Is there a palatable Trimethoprim/sulphonamide preparation out there for medicating kittens with coccidiosis??

RE: Is there a palatable Trimethoprim/sulphonamide preparation out there for medicating kittens with coccidiosis??

Bob Russell — Fri, 11 Nov 2016 12:02:04 GMT

Cascade really is a guide only in a case like this. A professional is perfectly entitled to make a decision between a rabbit medicine, not licenced for cats or a well established and quite widely used human medicine.

There is absolutely no chance of the VMD getting involved in this situation!

RE: Is there a palatable Trimethoprim/sulphonamide preparation out there for medicating kittens with coccidiosis??

Evelyn Barbour-Hill — Fri, 11 Nov 2016 01:34:46 GMT

[quote user="Michael Woodhouse"]

[quote user="Evelyn Barbour-Hill"]Why not?[/quote]

Because there is a vet licensed preparation available.

[/quote]

You mean Sulfatrim? Yes, (although it's not licensed for cats as I recall), but if you've tried it and you know you cannot get it into a cat, reaching for Septrin is not only justified, it's your duty.

RE: Is there a palatable Trimethoprim/sulphonamide preparation out there for medicating kittens with coccidiosis??

Michael Woodhouse — Fri, 11 Nov 2016 01:22:28 GMT

[quote user="Evelyn Barbour-Hill"]Why not?[/quote]

Because there is a vet licensed preparation available.

RE: Is there a palatable Trimethoprim/sulphonamide preparation out there for medicating kittens with coccidiosis??

Evelyn Barbour-Hill — Fri, 11 Nov 2016 01:11:11 GMT

[quote user="Louise Jolliffe"]Septrin the human product which I know under cascade rules we shouldn't reach for[/quote]

Why not?

RE: Is there a palatable Trimethoprim/sulphonamide preparation out there for medicating kittens with coccidiosis??

Charlotte Marshall — Thu, 10 Nov 2016 22:43:07 GMT

There was some difficulty earlier this year in getting Septrin itself but there are generic human versions though I don't know what flavour they are. I have one rabbit owner who swears her rabbits won't take/get stasis on the licensed version and she used the human generic version.

RE: Is there a palatable Trimethoprim/sulphonamide preparation out there for medicating kittens with coccidiosis??

Julian Earl — Thu, 10 Nov 2016 09:57:19 GMT

Is Septrin liquid still available? Used under the cascade of course being a paediatric solution.

RE: Is there a palatable Trimethoprim/sulphonamide preparation out there for medicating kittens with coccidiosis??

Bob Russell — Wed, 09 Nov 2016 13:03:58 GMT

[quote user="Noweia"]

Norodine?

[/quote]

Discontinued!

RE: Is there a palatable Trimethoprim/sulphonamide preparation out there for medicating kittens with coccidiosis??

Noweia — Mon, 07 Nov 2016 21:49:09 GMT

Norodine?

RE: Is there a palatable Trimethoprim/sulphonamide preparation out there for medicating kittens with coccidiosis??

Michael Woodhouse — Mon, 07 Nov 2016 13:24:16 GMT

[quote user="Bob Russell"]Henry Schein have told us that Trimacare 20 's are discontinued as it seems are all the others. Hopefully a mistake but not listed any more![/quote]

No - it's true

RE: Is there a palatable Trimethoprim/sulphonamide preparation out there for medicating kittens with coccidiosis??

Bob Russell — Mon, 07 Nov 2016 12:52:52 GMT

Henry Schein have told us that Trimacare 20 's are discontinued as it seems are all the others. Hopefully a mistake but not listed any more!

RE: Is there a palatable Trimethoprim/sulphonamide preparation out there for medicating kittens with coccidiosis??

Thomas Johnson — Mon, 07 Nov 2016 11:08:36 GMT

I'm not sure about the palatability (it has coconut aroma on the ingredient list), but what about Sulfatrim:

http://www.noahcompendium.co.uk/publications/-460756/sulfatrim-oral-drops-for-rabbits--pigeons-and-bearded-dragons

RE: Is there a palatable Trimethoprim/sulphonamide preparation out there for medicating kittens with coccidiosis??

