Palatable amoxicillin?

RE: Palatable amoxicillin?

Sarah Keir — Thu, 14 Apr 2016 10:21:57 GMT

For the few cat bite abscesses that need antibiotics (so probably the cellulitis ones not a true abscess and cat is unwell with it) then we give Amoxypen LA injection and rev in 2 days to see if the abscess then ripe for lancing and flushing (if wasn't at first appointment). Oral medications mostly have poor compliance with cats/owners.

Sarah

RE: Palatable amoxicillin?

Beats — Wed, 13 Apr 2016 19:37:32 GMT

[quote user="Fiona French"]the only amoxicillin tablets that seem to be available are the Animalcare Amoxycare tablets, that are big and chalky and smell foul[/quote]

I've never seen them, but "Amoxibactin" from Dechra are apparently chicken flavoured (and come in 50mg rather than 40mg:

http://www.vmd.defra.gov.uk/ProductInformationDatabase/SPC_Documents/SPC_697208.DOC

If you try them and they're any good let me know!

RE: Palatable amoxicillin?

Beats — Tue, 12 Apr 2016 16:28:56 GMT

I have used Betamox Palatable Drops for cats (Norbrook) [full dropper worth twice daily on to something tasty or squirted into mouth] for past 10 years with few complaints. Personally I only add clav if resistance to amoxy is suspected and the clav is expected to reach the site of infection in sufficicient quantities to add a beneficial effect - otherwise I'd consider it to just be an additional beta-lactamase resistance selector for the gut bugs.

RE: Palatable amoxicillin?

Bob Russell — Tue, 12 Apr 2016 11:20:15 GMT

We advised ampicillin to be given only with a small amount of food ie not with a meal. Seemed to be a perfectly competent antibiotic.

Over time there seems to have been a drift to more 'advanced' antibiotics where a simpler one has worked well. Not convinced this is because of clinical issues but pharmaceutical companies pushing more expensive (and profitable?) medicines.

Do dog bites get better more rapidly with amox/clav than amoxicillin? I am not convinced they do.

RE: Palatable amoxicillin?

Iain Richards — Tue, 12 Apr 2016 10:04:15 GMT

[quote user="Bob Russell"]

Similar reason for ampicillin to be replaced by amoxicillin a decade or more earlier!

[/quote]

Going out on a limb here, but I recall amoxycillin having a better oral absorption in the presence of food than ampicillin. I don't see a problem using clav-amox for a cat bite cellulitis.

Abscesses of course, being walled off, don't need antibiotics......

RE: Palatable amoxicillin?

Fiona French — Mon, 11 Apr 2016 21:03:50 GMT

[quote user="Michael Woodhouse"]

I'm not sure you will go to antibiotic stewardship hell for giving amoxyclav to a CBA (in fact I would if given the choice). I would continue with a single product on the shelf and maybe look to see where else you can use lesser drugs - we use quite a lot of sulphur drugs for pyoderma etc.

[/quote] That made me laugh :) Fair point....!

RE: Palatable amoxicillin?

Bob Russell — Mon, 11 Apr 2016 12:49:22 GMT

I would tend towards amoxyclav for serious bite wounds. Nisamox tastes pretty foul so I am not sure that most amoxiclavs are going to be better received by cats than others.

Kesium is our tablet of choice for cats but I use quite a lot of amoxicare capsules for dogs. I think the change from routine amoxicillin to routine amoxiclav happened when the price of synulox/nisamox etc, dropped closer to that of Clamoxyl! Hardly the most scientific reason to take a step up in antibiotics IMO!

Similar reason for ampicillin to be replaced by amoxicillin a decade or more earlier!

RE: Palatable amoxicillin?

Michael Woodhouse — Mon, 11 Apr 2016 12:24:17 GMT