To the best of my ability to determine, Promeris causes about 1 in 1000 cases of SEVERE skin drug reactions like PEMPHIGUS or EM or TEN.
This risk is too high if using the product for routine flea and tick control; resulting in about 2 cases each year; BAD!
For treating Demodex (every 2 weeks), this adverse event rate is more acceptable; resulting in about 1 case every few years.
September 13, 2009
Pseudomonas Otic Therapy
The consistently best treatment option for otitis caused by rods on cytology is a topical solution of trisEDTA mixed with enrofloxacin (4oz of trisEDTA with 12 cc of LA Baytril) filling the ear every 12 hours for 2 weeks.
NO ORAL antibiotics as they provide no benefit.
Oral high dose pred if the canal is extremely swollen and painful (for only 1 week).
Recheck in 2 weeks with cytology and if still severely infected based on cytology, anesthetize and flush the deep canal and bullae using an 8 fr red rubber catheter and LOTS of fluid.
then repeat the 2 weeks to TrisEDTA and Baytril treatment.
If still not improving on cytology, then culture and chase the results with concentrated antibiotic topicals.
NO ORAL antibiotics as they provide no benefit.
Oral high dose pred if the canal is extremely swollen and painful (for only 1 week).
Recheck in 2 weeks with cytology and if still severely infected based on cytology, anesthetize and flush the deep canal and bullae using an 8 fr red rubber catheter and LOTS of fluid.
then repeat the 2 weeks to TrisEDTA and Baytril treatment.
If still not improving on cytology, then culture and chase the results with concentrated antibiotic topicals.
DVM product alternatives
Chlorhexiderm >> Duoxo PS chlorhex
Malaseb Shampoo >> Ketochlor shampoo
Malaseb wipes >> Duoxo Pledgets
T8 Keto >> Dermapet TrizEDTA Keto
Relief HC spray >> Genesis
Relief Conditioner >> ResiCort Conditioner
OxyDex Shampoo >> Pyoben Shampoo
When the DVM products are available again, I would strongly recommend switching back to
T8 Keto and Malaseb Shampoo.
Malaseb Shampoo >> Ketochlor shampoo
Malaseb wipes >> Duoxo Pledgets
T8 Keto >> Dermapet TrizEDTA Keto
Relief HC spray >> Genesis
Relief Conditioner >> ResiCort Conditioner
OxyDex Shampoo >> Pyoben Shampoo
When the DVM products are available again, I would strongly recommend switching back to
T8 Keto and Malaseb Shampoo.
For God's sakes, Stop using pred!!!
If you do not frequently use steroids for arthritis, find a way to stop using them for itch.
Our profession has made great medical progress in the treatment of arthritis; limiting steroids use.
We need to do the same for allergies for the EXACT SAME reasons.
What are you really treating with the steroids?
Lets stop the slow, insidious destruction of our patients with steroids; PLEASE!
Helpful hints:
Treat LUMBAR itch with flea control!
Treat FOOT itch with allergy testing or Atopica!
Treat BUTT itch with a food trial!
Treat LEATHERY skin with antiyeast shampoo and ketoconazole!
Treat RASH with antibiotics!
Our profession has made great medical progress in the treatment of arthritis; limiting steroids use.
We need to do the same for allergies for the EXACT SAME reasons.
What are you really treating with the steroids?
Lets stop the slow, insidious destruction of our patients with steroids; PLEASE!
Helpful hints:
Treat LUMBAR itch with flea control!
Treat FOOT itch with allergy testing or Atopica!
Treat BUTT itch with a food trial!
Treat LEATHERY skin with antiyeast shampoo and ketoconazole!
Treat RASH with antibiotics!
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