From:
"Tressie"
Date: 2010-05-16 11:02:23 UTC
Subject: [ferrethealth] Re: URGENT: Extreme pain after 5 days post-op
To: ferrethealth@yahoogroups.com
Hi Julie,
>From Emergency Medicine in the Ferret by Christal Pollock, DVM, DABVP-Avian=
(2007):
Cisapride 0.5 mg/kg PO Every 8=9624 h
Metoclopramide 0.2=961.0 mg/kg PO, SC Every 6=968 h
1lb. 7 oz. =3D 1.44lbs =3D 0.65kg
PO =3D by mouth, oral route
SC =3D sub-q injection
Formulas:
Cisapride (0.5 x 0.65)divided by med concentration =3D single dose (xmL)
Metoclopramide (0.2 x 0.65) divided by med concentration (i.e., 5 mg/ml) =
=3D lower end dose (0.026mL) CONFIRM concentration.
(1.0 x 0.65) divided by med concentration (5mg/ml) =3D upper end dose (0.13=
mL) CONFIRM concentration.
The concentration should be on the bottle or the vial.
NOTE: Cisapride may increase sedation when used with benzodiazepine tranqui=
lizers like Valium!
Prokinetic drugs such as cisapride increase gastric motility and speed GI t=
ransit. This may affect the absorption of other oral medications.
Side effects of cisapride: GI symptoms including abdominal pain and diarrhe=
a are common.
Cisapride is more potent and has broader prokinetic activity than metoclopr=
amide, increasing the motility of the colon, as well as that of the esophag=
us, stomach, and small intestine (Merck Veterinary Manual).
If I am not happy with the veterinary care a ferret is receiving from a par=
ticular veterinary clinician I seek a second opinion, which any good profes=
sional will support. This is true for healthcare professionals working wit=
h animal companions as it is for those working with humans.
Tressie
--- In ferrethealth@yahoogroups.com, Julie <themoondancer811@...> wrote:
....
>
> Question (for you and anyone else) You had said, "The reglan can be done =
3 times daily and if you want oral you can even use cisapride"=C2=A0 Do you=
know the approx. dosage of the reglan if I were to use it 3 times daily? S=
he is 1 pd 7 oz at the moment.
>
> Also, do you find the cisapride has less side affects than the reglan?
> =C2=A0
> The drug company says this-
> =C2=A0
> "While cisapride and Reglan are similar in decreasing gastroesophageal re=
flux, Reglan is more likely to cause nervous system side effects such as ji=
tteriness, insomnia, sedation, or anxiety."
> =C2=A0
> Thanks
>
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