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Hi. I'm Dr. Lee and will do my best to help.
Is she having difficulty breathing?
Any wheezing or coughing?
Thanks for the update.
With these clinical signs, I also agree that nebulizer is not necessary, though it wouldn't hurt either. If you do want to use it, the problem is that albuterol usage requires a special adapter to use for cats, in order to dose it properly. The device usually takes a couple days to order as well. Having said that, I would suggest to ask your veterinarian for the following two medication instead of the current ones you are using.
1. Clavamox in place of Amoxi drops. Clavamox is a broader spectrum antibiotic and works better and gets more bugs.
2. Neo/Poly/Dex ophthalmic suspension. Eye drop suspension is easier to get into an eye that is shut vs a gel or ointment. As well, the dex in this preparation helps to get the inflammation/conjunctivitis down quickly so the eye can be open quicker.
Please let me know if you have any questions or concerns. Thanks.
I would respectfully XXXXX XXXXX that. Kittens do use steroids, no matter what age. But that depends on what the situation is. With these topical drops, we can using it locally. Granted, there will be a very little amount being absorbed systemically when applied topically, but it is not enough to affect the body especially when using it short term. If they do not like using Neo/Poly/Dex, then ask for flurbiprofen ophthalmic suspension. This is a eye non-steroidal anti-inflammatory drug that will help with decreasing inflammation (conjunctivitis) as well. If they don't have that, they can write a prescription for it as it is a human prescription item as well.
If they are willing to get you another eye drop, use that.
Again, I don't think nebulizer will help too much. But I would definitely recommend to ask for Clavamox oral suspension in place of Amoxi oral suspension. It is a much better broad spectrum drug.
As for feeding, every 4 hours is good. I would suggest to do that since she is still young. If you can get her onto the clavamox to help with the nasal problem/infection, and the eye drop (whatever they give) and if it works, you should see improvement in 3 days.
Yes. That is definitely too much. Clavamox is only a twice a day medication which means every 12 hours. For your kitten of 7 oz, give only 0.05 ml every 12 hours. That is more than enough. The amount you have been giving is way overdosing your kitten. Please give 0.05 ml starting at 9PM tonight, every 12 hours.
Tobra ophthal is fine to use, but again, there is no anti-imflammatory so it will take a while for that to work. You can put 1 drop to each eye 3 to 4 times a day. That is every 6 to 8 hours.
There is no need to give medication to other kittens if they are normal.
Actually the dose is correct. Dosing for a cat is 1.0 ml per 10 pounds.
For 9.3 oz, you should give Clavamox at 0.06 to 0.075 ml every 12 hours.
For your 14.3 oz kitten, you can give 0.09 to 0.1 ml every 12 hours.
I would not suggest giving saline into the nose. Same idea as nebulizer, not needed, but probably wouldn't hurt.
It should be ok for the Clavamox. Just stay with the above recommended dose.
As for the tobra eye drops, don't worry about overdosing. It's ok with the topical drop. It is simply another antibiotic drop, but again, does not contain any anti-inflammatory. But as long as she is doing better, that's good news. You can give this eye drop every 6 hours. The other ointment is the same, you can give it every 6 hours as well. Again, Tobra is a good drug, but I would prefer Neo/Poly/Dex.