DRUG DOSAGE USEFUL INFORMATION
AMIKACIN
BRAND: AMIGLYDE-V 5mg/lb BID or TID, SQ or IM
.10cc/lb for 7 to 14 days Bactericidal, broad-spectrum antibiotic.
Good for respiratory infections. Can cause kidney damage, but it is not
at all common, however, encourage the rat to drink plenty of liquids to
be safe. Should be used for severe infections, or after other possible
drugs have failed. Relatively expensive. Prescription needed.
AMINOPHYLLINE
250mg/10mL solution 2.5 to 5mg/lb BID or TID, SQ
.10 to .20cc/lb Bronchodilator. Relaxes and expands bronchial tubes,
helping rats to breathe easier in cases of pneumonia. However, it should
be used with caution as it sometimes has a stimulant effect which can cause
an already stressed rat to have a panic attack. Injectable and oral forms
available. Inexpensive. Prescription needed.
AMOXICILLIN
BRANDS: AMOXI-DROPS, BIOMOX, ROBAMOX 10mg/lb BID, PO
.20cc/lb for 10 to 14 days Bactericidal, mild broad-spectrum antibiotic.
Good to prevent infection after surgery or injury, for urinary tract infections,
or secondary infections. Does not attack mycoplasma directly, but in cases
of multi-factorial infection, may kill off the secondary infection allowing
the immune system to get the mycoplasma infection back in check. Works
well in combination with Gentocin. Bubble Gum flavored — most rats like
it. Inexpensive. Prescription needed.
AMOXICILLIN TRIHYDRATE
BRAND: CLAVAMOX 6.25mg/lb BID, PO
.15cc/lb for 10 to 14 days Bactericidal, slightly more broad-spectrum
antibiotic than amoxicillin. Good to prevent infection after surgery or
injury, for urinary tract infections, or secondary infections. Does not
attack mycoplasma directly, but in cases of multi-factorial infection,
may kill off the secondary infection allowing the immune system to get
the mycoplasma infection back in check. Works well in combination with
Gentocin. Especially good for treating skin and soft tissue infections
such as abscesses. Tasty and easy to give. Inexpensive. Prescription needed.
AZITHROMYCIN
BRAND: ZITHROMAX
PFIZER 4 to 8mg/lb BID-SID, PO
.1 to .2cc/lb BID for the first 14 days, then .1 to .2cc/lb SID for
another 14 days, if needed Bacteriostatic, broad-spectrum antibiotic. Good
for respiratory infections. Has been shown to have excellent results on
younger rats, but is less effective on chronic, older rats. Use in combination
with Doxycycline for better results in these cases. (Caution: there have
been two reported cases of stroke using this combination, although they
have not been definitively connected to use of either drug.) Does attack
mycoplasma specifically. Cherry flavored — most rats love it. Expensive.
Prescription needed.
CEFADROXIL
BRAND: CEFA-DROPS
FORT DODGE 10mg/lb BID, PO
.20cc/lb for 10 to 30 days Bactericidal, broad-spectrum antibiotic.
Great to prevent infection after surgery or injury, for urinary tract infections,
or secondary infections. Does not attack mycoplasma directly, but in cases
of multi-factorial infection, may kill off the secondary infection allowing
the immune system to get the mycoplasma infection back in check. Works
well in combination with Gentocin. Pineapple-Orange flavored — most rats
love it. Relatively inexpensive. Prescription needed.
CHLORAMPHENICOL PALMITATE
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CHLORAMPHENICOL SODIUM SUCCINATE 25 to 90mg/lb TID, PO
Must be obtained from compounding pharmacy
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15 to 25mg/lb BID, SQ or IM
.15cc to .25cc/lb for 7 to 14 days Bacteriostatic, broad-spectrum antibiotic
that penetrates tissues other antibiotics cannot (e.g., central nervous
system and eyes). Effective against mycoplasma. Should not be used in combination
with Tylan, Erythromycin, or Zithromax. Use with caution. Oral form may
be obtained from a compounding pharmacy. Mixed to order in any flavor you
request. Expensive. Prescription needed.
CISAPRIDE .2 to .4mg/lb May be helpful in some cases of Megacolon (bloat).
