這是medication usage chart for rat respiratory illnesses and other conditions http://www.rmca.org/Articles/dchart.htm
裡面提到
ENROFLOXACIN
BRAND: BAYTRIL 2.27%
CIPROFLOXACIN(human equivalent)
用量
5mg/lb BID, PO
.20cc/lb for 14 to 30 days (INCREASED 4 TIMES)
2.5 to 5mg/lb BID, PO
有用資料
Bactericidal, broad-spectrum antibiotic once touted as being the miracle drug for mycoplasma, but we've found that using the recommended dose, symptoms return very soon after ending treatment (although some rat owners report having excellent results). Better results have been achieved using much higher doses (as shown). Use in combination with Doxycycline for best results. Injectable form tastes horrible and must be mixed with something to make it palatable. Can also be nebulized. Relatively expensive. Prescription needed.
NOTE: Baytril shouldn't be used in rats under 3 months of age.作者: waterlily807 时间: 2011-4-25 13:47
回复prince,谢谢你这么快回复,本来也想给你发短信咨询的。熬到半夜实在没力气了,今天上午又一直在开会:(。爱宝的cirtical care我会上网找一下。
关于你说的疑问,有些我也很疑惑。
1.X光片示腹腔内有灰色阴影,是我写错了,不知道你能否看见图片,腹腔内本身看上去白色一片,偶尔有些小团状阴影。医生说肠道问题可能会致命,子宫感染还是次要危险因素,而且她也说如果baytril控制不住,要做手术,但是手术后也会肠胀气,更危险。所以非常不想做手术。目前猫猫能进食,食欲不好,吃得不多,便便也不多,比平时正常时少一半,至少肠道通路是通畅的,还比较欣慰。
2. 检查B超时,我在场,当时看得最清楚的是腹部边缘(皮肤处)上下动,是猫猫在呼吸,腹腔内开始什么都没看到,后来隐约看到个弧形边缘的阴影,大夫说是子宫,有些大,没说宫腔壁和胎盘组织情况,我也不太懂,所以没问。正常子宫挺小的,一般检查需要憋尿充盈膀胱才能看见,怀孕时有羊水,也可以直接做腹部B超看到,我想猫猫是不是因为子宫积液,所以才能看见呢,需要再咨询一下妇科医师和B超室。
3.猫猫拍片和B超时没有麻醉,医生当时说正常肠道应该像虫子蠕动一样比较明显,当时B超没看出来有蠕动的东西。
4. 子宫积脓就不能哺乳,这个原先不知道,不过目前宝宝们很健康。
5. 两家医生都没有要求验血,怀疑即使验血了,是否知晓龙猫WBC和NEUT%正常值范围
6. 没有量体温,曾经电话问过几个医生,有说38度的,也有说39度得,有说量腋下的,也有大腿根的,高度怀疑是否有经验。耳温度计,一会也上网找找,我曾经用人的体温计尝试过靠近耳朵,猫猫一直动,困难啊~prince量的体温太有参考价值了。
7. 猫猫除了放风时会活动一下,大部分时间都是蔫蔫的,常蹲在厕所上,团成一团,偶尔伸直侧躺在地板上,基本上都是眯着眼睛,不睡觉。以前都是躺在木窝里睡觉或者咬笼门要求出来,活蹦乱跳的。
8. 用项圈,是因为猫猫老舔下面,想着本来就感染,又吃进胃肠,会不会不好,另外,最近猫猫乳头附近毛都被咬没了,怀疑肠胀气是否跟食进去毛有关呢
猫猫目前的用药剂量时1/7片baytril (15mg/片),每日1次,体重450g。貌似比资料里的要少啊(1b就是1磅吧?)~给了7日量,还被我兑水发现气泡浪费了一包。关于剂量要继续咨询其它有经验医师(有的医师正好休息)。
最后,再次谢谢prince作者: canghai129 时间: 2011-4-25 14:08
祝猫猫早日康复,小宝宝要人工了?作者: waterlily807 时间: 2011-4-25 15:39
回复18# canghai129 谢谢!宝宝们已经人工喂奶粉了,唉....作者: waterlily807 时间: 2011-4-25 23:58
最新进展,猫猫今晚精神较好,阴道口无分泌物,便便正常。又去了医院咨询(未带猫),看到了今日就诊的一例严重龙猫肠胀气X光片(很可怜),如prince所说,我家猫猫胀气不是很严重,但为了预防,建议服用消胀片。问了很多问题,医生很耐心地解答了,1.猫猫血量少,一般没法做血常规,2.关于B超,如果子宫正常,一般看不到,如果有积液,可能会看到,胎盘组织一般产后一个月不会残留了。能流出分泌物是好事,如果宫颈口关闭,脓积在子宫内,就只能做手术了。3.体温建议测大腿根部,正常37.5度左右,但感染前期体温升高,感染几日后可能还会降低(忘了问原因)。4.药物剂量偏小,考虑猫猫盲肠发达,减去了这一部分重量换算,次数bid qd都行。(喹诺酮类确实是浓度依赖型抗菌药,qd效果好,只是对baytril不太了解)5.益生菌要坚持服用,抗菌药疗程不宜太长(一直纠结疗程,短了怕反复和耐药,长了怕影响消化功能)。6.消胀片作用:可以把N多泡沫样小气泡变成大气泡,帮助排出体外,所以粉末兑水产生一点点小气泡也没关系。7.护理方面,强调放风的重要性,即使做手术,术后疼也要放风。
看完prince给的第一个病例,绿脓杆菌感染吧,用baytril治好了,心中甚喜,不料第二个病例中kiki 病情反复,没及时做手术最后悲剧发生了,心情又跌至谷底了:(。
