Tinkerbell Rash Update - Is Clavamox OK? - (Long)

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DD & Tinkerbell

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Clavamox, is it OK to give Tinkerbell Clavamox?

OK, $75.24 later, and I have a feeling I got off cheap, the vet, who had sorta been on my sh*t list for a couple of years for messing w/Tink's dose once against my specific instructions when I boarded Tink there for a couple of days a couple of yrs ago, scored a bunch of points with me today when she really listened to me and respected my wishes. She had scored a few a couple months ago when I took Tawny there too so the sh*t on the list was getting smaller...

First of course I reminded her that Tink had diabetes and then told her she was OTJ. I had taken a chart of Tink's #s since Oct 2010 and Dr. Penton really liked that. (She also liked the fact that I had a record of Tawny's BG #s when Tawny went there for her scheduled dental that was postponed a couple of months ago too - at least this vet (she is in another town about 20 miles away near my store) really likes the idea of home testing apparently as opposed to the one right here in Mayberry-in-the-Twilight-Zone (where we live) that told me at one point that I "shouldn't even be doing that" when referring to home testing.)

So anyway I told the vet right off the bat that I did not want Tink to have Convenia or Baytril or Metacam or steroids and she didn't get mad at me or anything. Another point.

Here is today's dx, I am pulling this right off the invoice: FACIAL LESIONS = RIGHT OF LATERAL OCULAR CANTHUS, LEFT CHEEK, VENTRAL NECK, LIPS, MUCOCUTANEOUS JUNCTION LESIONS OF ULCERS AND EROSIONS. NO FLEAS SEEN. SUSPECT EOSINOPHILIC GRANULOMA COMPLEX.

So this is what she suspects.

She talked about this being auto-immune & that it could be an allergic reaction to s/thg, like the frontline, or actual fleas. Dr P then said basically the same thing Jojo had said the other day about Tinkie having developed an allergy to the frontline - that even tho she'd had f-line b4 that didn't mean she hadn't developed an allergy to it now. Dr. Penton also asked me about whether or not there could have been actual exposure to fleas (& of course I am ashamed to say yes, it had been a couple of months since anybody had gotten any kind of treatment, however I had not actually seen any fleas so I only get half a dose of wet noodles, not a whole dose, right?) Dr. P also asked if Tink could have licked the Frontline off herself (no) but then wanted to know did some of the cats groom each other, did Tink groom others & could she have licked it off another (uhhh, duh, once again I am totally ashamed of myself for having exposed her/them to this, yes, this could have happened - but how do you sequester 18 cats from one another after a flea treatment, that's what I want to know).

So Dr. Penton really takes a lot of time and explains all this to me and shows me all these lesions and how the ones around Tink's mouth in particular really seem to represent this eosinophilic granuloma and then she says "You know how we treat this, right?" and I say "with steroids, right?" and she says "Yeah, usually, but we are going to start Tinkerbell on a course of antibiotics first and see what that does."

WOW! I was totally impressed by Dr. P's willingness to try this b4 dumping a bunch of steriods into a cat w/diabetes.

Then she said that she was going to do some research on whether or not just one or two steroid shots was likely to ... how did she put it? ...do something like "send a diabetic cat's pancreas back into being insulin dependent" or s/thg like that - you can tell I have no medical background, can't you?

I think she said that 1 or 2 steroid shots usually clear this thing up ... but of course by the time Dr P got around to telling me that I was pretty zoned out on data so I'm not really sure if that's what she said or not.

We did not do a biopsy.

The prescription is for Clavamox, twice a day. Is it OK to give Tink this? Also Dr Penton said it was ok to keep giving her the lysine, that it wasn't going to hurt her.
 
My cat Nomad is prone to skin infections and is on Clavamox now. In his case, we have never been able to specifically identify what causes it. In Nomad's case his scratching rather than the lesions per se is what leads to the infections. The clavamox does sometimes make Nomad vomit. Usually if I give him a quarter tablet of Pepcid (famotidine). 10mg tablets it contols the vomiting. You give one thing to solve one issue and then end up with side effects from that. It does get nerve racking!

I have so far decided against predisone because I know it sometimes exacerbates diabetes. In Nomad's case, giving him Benadryl. did decrease the scratching and inflamation; However, the Benadrl. Also made Nomad very sleepy all the time.

I have ten cats and you are right it is impossible to stop the cats from grooming each other after using topical flea products. You would have to do them one at a time and then isolate each cat for at least a day until the product completely drys. IIn reality who has time for that?

Good luck with tinkerbell and I am glad your vet seems to be more responsive to your input now.
 
Yes, Desi, Clavamox is fine. I would also add a probiotic to her food, something like Acidophiles, to ward off the diarrheas that is often a side effect of antibiotics.

Good vet visit report. I am glad the relationship is improving.
 
I gave Pepsid AC the last time I used Clavamox. I don't have time to post much because I'm late getting ready for work, but I hope Tink feels better and is relieved of the itching, super soon, like today. Hugs to you both.
 
Just chiming in to confirm what others have said: Clavamox is fine. My sugar kitty Jason (OTJ now) was on Clavamox for a solid month right after his diabetes diagnosis because he also had a systemic bacterial infection. Just make sure that you get fresh Clavamox if it's prescribed for more than 10 days - Clavamox (the liquid form, which I'm assuming is what your vet prescribed) is only good for 10 days after it's been made up. Definitely see about getting some probiotics as diarrhea is very likely - Jason had the nastiest diarrhea while he was on Clavamox.
 
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