Alizin for post whelping metritis

RE: Alizin for post whelping metritis

Clive Ansell — Sat, 13 Mar 2021 10:56:15 GMT

How long post whelping?

suckling puppies?

another for antibiotics, nsaid's, +/- oxytocin

RE: Alizin for post whelping metritis

Dinu Catilina — Sat, 13 Mar 2021 00:30:05 GMT

[quote userid="3169" url="~/001/veterinary-clinical/small-animal/medicine/f/discussions/29727/alizin-for-post-whelping-metritis/229071#229071"]

Why? Cervix should be open. Progesterone should be low

[/quote]

I would think the same. If the bitch had significant cystic endometritis than it's unlikely she would get pregnant in the first place. Now the progesterone is low and alizin won't do anything.

[quote userid="2186" url="~/001/veterinary-clinical/small-animal/medicine/f/discussions/29727/alizin-for-post-whelping-metritis/229073#229073"]

"prostaglandin f 2 alpha (in the United States) at a dose of 0.10-0.20 mg/kg q 12-24h for 3-5 days. "

[/quote]

You can use prostaglandines but I'm not sure why, there will be significant discharge from most bitches post partum for sometimes up to two months. Are you certain she requires treatment?

[quote userid="2186" url="~/001/veterinary-clinical/small-animal/medicine/f/discussions/29727/alizin-for-post-whelping-metritis/229073#229073"] Anyone tried a washout with a urinary catheter?? [/quote]

Yes, I did a few. But depending on how involuted the uterus is you might struggle to pass blindly a urinary catheter through the cervix. In a 25kg bitch the cervix is about 15-20 cm deep and quite vertical. When we did it to treat pyometra we had to use a rigid endoscope to catheterise the cervix ,we flushed with saline and you can also introduce prostaglandines intrauterine through the catheter, it's amazing how fast it works. Makes a horrible mess though.

[quote userid="12930" url="~/001/veterinary-clinical/small-animal/medicine/f/discussions/29727/alizin-for-post-whelping-metritis/229079#229079"] perhaps cabergoline would be best choice?? [/quote]

Cabergoline will stop the milk so bottle feeding for puppies and I'm not convinced it would help in post partum metritis.

[quote userid="17690" url="~/001/veterinary-clinical/small-animal/medicine/f/discussions/29727/alizin-for-post-whelping-metritis/229080#229080"]I saw a pretty grotty post whelping metritis bitch recently who did really well on pain relief and antibiotics [/quote]

This would be my approach as well and supportive treatment if required.

RE: Alizin for post whelping metritis

Freya . — Fri, 12 Mar 2021 23:50:08 GMT

I saw a pretty grotty post whelping metritis bitch recently who did really well on pain relief and antibiotics but when I looked it up at the time cabergoline was referenced as useful. We tried oxytocin but I suspect too late, didn't appear to do anything in any case. Didn't use Cabergoline for ours as started improving rapidly as soon as started antibiotics.

RE: Alizin for post whelping metritis

Beats — Fri, 12 Mar 2021 22:17:14 GMT

[quote userid="2186" url="~/001/veterinary-clinical/small-animal/medicine/f/discussions/29727/alizin-for-post-whelping-metritis/229073#229073"]

What about Estrumate or something similar? Found this in one reference:

"prostaglandin f 2 alpha (in the United States) at a dose of 0.10-0.20 mg/kg q 12-24h for 3-5 days. "

[/quote]

I may recall incorrectly or have my hormones muddled, but I think as a young new graduate I gave a small breed pyometra that was refusing surgery an injection of prostaglandin. It stopped breathing according to the owner before he "resuscitated" it in the park shortly afterwards.

I kept my prostaglandins for cows after that and have not given a dog prostaglandin since. I believe them to be somewhat susceptible to adverse PG administration events (however this may well be dose related or some other known issue that has since been ironed out safely - still... not heard much of late on PG use in dogs, so I'd be EXTREMELY wary of what you read...

If choosing a hormonal treatment, perhaps cabergoline would be best choice?? or oxytocin if wishing uterine contraction??

RE: Alizin for post whelping metritis

Virginia Campbell — Fri, 12 Mar 2021 13:56:15 GMT

Good point. What about Estrumate or something similar? Found this in one reference:

"prostaglandin f 2 alpha (in the United States) at a dose of 0.10-0.20 mg/kg q 12-24h for 3-5 days. "

I'd really like to squish as much of that fluid out as I can; there's quite a bit it there. Anyone tried a washout with a urinary catheter??

RE: Alizin for post whelping metritis

Michael Woodhouse — Fri, 12 Mar 2021 13:46:34 GMT

Why? Cervix should be open. Progesterone should be low

Antibiotics, Nsaids.