咨询描述：你好，猫咪之前得过猫藓。前段时间耳螨很严重，做了清洁后，给朋友寄养的时候，他没有及时清理猫咪耳朵，不知道是不是耳螨还是没及时驱虫，身上还长了很多虫子跳蚤。然后前两天朋友买的一个杂牌的体外驱虫滴完，就变成这样了！请问这是猫藓还是因为什么原因，我现在买了***的体外滴剂，大概多久后可以使用呢！
回复总结：猫咪身上有虫子，处理办法上建议需要用推子把猫咪患部的毛毛清理干净。然后再用碘伏消毒，消完毒之后涂抹上宠物专用的消炎药膏，再给猫咪口服消炎药。注意，建议把猫咪的指甲修剪平整、光滑，给猫咪居住的环境每周进行消毒。消完毒之后，猫咪居住的窝也需要拿出去晒晒太阳，有助于杀菌消毒。
问题大致一样，细节不同？
刘文飞
执业兽医师
根据您讲到的详细症状，仅仅根据目前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.您家猫咪快三岁了，体重大概是5千克，猫咪用过阿维菌素驱虫药，猫咪有没有打架的情况，皮肤患部有没有抓挠的症状，其他部位有没有类似的。
2.您养猫咪大概多长时间了，猫咪平时都吃哪种食物，最近有没有给猫咪换过食物或者吃过什么特殊的东西，骨头之类的坚硬物，导致猫咪出现呕吐的症状，呕吐的是未消化的食物，还是白色粘液，或者黄色粘液，有没有血丝，有没有腹泻的症状;
3.猫咪吃饭，喝水，排便，排尿，玩的状态怎么样
4.猫咪有没有出现咳嗽，打喷嚏，流鼻涕的症状，您正常有没有给猫咪用过什么药;
5.猫咪目前精神状态怎么样，有没有吃东西，喝水，猫咪有没有接种过疫苗，做过体内体外的驱虫。
6.猫咪居住的环境有没有突然降温，猫咪趴在垫子上，还是地板上
以上这些情况您仔细回忆后详细的描述给我，对我给宝贝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。另外，把您家爱宠的信息补充完整，特别是年龄、体重」，待会儿咱们沟通后如果涉及用药建议，方便为宝贝开具处方。
之前经常和另一只猫打架，最近几天没有打。耳朵和其他地方经常抓挠，但是患处的的地方应该抓不到，但是也不排除抓过。这个伤口处是使用了这个杂牌的驱虫滴剂之后才变成这样的，问了驱虫药的客服说，是可能因为集中地在同一个地方才会这样，也可能是猫藓。但是家里另一只猫没有这种情况，平时吃的猫粮一直都是同一个牌子，卫仕的，最近都没有换猫粮，猫咪最近也没有呕吐或者其他不正常的状态和现象，吃饭排便都是正常，没有软便拉稀。喜欢趴在桌子上和地上，没有呕吐情况。精神状态跟平时一样，玩耍也是正常的状态。目前就是皮肤上的问题，还有驱虫疫苗没及时打和做，身上有虫子，它经常痒，会抓挠。然后最近一个月没喂猫草
刘文飞
执业兽医师
您好，猫咪主人，猫咪易得的皮肤病是猫癣，毛囊炎，体外寄生虫感染导致的，毛囊炎和猫癣比较相似，毛囊炎的症状起初为小黑点，后转变为脓疱疹，常出现在下巴以及背部、尾部，猫癣的症状为圆形、不规则形或者全身性的脱毛，伴有皮屑，有些还可能有红斑、丘疹和结痂，可全身性发作，所以猫咪目前的症状有可能是体外寄生虫感染引起的，也有可能是因为和其他猫咪打架造成的。需要用推子把猫咪患部的毛毛清理干净，然后再用碘伏消毒，消完毒之后涂抹上宠物专用的消炎药膏，再给猫咪口服消炎药。把猫咪的指甲修剪平整、光滑，给猫咪居住的环境每周进行消毒。消完毒之后，猫咪居住的窝也需要拿出去晒晒太阳，有助于杀菌消毒驱虫药，***的驱虫药，需要20天之后再给猫咪用，猫咪目前的症状建议先外抹消炎药膏，口服消炎药，您注意看戴上伊丽莎白圈对患部有没有摩擦，如果没有摩擦可以给猫咪带上伊丽莎白圈，如果有摩擦就不能给猫咪带伊丽莎白圈，坚持用药5-7天左右患部的症状就会逐渐恢复。
刘文飞
执业兽医师
根据猫咪的情况，我给它开个处方。处方里面的1.阿莫西林克拉维酸钾，对猫咪皮肤的炎症作用效果比较好，按猫咪的体重用药；2.***凝胶对猫咪皮肤消炎抑菌效果比较好，您可以根据需求自行选择购买（把这只猫咪和其他猫咪隔离开养）
刘文飞
执业兽医师
您好，先不要洗，猫咪这几天不舒服就不要洗澡，等猫咪恢复正常只后再洗澡。
刘文飞
执业兽医师
***每天口服两次，每次一片，可鲁凝胶每天涂抹两次，每次涂抹2厘米左右，坚持用药5-7天左右，猫咪目前的症状不是猫癣的症状，是炎症感染，处方开的药就是治疗炎症口服药和外用药膏。
好的，还有就是目前家里两只猫身上跳蚤非常严重，能同时使用除跳蚤喷雾之类的药吗，还是必须要先等皮炎好了之后才能用。
刘文飞
执业兽医师
您好，猫咪主人，猫咪身上跳蚤比较严重，除了用除跳蚤的喷剂，环境每天清理消毒一遍，皮肤上的炎症需要正常用药，猫咪是之前用过阿维菌素所以二二十天之内暂时不能用体外驱虫药。如果说猫咪没有用阿维菌素，可以给他肩胛骨处滴福来恩滴剂做体外驱虫。
好，我明白了，那他这个皮肤的出现了，这个伤口处是因为使用了。阿维菌素这个药才导致的吗？因为用完之后，刚好就是在滴了这个药的地方出现的伤口！如果是因为这个要的话，麻烦您这边写一个证明我需要给商家给个凭证。
刘文飞
执业兽医师
您好，猫咪主人，阿维菌素透皮溶液是滴剂滴在猫咪肩胛骨处的。它的使用方法是和福来恩滴剂相似的，滴在皮肤上面的透皮溶液会渗透在皮肤浅表，起到体外驱虫的作用，不会造成如图所示皮肤外伤的，这个外伤有可能是因为猫咪和其他猫咪玩儿的时候抓伤或者炎症引起的。
家里有***可以一起用吗？有没有其他的注意事项呢？是不是要避免喷到皮肤患处，然后和您开的这些消炎的药一起用会有影响吗
刘文飞
执业兽医师
您好，猫咪主人，蚤立清暂时不能给猫咪用，您家猫咪用过阿维菌素驱虫药，所以20天之内，其他任何的体外驱虫药是不能给猫咪用的，20天之后可以选择一种高效安全的驱虫药给猫咪用，比如***滴剂，注意事项就是每天清理猫咪居住环境。
