咨询描述:虎跃右臂上发现藓四天了,用药三天,宠医开的。创口直径约1寸多点,伍德灯照过呈绿色是真菌感染。宠医用药:💉一天一次,滴剂一周两次,创口上不再涂药。刚用伍德灯照还是有绿色点点,请问创口上需要涂药吗?精神状态极好,食欲佳。不要及时回复我,太晚了,明天看到再回复。
回复总结:针对猫咪猫癣用药一直不好的情况,真菌感染一般治疗周期比较长,如果猫咪确诊是猫癣,治疗周期最少都在14天左右,用药两三天左右是看不到效果的,所以需要给猫咪坚持用药14天到30天左右,猫咪才会正常恢复。用药期间需要坚持用药,中间不能停药,不然会使猫咪产生耐药性,会延长治疗周期,天天打针比较麻烦,建议您给猫咪口服治疗猫癣的药,外喷治疗毛癣的喷剂,两者相结合。
问题大致一样,细节不同?
刘文飞
执业兽医师
您好,猫咪主人,收到您的详细描述,结合图片和小视频来看,您家猫咪猫癣的症状,目前已经在线下宠物医院确诊了,给他滴了治疗真菌的滴剂,然后打了针,并未好转,猫癣是真菌感染,一般治疗周期比较长,如果猫咪确诊是猫癣,治疗周期最少都在14天左右,用药两三天左右是看不到效果的,所以需要给猫咪坚持用药14天到30天左右,猫咪才会正常恢复,用药期间需要坚持用药,中间不能停药,不然会使猫咪产生耐药性,会延长治疗周期,天天打针比较麻烦,建议您给猫咪口服治疗猫癣的药,外喷治疗毛癣的喷剂,两者相结合,给猫咪带上伊丽莎白圈,再把猫咪的指甲修剪平整,防止猫咪抓挠舔舐,把猫咪关在笼子里面,最近不要让猫咪出去。等猫癣恢复之后在散养猫咪,还需要把猫咪的窝拿到太阳底下多晒晒,有助于杀菌消毒。猫咪待的环境每周需要消一次毒,还有一定注意不要让家里的老人和孩子接触到猫咪,因为猫癣是真菌感染,真菌感染是会传染人的,您自己照顾完猫咪也要洗手消毒。家里还有一只猫咪,要把另一只猫咪和这只得了猫癣的猫咪分开养,不然猫癣是会传染给猫咪的
滴剂是一周两次涂抹创口周围,我是想问创口上不需要另涂药吗?开药的宠医说是不用另涂药了。我是想给你看看需要涂药吗?我的猫不是散养,居家,也没有笼子,1百多平任他行的,所以没有条件隔离了。我只能喷点酒精消毒。我家有上次你让我买的可鲁杀菌药可以涂吗?我上图给你看药
为保护用户隐私不显示图片/视频
刘文飞
执业兽医师
您好,注射器里的三个药应该是消炎抑菌的,滴剂是舒缓湿润,护肤锁水的,但是并没有抑菌的作用,我的个人我临床经验是创口需要涂抹药膏,而且要用抑制真菌感染的药膏,我上次开的可鲁凝胶是抑制细菌的,对真菌感染效果一般,所以猫咪抹了作用不是很大,房子较大那您就用百分之七十五的酒精消毒,真菌感染猫癣,我推荐您我们临床上治疗真菌感染的药物您参考一下
根据猫咪的情况,我给它开个处方。处方里面的1.盐酸特比萘芬片,对猫咪猫癣引起的真菌感染效果比较好,2.皮特芬针对猫癣表面的厌氧菌抑菌作用比较好,您可以根据需求自行选择购买
那我现在给他涂点这药膏行吗
为保护用户隐私不显示图片/视频
刘文飞
执业兽医师
您好,收到您发的图片,这两种药膏都是治疗真菌感染的,但是是人用药,不能给猫咪用,猫咪要用宠物专用的,不然会影响猫咪康复后毛毛生长的情况
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
{"413262":{"id":413262,"case_id":47206,"user_id":1345841,"to_user_id":1060802,"type":3,"content":"您好,注射器里的三个药应该是消炎抑菌的,滴剂是舒缓湿润,护肤锁水的,但是并没有抑菌的作用,我的个人我临床经验是创口需要涂抹药膏,而且要用抑制真菌感染的药膏,我上次开的可鲁凝胶是抑制细菌的,对真菌感染效果一般,所以猫咪抹了作用不是很大,房子较大那您就用百分之七十五的酒精消毒,真菌感染猫癣,我推荐您我们临床上治疗真菌感染的药物您参考一下\n根据猫咪的情况,我给它开个处方。处方里面的1.盐酸特比萘芬片,对猫咪猫癣引起的真菌感染效果比较好,2.皮特芬针对猫癣表面的厌氧菌抑菌作用比较好,您可以根据需求自行选择购买","media":{"images":{},"videos":{},"business_params":{"prescription_id":106741}},"is_doctor":1,"status":1,"created_at":"2022-03-24 13:28:31","show_rx":true,"rx_info":{"id":106741,"rx_no":2.0220324132636503e+24,"user_id":1060802,"doctor_user_id":1345841,"is_independent":0,"case_id":2670140,"pet_info":{"pet_id":281462,"pet_name":"金渐层","pet_nickname":"虎跃","pet_gender":1,"pet_birth":"0-3","pet_weight":2,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"3个月"},"diagnose":"猫癣","signature":"","deadline":null,"status":1,"send_status":1,"use_status":1,"created_at":"2022-03-24 13:26:36","updated_at":"2022-03-24 14:15:04","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":14969,"prescription_id":106741,"doctor_user_id":1345841,"product_id":721,"product_sku_id":763,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":30,"number":1,"remark":"","created_at":"2022-03-24 13:26:36","updated_at":"2022-03-24 13:26:36","product_info":{"id":721,"hash_id":"X3LOlVpl28ga20WY","class_ids":{"0":1,"1":2},"category_ids":{"10":171},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":27,"sell_point":"真菌灭盐酸特比萘芬片 20mg","title":"保灵真菌灭 盐酸特比萘芬片 20mg×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":"20mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/383a4dc89008aa850ebde68dc3b21bf2.