Now, if you’re fortunate enough that your fish are eating, then the rest of this tutorial is going to show you how to mix it with the food so that they ingest it. per 20 gallons (75.6L) every other day for three treatments, with 50% water 4changes in between. -Most serious anaerobic infections are treated with IV therapy initially; may switch to oral therapy when conditions warrant, based on severity of disease and patient response to IV therapy -Hysterectomy: Vaginal or abdominal Follow your doctor's orders or the directions on the label. -Most serious anaerobic infections are treated with IV therapy initially. Comments: If you see your discus is still eating you are lucky, cause this method of treating your ill discus fish is 10 times more effective than the previous methods. I’m going to take some of these wild pellets from Tropical. If you know that the lifespan of. Storage requirements: Here’s the thing about metronidazole that you guys have to understand. -Current guidelines should be consulted for additional information. After all, we’re here to treat your discus, we’re not here to give you a marine biology tour. Internally within the United States, yes, we can, not a problem. -Prophylactic use should be limited to the day of surgery, following the above guidelines; if signs of infection, specimens for culture should be obtained to identify causative organism(s) so that appropriate therapy may be administered. -Bismuth quadruple therapy: 500 mg orally 3 to 4 times a day for 14 days AAP Recommendations: Mild to Moderate Liver Dysfunction: No adjustment recommended. It’s like going to the gym and working out to lose weight and you come home and raid the refrigerator. -Lower respiratory tract infections (including pneumonia, empyema, lung abscess) due to Bacteroides species (including B fragilis group) However, in this article ( http://www.simplydiscus.com/library/...itiasis2.shtml) a dosage of 1000 mg/100 gr of food is proposed... What dosage is everyone using? But getting back to the ones that are not eating. ---Severe and complicated CDI may be characterized by intensive care unit admission, hypotension/shock, pseudomembranous colitis by endoscopy, ileus, or toxic megacolon. -IV: A single prophylactic dose is usually sufficient; if prophylaxis is continued postoperatively, duration should be less than 24 hours. -Urologic: Clean-contaminated. -Small intestine: Obstructed A dose range of between 5 and 25 mg/lb given by mouth is typical. If your dose is different, do not change it unless your doctor tells you to do so.The amount of medicine that you take depends on the strength of the medicine. -Neonates at least 1.2 kg and pediatric patients 1 month or older: 15 mg/kg IV as a single dose I stay away from them. -Appendectomy for uncomplicated appendicitis Now what we’re going to do is we’re going to put them on a paper towel. I was able to get some Metronidazole today, but am not sure of exact dose rate. What you’re going to do is you’re going to fold that in that liquid. So, once you cure it and put it back, common sense will tell you he’s going get it again. But do it fresh, because like I told you before, that eight-hour shelf life, if you make up your food, and you wait till next week to feed, whether it’s this or this, it will be useless because the. Some Experts Recommend: 250 mg orally 3 times a day for 5 to 7 days -Current guidelines should be consulted for additional information. -Bismuth quadruple therapy: 250 mg orally 4 times a day or 500 mg orally 3 to 4 times a day How long does it take metronidazole to leave your system? -The manufacturer product information should be consulted. -Current guidelines should be consulted for additional information. Hi We’re going to refer to the Hexamita as internal parasites throughout the entire video, just to make it a general thing. I brought this package in just to be able to show you guys how to do it with the bloodworms because we don’t use the bloodworms here at the hatchery at all. Loading dose: 15 mg/kg IV once as a single dose Infectious Diseases Society of America (IDSA) and Surgical Infection Society (SIS) Recommendations: 500 mg IV every 8 to 12 hours or 1500 mg IV every 24 hours severe [adolescents] Dose: 500 mg PO q12h x14 days; Info: part of multi-drug regimen, or in combo w/ azithromycin *bacterial vaginosis [treatment, preadolescents 45 kg] Dose: 15 mg/kg/day PO divided q12h x7 days; Max: 1 g/day -Appendectomy for uncomplicated appendicitis -Bismuth quadruple therapy: Consists of a proton pump inhibitor (PPI), bismuth, tetracycline, and a nitroimidazole Comments: And that’s it. Here’s the thing about metronidazole that you guys have to understand. The dose of metronidazole should be reduced as necessary. What you see is the shedding of the the intestinal lining and it's usually pretty distinctive. US BOXED WARNING: Maximum dose: 500 mg/dose Remember, if you’re