根据猫咪的情况，我给它开个处方。处方里面的1.***滴剂体外驱虫效果比较好，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
{"395610":{"id":395610,"case_id":45425,"user_id":1345841,"to_user_id":2015095,"type":3,"content":"根据猫咪的情况，我给它开个处方。处方里面的1.阿莫西林克拉维酸钾，对猫咪皮肤的炎症作用效果比较好，按猫咪的体重用药；2.***凝胶对猫咪皮肤消炎抑菌效果比较好，您可以根据需求自行选择购买（把这只猫咪和其他猫咪隔离开养）","media":{"images":{},"videos":{},"business_params":{"prescription_id":114247}},"is_doctor":1,"status":1,"created_at":"2022-06-10 13:25:29","show_rx":true,"rx_info":{"id":114247,"rx_no":2.0220610132337503e+24,"user_id":2015095,"doctor_user_id":1345841,"is_independent":0,"case_id":2771213,"pet_info":{"pet_id":301084,"pet_name":"银渐层","pet_nickname":"胖虎","pet_gender":3,"pet_birth":"2-8","pet_weight":5,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":1,"pet_age_format":"2岁8个月"},"diagnose":"炎症","signature":"","deadline":null,"status":1,"send_status":1,"use_status":1,"created_at":"2022-06-10 13:23:37","updated_at":"2022-06-10 21:24:54","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":31776,"prescription_id":114247,"doctor_user_id":1345841,"product_id":712,"product_sku_id":755,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-06-10 13:23:37","updated_at":"2022-06-10 13:23:37","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":31777,"prescription_id":114247,"doctor_user_id":1345841,"product_id":789,"product_sku_id":831,"dose":2,"dose_unit":"厘米","use_method":"涂抹","frequency":"每天3次","days":7,"number":1,"remark":"","created_at":"2022-06-10 13:23:37","updated_at":"2022-06-10 13:23:37","product_info":{"id":789,"hash_id":"L7kR354mQ24X8V1q","class_ids":{"0":1,"1":2},"category_ids":{"8":169},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":2,"sell_point":"复合溶菌酶抗菌消炎凝胶30g","title":"可鲁复合溶菌酶抗菌消炎凝胶 30g\/支\/盒","recommend_reason":{"0":"用于手术切口、骨折外固定支架伤口等皮肤创口","1":"用于阴囊炎、趾间炎等局部皮肤感染","2":"安放导尿管、鼻饲管时，润滑和抗感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"黑下巴,皮肤病,细菌感染,溢脂性皮炎,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"30g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/2d5fb6f2345052da66c545c7f216a846.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":68,"max_price":68,"sale_count":284,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 18:09:35","updated_at":"2024-11-08 13:36:03","ins":{"id":2,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复合溶菌酶抗菌凝胶","trade_name":"可鲁凝胶","en_name":"Compound Lysozgme Antibacterial Gel","brand_name":"可鲁","is_prescription":0,"cover":"\/drug\/2020\/10\/a1e373fd288413041f78ef44d47e2da6.JPG","specification":"30g\/支","reference_price":100,"component":"溶葡萄球菌酶、溶菌酶、醋酸氯己定、冰片、甘油等","indication":"1.