Kate Richardson — Mon, 07 Nov 2016 09:35:36 GMT

presume you're dealing with Isospora?

alternatives treatments- Baycox (sorry don't have dose to hand- Procox Bayer?)

clindamycin 10mg/kg po Sid 7 days

RE: Is there a palatable Trimethoprim/sulphonamide preparation out there for medicating kittens with coccidiosis??

David Mills — Mon, 07 Nov 2016 09:25:19 GMT

[quote user="Bob Russell"]

Can you still get any co-trim 20 tablets? We looked but could not find them listed. The larger tablets are not sugar coated!

[/quote]

Trimacare 20s.

RE: Is there a palatable Trimethoprim/sulphonamide preparation out there for medicating kittens with coccidiosis??

Hannah Wynne Richards — Mon, 07 Nov 2016 09:17:17 GMT

Would an injected prep get at something in the gut?

Wynne

RE: Is there a palatable Trimethoprim/sulphonamide preparation out there for medicating kittens with coccidiosis??

Bob Russell — Mon, 07 Nov 2016 09:05:47 GMT

Can you still get any co-trim 20 tablets? We looked but could not find them listed. The larger tablets are not sugar coated!

RE: Is there a palatable Trimethoprim/sulphonamide preparation out there for medicating kittens with coccidiosis??

David Mills — Sun, 06 Nov 2016 21:22:50 GMT

Septrin is banana flavoured. Not sure cats like that so much.

How often are you dosing the trimacare and are you splitting the tablets? An alternative is to give one tablet every 48h. I've found cats take the whole trimacares fairly well because they're coated. If you split them, the powdery inside is disgusting.

But yes, daily injections might be the answer. Norodine does sting a bit, though.

The other question is whether coccidiosis needs treating in kittens...

RE: Is there a palatable Trimethoprim/sulphonamide preparation out there for medicating kittens with coccidiosis??

Stephen Courtney — Sun, 06 Nov 2016 20:58:14 GMT

Thanks for clearing that up. I always found treating kittens with sulfa drugs a nightmare as cats have such a strong taste aversion reaction to them.

I remember an injection called Zaquilan - a 3 day sulfa something or other - which was great but it disappeared years ago.

RE: Is there a palatable Trimethoprim/sulphonamide preparation out there for medicating kittens with coccidiosis??

Michael Woodhouse — Sun, 06 Nov 2016 20:53:05 GMT

Betamox is amoxicillin, I was talking in general. Norodine 24 is fine in cats and well tolerated

RE: Is there a palatable Trimethoprim/sulphonamide preparation out there for medicating kittens with coccidiosis??

Stephen Courtney — Sun, 06 Nov 2016 20:48:01 GMT

I always thought Septrin was as poorly tolerated in cats as any other sulfa / trim preparation?

Septrin is still available as a human product, and there is no reason why you cannot prescribe it under the Cascade if you have a reason to and have tried the licensed alternatives.

Is Betamox a sulfa preparation? We don't stock it, but the name makes it sound like amoxycillin which would have no effect on coccidia.

RE: Is there a palatable Trimethoprim/sulphonamide preparation out there for medicating kittens with coccidiosis??

Emily Rainbow — Sun, 06 Nov 2016 18:56:10 GMT

Can you no longer get hold of septrin?

RE: Is there a palatable Trimethoprim/sulphonamide preparation out there for medicating kittens with coccidiosis??

Michael Woodhouse — Sun, 06 Nov 2016 16:20:58 GMT

I'd just get owners to inject daily. So simple and easy.

We re in a rural area and (when I did more small animal work) it was rare to dispense oral medication for a cat. The owner compliance is shockingly bad.

It's easier injecting 0.5ml of Betamox into the scruff than messing about giving insulin in a tiny insulin syringe - you wouldn't think twice about doing that.