咨询描述:狗狗拉血吐黄水精神萎靡,流口水,流脓鼻涕不吃不喝
患病时长:昨天有点不对劲,今天直接就出现症状
用药情况:给吃过四分之一的0.25克的阿莫西林
回复总结:针对狗狗拉血、吐黄水、精神萎靡不振的情况,如果没有办法给狗狗做任何检查,建议暂时给狗狗使用止吐药,一天使用一次。另外,配合服用保护胃黏膜的药物,能很好地修复损伤的胃肠道黏膜,从而减轻出血问题。另外,还有止泻药物,推荐用白陶土或者强力止泻片。最后抗菌消炎的药物,推荐用阿莫西林克拉维酸钾。
问题大致一样,细节不同?
魏新立
执业兽医师
根据您以上描述,还不能做出进一步的判断。我还有几个问题需要向你核实一下。
1.宝贝确定没有按时接种好疫苗,并做好体内外驱虫吗?
2.宝贝在出现呕吐腹泻便血症状之前有没有进食平时不常吃的东西呢,比如新换了粮食或者人吃的食物呢?
3.您观察宝贝除了有鼻涕脓性分泌物之外,还有没有眼睛脓性分泌物的增加呢?如果一针疫苗都没有接种,我认为有必要给宝贝做犬瘟热、细小病毒、冠状病毒的排查,目前最担心的就是犬瘟热和细小病毒的感染。如果有犬瘟热和细小病毒的感染,相对来讲,宝贝的情况就比较严重,需要及时的给宝贝使用生物制品,比如干扰素,抗体血清、单克隆抗体等,同时最好给宝贝输液治疗,因为长时间不吃东西宝贝的状态可能会越来越差,严重的呕吐和腹泻也会引发机体有脱水症状。
以上这些情况建议您仔细回忆后并尽量详细的描述给我,对我给宝贝目前情况的判断以及制定治疗方案有非常大的帮助,感谢您的配合。
狗狗除了鼻涕没有眼屎,很久很久之前吃过几个葡萄皮,他之前就肠胃不太好,这两天突然降温,昨天是突然降温,然后他就有点不太精神了但是还是吃东西的,今天就不吃了,我给强喂了葡萄糖兑水,我们这边没有宠物医院,没办法给做筛查呀,这个该怎么办呢
魏新立
执业兽医师
如果没有办法给宝贝做任何检查,我们只有给宝贝使用止吐药,比如赛瑞宁,2mg/kg,一天使用一次,目前临床上最好用的止吐药,保护胃黏膜药物,比如西咪替丁,能很好地修复损伤的胃肠道黏膜,从而减轻出血问题,以及止泻药物,推荐用白陶土或者强力止泻片,抗菌消炎的药物,推荐用阿莫西林克拉维酸钾,12.5-25mg/kg,一天使用两次,连用一周时间。
魏新立
执业兽医师
可以考虑先使用止吐的药物,等没有呕吐症状之后再考虑给宝贝使用其他的药物,可以间隔两个小时左右时间。
魏新立
执业兽医师
临床上有主人使用这个药物来止血,也会有很多反应效果不错,但我们在临床上没有使用过,您可以考虑使用。
好的,那我是先给他止血还是先给他止泻,因为我今天给他喂了阿莫西林,他没有吐出来
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
{"408876":{"id":408876,"case_id":46723,"user_id":1003358,"to_user_id":1072937,"type":3,"content":"如果没有办法给宝贝做任何检查,我们只有给宝贝使用止吐药,比如赛瑞宁,2mg\/kg,一天使用一次,目前临床上最好用的止吐药,保护胃黏膜药物,比如西咪替丁,能很好地修复损伤的胃肠道黏膜,从而减轻出血问题,以及止泻药物,推荐用白陶土或者强力止泻片,抗菌消炎的药物,推荐用阿莫西林克拉维酸钾,12.5-25mg\/kg,一天使用两次,连用一周时间。","media":{"images":{},"videos":{},"business_params":{"prescription_id":124966}},"is_doctor":1,"status":1,"created_at":"2022-10-03 22:48:11","show_rx":true,"rx_info":{"id":124966,"rx_no":2.0221003224808502e+24,"user_id":1072937,"doctor_user_id":1003358,"is_independent":0,"case_id":2913764,"pet_info":{"pet_id":59976,"pet_name":"中华田园犬","pet_nickname":"北极熊","pet_gender":2,"pet_birth":"0-9","pet_weight":5,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"9个月"},"diagnose":"腹泻、便血,呕吐,胃肠道炎症?","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-10-03 22:48:08","updated_at":"2022-10-03 22:48:11","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":55065,"prescription_id":124966,"doctor_user_id":1003358,"product_id":794,"product_sku_id":836,"dose":10,"dose_unit":"mg","use_method":"口服","frequency":"每天1次","days":5,"number":1,"remark":"用于止吐","created_at":"2022-10-03 22:48:08","updated_at":"2022-10-03 22:48:08","product_info":{"id":794,"hash_id":"ay8LblpOPV49EdBq","class_ids":{"0":1,"1":2},"category_ids":{"29":188},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":18,"sell_point":"赛瑞宁 枸橼酸马罗匹坦片16mg","title":"辉瑞赛瑞宁 枸橼酸马罗匹坦片 16mg×4片\/盒","recommend_reason":{"0":"预防化疗药物引起的呕吐","1":"治疗和预防除运动性呕吐以外的呕吐"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呕吐,止吐","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"4片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/be2dd9e4acac77d870258b0cfeafe3c5.