目前还是想保守治疗,如果症状控制好,想下周再去复查B超,希望一切顺利。猫猫加油加油!!作者: prince 时间: 2011-4-26 02:51
醫生除了醫術之外,醫德也很重要,既然有些東西他說不做,一定有他的原因,總好過亂來一通,而且經驗比書本上的知識重要.
上次介紹給你的那本書不錯 manual of exotic pet practice ,是貴了點US$95 . http://books.google.com.hk/books ... e&q&f=false ebook有些資料不讓看,例如: hematological and serum biochemical parameters of chinchilla.關於chinchilla P.487-P.491,都值得看.有時間可以看 Antimicrobial Therapy , TABLE 1B-2 (enrofloxacin/baytril PO/SC/IM 5-15mg/kg q12h ) , Nutritional Support , OVARIOHYSTERECTOMY .
有些醫生用baytril,會從小劑量開始,特別是體質差或是過敏體質的龍猫,4-5天情況沒改善,才加大劑量,如果有需要就培養細菌.
Baytril用於猫狗的副作用
Baytril Official FDA information http://www.drugs.com/pro/baytril.html
1. Enrofloxacin is contraindicated in dogs and cats known to be hypersensitive to quinolones.
2. Dogs: Two of the 270 (0.7%) dogs treated with Baytril® (brand of enrofloxacin) Tablets at 5.0 mg/kg per day in the clinical field studies exhibited side effects, which were apparently drug-related. These two cases of vomition were self-limiting.
3. Dog: The following adverse experiences, although rare, are based on voluntary post-approval adverse drug experience reporting. The categories of reactions are listed in decreasing order of frequency by body system.
a. Gastrointestinal: anorexia, diarrhea, vomiting, elevated liver enzymes
b. Neurologic: ataxia, seizures
c. Behavioral: depression, lethargy, nervousness
4. Cats: No drug-related side effects were reported in 124 cats treated with Baytril® (brand of enrofloxacin) Tablets at 5.0 mg/kg per day for 10 days in clinical field studies.
5. Cats: Post-Approval Experience: The following adverse experiences, although rare, are based on voluntary post-approval adverse drug experience reporting. The categories of reactions are listed in decreasing order of frequency by body system.
a. Ocular: Mydriasis, retinal degeneration (retinal atrophy, attenuated retinal vessels, and hyperreflective tapeta have been reported), loss of vision. Mydriasis may be an indication of impending or existing retinal changes.
b. Gastrointestinal: vomiting, anorexia, elevated liver enzymes, diarrhea
c. Neurologic: ataxia, seizures
d. Behavioral: depression, lethargy, vocalization, aggression
ANIMAL SAFETY SUMMARY中有總結不同大劑量長時間服用BAYTRIL的副作用.
Baytril用於rat的副作用 http://ratguide.com/meds/antimic ... loxacin_baytril.php
1. CNS: restlessness, seizures
2. GI: decreased appetite, diarrhea
3. GU: crystalluria
4. Skin: Can cause tissue damage when given undiluted in IM or SQ injections in pet rats.
5. Other: itching作者: waterlily807 时间: 2011-4-28 12:52
回复32#prince,太感谢了,原来你也是夜猫子
结晶尿啊~总比急性肾衰强多了,猫猫喝水的确没有以前多,也许因为灌服药物里也有少量水,另外不用哺乳了,可能需要液体量也少了吧,就暂时不灌服矿泉水了。其它我观察到的ADR就是刚开始用药后食欲不振,这两天已经缓解了。