VN November 2022

Vetnuus | November 2022 10 Exotic Animal Drug Dosage Chart (Birds, Reptiles and Amphibians) Dr Coetzee de Beer DRUG BIRD REPTILE (Snakes/lizards) AMPHIBIANS (Frogs/turtles) Acetylcysteine Alfaxalone - 10/mg/ml 2-4mg/kg IV to effect Mainly for species with syringeal bulla 6-15mg/kg IM/IV Frogs: 5-10mg/kg IM Chelonians: 15mg/kg IM Allopurinol 10-15mg/kg PO SID/BID 10-20mg/kg PO q24hrs Chelonian: 10 mg/kg PO q24h Amikacin 7-20mg/kg IM q12h (10) May cause myositis with IM inj; maintain hydration during use to reduce renal toxicosis Amoxicillin Clavulanic Acid – 83.3mg/ml 125-250mg/kg PO q12h (125) Amphotericin B – 5mg/ml 15-25mg/kg PO q12h Used for treating Macrorhabdus ornithogaster 1mg/kg IT q12h Used for syringeal fungal granulomas; may cause tracheitis Frogs: 1mg/kg ICe q24h Azithromycin (Zithromax) – 40mg/ml 40mg/kg PO q24h 40mg/kg PO q48h x 21 days Alternative treatment for Chlamydia 10mg/kg PO q3d (skin) OR q5d (resp) q7d (liver/kidney) Bromhexine – 0.8mg/ml 1.5mg/kg PO q24h /q12h 0.1-0.2mg/kg PO q24h Calcium EDTA – 100mg/ml 30-35mg/kg IM q12h 3-5 days then q3days (35) Maintain hydration during use to reduce renal toxicosis 10-40mg/kg IM q12h Calcium Gluconate - 100mg/ml 10-100mg/kg IM/IV Dilute 1:1 with saline/water for injection 100mg/kg IM q6h/q12h Calcium Glubionate Syrup – 22mg/ml 23-25mg/kg PO q24h (23) Can be given in water commonly sold as Calcibird (Medpet) – follow instructions 10mg/kg PO q12h/q24h prn Frogs: 1ml/kg PO q24h Cartrophen – 100mg/ml 3mg/kg SC once weekly for 4 weeks, then once monthly CBD Oil 8mg/ml THC 0% 8mg/kg PO q24h Celecoxib 10mg/kg PO q24h The exotic consult can be daunting if you are unaware of what medications can safely be used. Find here the dose rates we commonly use in practice. Be mindful that new dose rates can be determined by research and adjusted appropriately.