皮肤创口护理:手术切口、食管插管切口、骨折外固定支架伤口等。\n2.局部皮肤感染:慢性溃疡、阴囊炎、趾间炎、毛囊炎、感染伤口等。\n3.安放导尿管、鼻饲管时,涂抹于导管上,起润滑和抗感染作用。","usage_dosage":"1.创面涂薄薄一层即可,数分钟形成白色保护膜。\n2.每日2-3次涂抹于患处,创面较大需要增加使用频率。\n3.配合可鲁复合溶葡萄球菌酶喷剂使用效果更好,可鲁喷剂喷洒于患处,作用1分钟或自然晾干,可鲁凝胶均匀涂抹于患处。","contraindication":"","adverse_reaction":"","attention":"1.凝胶涂抹后形成保护膜,保护患处,避免接触污染物。\n2.本品需作为原剂使用,切勿用水稀释过后使用。\n3.放置于宠物和儿童接触不到的地方。","interaction":"本品不能与双氧水、高锰酸钾、碘制剂等氧化性物质配伍或合用。","approval_no":"","storage_method":"置于阴凉干燥处保存","validity":"2年","manufacturer":"昆山博青生物科技有限公司","status":1,"created_at":"2020-10-21 13:42:55","updated_at":"2020-10-26 14:35:57"}},"product_sku_info":{"id":831,"product_id":789,"title":"可鲁复合溶菌酶抗菌消炎凝胶 30g\/支\/盒","advword":null,"price":68,"market_price":100,"cost_price":0,"stock":1098,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30g"}},"cover":null,"thumb":"","sale_count":295,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 18:09:35","updated_at":"2024-11-08 12:55:21"}}},"drug_data_bak":{"0":{"id":31776,"prescription_id":114247,"doctor_user_id":1345841,"product_id":712,"product_sku_id":755,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-06-10 13:23:37","updated_at":"2022-06-10 13:23:37","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":31777,"prescription_id":114247,"doctor_user_id":1345841,"product_id":789,"product_sku_id":831,"dose":2,"dose_unit":"厘米","use_method":"涂抹","frequency":"每天3次","days":7,"number":1,"remark":"","created_at":"2022-06-10 13:23:37","updated_at":"2022-06-10 13:23:37","product_info":{"id":789,"hash_id":"L7kR354mQ24X8V1q","class_ids":{"0":1,"1":2},"category_ids":{"8":169},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":2,"sell_point":"复合溶菌酶抗菌消炎凝胶30g","title":"可鲁复合溶菌酶抗菌消炎凝胶 30g\/支\/盒","recommend_reason":{"0":"用于手术切口、骨折外固定支架伤口等皮肤创口","1":"用于阴囊炎、趾间炎等局部皮肤感染","2":"安放导尿管、鼻饲管时，润滑和抗感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"黑下巴,皮肤病,细菌感染,溢脂性皮炎,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"30g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/2d5fb6f2345052da66c545c7f216a846.