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Mange Treatment Problems

Joyceb139

New Kit
Dear All - We are struggling with finding a cure for Fluffy, our Dutch rabbit, and would appreciate any thoughts. He was diagnosed with sarcoptic mange, but nothing seems to be working. He took an Ivermectin shot every two weeks for the last eight weeks, but it has not resolved the problem. His area and bedding were regularly cleaned and changed during treatment, but this has not helped. His companion has not been infected and they have been kept apart for the time being. Fluffy improved slightly after each shot of Ivermectin, but then starts itching again shortly thereafter and the crusts increase. On our visit last week, the veterinarian switched to Selamectin, which he applied topically between his shoulder blades, but that has not had any effect and he has worsened in the interim. The veterinarian suspects that he may have developed resistance to Ivermectin, which is the drug of choice for this condition. We have another appointment in a couple of days and the veterinarian said that he would try another drug related to Ivermectin, to see if that would give a positive result. We're not yet aware of the drug that he will administer during the next visit. We also don’t have many choices for veterinarians in our area. Any thoughts or recommendations would be highly appreciated as we can't stand his suffering and are feeling helpless. Many thanks.
 
There is a bath treatment which can be given but I've never known it used in rabbits. It'd also mean full baths every week which most rabbits would find highly stressful.
Hopefully someone else can come along with more helpful info.

I'd maybe discuss blood tests etc as he could have something underlying which is affecting his immune system, which could explain why your other rabbit is not affected.

Can I ask how the diagnosed sarcoptic mange?

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Dear All - We are struggling with finding a cure for Fluffy, our Dutch rabbit, and would appreciate any thoughts. He was diagnosed with sarcoptic mange, but nothing seems to be working. He took an Ivermectin shot every two weeks for the last eight weeks, but it has not resolved the problem. His area and bedding were regularly cleaned and changed during treatment, but this has not helped. His companion has not been infected and they have been kept apart for the time being. Fluffy improved slightly after each shot of Ivermectin, but then starts itching again shortly thereafter and the crusts increase. On our visit last week, the veterinarian switched to Selamectin, which he applied topically between his shoulder blades, but that has not had any effect and he has worsened in the interim. The veterinarian suspects that he may have developed resistance to Ivermectin, which is the drug of choice for this condition. We have another appointment in a couple of days and the veterinarian said that he would try another drug related to Ivermectin, to see if that would give a positive result. We're not yet aware of the drug that he will administer during the next visit. We also don’t have many choices for veterinarians in our area. Any thoughts or recommendations would be highly appreciated as we can't stand his suffering and are feeling helpless. Many thanks.


Hi Joyce and welcome to RU :wave:

I'm sorry Fluffy seems to have such an intractable issue. There's some info here:

http://www.medirabbit.com/EN/Skin_diseases/Parasitic/Mange/Sarcoptes.htm

.... and an alternative treatment of ...

Moxidectin (Quest® or Equest® - Fort Dodge) has proved efficacious in treating sarcoptic mange in rabbits. It has so far not shown secondary effects in rabbits when administrated orally, while secondary effects have sometimes been observed after subcutaneous administration.

This might be worth looking in to?

There's also another treatment you can think about:

http://www.cliniciansbrief.com/column/category/column/capsules/resolving-sarcoptic-mange-rabbits

2 doses of selamectin were very effective in the treatment of Sarcoptes infestation in rabbits.

There may also be something helpful here:

http://www.provet.co.uk/petfacts/healthtips/sarcoptes.htm

... and lastly (sorry for the long reply!) - is your vet aware that secondary bacterial infection may occur, requiring antibiotic cover?


Please let me know how it goes with you and Fluffy :D
 
Dear All - We are struggling with finding a cure for Fluffy, our Dutch rabbit, and would appreciate any thoughts. He was diagnosed with sarcoptic mange, but nothing seems to be working. He took an Ivermectin shot every two weeks for the last eight weeks, but it has not resolved the problem. His area and bedding were regularly cleaned and changed during treatment, but this has not helped. His companion has not been infected and they have been kept apart for the time being. Fluffy improved slightly after each shot of Ivermectin, but then starts itching again shortly thereafter and the crusts increase. On our visit last week, the veterinarian switched to Selamectin, which he applied topically between his shoulder blades, but that has not had any effect and he has worsened in the interim. The veterinarian suspects that he may have developed resistance to Ivermectin, which is the drug of choice for this condition. We have another appointment in a couple of days and the veterinarian said that he would try another drug related to Ivermectin, to see if that would give a positive result. We're not yet aware of the drug that he will administer during the next visit. We also don’t have many choices for veterinarians in our area. Any thoughts or recommendations would be highly appreciated as we can't stand his suffering and are feeling helpless. Many thanks.

Doramectin may be the drug that your Vet is going to try next :

http://www.ncbi.nlm.nih.gov/pubmed/16101801

http://wildpro.twycrosszoo.org/S/00dis/Parasitic/Sarcoptic_mange.htm
 
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