Entamoeba cysts/Metronidazole

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Entamoeba cysts/Metronidazole

Postby AmberA » Tue Jul 13, 2021 5:58 pm

I had a fecal done this week for my beardie Velma as she has been lethargic, hiding quite a bit, and slightly off her food, and it showed a moderate level of Entamoeba cysts. My vet prescribed Metronidazole, suspension 50 mg/ml, dosed at 1ml, every other day for ten days. I am unsure of the depth of this vet's experience or knowledge with reptiles and I am far more familiar with medication dosing amounts for our domestic animals as opposed to reptiles. I am wondering if anybody can at least let me know if this dosage sounds remotely appropriate for a small beardie, she weighs 390.2 grams at 2 years old. I just picked up this med today and have not administered it as of yet, as I am so concerned with overdosing her accidentally.
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Re: Entamoeba cysts/Metronidazole

Postby Drache613 » Thu Jul 22, 2021 1:02 am

Hello,

I can definitely help out with dosing, if you need. At her weight, her dose should only be .4ml
which is a dose of 50mg/kg. I don't think that dose should really be any higher. Especially with
just a moderate level it isn't warranted to be any higher dose.
Are you planning on giving any probiotics for her while she is on the medication? While it is a
relatively mild medication, a lot of times it can still cause an intestinal imbalance.

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Re: Entamoeba cysts/Metronidazole

Postby AmberA » Thu Jul 22, 2021 11:02 am

Thanks for the reply! This is exactly what I thought, the dose given by the vet seemed very high to me. I have been attempting to do a large amount of research and did start medicating her at .5 ml, but will bring that down to .4. She is doing ok, but is not eating her salads per usual, just a bite or two here and there, and also just wants to hide, with some black bearding every so often, but I assume it's due to her stomach not feeling well, despite adding probiotics. She already gets Bene-Bac plus on a regular basis, so i will continue that, and I also have plain soy yogurt with beneficial bacteria added that I have given her in between the meds.
Any other tips for me? Although I think she is handling it ok, I am quite concerned about her and just want to be sure I'm doing what's correct.
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Re: Entamoeba cysts/Metronidazole

Postby Drache613 » Fri Jul 23, 2021 12:42 am

Hello,

That's great you reduced the amount given, it will be much safer.
I hope she starts feeling better. The use of benebac & non dairy soy yogurt is fine, so you
can continue to use them to try & get her appetite improved.
You can give some baby food slurries if needed to help with nutritional intake. Is her weight
holding steady right now?
Let us know how she is doing.

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Re: Entamoeba cysts/Metronidazole

Postby AmberA » Fri Jul 23, 2021 9:41 am

Her weight is exactly the same, she is a small dragon and actually just slightly overweight, so I'm not concerned about that at this point. She does continue to eat a couple bites of salad some days, and does not refuse her bugs at all, which is what she really loves. I also like to give her pureed plain pumpkin and squash as a treat, which she licks up.
I did notice yesterday she had a slight tremor under her arm, near the armpit. This was after I medicated her, which does stress her a bit, although she is quite good for it. It did stop after a minute or two. Would this be related in any way to the med or to stress? I know that tremors can be a sign of poor supplementation or over supplementing, but she is on a strict schedule of calcium and vitamins, the same as she has been since I've had her, about a year and a half, so that would surprise me.

Thankyou again for all the help!
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