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":68,"max_price":68,"sale_count":284,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 18:09:35","updated_at":"2024-11-08 13:36:03","ins":{"id":2,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复合溶菌酶抗菌凝胶","trade_name":"可鲁凝胶","en_name":"Compound Lysozgme Antibacterial Gel","brand_name":"可鲁","is_prescription":0,"cover":"\/drug\/2020\/10\/a1e373fd288413041f78ef44d47e2da6.JPG","specification":"30g\/支","reference_price":100,"component":"溶葡萄球菌酶、溶菌酶、醋酸氯己定、冰片、甘油等","indication":"1.皮肤创口护理:手术切口、食管插管切口、骨折外固定支架伤口等。\n2.局部皮肤感染:慢性溃疡、阴囊炎、趾间炎、毛囊炎、感染伤口等。\n3.安放导尿管、鼻饲管时,涂抹于导管上,起润滑和抗感染作用。","usage_dosage":"1.创面涂薄薄一层即可,数分钟形成白色保护膜。\n2.每日2-3次涂抹于患处,创面较大需要增加使用频率。\n3.配合可鲁复合溶葡萄球菌酶喷剂使用效果更好,可鲁喷剂喷洒于患处,作用1分钟或自然晾干,可鲁凝胶均匀涂抹于患处。","contraindication":"","adverse_reaction":"","attention":"1.凝胶涂抹后形成保护膜,保护患处,避免接触污染物。\n2.本品需作为原剂使用,切勿用水稀释过后使用。\n3.放置于宠物和儿童接触不到的地方。","interaction":"本品不能与双氧水、高锰酸钾、碘制剂等氧化性物质配伍或合用。","approval_no":"","storage_method":"置于阴凉干燥处保存","validity":"2年","manufacturer":"昆山博青生物科技有限公司","status":1,"created_at":"2020-10-21 13:42:55","updated_at":"2020-10-26 14:35:57"}},"product_sku_info":{"id":831,"product_id":789,"title":"可鲁复合溶菌酶抗菌消炎凝胶 30g\/支\/盒","advword":null,"price":68,"market_price":100,"cost_price":0,"stock":1098,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30g"}},"cover":null,"thumb":"","sale_count":295,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 18:09:35","updated_at":"2024-11-08 12:55:21"}}}}},"395623":{"id":395623,"case_id":45425,"user_id":1345841,"to_user_id":2015095,"type":3,"content":"您好，猫咪主人，蚤立清暂时不能给猫咪用，您家猫咪用过阿维菌素驱虫药，所以20天之内，其他任何的体外驱虫药是不能给猫咪用的，20天之后可以选择一种高效安全的驱虫药给猫咪用，比如***滴剂，注意事项就是每天清理猫咪居住环境。\n根据猫咪的情况，我给它开个处方。处方里面的1.***滴剂体外驱虫效果比较好，您可以根据需求自行选择购买","media":{"images":{},"videos":{},"business_params":{"prescription_id":114293}},"is_doctor":1,"status":1,"created_at":"2022-06-10 23:03:46","show_rx":true,"rx_info":{"id":114293,"rx_no":2.0220610230325501e+24,"user_id":2015095,"doctor_user_id":1345841,"is_independent":0,"case_id":2771213,"pet_info":{"pet_id":301084,"pet_name":"银渐层","pet_nickname":"胖虎","pet_gender":3,"pet_birth":"2-8","pet_weight":5,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":1,"pet_age_format":"2岁8个月"},"diagnose":"体外寄生虫感染","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-06-10 23:03:25","updated_at":"2022-06-10 23:03:46","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":31859,"prescription_id":114293,"doctor_user_id":1345841,"product_id":888,"product_sku_id":929,"dose":1,"dose_unit":"支","use_method":"滴背","frequency":"每月一次","days":2,"number":1,"remark":"","created_at":"2022-06-10 