Success has been achieved in a small number of rats with this condition,
however, there are still no known cases of it working for babies found
to have megacolon. Prescription needed. Note: Rumor has it that this drug
will soon be discontinued in the United States.
DEXAMETHASONE
BRAND: AZIUM 2mg/mL solution .05 to 1mg/lb SQ or IM
.025 to .15cc/lb Quick-acting anti-inflammatory corticosteroid which
can be used as supportive therapy in inflammatory conditions such as pneumonia,
inner-ear infections (wry neck/head-tilt), and injury. Use only for very
short periods. Can be expensive if purchased as single injections in veterinary
clinics. Prescription needed.
DOXYCYCLINE
100 mg capsule in 4cc water/fresh daily 2.5mg/lb BID, PO
.10cc/lb for 14 to 30 days Bacteriostatic, broad-spectrum antibiotic
related to tetracycline, but better. Active against mycoplasma. Great used
in combination with Baytril or Zithromax. (Caution: there have been two
reported cases of stroke using this combination, although they have not
been definitively connected to use of either drug.) No milk products with
this drug. Drug company will not guarantee drug stability beyond one day
after mixing. Horrible taste when mixed with water, but there is some controversy
over efficacy when mixed with VAL syrup. Inexpensive. Prescription needed.
ENROFLOXACIN
BRAND: BAYTRIL 2.27%
CIPROFLOXACIN
(human equivalent) 5mg/lb BID, PO
.20cc/lb for 14 to 30 days(INCREASED 4 TIMES)
2.5 to 5mg/lb BID, PO Bactericidal, broad-spectrum antibiotic once
touted as being the miracle drug for mycoplasma, but we've found that using
the recommended dose, symptoms return very soon after ending treatment
(although some rat owners report having excellent results). Better results
have been achieved using much higher doses (as shown). Use in combination
with Doxycycline for best results. Injectable form tastes horrible and
must be mixed with something to make it palatable. Can also be nebulized.
Relatively expensive. Prescription needed.
ERYTHROMYCIN
BRAND: ORNACYN PET SHOP BIRD MEDICATION 5 to 10mg/lb TID, PO
1/2 to 1 tablet in 2oz. water mixed fresh daily or 1/8 tablet mixed
in food TID Related to Tylosin, but common side effect is gastrointestinal
upset so it's probably best to use Tylosin for mycoplasma symptoms. However,
it can also be effective against Strep, Staph, and Corynebacterium infections.
Should not be used with Chloramphenicol or the Lincosamides. Injectable
form is painful. No prescription needed. Inexpensive. NOTE: PET SHOP BIRD
ANTIBIOTICS ARE NOT VETERINARIAN RECOMMENDED
GENTAMICIN
BRAND: GENTOCIN 40 mg/mL solution
Generics available 1 to 2mg/lb BID, SQ or IM
.025 to .05cc/lb, BID for 7 to 14 days Bactericidal, broad-spectrum
antibiotic. Great for treating severe respiratory disease and secondary
bacterial infections. Best used in combination with Cefa-Drops, Clavamox,
or Amoxicillin. Can cause kidney damage, but it is not at all common, however,
encourage the rat to drink plenty of liquids to be safe. Can also cause
problems with the inner ear resulting in loss of coordination (also rare).TOXICITY
STUDIES: No toxic effects were observed in rats given gentamicin sulfate
9.09 mg/lb once daily for 24 days.
IVERMECTIN
BRAND: IVOMEC
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HORSE WORMER PASTEBRAND: ZIMECTERIN, ROTECTIN 1, EQUIMECTRIN
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SELEMECTIN TOPICALBRAND: REVOLUTION
(mauve package labeled for kittens) 100 to 200 mcg/lb PO or SQ
Once a week for 3 weeks
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Once a week for 3 weeks
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TOPICAL: .10mL Once per month A systemic parasiticide used to rid rats
of mites and lice and most internal parasites (pinworms, roundworms, etc.
— not effective against tapeworms). The Ivermectin gets into the bloodstream
and when the mite or louse bites the rat and drinks the blood, the bug
dies. Injectable form can be used by injection or orally, however, Ivermectin
is safer to use orally. Non-prescription, inexpensive.
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Use horse wormer paste orally, the size of an uncooked grain of white
rice once a week for three weeks. Non-prescription, inexpensive.