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":168,"max_price":168,"sale_count":58,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 19:02:13","updated_at":"2024-11-19 09:42:29","ins":{"id":18,"hash_id":"","class_ids":"[\u00221\u0022]","title":"","common_name":"枸橼酸马罗匹坦片","trade_name":"赛瑞宁片","en_name":"Cerenia Maropitant","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/5ae2095030031dfc147b1aba304a73a8.JPG","specification":"16mg×4片\/盒","reference_price":210,"component":"枸橼酸马罗匹坦","indication":"1.预防化疗药物引起的呕吐。\n2.治疗和预防除运动性呕吐以外的呕吐。","usage_dosage":"1.用于8周龄及以上的犬。\n2.以马罗匹坦计。内服用药,2.0mg\/kg\/次\/日。最多连用5日。","contraindication":"1.马罗匹坦对钙和钾离子通道有亲和性,患有心脏疾病的犬镇用,且不能与钙离子拮抗剂合用。\n2.肝功能障碍的犬慎用。","adverse_reaction":"1.推荐剂量可引起嗜睡(8%)、多涎(5%)、食欲不振(2%),偶见如稀便、镇静或抑郁、肠胃胀气等情况。\n2.高剂量上述多种不良反应可同时发生,但程度均较轻,停药后不良反应的症状会逐渐消除。\n3.对小于11周龄的犬,可增加骨髓细胞减少症的发生。","attention":"1.仅在兽医指导下用药。\n2.严重呕吐可先使用马罗匹坦注射液一次或两次控制呕吐,症状减轻后使用马罗匹坦片。\n3.仅用于犬。\n4.不能将本品包在食物中给药,否则会延迟本品的溶解而影响药效。\n5.对处于发情期、妊娠或哺乳期的雌犬,以及胃肠道梗阻和中毒的犬,未进行靶动物安全性研究。\n6.可导致采食量和体重下降,应给予补液、补充营养等支持治疗。\n7.置于儿童不可触及处。\n8.个别人群接触药物后会引起皮肤局部过敏,长期或多次接触药物也可导致皮肤致敏,使用时做好防护,意外接触时可用肥皂水或清水清洗。","interaction":"马罗匹坦与血浆蛋白的结合率大于996,但未进行本品与其他高血浆蛋白结合率药物联合用药试验。应谨慎与其他高血浆蛋白结合率药物联合使用。临床上常用的高血浆蛋白结合率药物有非甾体类抗炎药、抗心律失常药、抗凝血药、抗惊厥药等。","approval_no":"(2016)外兽药证字21号","storage_method":"15-30°C保存。片剂打开铝箔包装的药片,在2天内使用完。","validity":"2年","manufacturer":"法瑞瓦公司法国生产厂( Areva Amboise)","status":1,"created_at":"2020-10-27 14:13:38","updated_at":"2020-10-27 14:36:06"}},"product_sku_info":{"id":836,"product_id":794,"title":"辉瑞赛瑞宁 枸橼酸马罗匹坦片 16mg×4片\/盒","advword":null,"price":168,"market_price":220,"cost_price":0,"stock":49,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"4片盒装"}},"cover":null,"thumb":"","sale_count":67,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 19:02:13","updated_at":"2024-11-19 09:20:24"}},"1":{"id":55066,"prescription_id":124966,"doctor_user_id":1003358,"product_id":729,"product_sku_id":771,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"用于止泻","created_at":"2022-10-03 22:48:08","updated_at":"2022-10-03 22:48:08","product_info":{"id":729,"hash_id":"7REJ0W4AonxPBVAK","class_ids":{"0":1,"1":2},"category_ids":{"31":190},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":48,"sell_point":"强力止泻片复方碱式碳酸铋片","title":"保灵强力止泻片 复方碱式碳酸铋片 0.5g×8片×3板\/盒","recommend_reason":{"0":"用于病毒、细菌、寄生虫感染或消化不良引起的腹泻","1":"用于过食或长期滥用抗生素引发的肠炎"},"baike_guide_text":"","baike_article_hash_id":"","advword":"腹泻,肠粘膜损伤,肠炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"24片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/bf9f6c5b7d104441aa5a64b578d4e39f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":128,"max_price":128,"sale_count":83,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:35:11","updated_at":"2024-11-25 18:04:25","ins":{"id":48,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方碱式碳酸铋片","trade_name":"强力止泻片","en_name":"Bismuth