狗产生耐药性，延长治疗周期，一般需要每三个月给狗狗做一次体内驱虫，每个月做一次体外驱虫，做体外驱虫可以很好的降低狗狗真菌感染的风险。真菌感染周期比较长，用药期间最好给狗狗除了吃饭喝水戴上嘴套子，再把狗狗的指甲修剪平整，防止狗狗出现抓挠，舔舐的症状，会有利于狗狗皮肤的早日康复。猫咪住的环境需要彻底的大消毒，以后每周消一次毒，狗窝拿出去晒晒太阳，有助于杀菌消毒，家里有没有老人和小孩，如果有老人和孩子建议不要让他们接触到狗狗，因为狗狗是真菌感染，会传染给人，老人和小孩皮肤免疫力抵抗力比较差，比较易感，所以不建议接触，您自己照顾完狗狗也需要洗手、消毒，狗狗不能吃人吃的终止妊娠的药物，人用药狗狗有用有风险，而且狗狗也没有打的或者口服的终止妊娠的药物，如果不打算生可以给狗狗做绝育手术，以上建议您可以参考一下。
谢谢您刘医生，可以推荐一下真菌感染给狗狗用什么药口福和喷剂吗？另外消毒是用八四吗？是否还需要给狗狗注射伊维菌素？
刘文飞
执业兽医师
狗狗用的消毒液，最好是用宠物专用的，您看您这边可以买到哪一种，只要是宠物专用的都可以，伊维菌素，主要是驱虫的作用，目前可以先不用了
根据狗狗的情况，我给它开个处方。处方里面的
1.盐酸特比萘芬片对狗狗真菌引起的炎症作用效果比较好，按狗狗的体重用药;2.盐酸特比萘芬喷剂对狗狗皮肤表面消炎抑菌效果比较好，您可以根据需求自行选择购买
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
{"391457":{"id":391457,"case_id":44957,"user_id":1345841,"to_user_id":2111065,"type":3,"content":"狗狗用的消毒液，最好是用宠物专用的，您看您这边可以买到哪一种，只要是宠物专用的都可以，伊维菌素，主要是驱虫的作用，目前可以先不用了\n\n根据狗狗的情况，我给它开个处方。处方里面的\n1.盐酸特比萘芬片对狗狗真菌引起的炎症作用效果比较好，按狗狗的体重用药;2.盐酸特比萘芬喷剂对狗狗皮肤表面消炎抑菌效果比较好，您可以根据需求自行选择购买","media":{"images":{},"videos":{},"business_params":{"prescription_id":121282}},"is_doctor":1,"status":1,"created_at":"2022-08-19 15:52:33","show_rx":true,"rx_info":{"id":121282,"rx_no":2.02208191552285e+24,"user_id":2111065,"doctor_user_id":1345841,"is_independent":0,"case_id":2870443,"pet_info":{"pet_id":322945,"pet_name":"拉布拉多","pet_nickname":"Baby","pet_gender":2,"pet_birth":"1-10","pet_weight":33,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"1岁10个月"},"diagnose":"真菌感染","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-08-19 15:52:28","updated_at":"2022-08-19 15:52:33","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":47145,"prescription_id":121282,"doctor_user_id":1345841,"product_id":722,"product_sku_id":764,"dose":3.3,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":30,"number":1,"remark":"","created_at":"2022-08-19 15:52:28","updated_at":"2022-08-19 15:52:28","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,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:16:44","updated_at":"2023-01-31 10:09:26"}},"1":{"id":47146,"prescription_id":121282,"doctor_user_id":1345841,"product_id":723,"product_sku_id":765,"dose":3,"dose_unit":"毫升","use_method":"外喷","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2022-08-19 15:52:28","updated_at":"2022-08-19 15:52:28","product_info":{"id":723,"hash_id":"er8ayRxy25p3mwNv","class_ids":{"0":1,"1":2},"category_ids":{"10":171},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":26,"sell_point":"保灵呋贝舒 盐酸特比萘芬喷剂","title":"保灵呋贝舒 盐酸特比萘芬喷剂 100ml\/瓶\/盒","recommend_reason":{"0":"用于犬、猫各种真菌性皮肤病，如犬小孢子菌、须毛癣菌等"},"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":"100ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/03\/e0b76a03c36100ffd648ddd5efc69811.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":78,"max_price":78,"sale_count":111,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:18:53","updated_at":"2024-09-23 10:20:06","ins":{"id":26,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"盐酸特比萘芬喷剂","trade_name":"保特芬","en_name":"Terbinafine Hydrochloride Spray","brand_name":"保灵","is_prescription":0,"cover":"\/drug\/2020\/10\/90ea0d6954bccaa96af9ca7028287729.JPG","specification":"100ml\/瓶\/盒","reference_price":110,"component":"盐酸特比萘芬","indication":"主要用于犬、猫各种真菌性皮肤病，如犬小孢子菌、石膏样小孢子菌、须毛癣菌等引起的皮肤癣菌感染。","usage_dosage":"1.