普賴蘇濃 / 潑尼松龍
別名: Pred Forte, Pred Mild, Econopred, Econopred Plus, Mydrapred, PLT, Prednicare, Prednidale, Pred-forte
> **關鍵步驟**：如果您使用的是**醋酸鹽懸浮液**（例如 Pred Forte），每次使用前**必須用力搖勻**藥瓶。藥物成分會沉澱在底部，如果不搖勻，您滴入眼睛的將只剩水分。 * **給藥方式**：使用前請洗手。請勿讓滴管尖端接觸寵物的眼睛、眼瞼或任何其他表面，以防污染。 * **間隔時間**：如果您需要點多種眼藥水，每種藥物之間請至少等待 5 到 10 分鐘。 * **注意潰瘍徵兆**：類固醇會延緩癒合。如果寵物的眼睛變得更紅、混濁，或者開始瞇眼、抓撓眼睛，**請立即停藥並聯繫您的獸醫師**。這可能表示有角膜刮傷或潰瘍。 * **全身性症狀**：即使是眼藥水也可能被身體吸收。請觀察寵物是否有喝水量增加、排尿量增加或食慾增加的情況，並向獸醫師報告。
劑量必須由獸醫依你寵物的個別情況決定。切勿在沒有獸醫指導下給予人類藥物或其他寵物的處方藥。
用途
- Severe anterior uveitis
- Moderate to mild uveitis / Post-operative anterior segment surgery
- Feline IMHA Induction
- Severe anterior uveitis
- Moderate to mild uveitis / Post-operative anterior segment surgery
- Severe anterior uveitis
- Moderate to mild uveitis / Post-operative anterior segment surgery
- IMHA / IMTP Induction
- Steroid-responsive meningitis Induction
給藥方式
可能的副作用
- Systemic absorption leading to iatrogenic hyperadrenocorticism (PU/PD/PP, panting, alopecia)
- Insulin resistance and destabilization of diabetes mellitus
- Delayed corneal healing
- Potentiation or exacerbation of ocular infections (bacterial, viral, fungal)
- Corneal degeneration or calcification (with long-term topical use)
- Hypothalamic-pituitary axis (HPA) suppression
- Adrenal atrophy
- Proteinuria and glomerular changes (dogs)
- Weight loss and muscle atrophy (catabolic effects)
- Iatrogenic hyperadrenocorticism (Cushing's syndrome)
- Vomiting and diarrhoea
- Gastrointestinal ulceration
- Hyperglycaemia
注意事項與禁忌
- Corneal ulcers (absolute contraindication for topical use)
- Ocular viral infections (e.g., Feline Herpesvirus-1)
- Ocular fungal infections
- Use with extreme caution in patients with uncontrolled diabetes mellitus or systemic infectious diseases
- Pregnant animals
- Renal disease (systemic use)
- Diabetes mellitus (systemic use)
- Ulcerative keratitis (topical ophthalmic use)
- Systemic fungal infections
- Concurrent NSAID administration
- Corneal ulcers
- > **Important Warning**: Subconjunctival and topical steroids can be absorbed systemically. Use with extreme caution in patients with endocrinopathies (e.g., diabetes mellitus) or infectious diseases. Even frequent topical steroid application in small animal patients under 20 kg can cause difficulties with diabetes mellitus regulation. Once the peak inflammatory response has been suppressed, consider transitioning to nonsteroidal anti-inflammatory drugs (NSAIDs) for ongoing maintenance treatment to minimize systemic steroid exposure.
藥物相互作用
- Topical NSAIDs (e.g., flurbiprofen, diclofenac): Concurrent use may increase the risk of delayed corneal healing or corneal melting, though sometimes used together cautiously for severe inflammation.
- Insulin: Systemically absorbed prednisolone antagonizes insulin, increasing blood glucose and complicating diabetes regulation.
- Systemic NSAIDs: Increased risk of gastrointestinal ulceration if significant systemic absorption of prednisolone occurs.
- NSAIDs: Increased risk of gastrointestinal ulceration
- Acetazolamide: Increased risk of hypokalaemia
- Amphotericin B: Increased risk of hypokalaemia
- Potassium-depleting diuretics (e.g., furosemide, thiazides): Increased risk of hypokalaemia
- Phenytoin: Enhanced metabolism of corticosteroids
- Phenobarbital: Enhanced metabolism of corticosteroids
- Itraconazole: Decreased metabolism of corticosteroids
- Ciclosporin: Synergistic immunosuppression; may alter pharmacokinetics
常見問題
普賴蘇濃 / 潑尼松龍用於寵物有什麼用途？
> **關鍵步驟**：如果您使用的是**醋酸鹽懸浮液**（例如 Pred Forte），每次使用前**必須用力搖勻**藥瓶。藥物成分會沉澱在底部，如果不搖勻，您滴入眼睛的將只剩水分。 * **給藥方式**：使用前請洗手。請勿讓滴管尖端接觸寵物的眼睛、眼瞼或任何其他表面，以防污染。 * **間隔時間**：如果您需要點多種眼藥水，每種藥物之間請至少等待 5 到 10 分鐘。 * **注意潰瘍徵兆**：類固醇會延緩癒合。如果寵物的眼睛變得更紅、混濁，或者開始瞇眼、抓撓眼睛，**請立即停藥並聯繫您的獸醫師**。這可能表示有角膜刮傷或潰瘍。 * **全身性症狀**：即使是眼藥水也可能被身體吸收。請觀察寵物是否有喝水量增加、排尿量增加或食慾增加的情況，並向獸醫師報告。
普賴蘇濃 / 潑尼松龍對我的寵物安全嗎？
劑量必須由獸醫依你寵物的個別情況決定。切勿在沒有獸醫指導下給予人類藥物或其他寵物的處方藥。
本文僅供一般健康教育，不能取代專業獸醫意見。如寵物身體不適，請諮詢獸醫。