Subcarbonate Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/11\/40f91a1c7789d0bf9804554cf7822bc4.JPG","specification":"0.5g×8片×3板\/盒","reference_price":220,"component":"碱式碳酸铋、高岭土、活性炭、果胶、碳酸钙","indication":"用于病毒、细菌、寄生虫感染或消化不良、食物变质等原因引起的腹泻及肠粘膜损伤的修复,以及过食或长期滥用抗生素引发的肠炎。","usage_dosage":"10kg\/片,每日1-2次,3-5天为一个疗程。","contraindication":"","adverse_reaction":"用药后会短暂出现粪便变黑(碱式碳酸铋和硫化氢结合物是硫化铋,黑色,并非消化道出血),使用过久可能有便秘等情况。","attention":"","interaction":"","approval_no":"兽药字(2016)020161563","storage_method":"常温,避光,密封保存","validity":"3年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-11-04 18:34:53","updated_at":"2020-11-04 18:34:53"}},"product_sku_info":{"id":771,"product_id":729,"title":"保灵强力止泻片 复方碱式碳酸铋片 0.5g×8片×3板\/盒","advword":null,"price":128,"market_price":160,"cost_price":0,"stock":64,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"24片盒装"}},"cover":null,"thumb":"","sale_count":88,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:35:11","updated_at":"2024-11-25 19:05:02"}},"2":{"id":55067,"prescription_id":124966,"doctor_user_id":1003358,"product_id":726,"product_sku_id":768,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"用于修复胃肠道黏膜","created_at":"2022-10-03 22:48:08","updated_at":"2022-10-03 22:48:08","product_info":{"id":726,"hash_id":"ZXn76zg92bx9boBN","class_ids":{"0":1,"1":2,"2":3,"5":6},"category_ids":{"30":189},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":25,"sell_point":"米丁宁 西咪替丁片 0.1g","title":"保灵米丁宁 西咪替丁片 0.1g×64片\/盒","recommend_reason":{"0":"用于治疗和预防胃、十二指肠溃疡及反流性食管炎","1":"用于化学刺激引起的糜烂性胃炎、应激性溃疡和上消化道出血","2":"降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"慢性胃炎,溃疡,便血","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.1g盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/f16a8ae34e3870e56b0d54252f62ee1a.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":138,"max_price":138,"sale_count":256,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:28:36","updated_at":"2024-06-11 09:54:57","ins":{"id":25,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022,\u00223\u0022,\u00226\u0022]","title":"","common_name":"西咪替丁片","trade_name":"西替康","en_name":"Cimetidine Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/10\/b7a07a9ce5a0dd3d0787924c3a5744d6.PNG","specification":"0.1g×24片\/盒","reference_price":110,"component":"西咪替丁","indication":"1.用于治疗和预防胃、十二指肠溃疡及反流性食管炎。\n2.用于化学刺激引起的糜烂性胃炎。\n3.应激性溃疡和上消化道出血。\n4.降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。","usage_dosage":"内服:6~10kg的犬猫使用1\/2片,体重10~20kg的犬使用1片,一日3次。连用28日。","contraindication":"对该药过敏者禁用。","adverse_reaction":"1.可能引起性犬的乳房暂时性轻微肿胀或雄性犬乳房发育症。\n2.雄犬可能出现前列腺减重,该现象可逆并对生殖功能无影响。","attention":"1.本品仅用于对症治疗,建议出现持续性呕吐症状的犬猫在治疗前进行适当的检查以诊断病因。\n2.对于肾功能不全的犬,需适当调整给药剂量。\n3.本品未进行妊娠期和乳期靶动物的相关研究,应在执业兽医指导下进行妊娠期和哺乳期用药。\n4.