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":14,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-17 15:15:10","updated_at":"2023-01-09 11:23:46","ins":{"id":27,"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\/df39a6e2317f25f38d3acbd8964a60c6.JPG","specification":"20mg×8片×2板\/盒","reference_price":150,"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 10:26:00","updated_at":"2020-10-28 10:32:38"}},"product_sku_info":{"id":763,"product_id":721,"title":"保灵真菌灭 盐酸特比萘芬片 20mg×8片×2板\/盒","advword":null,"price":88,"market_price":108,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"20mg盒装"}},"cover":null,"thumb":"","sale_count":18,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:15:10","updated_at":"2023-01-09 11:23:46"}},"1":{"id":14970,"prescription_id":106741,"doctor_user_id":1345841,"product_id":792,"product_sku_id":834,"dose":1,"dose_unit":"厘米","use_method":"涂抹","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2022-03-24 13:26:36","updated_at":"2022-03-24 13:26:36","product_info":{"id":792,"hash_id":"evObG6x87Ggw0akj","class_ids":{"0":1,"1":2},"category_ids":{"0":171},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":95,"sell_point":"金盾皮特芬复方酮康唑软膏","title":"金盾皮特芬复方酮康唑软膏 15g\/支\/盒","recommend_reason":{"0":"抗微生物药","1":"用于治疗犬、猫癣菌厌氧菌等引起的皮肤病"},"baike_guide_text":"","baike_article_hash_id":"","advword":"真菌型,皮肤病猫癣,抗微生物药","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"15g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/beffd863fa0690ab40a6729ef41d7c97.jpeg","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/10\/fab106cc9976eadc4decf4eea020f78a.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":39,"max_price":39,"sale_count":69,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-20 18:57:10","updated_at":"2024-07-26 13:59:31","ins":{"id":95,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方酮康唑软膏","trade_name":"皮特芬","en_name":"Compound Ketoconazole Ointment","brand_name":"金盾","is_prescription":0,"cover":"\/drug\/2020\/11\/baf927499198103bc016d78c5b1af3e7.jpg","specification":"15g\/支\/盒","reference_price":60,"component":"酮康唑、甲硝唑、薄荷脑等","indication":"抗微生物药。用于治疗犬、猫癣菌厌氧菌等引起的皮肤病。","usage_dosage":"1.使用时为了药物更好的吸收利用,请将患处脓液、痂皮。等处理干净再涂抹,或视情况剃毛处理。\n2.涂抹于患处,可轻轻按摩辅助吸收,或用棉签沾取涂抹患处。每日2-5次,连用5-7天或遵医嘱。","contraindication":"1.犬妊娠期禁用。\n2.肝功能不全的动物慎用。","adverse_reaction":"","attention":"1.本品请勿接触眼睛。\n2.保存温度过高会出膏体变红现象,但不影响使用。","interaction":"","approval_no":"兽药字100386018","storage_method":"阴凉干燥处保存,避免儿童接触。","validity":"2年","manufacturer":"南京金盾生物技术有限公司","status":1,"created_at":"2020-11-13 17:08:54","updated_at":"2020-11-13 17:08:54"}},"product_sku_info":{"id":834,"product_id":792,"title":"金盾皮特芬复方酮康唑软膏 15g\/支\/盒","advword":null,"price":39,"market_price":60,"cost_price":0,"stock":78,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"15g"}},"cover":null,"thumb":"","sale_count":73,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 18:57:10","updated_at":"2024-07-26 13:59:31"}}},"drug_data_bak":{"0":{"id":14969,"prescription_id":106741,"doctor_user_id":1345841,"product_id":721,"product_sku_id":763,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":30,"number":1,"remark":"","created_at":"2022-03-24 13:26:36","updated_at":"2022-03-24 13:26:36","product_info":{"id":721,"hash_id":"X3LOlVpl28ga20WY","class_ids":{"0":1,"1":2},"category_ids":{"10":171},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":27,"sell_point":"真菌灭盐酸特比萘芬片 20mg","title":"保灵真菌灭 盐酸特比萘芬片 20mg×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":"20mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/383a4dc89008aa850ebde68dc3b21bf2.