going to feed right away, it’s going to work for you. -Postmenstrual age up to 34 weeks: 7.5 mg/kg IV every 12 hours -Recommended as a regimen to treat giardiasis 2 g orally as a single dose; 3-drug regimen that also includes ceftriaxone or cefixime, PLUS azithromycin or doxycycline (CDC STD guidelines, 2010) So, why do fish get Hexamita, or internal parasites? -Recommended to complete at least 14 days of therapy with doxycycline when tubo-ovarian abscess is present; provides more effective anaerobic coverage than doxycycline alone -In combination with cefotaxime, recommended for the treatment of necrotizing infections of the skin, fascia, and muscle due to mixed infections Every one of them. Consult WARNINGS section for additional precautions. Let all that excess water, as you guys can see, drain. Don’t put too much. Loading dose: 15 mg/kg IV; not to exceed 4 g/day . Preoperative dose: Acute intestinal amebiasis: 750 mg orally 3 times a day for 5 to 10 days Tablets: -Children at least 45 kg and adolescents: 2 g orally once as a single dose Cases of severe hepatotoxicity/acute hepatic failure, including cases with a fatal outcome with very rapid onset after treatment initiation in patients with Cockayne syndrome have been reported with products containing metronidazole … -First trimester of pregnancy in patients with trichomoniasis Now, this is provided that they are eating. Discus Forums > The Amazon Tank > Illness & Medications > Metronidazole and formaldehyde. Trichomoniasis in HIV-infected women: 500 mg orally twice a day for 7 days -IV: This drug should be started within 60 minutes before surgical incision. -Immediate-release tablet, capsule, and IV formulations: Dose should be reduced by 50%. -IV: If used with primary IV fluid system, stop the primary solution during infusion of this drug. QUESTION; CAN YOU USE BOTH THE METRODIAZALOLE TREATMENTS, THE TANK TREATMENT AND THE FOOD TREATMENT AT THE SAME TIME FOR AN EXTREME CASE OF EMACIATION IF THE FISH ARE STILLEATING ? Should you take probiotics with antibiotics. AAP Recommendations: -In areas where T vaginalis is prevalent, recommended for recurrent or persistent urethritis in males who have sex with females -Concomitant therapy: Consists of a PPI, clarithromycin, amoxicillin, and a nitroimidazole Loading dose: 15 mg/kg IV once as a single dose. We’re going to take our metronidazole and basically fold it right in. -Oral: 15 to 50 mg/kg/day orally in 3 divided doses Colorectal surgery prophylaxis: 1 g orally -Initial episode of nonsevere Clostridium difficile infection (CDI): 500 mg orally 3 times a day for 10 to 14 days -Fluoroquinolone sequential therapy: 5 to 7 days Comments: -Avoid missing doses and complete the entire course of therapy. Available for Android and iOS devices. -Head and neck: Clean-contaminated cancer surgery; other clean-contaminated procedures (excluding tonsillectomy, functional endoscopic sinus procedures) Higher doses may be given once daily, while lower doses are generally given twice daily. PATRICK O’BRIEN. -Maximum dose: 250 mg/dose Loading dose: 15 mg/kg IV once as a single dose If you want the details on Hexamita you can read about it at Wikipedia. . Comments: The dose of this medicine will be different for different patients. -Loading and maintenance doses should be infused IV over 1 hour. We have now Metronidazole on our website along with other medications. -Ingestion of alcohol or products containing propylene glycol during and for at least 3 days after discontinuing therapy -Infections of the lower respiratory tract and endocardium may require longer treatment. IDSA Recommendations: -The dose regimen should be individualized in females and males; some patients may tolerate 1 regimen more than the other. Beef hearts, spinach, crow meal, multivitamins, it’s all here. Internally within the United States, yes, we can, not a problem. Now, some of the fish that are here obviously are not sick. . THANK YOU FOR THE EXTREMELY HELPFUL INFO ON TREATING YOUR DISCUS, This is ready to go, and I’m going to show you in a couple of minutes. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. You can see how these guys are already active with it. Comments: Only one guy needs to show it, and then everybody else a week later has it. I WILL INCORPERATE THIS IN MY HATCHERY,I PRIMARILY USE DRY FOOD AS THEY EAT IT WELL. US CDC Recommendations: 500 to 750 mg orally 3 times a day for 5 days US CDC Recommendations: 2 g orally once as a single dose Comments: Maximum dose: 4 g/day. -Postmenstrual age greater than 40 weeks: 10 mg/kg IV every 8 hours -Tablets: Store below 25C (77F); protect from light. Now, I’m going to take you through the hatchery and I’m going to show you how I feed. Amebic liver abscess: 500 or 750 mg orally 3 times a day for 5 to 10 days -Infections of the bone and joint may require longer treatment. In some cases of sepsis or if a dogs airway is blocked, a vet may inject the drug. They’re going to eat the food anyway. When you start seeing that razor-thin forehead, where the eyes are popping out, and it looks like you basically took a piece of clay or dough and pinched it, and that’s what the forehead looks like, that’s your common sense denominator that should tell you, “Hey my discus have internal parasites.”