本品可能与β受体拮抗剂、钙通道拮抗剂、苯二氮卓类、巴比妥类、苯妥英、茶碱、氨茶碱、华法林和利多卡因等药物产生临床相互作用,当含并用药时,应减低这些药物的使用剂量。\n5.本品可能引起胃酸升高导致药物吸收降低,需要借助酸性介质促进吸收。与氢氧化铝或氢氧化镁、甲氧氯普胺、地高辛和酮康唑的用药间隔至少为2小时。\n6.本品开封后.剩余药片应放在泡罩包装中避光保存。\n7.置儿至无法触及处。","interaction":"1.本品若与氢氧化铝、氧化镁等抗酸剂合用时,本品的吸收可能减少,故一般不提倡同用。\n2.本品与硝西泮(硝基安定)、地西泮(安定)、茶碱、普蔡洛尔(心得安)、苯妥英钠、阿司匹林等同用时。均可使这些药物的血药浓度升高,作用增强,出现不良反应,甚至是毒性反应,故本品不宜与这些药物共同使用。\n3.本品与氨基糖苷类抗生素如庆大霉素等同用时可能导致呼吸抑制或呼吸停止。","approval_no":"兽药字020167014","storage_method":"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 17:58:14","updated_at":"2020-10-27 18:18:40"}},"product_sku_info":{"id":768,"product_id":726,"title":"保灵米丁宁 西咪替丁片 0.1g×64片\/盒","advword":null,"price":138,"market_price":240,"cost_price":0,"stock":158,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.1g盒装"}},"cover":null,"thumb":"","sale_count":270,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:28:36","updated_at":"2024-06-11 06:55:02"}},"3":{"id":55068,"prescription_id":124966,"doctor_user_id":1003358,"product_id":709,"product_sku_id":752,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"用于抗菌消炎","created_at":"2022-10-03 22:48:08","updated_at":"2022-10-03 22:48:08","product_info":{"id":709,"hash_id":"lazo6rxWXWpOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":5,"sell_point":"速诺(阿莫西林克拉维酸钾片)250mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×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":"250mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c5606ffe97cfdbe080e7c31980a047d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":677,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-24 10:15:11","ins":{"id":5,"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\/b4e16954b19120b0d777543dde23b1da.JPG","specification":"250mg×10片×10板\/盒","reference_price":2200,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬由敏感细菌引起的各种感染,及治疗犬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9-12kg,吃0.5片;\n体重13-15kg,吃0.75片;\n体重16-22kg,吃1片;\n体重23-30kg,吃1.5片;\n体重31-40kg,吃2片;\n体重41kg及以上请购买同品500mg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11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":"2020-10-23 12:09:57","updated_at":"2020-10-23 16:00:00"}},"product_sku_info":{"id":752,"product_id":709,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","advword":null,"price":98,"market_price":119,"cost_price":0,"stock":726,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":715,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-25 19:05:02"}}},"drug_data_bak":{"0":{"id":55065,"prescription_id":124966,"doctor_user_id":1003358,"product_id":794,"product_sku_id":836,"dose":10,"dose_unit":"mg","use_method":"口服","frequency":"每天1次","days":5,"number":1,"remark":"用于止吐","created_at":"2022-10-03 22:48:08","updated_at":"2022-10-03 22:48:08","product_info":{"id":794,"hash_id":"ay8LblpOPV49EdBq","class_ids":{"0":1,"1":2},"category_ids":{"29":188},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":18,"sell_point":"赛瑞宁 枸橼酸马罗匹坦片16mg","title":"辉瑞赛瑞宁 枸橼酸马罗匹坦片 16mg×4片\/盒","recommend_reason":{"0":"预防化疗药物引起的呕吐","1":"治疗和预防除运动性呕吐以外的呕吐"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呕吐,止吐","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"4片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/be2dd9e4acac77d870258b0cfeafe3c5.