周琪林
执业兽医师
根据您提供的信息,我对它的病情有进一步了解。如果需要给它用药,我们需要按照系统性的治疗方案给它循序渐进的治疗。请您提供一下您目前手中的药物,以及最近的主要临床症状,用药后的症状是否好转等反馈,这样方便我给它开具处方。另外,由于本平台的药物品种有限,所以有些治疗药物无法通过平台出售,只能够给您提供治疗建议,然后请您通过其他渠道购买药物。
(若您需要离开本诊室,稍后可以到官方微信公众号“蘑菇宠医”内找到问诊订单继续和我沟通。)
谢谢你周医生。
漏尿的问题目前控制住了,按照您之前给的剂量建议用药后(****,12.5mg/kg),情况改善比较明显。很感谢你的建议。
我刚刚仔细摸了一下他的整个腿,在摸到膝关节的时候他会叫。之前以为是髋关节的问题,现在看来可能不是。现在感觉它疼痛严重了,走路都是踮着脚走,遇到有楼梯的地方都是另外一只脚在蹦。
目前我手上的没有治疗性的药,****已经用光了。有硫酸***,我老婆从国内回来时带的。
情况是这样的,跟这边诊所预约的时间是2周之后。所以看看您目前是什么建议。有任何替代性的人类药物可以用吗?以及您这边可以给开的药,我会安排第一时间邮寄过来。
非常感谢您的帮助。
周琪林
执业兽医师
针对它目前的情况,我个人的建议是:
第一、如果使用抗生素治疗泌尿道效果很好,说明存在感染因素引起的下泌尿道疾病,这种情况可以尝试延长抗生素治疗周期,如********钾,按照每周为一个治疗周期的话,用2-3个周期后,降低用药频率并逐步停药。
第二、针对关节疼痛的药物,您可以还是继续使用****给它治疗,****用量按照每公斤体重0.1毫克,一天一次用药。同时配合硫酸***用药即可。如果它的关节炎是因为老龄化导致的顽固性问题,无法根治,需要长时间的疼痛管理,可以考虑给它长时间口服****止痛,相较于****,副作用更小。
能不能开一些****钾,****以及****给我?谢谢你
周琪林
执业兽医师
您再核实一下它的体重,正常情况下哈士奇是不会有65公斤的,这个体重已经是一些大型犬的体重了,明确了体重后才能准确计算用药量。
它是哈士奇混阿拉斯加,体型是很大的。上次称重是64KG,体重也是有超重。
周琪林
执业兽医师
那这种情况您除了给它用药以外,还需要想办法给它控制体重,减少一些会对骨骼造成损伤的运动,比如剧烈奔跑,爬楼梯等。药物:由于它的体重超重,所以***抗炎药每公斤用药量会适当减少一些。****按照40KG的体重给药即可,此外因为本平台上的**最大规格为250毫克,因此如果觉得不方便喂药,可以通过其他渠道购买500毫克的药物给它口服。请您参考处方给它进行治疗即可。
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
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09:59:22","product_info":{"id":707,"hash_id":"3a0E6Qpjwm42b9Rk","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×10板\/盒","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盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c5606ffe97cfdbe080e7c31980a047d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":798,"max_price":798,"sale_count":3,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:39:30","updated_at":"2023-12-12 14:12:26","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":750,"product_id":707,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片×10板\/盒","advword":null,"price":798,"market_price":989,"cost_price":0,"stock":100,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg盒装"}},"cover":null,"thumb":"","sale_count":4,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:39:30","updated_at":"2024-11-19 11:40:02"}}}}}}
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