Date: 2010-03-31 21:59:56 UTC
Subject: [ferrethealth] Confused about ulcer treatment
My 7 year old female is being treated for a stubborn bleeding ulcer that we have been trying to get under control for a month and a half.
Our current medication regimen is-
.6 ml Carafate 4 x daily
1 ml Biaxin 3 x daily (we just began this)
1 ml Amoxi 2 x daily
.2 ml Pepcid ac
This is where my confusion begins- when to give the meds.
I have been giving the Carafate 10 minutes before I feed her, per doctors instruction. Is 10 minutes too early or is a half hour too late? (She DOES still grind her teeth toward the end of the feeding.)
I then give the Biaxin & Amoxi together after she eats, again per doctors instruction. I have read that Carafate interferes with the absorption of the medications. Am I giving them too soon after the Carafate?
Also, what does the Pepcid ac target?
I am also confused after reading this post by Dr. Williams in the archives- http://ferrethealth.org/archive/FHL5503
In which he states-
"In these cases (2 year old w/bleeding ulcer being treated w/ Biaxin & Amoxi), 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."
So has my vet jumped the gun by treating her with all of the meds from the start, thus making the ulcer worse? Should we have treated with just the Carafate?
Sorry for all the questions, I just want to be sure this is being treated properly and effectivly so this does not drag on any further.
Thank you! =)
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