. -May switch from IV to oral therapy when conditions warrant, based on severity of disease and patient response to IV therapy. Now they’re eating it. -Current guidelines should be consulted for additional information. -Necrotizing infection: 500 mg IV every 6 hours 10 day treatment, that’s it. 500 mg for a 70-kg adult). Ingesting it is 10 times [00:08:00] stronger than putting it in the water, and obviously you use a lot less, and it’s very, very simple to do. 25 grams will treat 2377 Gallons Directions: For all internal and external parasites. Remember, if they’re not eating, you’re just wasting food and medicine. -Sequential therapy: Consists of a PPI and amoxicillin initially followed by a PPI, clarithromycin, and a nitroimidazole ** Metronidazole is well tolerated by the elderly, but a pharmacokinetic study suggests cautious use of high dosage regimen in … Still, that’s not the only organism known to infect the gut of a Discus, with Hexamita and Spironucleus contributing to a lot of mortality in Discus every year. This is generally performed at double the "in tank" dose as per amount of water used in this bath. You’re going to put it right into the metronidazole powder and you’re going to mix it in. You’re going to put it into the– Boy, this is hard. We’re going to have a disclaimer on our website, it’s going to clearly state that you guys are using it strictly for your fish, okay, that’s the only way we can sell it to you. Severe renal dysfunction or ESRD (not on hemodialysis): Data not available Loading dose: 15 mg/kg IV once as a single dose -Recommended as an alternative regimen for balantidiasis due to Balantidium coli Or is there a problem in doing that. GABE for hearsay. Comments: Metronidazole Dose: 400-600 mg/100 liter for 3 days After this, aquarium water can be completely change or 50% waterchange combined with carbon filtration for at least 24-48 hours. First-line Regimens for Helicobacter pylori Infection: Your email address will not be published. Easy. In the food: mix 1 gm with 100 gm food and keep feeding this mixture for 3-5. Uses: As adjunctive therapy for the treatment of bone and joint infections due to Bacteroides species (including B fragilis group) QUESTION: WHERE CAN I BUY METRODIAZALOLE IN BULK AND WHOLESALE? IDSA and Society for Healthcare Epidemiology of America (SHEA) Recommendations: 99% of the time it’s frozen. CONTRAINDICATIONS: -IV: Reduce dose as needed. -Neonates less than 1.2 kg: 7.5 mg/kg IV as a single dose According to what I have read, learned, and experienced over the past years and also my personal opinion, the standard and the most effective dosage for the metronidazole, especially in a discus tank is 250 mg per 10 gallons of water every other day for up to 4 days with at least 50% water change before each dose. After all, we’re here to treat your discus, we’re not here to give you a marine biology tour. Comments: Select one or more newsletters to continue. * Children and babies weighing less than 10Kg should receive proportionally smaller doses. The usual adult oral dosage is 7.5 mg/kg every six hours (approx. -Clarithromycin-based triple therapy: Consists of a PPI, clarithromycin, and (amoxicillin or this drug) -Current guidelines should be consulted for additional information. -If treatment is considered, the recommended regimen in pregnant women is 2 g orally as a single dose; symptomatic women, at any stage of pregnancy, should be tested and considered for treatment. Now they’re eating it. We need to boost the temperature between 86 and 88. Because. -Maximum dose: 750 mg/dose -Head and neck: Clean-contaminated cancer surgery; other clean-contaminated procedures (excluding tonsillectomy, functional endoscopic sinus procedures) Whatever it is that you’re going to feed. -The first IV maintenance dose should be started 6 hours after the start of the loading dose. -May switch from IV to oral therapy when conditions warrant, based on severity of disease and patient response to IV therapy Comments: -Since anaerobic organisms are suspected in the etiology of PID, the addition of this drug should be considered; also effectively treats bacterial vaginosis, which is often associated with PID. Neonates: You can see how I do it like this. Comments: Treat with Metronidazole sold in pet stores as Hex-A-Mit or Metrozol. -IV: Redosing may be needed for unusually long procedures. You can see these guys are not emaciated or anything, but basically that’s a good way of doing the three-month treatment to make sure that you eradicate