23:03:25","updated_at":"2022-06-10 23:03:25","product_info":{"id":888,"hash_id":"V9we7N4JwbgPbGWA","class_ids":{"1":2},"category_ids":{"16":177},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":199,"sell_point":"福来恩复方非泼罗尼滴剂（猫用）","title":"梅里亚福来恩复方非泼罗尼滴剂（猫用）0.5ml×1支","recommend_reason":{"0":"用于驱杀猫体表的成年跳蚤，跳蚤卵，幼虫"},"baike_guide_text":"","baike_article_hash_id":"","advword":"体外驱虫,猫驱虫,跳蚤,蜱虫,福来恩,外用驱虫","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"单支装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/01\/b051b317dc3a3979326a31e48bcc6654.JPG","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":62,"max_price":62,"sale_count":11,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-01-11 18:10:42","updated_at":"2024-10-09 14:04:18","ins":{"id":199,"hash_id":"kAW7LMp6q1xBVDnv","class_ids":"{\u00221\u0022:\u00222\u0022}","title":"福来恩复方非泼罗尼增效滴剂","common_name":"复方非泼罗尼滴剂（猫用）","trade_name":"福来恩增效滴剂","en_name":"Frontline","brand_name":"梅里亚","is_prescription":0,"cover":"\/drug\/2022\/01\/c2e4383d3c9bf420b2f31ea6d8892ccb.JPG","specification":"0.5ml×3支\/盒","reference_price":198,"component":"非泼罗尼，甲氧普希","indication":"用于驱杀猫体表的成年跳蚤，跳蚤卵，幼虫。","usage_dosage":"1.确认毛发已经干燥后，将滴管尖端折断。\n2.拨开犬猫肩胛骨间的毛发，将福来恩滴剂直接滴在皮肤上，注意不要滴在毛发上。药剂在毛发上会蒸发掉，很少量进入皮脂腺储藏起来，会限制产品效力的发挥。\n3.按压滴管，确认一整管全部滴完。\n4.每月一次，每宠一剂，不要分享。","contraindication":"","adverse_reaction":"","attention":"1.福来恩滴剂和喷剂能持续杀灭跳蚤与壁虱，效果长达30天。为取得最佳效果，建议使用前2天和使用后2天避免用洗浴液洗澡，保证福来恩药剂贮存到位。\n2.对某些对外寄生虫药剂敏感的个体，投药处可能出现暂时性刺激，例如皮肤红肿，脱毛等，多数病例数天后可自行恢复，若症状不退或加剧，请立即与兽医师联系。\n3.由于溶剂中含有苦味，若犬猫舔后出现流涎症状，但不会造成伤害。\n4.使用时，人若不慎接触到药剂，请以清水或肥皂水冲洗。\n5.使用后，只需滴药处毛发干燥之后，即可正常抚摸和拥抱犬猫，享受零距离的接触。\n6.请放于儿童接触不到的地方，储存于常温干躁阴暗处，不可冷藏或冷冻。","interaction":"","approval_no":"（2016）外兽药证字25号","storage_method":"遮光，在阴凉干燥处保存。","validity":"2年","manufacturer":"梅里亚有限公司法国吐鲁兹生产厂（Merial Toulouse）","status":1,"created_at":"2022-01-11 18:03:54","updated_at":"2022-01-11 18:03:54"}},"product_sku_info":{"id":929,"product_id":888,"title":"梅里亚福来恩复方非泼罗尼滴剂（猫用）0.5ml×1支","advword":null,"price":62,"market_price":88,"cost_price":0,"stock":94,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"单支装"}},"cover":null,"thumb":"","sale_count":11,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-01-11 18:10:42","updated_at":"2024-10-08 