猫猫拉稀呕吐频繁，趴着睡觉

{"495537":{"id":495537,"case_id":55600,"user_id":1048813,"to_user_id":2306239,"type":3,"content":"抱歉，今天上班手上一直有急诊，所以回复慢了\n\n处方如下\n\n****一天一次，每次半片口服七天\n\n********一天两次，每次半片口服七天\n\n********一天两次，每次半片口服五天","media":{"images":{},"videos":{},"business_params":{"prescription_id":149063}},"is_doctor":1,"status":1,"created_at":"2023-08-01 10:55:56","show_rx":true,"rx_info":{"id":149063,"rx_no":2.0230801105504503e+24,"user_id":2306239,"doctor_user_id":1048813,"is_independent":0,"case_id":3136811,"pet_info":{"pet_id":373871,"pet_name":"布偶猫","pet_nickname":"Cassie","pet_gender":4,"pet_birth":"5-4","pet_weight":5,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"5岁4个月"},"diagnose":"胃肠炎","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-08-01 10:55:04","updated_at":"2023-08-01 10:55:56","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":106717,"prescription_id":149063,"doctor_user_id":1048813,"product_id":706,"product_sku_id":749,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2023-08-01 10:55:04","updated_at":"2023-08-01 10:55:04","product_info":{"id":706,"hash_id":"ay8LblpOKVp9EdBq","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":33,"sell_point":"拜有利恩诺沙星风味片 50mg","title":"拜耳拜有利恩诺沙星风味片 50mg×10片\/盒","recommend_reason":{"0":"用于治疗由敏感菌引起的犬和猫消化道","1":"泌尿道和皮肤及伤口感染，以及犬的呼吸道感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,呼吸道问题,腹泻","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/1988349ed1be553a88eea3abc43ee00c.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":351,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:25:59","updated_at":"2024-09-17 00:40:37","ins":{"id":33,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"拜有利恩诺沙星风味片","common_name":"恩诺沙星片","trade_name":"拜有利风味片","en_name":"Enrofloxacin Tablets","brand_name":"拜耳","is_prescription":1,"cover":"\/drug\/2020\/10\/4d389fce8db21b6a36a3a1009ec2a1de.JPG","specification":"50mg×10片\/盒","reference_price":160,"component":"恩诺沙星","indication":"1.用于治疗由敏感菌引起的犬和猫消化道。\n2.泌尿道和皮肤及伤口感染，以及犬的呼吸道感染。","usage_dosage":"以恩诺沙星计。内服：一次量，每1kg体重，犬、猫5mg，每日一次。连用5-10天。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"（2019）外兽药证字52号","storage_method":"遮光、密闭保存。","validity":"5年","manufacturer":"KVP Kiel有限责任公司","status":1,"created_at":"2020-10-30 14:50:56","updated_at":"2022-01-14 15:42:03"}},"product_sku_info":{"id":749,"product_id":706,"title":"拜耳拜有利恩诺沙星风味片 50mg×10片\/盒","advword":null,"price":88,"market_price":108,"cost_price":0,"stock":309,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg盒装"}},"cover":null,"thumb":"","sale_count":362,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:25:59","updated_at":"2024-09-16 22:35:59"}},"1":{"id":106718,"prescription_id":149063,"doctor_user_id":1048813,"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":"","created_at":"2023-08-01 10:55:04","updated_at":"2023-08-01 10:55:04","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"}},"2":{"id":106719,"prescription_id":149063,"doctor_user_id":1048813,"product_id":729,"product_sku_id":771,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":5,"number":1,"remark":"","created_at":"2023-08-01 10:55:04","updated_at":"2023-08-01 10:55:04","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":75,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:35:11","updated_at":"2024-09-03 14:56:59","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":74,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"24片盒装"}},"cover":null,"thumb":"","sale_count":78,"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":"2024-09-14 09:30:03"}}},"drug_data_bak":{"0":{"id":106717,"prescription_id":149063,"doctor_user_id":1048813,"product_id":706,"product_sku_id":749,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2023-08-01 10:55:04","updated_at":"2023-08-01 10:55:04","product_info":{"id":706,"hash_id":"ay8LblpOKVp9EdBq","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":33,"sell_point":"拜有利恩诺沙星风味片 50mg","title":"拜耳拜有利恩诺沙星风味片 50mg×10片\/盒","recommend_reason":{"0":"用于治疗由敏感菌引起的犬和猫消化道","1":"泌尿道和皮肤及伤口感染，以及犬的呼吸道感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,呼吸道问题,腹泻","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/1988349ed1be553a88eea3abc43ee00c.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":351,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:25:59","updated_at":"2024-09-17 00:40:37","ins":{"id":33,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"拜有利恩诺沙星风味片","common_name":"恩诺沙星片","trade_name":"拜有利风味片","en_name":"Enrofloxacin Tablets","brand_name":"拜耳","is_prescription":1,"cover":"\/drug\/2020\/10\/4d389fce8db21b6a36a3a1009ec2a1de.JPG","specification":"50mg×10片\/盒","reference_price":160,"component":"恩诺沙星","indication":"1.用于治疗由敏感菌引起的犬和猫消化道。\n2.泌尿道和皮肤及伤口感染，以及犬的呼吸道感染。","usage_dosage":"以恩诺沙星计。内服：一次量，每1kg体重，犬、猫5mg，每日一次。连用5-10天。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"（2019）外兽药证字52号","storage_method":"遮光、密闭保存。","validity":"5年","manufacturer":"KVP Kiel有限责任公司","status":1,"created_at":"2020-10-30 14:50:56","updated_at":"2022-01-14 15:42:03"}},"product_sku_info":{"id":749,"product_id":706,"title":"拜耳拜有利恩诺沙星风味片 50mg×10片\/盒","advword":null,"price":88,"market_price":108,"cost_price":0,"stock":309,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg盒装"}},"cover":null,"thumb":"","sale_count":362,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:25:59","updated_at":"2024-09-16 22:35:59"}},"1":{"id":106718,"prescription_id":149063,"doctor_user_id":1048813,"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":"","created_at":"2023-08-01 10:55:04","updated_at":"2023-08-01 10:55:04","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"}},"2":{"id":106719,"prescription_id":149063,"doctor_user_id":1048813,"product_id":729,"product_sku_id":771,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":5,"number":1,"remark":"","created_at":"2023-08-01 10:55:04","updated_at":"2023-08-01 10:55:04","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":75,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:35:11","updated_at":"2024-09-03 14:56:59","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":74,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"24片盒装"}},"cover":null,"thumb":"","sale_count":78,"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":"2024-09-14 09:30:03"}}}}}}