Message Number: FHL5512 | New FHL Archives Search
From: "Drew Lindhoff"
Date: 2008-07-15 16:40:57 UTC
Subject: Re: [ferrethealth] Re: Reaction to Biaxin
To: <>

Dr. Williams:

Is Tagamet not good for use with Ferret ulcers? If I remember correctly, it does also come in a liquid form as well as in the tablet form. I had an ulcer, and it worked wonders for me.

Drew LIndhoff.

----- Original Message -----
From: Bruce Williams, DVM
Sent: Tuesday, July 15, 2008 9:21 AM
Subject: [ferrethealth] Re: Reaction to Biaxin

--- In, "Tressie" <tressiedu@...> wrote:
> I started her with the Biaxin, which she loved. Unfortunately, an
> hour later threw it all up with bloody mucous. My question, could
> she be allergic to it? I don't want to give it to her if it will
> cause her to vomit.
> Help! Should I go back to the dreaded Metronidazole/Amoxicillin
> combo??

Dear Tressie:

First of all, the prescribed treatments, both Biaxin/Amoxi and
Metronidazole/Amoxi are not treatments for ulcers, but for
Helicobacter, and I think in a 2-year-old with a bleeding ulcer,
would not be my first choice.

Ulcers are life-threatening, Helicobacter (which may be associated)
is not. Are you still giving the Sucralfate, and if so, how often?

In these cases, I generally don't give meds other than Sucralfate and
a bland diet for a number of days. The stress of giving a lot of
meds actually worsens ulcers in ferrets, not improves them. We can
always go back and treat the Helicobacter if we want.

Sucralfate should be given at a dose of 75mg/lb 10 minutes before a
meal, and no kibble! Duck Soup, baby food, a/d, Carnivore care -
these are all good bland diets that supply nutrients in a highly
digestible form.

I'm much higher on Sucralfate than Pepcid, as many of these animals
already have decreased stomach acid (a non-lethal problem in animals
with severe Helicobacter infection) and we can preserve acid
production and improve digestion without totally blocking the acid.
The sucralfate forms a temporary patch for the ulcer, and the rest is
washed away downstream.

I think it is unlikely you are seeing a reaction to the Biaxin - I
think it is more likely that your ferret is vomiting due to pain and
nausea of an ulcer that it not-pre-coated with Sucralfate.

With kindest regards,

Bruce Williams, DVM

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