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My little diabetic mini pin got ringworm while staying at

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the vets for three days...
My little diabetic mini pin got ringworm while staying at the vets for three days and nights . We have been treating. Her for a month and she seems to not be
Responding to the medicine ketoconazole or the shampoo. Our vet seems out of
Options please help
Submitted: 2 years ago.Category: Dog Veterinary
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Answered in 5 hours by:
9/3/2015
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 2 years ago
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 31,695
Experience: University of California at Davis graduate veterinarian with 45 years of experience
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If you've seen no improvement with a combination of ketoconazole orally and a miconazole-containing shampoo, the diagnosis needs to be reconsidered or another antifungal drug tried. Itraconazole (Sporanox) dosed at 5-10 mg/kg daily with food is the drug of choice for many of us and fluconazole at 10 mg/kg daily with food or terbinafine dosed at 30-40 mg/kg daily are good alternatives. Candy is also handicapped by her diabetes which can make resolving skin infections more difficult than in dogs otherwise normal. Remember to bathe 1-2 times weekly (a shampoo containing a combination of chlorhexidine and ketoconazole or miconazole is recommended) and continue a systemic drug until 3-4 weeks beyond negative follow-up fungal culture results. The average duration of therapy is 8-12 weeks in dogs otherwise normal.

Please respond with further questions or concerns if you wish.

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Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 2 years ago
Hi,
I'm just following up on our conversation about Candy. How is everything going?
Dr. Michael Salkin
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Dr. Michael Salkin
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
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