小狗上吐下泻该怎么办

{"659295":{"id":659295,"case_id":72612,"user_id":1401608,"to_user_id":2512892,"type":3,"content":"你好，看到你描述的情况，如果说像你目前描述的症状的话疫苗免疫齐全，而且状态没问题，暂时不考虑传染病的问题，现在可能还是考虑一个胃肠炎了，这种消化不良饮食刺激导致，精神状态没问题的话可以在最后一次呕吐之后停食停水六个小时，给他喂食一些常规的**消炎，西米**止吐加上****铋止泻针对肠炎，连续两到三天，后续的话除了狗粮任何东西都不给了，你观察一下他的状态。根据宝贝的情况，我给它开个处方。处方里面的1.**，消炎，每天两次，每次1片。2.****，止吐针对胃肠炎，每天三次，每次四分之一。3.****铋，止泻针对肠炎，每天两次，每次半片。你可以根据需求自行选择购买","media":{"images":{},"videos":{},"business_params":{"prescription_id":170405}},"is_doctor":1,"status":1,"created_at":"2024-03-05 20:31:25","show_rx":true,"rx_info":{"id":170405,"rx_no":2.0240305203026502e+24,"user_id":2512892,"doctor_user_id":1401608,"is_independent":0,"case_id":3252624,"pet_info":{"pet_id":0,"pet_name":"犬","pet_nickname":"狗狗","pet_gender":1,"pet_birth":"0-5","pet_weight":4,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"5个月"},"diagnose":"拟胃肠炎","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2024-03-05 20:30:26","updated_at":"2024-03-05 20:31:25","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":153511,"prescription_id":170405,"doctor_user_id":1401608,"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":"2024-03-05 20:30:26","updated_at":"2024-03-05 20:30:26","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":153512,"prescription_id":170405,"doctor_user_id":1401608,"product_id":1138,"product_sku_id":1197,"dose":0.25,"dose_unit":"片","use_method":"口服","frequency":"每天3次","days":7,"number":1,"remark":"","created_at":"2024-03-05 20:30:26","updated_at":"2024-03-05 20:30:26","product_info":{"id":1138,"hash_id":"bEoKq1xnRaxMNkRy","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×32片\/拆零","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×32片\/拆零"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/f16a8ae34e3870e56b0d54252f62ee1a.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":78,"max_price":78,"sale_count":100,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2024-01-17 15:50:32","updated_at":"2024-11-19 09:42:29","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":1197,"product_id":1138,"title":"保灵米丁宁 西咪替丁片 0.1g×32片\/拆零","advword":null,"price":78,"market_price":108,"cost_price":0,"stock":890,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.1g×32片\/拆零"}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/4a970be94fb113f1c8dd0f985ecd3dae.jpg","thumb":"","sale_count":110,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2024-01-17 15:50:32","updated_at":"2024-11-19 09:20:24"}},"2":{"id":153513,"prescription_id":170405,"doctor_user_id":1401608,"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":"","created_at":"2024-03-05 20:30:26","updated_at":"2024-03-05 20:30:26","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":82,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:35:11","updated_at":"2024-11-15 09:32:02","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":65,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"24片盒装"}},"cover":null,"thumb":"","sale_count":87,"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":"2024-11-19 23:47:34"}}},"drug_data_bak":{"0":{"id":153511,"prescription_id":170405,"doctor_user_id":1401608,"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":"2024-03-05 20:30:26","updated_at":"2024-03-05 20:30:26","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":153512,"prescription_id":170405,"doctor_user_id":1401608,"product_id":1138,"product_sku_id":1197,"dose":0.25,"dose_unit":"片","use_method":"口服","frequency":"每天3次","days":7,"number":1,"remark":"","created_at":"2024-03-05 20:30:26","updated_at":"2024-03-05 20:30:26","product_info":{"id":1138,"hash_id":"bEoKq1xnRaxMNkRy","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×32片\/拆零","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×32片\/拆零"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/f16a8ae34e3870e56b0d54252f62ee1a.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":78,"max_price":78,"sale_count":100,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2024-01-17 15:50:32","updated_at":"2024-11-19 09:42:29","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":1197,"product_id":1138,"title":"保灵米丁宁 西咪替丁片 0.1g×32片\/拆零","advword":null,"price":78,"market_price":108,"cost_price":0,"stock":890,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.1g×32片\/拆零"}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/4a970be94fb113f1c8dd0f985ecd3dae.jpg","thumb":"","sale_count":110,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2024-01-17 15:50:32","updated_at":"2024-11-19 09:20:24"}},"2":{"id":153513,"prescription_id":170405,"doctor_user_id":1401608,"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":"","created_at":"2024-03-05 20:30:26","updated_at":"2024-03-05 20:30:26","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":82,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:35:11","updated_at":"2024-11-15 09:32:02","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":65,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"24片盒装"}},"cover":null,"thumb":"","sale_count":87,"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":"2024-11-19 23:47:34"}}}}}}