宠物外用，喷于患部，每天2-3次，每次以患部湿润为宜，4周为一疗程。\n2.如出现毛发内真菌，建议联合口服真菌灭片共同治疗。","contraindication":"怀孕和哺乳期禁用","adverse_reaction":"","attention":"1.放置于儿童不可接触的地方。\n2.月龄较小的犬猫建议小量使用。\n3.避免喷入眼鼻部位，避免舔舐或口服。\n4.怀孕和哺乳期禁用。","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":"2020-10-27 18:39:59","updated_at":"2020-10-27 18:46:15"}},"product_sku_info":{"id":765,"product_id":723,"title":"保灵呋贝舒 盐酸特比萘芬喷剂 100ml\/瓶\/盒","advword":null,"price":78,"market_price":110,"cost_price":0,"stock":32,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"100ml"}},"cover":null,"thumb":"","sale_count":119,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:18:53","updated_at":"2024-09-22 21:26:26"}}},"drug_data_bak":{"0":{"id":47145,"prescription_id":121282,"doctor_user_id":1345841,"product_id":722,"product_sku_id":764,"dose":3.3,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":30,"number":1,"remark":"","created_at":"2022-08-19 15:52:28","updated_at":"2022-08-19 15:52:28","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,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:16:44","updated_at":"2023-01-31 10:09:26"}},"1":{"id":47146,"prescription_id":121282,"doctor_user_id":1345841,"product_id":723,"product_sku_id":765,"dose":3,"dose_unit":"毫升","use_method":"外喷","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2022-08-19 15:52:28","updated_at":"2022-08-19 15:52:28","product_info":{"id":723,"hash_id":"er8ayRxy25p3mwNv","class_ids":{"0":1,"1":2},"category_ids":{"10":171},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":26,"sell_point":"保灵呋贝舒 盐酸特比萘芬喷剂","title":"保灵呋贝舒 盐酸特比萘芬喷剂 100ml\/瓶\/盒","recommend_reason":{"0":"用于犬、猫各种真菌性皮肤病，如犬小孢子菌、须毛癣菌等"},"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":"100ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/03\/e0b76a03c36100ffd648ddd5efc69811.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":78,"max_price":78,"sale_count":111,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:18:53","updated_at":"2024-09-23 10:20:06","ins":{"id":26,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"盐酸特比萘芬喷剂","trade_name":"保特芬","en_name":"Terbinafine Hydrochloride Spray","brand_name":"保灵","is_prescription":0,"cover":"\/drug\/2020\/10\/90ea0d6954bccaa96af9ca7028287729.JPG","specification":"100ml\/瓶\/盒","reference_price":110,"component":"盐酸特比萘芬","indication":"主要用于犬、猫各种真菌性皮肤病，如犬小孢子菌、石膏样小孢子菌、须毛癣菌等引起的皮肤癣菌感染。","usage_dosage":"1.宠物外用，喷于患部，每天2-3次，每次以患部湿润为宜，4周为一疗程。\n2.如出现毛发内真菌，建议联合口服真菌灭片共同治疗。","contraindication":"怀孕和哺乳期禁用","adverse_reaction":"","attention":"1.放置于儿童不可接触的地方。\n2.月龄较小的犬猫建议小量使用。\n3.避免喷入眼鼻部位，避免舔舐或口服。\n4.怀孕和哺乳期禁用。","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":"2020-10-27 18:39:59","updated_at":"2020-10-27 18:46:15"}},"product_sku_info":{"id":765,"product_id":723,"title":"保灵呋贝舒 盐酸特比萘芬喷剂 100ml\/瓶\/盒","advword":null,"price":78,"market_price":110,"cost_price":0,"stock":32,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"100ml"}},"cover":null,"thumb":"","sale_count":119,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:18:53","updated_at":"2024-09-22 21:26:26"}}}}}}
微信扫一扫
立即问宠医