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":14,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-17 15:15:10","updated_at":"2023-01-09 11:23:46","ins":{"id":27,"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\/df39a6e2317f25f38d3acbd8964a60c6.JPG","specification":"20mg×8片×2板\/盒","reference_price":150,"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 10:26:00","updated_at":"2020-10-28 10:32:38"}},"product_sku_info":{"id":763,"product_id":721,"title":"保灵真菌灭 盐酸特比萘芬片 20mg×8片×2板\/盒","advword":null,"price":88,"market_price":108,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"20mg盒装"}},"cover":null,"thumb":"","sale_count":18,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:15:10","updated_at":"2023-01-09 11:23:46"}},"1":{"id":14970,"prescription_id":106741,"doctor_user_id":1345841,"product_id":792,"product_sku_id":834,"dose":1,"dose_unit":"厘米","use_method":"涂抹","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2022-03-24 13:26:36","updated_at":"2022-03-24 13:26:36","product_info":{"id":792,"hash_id":"evObG6x87Ggw0akj","class_ids":{"0":1,"1":2},"category_ids":{"0":171},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":95,"sell_point":"金盾皮特芬复方酮康唑软膏","title":"金盾皮特芬复方酮康唑软膏 15g\/支\/盒","recommend_reason":{"0":"抗微生物药","1":"用于治疗犬、猫癣菌厌氧菌等引起的皮肤病"},"baike_guide_text":"","baike_article_hash_id":"","advword":"真菌型,皮肤病猫癣,抗微生物药","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"15g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/beffd863fa0690ab40a6729ef41d7c97.jpeg","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/10\/fab106cc9976eadc4decf4eea020f78a.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":39,"max_price":39,"sale_count":69,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-20 18:57:10","updated_at":"2024-07-26 13:59:31","ins":{"id":95,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方酮康唑软膏","trade_name":"皮特芬","en_name":"Compound Ketoconazole Ointment","brand_name":"金盾","is_prescription":0,"cover":"\/drug\/2020\/11\/baf927499198103bc016d78c5b1af3e7.jpg","specification":"15g\/支\/盒","reference_price":60,"component":"酮康唑、甲硝唑、薄荷脑等","indication":"抗微生物药。用于治疗犬、猫癣菌厌氧菌等引起的皮肤病。","usage_dosage":"1.使用时为了药物更好的吸收利用,请将患处脓液、痂皮。等处理干净再涂抹,或视情况剃毛处理。\n2.涂抹于患处,可轻轻按摩辅助吸收,或用棉签沾取涂抹患处。每日2-5次,连用5-7天或遵医嘱。","contraindication":"1.犬妊娠期禁用。\n2.肝功能不全的动物慎用。","adverse_reaction":"","attention":"1.本品请勿接触眼睛。\n2.保存温度过高会出膏体变红现象,但不影响使用。","interaction":"","approval_no":"兽药字100386018","storage_method":"阴凉干燥处保存,避免儿童接触。","validity":"2年","manufacturer":"南京金盾生物技术有限公司","status":1,"created_at":"2020-11-13 17:08:54","updated_at":"2020-11-13 17:08:54"}},"product_sku_info":{"id":834,"product_id":792,"title":"金盾皮特芬复方酮康唑软膏 15g\/支\/盒","advword":null,"price":39,"market_price":60,"cost_price":0,"stock":78,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"15g"}},"cover":null,"thumb":"","sale_count":73,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 18:57:10","updated_at":"2024-07-26 13:59:31"}}}}}}
微信扫一扫
立即问宠医