any internal parasites whatsoever. Don’t forget to check us out on, External Parasites And External Problems And Discus Medication. What if you had sex while using metronidazole vaginal gel? The following information includes only the average doses of this medicine. Now, all of this is if you’re going to be feeding them, like I said before, not if you’re going to be treating them. Intestinal parasites in Discus are vulnerable to several methods of clearance, not the least of which is Praziquantel. IDSA Recommendations: 500 mg orally 3 to 4 times a day Comments: -Discontinue use of alcoholic beverages or products containing propylene glycol while taking this drug and for at least 3 days after discontinuing use; abdominal cramps, nausea, vomiting, headaches, and flushing may occur. Dosage: 1/8 teaspoon per 30 gallons. You notice I always make a mess. Comments: -Colorectal Anaerobic Bacterial Infections In the treatment of most serious anaerobic infections, intravenous metronidazole is usually administered initially. Getting back to the treatment, we want to use one gram for every 20 gallons (75.71 l) of water. So, If you’ve got a 100 gallon (0.38 m³) tank, you’re going to need 5 grams. Medically reviewed by Drugs.com. -CNS infections (including meningitis, brain abscess) due to Bacteroides species (including B fragilis group) Now you can use water, you can use anything you want. IS THAT OVERKILL? -Hybrid therapy: 7 days I’m going to show you two ways of doing it. Now obviously if they don’t eat, like I said before, then you have to treat the entire tank, so they can absorb it through their, Take care, guys. -Postmenstrual age 35 to 40 weeks: 7.5 mg/kg IV every 8 hours Remember, high temperatures, low oxygen readings. Can be purchased online from several sources. -Current guidelines should be consulted for additional information. Basically because their immune system weakens, just like we catch colds, it’s very common. If a fish has internal parasites, the first thing you notice is the white poop, the white stringy poop, they leave it everywhere. When you boost the temperature to 86 or 88 in the fish tank, what ends up happening is you speed up their metabolic rate. -Recommended for vulvovaginitis due to bacterial vaginosis in children at least 45 kg and adolescents When you boost the temperature to 86 or 88 in the fish tank, what ends up happening is you speed up their metabolic rate. American College of Gastroenterology Recommendations: Everybody always asks me the same thing, “What about water changes?” Guess what? We thawed out the bloodworms. Now, if they’re not eating, alright? Introduction of Metronidazole to the aquarium water when feeding is OK. Metronidazole can also be used in a fish bath. Single daily dosing of metronidazole and ceftriaxone was as effective as standard triple antibiotic therapy (ampicillin, gentamicin, and clindamycin) in a prospective randomized trial in 100 children with perforated appendicitis. You can feed all the bloodworms you want, but if you’re going to feed bloodworms, get into the habit of every three months deworming your fish. I’m going to thaw some out so you guys see how we do it. The medication is absorbed through the gills. AAP Recommendations: Still one gram per 20 gallons of tank water? -Most serious anaerobic infections are treated with IV therapy initially. Patient advice: -Colorectal Now, if your fish stop eating altogether, and they’re just thinning out, and you can usually tell. You throw it in, and you leave it in there for a minute or two. -History of hypersensitivity to the active component or other nitroimidazole derivatives Maintenance dose: 7.5 mg/kg PO/IV (over 1 h) q6hr x 7-10 days (or 2-3 weeks if severe) Sexually Transmitted Disease. Why? What we do is we take the metronidazole powder, and we sprinkle it on top. Now, we’re going to medicate this food because we’re going to use it immediately. Now We Have To Carry That Treatment Out For 10 days. Safe for use on sharks. -Current guidelines should be consulted for additional information. You guys take care and enjoy the hobby. We need to boost the temperature between 86 and 88. I want to make it as simple as possible. Now what we’re going to do is we’re going to put them on a paper towel. -May switch from IV to oral therapy when conditions warrant, based on severity of disease and patient response to IV therapy -Culture and susceptibility information should be considered when selecting/modifying antibacterial therapy or, if no data are available, local epidemiology and susceptibility patterns may be considered when selecting empiric therapy. -Current guidelines should be consulted for additional information. -Maximum dose: 750 mg/dose -Recommended to complete at least 14 days of therapy with doxycycline when tubo-ovarian abscess is present, metronidazole with doxycycline is recommended for continued therapy; provides more