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Post by katt on Jul 7, 2013 1:00:14 GMT -5
Amoxicillin - 0.5ml every 12 hours until gone Sucralfate (carafate) - 1/8 tablet mixed in a slurry every 6 hours (4 times a day) or every 8 hours (3 times a day) given a minimum of 1 hour before the other meds Metronidazole - 0.4ml once a day for 10 days Pepto-Bismol - 0.5ml three times a day Peptobismol is no longer recommended for use in animals! Pepsid (famodtidine) - 1/8 tablet in suspension maximum, once a day (make sure to get the original strength 10mg famotidine tablets, NOT the extra strength) holisticferret.proboards.com/thread/5797/koda-threw?page=5
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Post by Deleted on Jul 10, 2013 18:28:18 GMT -5
The vet had you use 3 stomach coaters at the same time?
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Post by katt on Jul 10, 2013 19:15:07 GMT -5
I don't believe pepto is a coater. Koda's IBD was Very bad. It took a year to get it under control. The first 3 meds listed here are the standard treatment for IBD, referred to as "Triple Therapy." Metro and amoxi are both antibiotics.
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Post by Sherry on Jul 10, 2013 22:04:25 GMT -5
Boris was pretty much on the same. What many people don't understand is that IBD is fatal if not brought under control.
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Post by Deleted on Jul 11, 2013 5:21:55 GMT -5
Pepto and sucralfate are both stomach coating meds basically. Pepcid is an acid inhibitor.
Petpo is thought to work by: Retarding the expulsion of fluids into the digestive system by irritated tissues, by "coating" them. Reducing inflammation/irritation of stomach and intestinal lining Killing some bacteria that cause diarrhea. There is evidence that salicylic acid from hydrolysis of the drug is antimicrobial for E. coli.
Pepcid works by: Famotidine is a histamine H2-receptor antagonist that inhibits stomach acid production
Sucralfate works by: sucralfate is a sucrose sulfate-aluminium complex that binds to the mucosa, thus creating a physical barrier that impairs diffusion of hydrochloric acid in the gastrointestinal tract and prevents degradation of mucus by acid. It also stimulates bicarbonate output and acts like an acid buffer with cytoprotective properties
It seems very, very overkill is all. Pepto is also not recommended for use in ferrets anymore because of a formula change (and it's owned by P&G)
IBD is thought to be an autoimmune disease, at least in humans, I don't really understand why vets insist on cramming a ferret full of antibiotics. Ulcers can be caused by bacterial infections, but not IBD from what I understand. It will treat any secondary infections caused by damage from the IBD to intestinal linings and other things, but it's not going to treat the main issue at hand. Anti inflammatory drugs like pred should be a more effective treatment plus something to shut off the body's signal to attack itself, though I don't think we necessarily have that figured out yet? Or do we essentially need an antihistamine like IBD drug?
IBD is really something we need more research done on since there's a variety of different conditions causing it, and we don't really understand the how or why of it still, and the number of people having issues with it seems to possibly be rising.
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Post by Sherry on Jul 11, 2013 8:27:09 GMT -5
They do the antibiotics in case there is an accompanying bacterial overload involved, which makes the IBD worse very quickly. The over riding concern with IBD is to try bringing the watery stool under control as fast as is possible before they dehydrate to severely, and this frequently involves multiple meds.
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Post by katt on Jul 11, 2013 11:30:09 GMT -5
What Sherry said! Pred IS often used for IBD. Steroids are not something to be taken lightly though. It is best to try to get it under control by other means first. Ulcers and IBD often go hand in hand in ferrets, and since their GI tracts are a mess they are very prone to bacterial overgrowth (their gut flora is all over the place with all of the inflammation and excess mucous production). The two antibiotics are very standard for IBD and ulcers. They are usually used in conjunction with carafate. When your ferret hasn't had a solid poop in weeks, and is sunken in at the hips because their food passes right through, you do what you have to no matter how much you hate pumping them full of meds. This med regimen Works. Now it doesn't always work, sometimes with IBD nothing you do works. It is a rough disease. But in many cases this regimen helps to bring the problem under control enough. Usually just the triple therapy is used, but sometimes you have to do more. These meds aren't given constantly, they are given for about a week usually, give or take. They are given only when the symptoms warrant it. They help to get things under control enough so that other stuff (like diet change) can actually have an effect.
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Post by Sherry on Jul 11, 2013 11:43:26 GMT -5
Another med commonly used when none of the above work either singly or together is Imuran. It is an extremely sting immunosuppressant. Sometimes that will bring it back under control. And sometimes not Boris was one of those for whom nothing worked. By the time he died from IBD he had not a trace of fat anywhere in his body, not on his organs, nothing. Just a severely inflamed bowel.
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Post by Deleted on Aug 31, 2014 14:14:59 GMT -5
My vet told me to give my ferret peptobismal for an ongoing tummy issue. He has been on all the other meds listed above too, but I see that y'all do not recommend peptobismal. Does this pepsid work the same way as peptobismal ?
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Post by katt on Aug 31, 2014 14:43:03 GMT -5
Peptobismol is no longer recommended for use in animals. Pepsid should help to calm his tummy though.
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Post by Deleted on Aug 31, 2014 15:31:46 GMT -5
Thank u!
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Post by Deleted on Dec 2, 2014 22:37:02 GMT -5
Just reading all I can for 'Bear'. Looking to find more symptoms for IBD as well. I will call my Vet in morning to see if he got Carafate in yet(hope so), Unless the 'Ditrim' he was prescribed is similar. (forgot to google that again) The Vet actually asked me where did I find out about 'Carafate'...I told him ferret people I know we are pretty sure Bear has IBD but going back trying to remember how long he has had symptoms I might not have been aware of. Bear was a so little & bony just days ago from dehydration & IBD flare up (is it called?) but doing better every day. He is such a happy little love. Thank you everyone for all the information & every day help too! I'll ask vet about pepsid...amounts to give? Or look for amounts on here (I might have missed it).
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Post by thefluffybeasts on Jul 5, 2017 9:12:54 GMT -5
Some of mine have had flare-ups from vaccines and some proteins (i believe it's beef) - and my vet recommended 1ml kaopectate (to help coat the intestinal tract) before meals twice a day for about 3 days, or until poop starts to have good color and form again. A little papain in their food would be good for its anti-inflammatory properties too
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Post by Sherry on Jul 5, 2017 9:59:21 GMT -5
Kaopectate is in the same category as pepto unfortunately. They use an aspirin derivative which will make any issue worse over the long term, and if an ulcer is present can actually cause a bleed out.
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Post by thefluffybeasts on Jul 8, 2017 23:09:46 GMT -5
That is good to know! I have only used it once when my kits had mucousy poops over a week long, I was starting to worry as they weren't responding to any of the protocols.
What about cimetidine, Sherry? Is that in the same category? As I understood it, it's a stomach coater as well.
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