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":168,"max_price":168,"sale_count":58,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 19:02:13","updated_at":"2024-11-19 09:42:29","ins":{"id":18,"hash_id":"","class_ids":"[\u00221\u0022]","title":"","common_name":"枸橼酸马罗匹坦片","trade_name":"赛瑞宁片","en_name":"Cerenia Maropitant","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/5ae2095030031dfc147b1aba304a73a8.JPG","specification":"16mg×4片\/盒","reference_price":210,"component":"枸橼酸马罗匹坦","indication":"1.预防化疗药物引起的呕吐。\n2.治疗和预防除运动性呕吐以外的呕吐。","usage_dosage":"1.用于8周龄及以上的犬。\n2.以马罗匹坦计。内服用药,2.0mg\/kg\/次\/日。最多连用5日。","contraindication":"1.马罗匹坦对钙和钾离子通道有亲和性,患有心脏疾病的犬镇用,且不能与钙离子拮抗剂合用。\n2.肝功能障碍的犬慎用。","adverse_reaction":"1.推荐剂量可引起嗜睡(8%)、多涎(5%)、食欲不振(2%),偶见如稀便、镇静或抑郁、肠胃胀气等情况。\n2.高剂量上述多种不良反应可同时发生,但程度均较轻,停药后不良反应的症状会逐渐消除。\n3.对小于11周龄的犬,可增加骨髓细胞减少症的发生。","attention":"1.仅在兽医指导下用药。\n2.严重呕吐可先使用马罗匹坦注射液一次或两次控制呕吐,症状减轻后使用马罗匹坦片。\n3.仅用于犬。\n4.不能将本品包在食物中给药,否则会延迟本品的溶解而影响药效。\n5.对处于发情期、妊娠或哺乳期的雌犬,以及胃肠道梗阻和中毒的犬,未进行靶动物安全性研究。\n6.可导致采食量和体重下降,应给予补液、补充营养等支持治疗。\n7.置于儿童不可触及处。\n8.个别人群接触药物后会引起皮肤局部过敏,长期或多次接触药物也可导致皮肤致敏,使用时做好防护,意外接触时可用肥皂水或清水清洗。","interaction":"马罗匹坦与血浆蛋白的结合率大于996,但未进行本品与其他高血浆蛋白结合率药物联合用药试验。应谨慎与其他高血浆蛋白结合率药物联合使用。临床上常用的高血浆蛋白结合率药物有非甾体类抗炎药、抗心律失常药、抗凝血药、抗惊厥药等。","approval_no":"(2016)外兽药证字21号","storage_method":"15-30°C保存。片剂打开铝箔包装的药片,在2天内使用完。","validity":"2年","manufacturer":"法瑞瓦公司法国生产厂( Areva Amboise)","status":1,"created_at":"2020-10-27 14:13:38","updated_at":"2020-10-27 14:36:06"}},"product_sku_info":{"id":836,"product_id":794,"title":"辉瑞赛瑞宁 枸橼酸马罗匹坦片 16mg×4片\/盒","advword":null,"price":168,"market_price":220,"cost_price":0,"stock":49,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"4片盒装"}},"cover":null,"thumb":"","sale_count":67,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 19:02:13","updated_at":"2024-11-19 09:20:24"}},"1":{"id":55066,"prescription_id":124966,"doctor_user_id":1003358,"product_id":729,"product_sku_id":771,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"用于止泻","created_at":"2022-10-03 22:48:08","updated_at":"2022-10-03 22:48:08","product_info":{"id":729,"hash_id":"7REJ0W4AonxPBVAK","class_ids":{"0":1,"1":2},"category_ids":{"31":190},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":48,"sell_point":"强力止泻片复方碱式碳酸铋片","title":"保灵强力止泻片 复方碱式碳酸铋片 