曲安奈德 (去炎松)
別名: Vetalog, Kenalog, Aristospan
**寵物主人重要指引:** * **預期的副作用:** 您的寵物在服藥期間非常容易出現喝水量增加、排尿頻繁以及食慾大增的情況。請確保牠們隨時有乾淨的飲水,並增加帶牠們上廁所的次數。 * **切勿突然停藥:** 如果您的寵物已經服用此藥超過幾天,**絕對不要突然停藥**。服用此藥期間,身體自然的類固醇分泌會處於休眠狀態,突然停藥可能會引發危及生命的危機。請務必遵循獸醫師的逐漸減量計畫。 * **行為改變:** 有些寵物可能會比平時更常喘氣、顯得焦躁不安,或出現行為改變(如嗜睡或易怒)。如果情況嚴重,請聯繫您的獸醫師。 * **腸胃不適:** 請留意是否有嘔吐、腹瀉或排出黑色/柏油狀糞便,這可能是胃潰瘍的徵兆。 * **感染風險:** 因為此藥物會抑制免疫系統,請密切觀察寵物是否有任何感染跡象(例如無法癒合的皮膚傷口、發燒),並避免讓牠們接觸生病的動物。
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
- Glucocorticoid effects
- Pododermatitis, feline plasmacytic pharyngitis
- Pemphigus complex
- General therapy (Tablets)
- Inflammatory, allergic, or dermatological disorders (Injectable)
- Intralesional injection
- To prevent re-stricture after esophageal dilation
- Adjunctive treatment of miliary dermatitis
- Glucocorticoid effects
- Glucocorticoid effects
- Intra-articular injection
- Glucocorticoid effects
- Antiinflammatory effects
給藥方式
可能的副作用
- Polyuria (PU)
- Polydipsia (PD)
- Polyphagia (PP)
- Weight gain
- Panting (dogs)
- Dull, dry haircoat
- Vomiting and diarrhea
- Elevated liver enzymes (e.g., ALP)
- Pancreatitis
- Gastrointestinal ulceration
- Lipidemias
- Insulin resistance / Activation of diabetes mellitus
- Muscle wasting
- Behavioral changes (depression, lethargy, viciousness)
注意事項與禁忌
- Systemic fungal infections
- Viral infections
- Active tuberculosis
- Peptic ulcers
- Corneal ulcers
- Acute psychoses
- Cushingoid syndrome
- Idiopathic thrombocytopenia (IM administration)
- Hypersensitivity to the drug
- > **Tapering Required:** Animals receiving systemic glucocorticoids (other than short 'burst' therapy) must be tapered off slowly to allow endogenous ACTH and adrenal function to recover. * **Stress Dosing:** If a patient undergoes a stressor (surgery, trauma, illness) during tapering, additional glucocorticoids should be administered. * **Pregnancy Warning:** Corticosteroid therapy may induce parturition in large animal species during the latter stages of pregnancy. Teratogenic effects are possible with excessive doses early in pregnancy (FDA Category C). * **Growth Retardation:** Can retard growth when administered to young, growing animals. * **Disease Exacerbation:** Use with extreme caution in patients with diabetes mellitus, osteoporosis, predisposition to thrombophlebitis, hypertension, congestive heart failure (CHF), and renal insufficiency.
藥物相互作用
- Amphotericin B: May cause hypokalemia when administered concomitantly
- Opiate Analgesics / Local Anesthetics (Epidural): Combination in epidurals has caused serious CNS injuries and death; restrict volume to very small intrathecal test doses
- Anticholinesterase Agents (e.g., pyridostigmine): May lead to profound muscle weakness in myasthenia gravis patients; discontinue 24h prior if possible
- Aspirin: Glucocorticoids may reduce salicylate blood levels
- Barbiturates: May increase the metabolism of glucocorticoids and decrease blood levels
- Cyclophosphamide: Glucocorticoids may inhibit hepatic metabolism of cyclophosphamide; dosage adjustments may be required
- Cyclosporine: May mutually inhibit hepatic metabolism, increasing blood levels of both drugs
- Potassium-depleting Diuretics (e.g., spironolactone): May cause hypokalemia
- Erythromycin, Clarithromycin: May increase triamcinolone levels
- Estrogens: May potentiate the effects of triamcinolone
常見問題
曲安奈德 (去炎松)用於寵物有什麼用途?
**寵物主人重要指引:** * **預期的副作用:** 您的寵物在服藥期間非常容易出現喝水量增加、排尿頻繁以及食慾大增的情況。請確保牠們隨時有乾淨的飲水,並增加帶牠們上廁所的次數。 * **切勿突然停藥:** 如果您的寵物已經服用此藥超過幾天,**絕對不要突然停藥**。服用此藥期間,身體自然的類固醇分泌會處於休眠狀態,突然停藥可能會引發危及生命的危機。請務必遵循獸醫師的逐漸減量計畫。 * **行為改變:** 有些寵物可能會比平時更常喘氣、顯得焦躁不安,或出現行為改變(如嗜睡或易怒)。如果情況嚴重,請聯繫您的獸醫師。 * **腸胃不適:** 請留意是否有嘔吐、腹瀉或排出黑色/柏油狀糞便,這可能是胃潰瘍的徵兆。 * **感染風險:** 因為此藥物會抑制免疫系統,請密切觀察寵物是否有任何感染跡象(例如無法癒合的皮膚傷口、發燒),並避免讓牠們接觸生病的動物。
曲安奈德 (去炎松)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。