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Can isaderm be used without hibiscrub first

Sorrel

New Kit
Hello, my bunny Lily has a small scab next to her mouth; she's had it before but it keeps coming back, because she loves to chew with that side and aggravate it. Last time she had it the vet gave us a small tube of a gel called 'isaderm' (its normally for dogs but it works on bunnies) which helped before. The vet advised us to apply diluted hibiscrub first and then this gel, but now we've run out of hibiscrub but there's plenty of this gel, although it is a few months old... is it safe to use still? It's been tightly sealed, but I'm unsure.

I was wondering if anyone else's bunny has been given isaderm before for small wounds, and most of all, whether it can be applied without hibiscrub? Or should I just take Lily back to the vets?
 
Hello, my bunny Lily has a small scab next to her mouth; she's had it before but it keeps coming back, because she loves to chew with that side and aggravate it. Last time she had it the vet gave us a small tube of a gel called 'isaderm' (its normally for dogs but it works on bunnies) which helped before. The vet advised us to apply diluted hibiscrub first and then this gel, but now we've run out of hibiscrub but there's plenty of this gel, although it is a few months old... is it safe to use still? It's been tightly sealed, but I'm unsure.

I was wondering if anyone else's bunny has been given isaderm before for small wounds, and most of all, whether it can be applied without hibiscrub? Or should I just take Lily back to the vets?


Hi Sorrel and welcome to the Forum :wave:

Sorry to hear about Lily's recurring scab.

Isaderm contains an antibiotic (fusidic acid) and a steroid (betamethasone) which between them can kill infection and relieve itching. Because it's both antibiotic and steroid, I wouldn't use it without vet's advice, especially after a time interval. It could be unsafe now because of it having been opened for a few months - usually these things are recommended to be used up within a month, but occasionally a vet will suggest that it's still OK to use.

But mainly, I would want the vet to review Lily and see why the scab is returning and what can be done permanently to prevent it.

I have also a thought that the scab may be caused by rabbit syphilis. You can read more about that here:

http://www.medirabbit.com/EN/Skin_diseases/Bacterial/Syph_gen.html

https://vcahospitals.com/know-your-pet/rabbit-syphilis-or-treponematosis

The treatment for this is simple and inexpensive. It is injections of penicillin (NEVER ORAL), repeated 4 - 6 times at intervals of 5 to 7 days.

I would definitely run this by your vet, as if this is causing the scab, the treatment I've suggested will effect a permanent cure :)
 
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