0.5g×8片×3板\/盒","recommend_reason":{"0":"用于病毒、细菌、寄生虫感染或消化不良引起的腹泻","1":"用于过食或长期滥用抗生素引发的肠炎"},"baike_guide_text":"","baike_article_hash_id":"","advword":"腹泻,肠粘膜损伤,肠炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"24片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/bf9f6c5b7d104441aa5a64b578d4e39f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":128,"max_price":128,"sale_count":83,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:35:11","updated_at":"2024-11-25 18:04:25","ins":{"id":48,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方碱式碳酸铋片","trade_name":"强力止泻片","en_name":"Bismuth Subcarbonate Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/11\/40f91a1c7789d0bf9804554cf7822bc4.JPG","specification":"0.5g×8片×3板\/盒","reference_price":220,"component":"碱式碳酸铋、高岭土、活性炭、果胶、碳酸钙","indication":"用于病毒、细菌、寄生虫感染或消化不良、食物变质等原因引起的腹泻及肠粘膜损伤的修复,以及过食或长期滥用抗生素引发的肠炎。","usage_dosage":"10kg\/片,每日1-2次,3-5天为一个疗程。","contraindication":"","adverse_reaction":"用药后会短暂出现粪便变黑(碱式碳酸铋和硫化氢结合物是硫化铋,黑色,并非消化道出血),使用过久可能有便秘等情况。","attention":"","interaction":"","approval_no":"兽药字(2016)020161563","storage_method":"常温,避光,密封保存","validity":"3年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-11-04 18:34:53","updated_at":"2020-11-04 18:34:53"}},"product_sku_info":{"id":771,"product_id":729,"title":"保灵强力止泻片 复方碱式碳酸铋片 0.5g×8片×3板\/盒","advword":null,"price":128,"market_price":160,"cost_price":0,"stock":64,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"24片盒装"}},"cover":null,"thumb":"","sale_count":88,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:35:11","updated_at":"2024-11-25 19:05:02"}},"2":{"id":55067,"prescription_id":124966,"doctor_user_id":1003358,"product_id":726,"product_sku_id":768,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"用于修复胃肠道黏膜","created_at":"2022-10-03 22:48:08","updated_at":"2022-10-03 22:48:08","product_info":{"id":726,"hash_id":"ZXn76zg92bx9boBN","class_ids":{"0":1,"1":2,"2":3,"5":6},"category_ids":{"30":189},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":25,"sell_point":"米丁宁 西咪替丁片 0.1g","title":"保灵米丁宁 西咪替丁片 0.1g×64片\/盒","recommend_reason":{"0":"用于治疗和预防胃、十二指肠溃疡及反流性食管炎","1":"用于化学刺激引起的糜烂性胃炎、应激性溃疡和上消化道出血","2":"降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"慢性胃炎,溃疡,便血","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.1g盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/f16a8ae34e3870e56b0d54252f62ee1a.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":138,"max_price":138,"sale_count":256,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:28:36","updated_at":"2024-06-11 09:54:57","ins":{"id":25,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022,\u00223\u0022,\u00226\u0022]","title":"","common_name":"西咪替丁片","trade_name":"西替康","en_name":"Cimetidine Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/10\/b7a07a9ce5a0dd3d0787924c3a5744d6.PNG","specification":"0.1g×24片\/盒","reference_price":110,"component":"西咪替丁","indication":"1.用于治疗和预防胃、十二指肠溃疡及反流性食管炎。\n2.用于化学刺激引起的糜烂性胃炎。\n3.应激性溃疡和上消化道出血。\n4.