Notes
Slide Show
Outline
1
Jake
2
Jake
3
Jake  2
4
Jake  3
5
Jake  4
6
Otic Cytology
7
Cytology
8
Assessment
  • 60% control of pruritus






  • Persistence of recurrent infections


9
Current Medications
  • Current Therapies
    • IVD Duck & Pot
    • Hyposensitization
    • Revolution
    • T4 supplement
    • Epi otic
    • Tresaderm
    • Malaseb shampoo
    • Clavamox
    • Tavist
    • Temaril-P
10
Owners Concerns
  • Current Therapies
    • IVD Duck & Pot
    • Hyposensitization
    • Revolution
    • T4 supplement
    • Epi otic
    • Tresaderm
    • Malaseb shampoo
    • Clavamox
    • Tavist
    • Temaril-P
11
Our Goal
  • Reduce monthly cost
  • Reduce symptoms


12
Dr. D


13
 
14
Cyclosporine
  • Neoral
    • 5mg/kg/day
    • taper
15
Cyclosporine Trial
  • Future Treatments
    • IVD Duck & Pot
    • Hyposensitization
    • Revolution - Interceptor
    • T4 supplement - reassess
    • Epi otic - Hexadene
    • Tresaderm
    • Malaseb shampoo
    • Clavamox
    • Tavist
    • Temaril-P
16
Alternatives
  • Current Therapies
    • IVD Duck & Pot  >>  Switch brands (Eukanuba)
    • Hyposensitization  >> Retest
    • Revolution  >>  Intercepter
    • T4 supplement  >>  reassess
    • Epi otic  >>  Hexadene / Malaseb flush
    • Tresaderm   >>  Otomax
    • Malaseb shampoo  >>  Ketochlor shampoo
    • Clavamox  >>  Based on culture
    • Tavist  >>  Antihistamine trials
    • Temaril-P  >>  Immunosuppression
17
~~~~~~~