Magda Upton

Thanks Scott, great reminder. I never use it in cats, just too scared. I reach for the Veraflox liquid (Pradofloxacin) in cats if I need a fluoroquinolone, great to read that the study showed no retinal damage at 6-10 x the dose, it’s only one study but comforting none the less. Thank you for sharing your knowledge and doing the hard work of interpreting the journals for us ☺️

Hi Georgina! Could you please comment on the anti protease activity of oral doxycycline when treating melting ulcers ? ☺️

Hi Scott!

Just one final question about PPI’s. Is there any evidence for use of PPI’s after gastrotomy surgery, with the theory being that a more neutral stomach pH helps the stomach to heal, and also for GDV’s, where the stomach wall has been compromised?

Thank you!

Very interesting topic – based on what you said, it sounds like it helps around half of patients and has the potential for not insignificant side effects. I was interested to hear what the FDA conditional approval entails as well. Hopefully by the time we see this in Australia there will be more or less evidence for it’s use.

My daughter is called Sybil, it’s such a rare name these days that I still pinch myself when I hear of someone else sharing it 🙂

Thanks Scott, very interesting!

Hi Scott!

Thanks for these two lectures, fantastic. I’ve always found faecal PCR results a bit useless/confusing so I don’t do it much, thank goodness these lectures have vindicated my thoughts and given me much better tools to approach these cases.

A few questions:

1. Fenbendazole. I jealously noted you seem to have granules where you are. Here we have liquid sheep drench, which is just awful to give, and Drontal tablets which contain the fenbendazole precursor febantel. Is the dose for febantel the same as fenbendazole, 50mg/kg SID for 5 days?

2. Probiotics. I hadn’t heard of Vivomixx but a Google search has shown it is available here through pharmacies (for people). We stock Protexin Synbiotic, ProKolin and ProKolin Enterogenic which is what I usually reach for and am quite happy with it – is there very compelling evidence for Vivomixx/VSL#3 over the Protexin brands? It may seem frivolous but Protexin is easier to give a client something readily in the consult room rather than send them to try to find it themselves (only available in specific places so there may be lots of running around therefore decreased compliance) plus the Protexin products seem very palatable and even cats will eat the product sprinkled on their food, so I am reluctant to change unless it’s much more beneficial.

3. I was fascinated to hear about FMT. I’m not sure I’ve heard of anyone doing it here. Can I ask how you do the retention enema – I assume you need to instill the faecal slurry while the dog/cat is sedated, would you then keep them sedated for a while so it doesn’t just trickle out as soon as the patient awakes? Do you just to it once, or multiple times? Interestingly I once had a hairdresser who had human ulcerative colitis and she did these weekly on herself – it seemed crazy to me at the time and was a bit too much information to be honest ha ha ha ha!!!

Thanks, Magda