降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。","usage_dosage":"内服:6~10kg的犬猫使用1\/2片,体重10~20kg的犬使用1片,一日3次。连用28日。","contraindication":"对该药过敏者禁用。","adverse_reaction":"1.可能引起性犬的乳房暂时性轻微肿胀或雄性犬乳房发育症。\n2.雄犬可能出现前列腺减重,该现象可逆并对生殖功能无影响。","attention":"1.本品仅用于对症治疗,建议出现持续性呕吐症状的犬猫在治疗前进行适当的检查以诊断病因。\n2.对于肾功能不全的犬,需适当调整给药剂量。\n3.本品未进行妊娠期和乳期靶动物的相关研究,应在执业兽医指导下进行妊娠期和哺乳期用药。\n4.本品可能与β受体拮抗剂、钙通道拮抗剂、苯二氮卓类、巴比妥类、苯妥英、茶碱、氨茶碱、华法林和利多卡因等药物产生临床相互作用,当含并用药时,应减低这些药物的使用剂量。\n5.本品可能引起胃酸升高导致药物吸收降低,需要借助酸性介质促进吸收。与氢氧化铝或氢氧化镁、甲氧氯普胺、地高辛和酮康唑的用药间隔至少为2小时。\n6.本品开封后.剩余药片应放在泡罩包装中避光保存。\n7.置儿至无法触及处。","interaction":"1.本品若与氢氧化铝、氧化镁等抗酸剂合用时,本品的吸收可能减少,故一般不提倡同用。\n2.本品与硝西泮(硝基安定)、地西泮(安定)、茶碱、普蔡洛尔(心得安)、苯妥英钠、阿司匹林等同用时。均可使这些药物的血药浓度升高,作用增强,出现不良反应,甚至是毒性反应,故本品不宜与这些药物共同使用。\n3.本品与氨基糖苷类抗生素如庆大霉素等同用时可能导致呼吸抑制或呼吸停止。","approval_no":"兽药字020167014","storage_method":"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 17:58:14","updated_at":"2020-10-27 18:18:40"}},"product_sku_info":{"id":768,"product_id":726,"title":"保灵米丁宁 西咪替丁片 0.1g×64片\/盒","advword":null,"price":138,"market_price":240,"cost_price":0,"stock":158,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.1g盒装"}},"cover":null,"thumb":"","sale_count":270,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:28:36","updated_at":"2024-06-11 06:55:02"}},"3":{"id":55068,"prescription_id":124966,"doctor_user_id":1003358,"product_id":709,"product_sku_id":752,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"用于抗菌消炎","created_at":"2022-10-03 22:48:08","updated_at":"2022-10-03 22:48:08","product_info":{"id":709,"hash_id":"lazo6rxWXWpOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":5,"sell_point":"速诺(阿莫西林克拉维酸钾片)250mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×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":"250mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c5606ffe97cfdbe080e7c31980a047d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":677,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-24 10:15:11","ins":{"id":5,"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\/b4e16954b19120b0d777543dde23b1da.JPG","specification":"250mg×10片×10板\/盒","reference_price":2200,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬由敏感细菌引起的各种感染,及治疗犬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9-12kg,吃0.5片;\n体重13-15kg,吃0.75片;\n体重16-22kg,吃1片;\n体重23-30kg,吃1.5片;\n体重31-40kg,吃2片;\n体重41kg及以上请购买同品500mg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11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":"2020-10-23 12:09:57","updated_at":"2020-10-23 16:00:00"}},"product_sku_info":{"id":752,"product_id":709,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","advword":null,"price":98,"market_price":119,"cost_price":0,"stock":726,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":715,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-25 19:05:02"}}}}}}
微信扫一扫
立即问宠医