20:52:17"}}},"drug_data_bak":{"0":{"id":31859,"prescription_id":114293,"doctor_user_id":1345841,"product_id":888,"product_sku_id":929,"dose":1,"dose_unit":"支","use_method":"滴背","frequency":"每月一次","days":2,"number":1,"remark":"","created_at":"2022-06-10 23:03:25","updated_at":"2022-06-10 23:03:25","product_info":{"id":888,"hash_id":"V9we7N4JwbgPbGWA","class_ids":{"1":2},"category_ids":{"16":177},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":199,"sell_point":"福来恩复方非泼罗尼滴剂（猫用）","title":"梅里亚福来恩复方非泼罗尼滴剂（猫用）0.5ml×1支","recommend_reason":{"0":"用于驱杀猫体表的成年跳蚤，跳蚤卵，幼虫"},"baike_guide_text":"","baike_article_hash_id":"","advword":"体外驱虫,猫驱虫,跳蚤,蜱虫,福来恩,外用驱虫","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"单支装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/01\/b051b317dc3a3979326a31e48bcc6654.JPG","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":62,"max_price":62,"sale_count":11,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-01-11 18:10:42","updated_at":"2024-10-09 14:04:18","ins":{"id":199,"hash_id":"kAW7LMp6q1xBVDnv","class_ids":"{\u00221\u0022:\u00222\u0022}","title":"福来恩复方非泼罗尼增效滴剂","common_name":"复方非泼罗尼滴剂（猫用）","trade_name":"福来恩增效滴剂","en_name":"Frontline","brand_name":"梅里亚","is_prescription":0,"cover":"\/drug\/2022\/01\/c2e4383d3c9bf420b2f31ea6d8892ccb.JPG","specification":"0.5ml×3支\/盒","reference_price":198,"component":"非泼罗尼，甲氧普希","indication":"用于驱杀猫体表的成年跳蚤，跳蚤卵，幼虫。","usage_dosage":"1.确认毛发已经干燥后，将滴管尖端折断。\n2.拨开犬猫肩胛骨间的毛发，将福来恩滴剂直接滴在皮肤上，注意不要滴在毛发上。药剂在毛发上会蒸发掉，很少量进入皮脂腺储藏起来，会限制产品效力的发挥。\n3.按压滴管，确认一整管全部滴完。\n4.每月一次，每宠一剂，不要分享。","contraindication":"","adverse_reaction":"","attention":"1.福来恩滴剂和喷剂能持续杀灭跳蚤与壁虱，效果长达30天。为取得最佳效果，建议使用前2天和使用后2天避免用洗浴液洗澡，保证福来恩药剂贮存到位。\n2.对某些对外寄生虫药剂敏感的个体，投药处可能出现暂时性刺激，例如皮肤红肿，脱毛等，多数病例数天后可自行恢复，若症状不退或加剧，请立即与兽医师联系。\n3.由于溶剂中含有苦味，若犬猫舔后出现流涎症状，但不会造成伤害。\n4.使用时，人若不慎接触到药剂，请以清水或肥皂水冲洗。\n5.使用后，只需滴药处毛发干燥之后，即可正常抚摸和拥抱犬猫，享受零距离的接触。\n6.请放于儿童接触不到的地方，储存于常温干躁阴暗处，不可冷藏或冷冻。","interaction":"","approval_no":"（2016）外兽药证字25号","storage_method":"遮光，在阴凉干燥处保存。","validity":"2年","manufacturer":"梅里亚有限公司法国吐鲁兹生产厂（Merial Toulouse）","status":1,"created_at":"2022-01-11 18:03:54","updated_at":"2022-01-11 18:03:54"}},"product_sku_info":{"id":929,"product_id":888,"title":"梅里亚福来恩复方非泼罗尼滴剂（猫用）0.5ml×1支","advword":null,"price":62,"market_price":88,"cost_price":0,"stock":94,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"单支装"}},"cover":null,"thumb":"","sale_count":11,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-01-11 18:10:42","updated_at":"2024-10-08 20:52:17"}}}}}}
微信扫一扫
立即问宠医
