She looks awesome!!! Yay DEKA! See, she's a fighter! I'm so happy for you and your son, you've been through the ringer and you have cared enough about her to devote a good portion of your time to helping her through this. Not many people care that much about their dragons, unfortunately, as Tracie already said, they're not dogs or cats so they're not that big a deal...I have always gotten upset even about my goldfish dying! Lol...
Just an FYI to, I had to take Dee Dee to my Certified Herp Vet yesterday (I haven't been on here much because he took a turn for the worst). He has lost enough weight that I said "okay, time to go", and he got me in the same day I called (I just love him). Dee Dee has a horrible case of pinworms, an "infestation" as he put it...Then Nix, my year and almost 4 month old rescue with MBD had one visible in his poop, so off his fecal sample went this morning to be tested too, but he's going on the Panacur too. I've never really had a sick beardie except for a URI years ago that cleared in a day or two, so this is really troublesome for me. So far Izzy, my almost year old girl, is fine, she's not been sick a day in her life, so she's been exiled to my master bedroom upstairs with the door shut and a special pillow set up by the window (since she can't be in the big bay window downstairs). Izzy is not amused, she's more upset than Dee Dee is, lol. I even took a special 2 hour drive one way to Harrisburg to pick up 2 MegaRays and lamps that I set up around my bedroom for her, along with a ramp to the window, and I lugged her huge enclosure up their and put it on the floor, so she has free reign of my bedroom...Still not amused! I'm assuming that their last BSFL shipment was contaminated, so I tossed out about 700 worms, UHG. No one is amused here right now in Happy Valley...
Anyway, I asked my vet about treating a dragon for pinworms with Panacur while they were going through the first phases of treatment for gout with severe swelling, pain, lethargy, etc. He immediately spit out a suggestion that he formulated by himself for just that situation (and for coccidia too), and it blew me away...
He had a frilled dragon years ago with visceral gout who was on Allopurinol for most of his life, and just as he started to come around, lose the swelling, etc., he came down with pinworms that were visible in his feces. So he started researching and found that farmers have been treating their cattle, horses, and goats for pinworms with Panacur, in addition to rabbits with pinworms, with Alfalfa pellets that are medicated with Panacur. Since he was already feeding crushed alfalfa pellets to his dragon for a safe form of protein with his gout, he called Penn State's AgSci department to see what dosing they used, how they dosed the alfalfa, etc., and found out that many livestock and rabbit feed companies sell already medicated alfalfa pellets, both with Panacur for the pinworms, and with something for Coccidia as well, though I forget what medication he said they are available with to treat Coccidia...So he went to a Quality Farm and Fleet store (used to be here, now they're all Tractor Supply) and bought bags of the alfalfa pellets already medicated with Panacur and figured out the dosing. So now whenever he gets a dragon with gout (who he usually recommends alfalfa to anyway as their source of protein) who also tests positive for a high pinworm or coccidia infection, he gives them the correct dose of already medicated, crushed alfalfa pellets! He says he's had nothing but fantastic results with this treatment, no lethargy or lack of appetite from the Panacur or the other Coccidia medicated pellets, and it takes very little powder to treat a dragon, as the bulk from the alfalfa flushes the pinworms out to begin with, and the very small amount of Panacur that's in the powdered alfalfa stops the females from laying anymore eggs almost immediately. So it only takes one single dose of the Panacur medicated alfalfa pellet powder mixed into some baby food to completely eradicate the pinworms. He told me he's never had a single positive follow-up fecal test after one dose!!!
He keeps these tiny, plastic containers of already measured out doses of the crushed alfalfa pellet powder with labels on them that list what the powder is and the dosing instructions for one single dosing on them, and gives them out free of cost to his patients who test positive for high counts of pinworms. He gives this as a treatment to both his reptiles with and without gout because it works so much more effectively and efficiently than just dosing Panacur or a medication for Coccidia, and for the reptiles with gout it's an amazingly easy and harmless way to treat them for the parasites while they are already going through gout treatment!!! He buys the already medicated alfalfa pellets (both the ones with Panacur for pinworms and the ones with the medication that treats coccidia) at our local Tractor Supply, and he said he can get over a year's worth of doses for both from a 1 pound bag of each type of pellets. He said a single bag of medicated pellets costs around $9, unfortunately you have to buy a 1 pound bag and only need a few pellets from it, but he said it's still way cheaper than paying for multiple doses of Panacur or Toltrazuril.
So after the fecal tests he diagnosed Dee Dee with high counts of pinworms (coccidia was low so we're not treating it right now), and he gave me one of the little containers of medicated alfalfa powder. I mixed it with some squash baby food and some unflavored Pedialyte last night, it came to about 10ml of baby food to get all of the alfalfa powder fully mixed in and still liquid. So I gave Dee Dee 5ml of it after we got home and he'd been under his lights for about 2 hours, then put him back in his enclosure for a few hours while he just lazed around, then gave him the other 5ml about 3 hours before bed (7:00 p.m.). This morning I turned his lights on around 6:30 a.m. and saw nothing unusual, he woke up and gave me the usual morning stink-eye and crawled up on his hammock under his UVB tube. I ran to get coffee and some groceries and got back by 10:00 a.m. and he had left a huge but completely normal looking poop and urate in his tank, so I immediately went to clean it up (I already completely disinfected all 3 enclosures yesterday with hot water and Hibiclens), and that's when I saw that the poop was riddled with pinworms. Yuck. Lots of them. I called my vet before dropping off Nix's fecal sample this morning and told him about all the pinworms in Dee Dee's poop, and he said that's how the bulk in the alfalfa works, much like Psyllium Husk does as a laxative, and the Panacur should do its job too. He gave me a second dose of the medicated powder for Dee Dee and then 2 for Nix too, just to make sure we get all the eggs. So I'm going to give Dee Dee his second dose today and Nix his first dose today, then his second dose tomorrow, and that should do it.
The thing that I'm noticing that is important to me is today Dee Dee is running all over the place, his eyes look brighter and not at all sunken, his color is the same bright, stunning red it was before he started vomiting and stopped eating, and he's eaten a big bowl of greens already today along with taking a nice big drink of water out of the bowl I put in for him temporarily. So I'm anxious to get Nix's first dose of alfalfa in him because he's not looking like he feels well at all...The vet told me no live insects until after their second dose of medicated alfalfa pellets, just the pellets in the baby food, some greens, and water...
Sorry I rambled here, but I am just amazed by this considering that you're dealing with a dragon that has a bad case of gout and was diagnosed prior to the gout with Pinworms and Coccidia, and you've been feeding alfalfa pellets as a safe form of protein...I know you said that she hates the alfalfa, but it might be worth looking into as a safe, quick way to treat her for both the parasites without making her sick from giving her straight meds, plus she'll be getting the healthy protein at the same time...
This is why I love my CRV, he always thinks outside the box and finds different ways of treating reptiles other than just pumping them full of harsh prescription meds that always make them sick!!! And he loves Tractor Supply, lol. And he didn't charge me a cent for the office visit or the 4 doses of medicated alfalfa pellets, I only paid for the 2 fecal tests, a total of $40!!! And he's a Board-Certified Reptile Vet who has been practicing and treating ONLY reptiles and amphibians for over 20 years.