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TOPICAL: application of selamectin can be less stressful for rats than
injection. Follow directions on package. Prescription needed, somewhat
expensive.
PRAZIQUANTEL
BRAND: DRONCIT 5mg/lb SQ
Once, and again 10 days Treatment for tapeworms. Prescription needed.
Relatively expensive.
PREDNISONEORAL SOLUTION
1mg/mL .25 to 1mg/lb SID, PO
.25 to 1cc/lb Anti-inflammatory corticosteroid which can be used as
supportive therapy in inflammatory conditions such as pneumonia, inner-ear
infections (wry neck/head-tilt), injury and cases of pituitary tumors.
Use only for short periods in most cases as it depresses the immune system.
However, it can be used long-term for chronic or advanced cases of respiratory
disease (reduces inflammation of lungs making breathing easier). Available
in palatable pediatric oral solution. Can be relatively expensive. Prescription
needed.
SULFAMETHOXAZOLE/ TRIMETHOPRIM
BRANDS: TRIBRISSEN, COTRIM, BACTRIM, SEPTRA 15mg/lb BID, PO
.15cc/lb Bactericidal, broad-spectrum combination (antibiotic) active
against many secondary infections, but not mycoplasma. Great for urinary
tract infections. Tastes terrible, so is difficult to get rats to take.
Prescription needed. Inexpensive. Note: Sulfonamides without Trimethoprim
are bacteriostatic.
TETRACYCLINE
BRAND: PANMYCIN
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BRAND: TERRAMYCIN SOLUBLE POWDER
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TETRACYCLINE CAPSULES 5 to 10mg/lb TID, PO
.05 to .10cc/lb
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1/2 to 1 teaspoon/8 oz water/Fresh daily
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500mg of powder from capsules mixed into 1 litre of water Bacteriostatic,
broad-spectrum antibiotic. Good for treating mild respiratory infections
and to prevent infection after surgery or injury. Active against mycoplasma.
No milk products with this drug. Panmycin is prescription only. Inexpensive.
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When Terramycin is mixed in water bottle, be sure to cover the bottle
as the drug is light sensitive. You can keep the mixture in the refrigerator
for 3 days, changing the water bottles on the cages daily. Place once ounce
per rat in the water bottle daily. No prescription needed. Can be found
in feed/tack stores. Inexpensive, but treating in the water is not desired.
Remove moist foods from diet while treating with medication in the water
to encourage drinking.
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When tetracycline capsules are emptied into water bottle, be sure to
cover the bottle as the drug is light sensitive. You can keep the mixture
in the refrigerator for 3 days, changing the water bottles on the cages
daily. Place once ounce per rat in the water bottle daily. Prescription/non-prescription
available. Inexpensive, but treating in the water is not desired. Remove
moist foods from diet while treating with medication in the water to encourage
drinking.
TYLOSIN
BRAND: TYLAN SOLUBLE POWDER 4.5mg/lb BID, PO, SQ or IM
66mg per litre of water
1/8 teaspoon/8 oz water/Fresh every 3 days Bacteriostatic antibiotic
used for treating mild and chronic symptoms of respiratory disease caused
by mycoplasma pulmonis. An injectable form is available, but pain and swelling
occur at the injection site. Remove moist foods from diet while Tylan is
in the water to encourage drinking. You may also add sugar to decrease
bitterness (change daily in this case). Should not be used with Chloramphenicol
or the Lincosamides. Not the drug of choice. Frequently has no effect on
symptoms. No prescription necessary. Inexpensive, but treating in the water
is not desired.
SID = ONCE DAILY
PO = ORALLY
BID = TWICE DAILY IM = INTRAMUSCULARLY (IM - NOT RECOMMENDED)
TID = THREE TIMES DAILY
SQ = SUBCUTANEOUSLY (SQ - INJECTED UNDER THE SKIN)
Bactericidal Antibiotics — Kills the invading bacteria. Bactericidal
antibiotics are the choice for severe, acute infections.
Bacteriostatic Antibiotics — Prevents invading bacteria from reproducing,
allowing immune system to kill them.
IMPORTANT NOTE — The effects of many bactericidal antibiotics may be
impaired when used in combination with bacteriostatic antibiotics. Please
take this into account when choosing your drug combinations.