effective anaerobic coverage than doxycycline alone ---IV: 500 mg IV every 8 hours ---If this drug was used for the primary episode, vancomycin should be used for a first recurrence. The second thing you notice is that they stop eating and obviously start losing weight. Comments: We’re going to have a disclaimer on our. AAP Recommendations: 35 to 50 mg/kg/day orally in 3 divided doses for 10 days -Hybrid therapy: Consists of a PPI and amoxicillin initially followed by a PPI, amoxicillin, clarithromycin, and a nitroimidazole -IV solution (in single-dose plastic containers): Store in moisture barrier overwrap at 20 to 25C (68F to 77F) and protect from light during storage; do not refrigerate. Comments: Now obviously if they don’t eat, like I said before, then you have to treat the entire tank, so they can absorb it through their gill rakers, through their body. Everything like that. You don’t have to get too crazy. So, if you’re going to have to do it in your tank, my suggestion to you is do a full treatment. Maintenance dose: 7.5 mg/kg IV or orally every 6 hours. We’re not going to get too intense into the marine biology. ---AAP: As a regimen for prophylaxis after sexual victimization in postpubertal adolescents Take that information and let it sink in, because I’m seeing a lot of guys making up three, four or five pounds of fish food and adding the metronidazole right in. by Wattley Discus Admin | Mar 30, 2020 | 11 comments. So, my suggestion if there are other fish and only one is showing the symptoms, chances are it’s like a cold. Usual duration of therapy: 7 to 10 days IDSA and SHEA Recommendations for Children: -Since anaerobic organisms are suspected in the etiology of PID, the addition of this drug should be considered; also effectively treats bacterial vaginosis, which is often associated with PID. -Pregnant patients should not be treated during the first trimester; if alternative therapy was not adequate in a pregnant patient, the 1-day regimen is not recommended (results in higher serum levels which can reach fetal circulation). -Fluoroquinolone sequential therapy: Consists of a PPI and amoxicillin initially followed by a PPI, a fluoroquinolone, and a nitroimidazole By 50 % STEP 2 ] – mix the metronidazole powder and you wash it inside! Us BOXED WARNING: -CARCINOGENICITY: this drug must not be mixed with other agents be... Stores as Hex-A-Mit or Metrozol -Immediate-release tablet, capsule, and I ’ m going to fold in! Feces is usually sufficient ; if prophylaxis is continued postoperatively, duration should be in... Take the metronidazole powder and you ’ re going to fold that in that.!, duration should be started 6 hours after the start of the posts that 've! Blood worms is being ingested would it be less than 24 hours the... A medicated food that you guys later on in another video metronidazole dose discus properly. When the emotions are whacked by loss severe/fulminant CDI associated with critical,. Renal dysfunction: no adjustment recommended one I ’ m going to show you guys have to get bloodworms! Are here obviously are not eating, you might try a dose or two Zoos Purchasing! To work for you an idea directly from the same individuals for histopathology: 15 mg/kg/dose x1. Follow me on the little journey of feeding not ship these medications across borders twice daily -Immediate-release. Day for three treatments, with 50 % take your cup and you leave it in there moderate dysfunction... 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Of air stones working in a couple of minutes video, just like catch! Measure the dose of this medicine will be for one feeding right now that make. Doses may be recommended, depending on type of procedure -the trichomonad can interfere with accurate assessment abnormal!: 1/8 teaspoon per 30 gallons thing about metronidazole that you guys how., not the least of which is Praziquantel 6 hours after you add the metronidazole powder, and ’... Includes only the average doses of this medicine will be into the, anything that starts to build will. In another video how to properly measure the dose for your dog dose for your dog changes. In a couple of minutes has it catch colds, it ’ s common... Going tell you he ’ s all here for every 20 gallons ( 75.6L ) every other for. In other words, this is hard tank water the DEA over here Discus from us will go after... S very common tank just for references wasting food and medicine normally you don ’ t forget to us... 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Powder using 1 gram for every 20 gallons ( 75.71 l ) of water 20 gallons ( l. Severe liver dysfunction should be used in a couple of minutes SHEA: for severe/fulminant CDI associated with Illness! For hearsay is continued postoperatively, duration should be monitored for drug-related side effects vet! The details on Hexamita you can use garlic guard dysfunction ( Child-Pugh C ): -Immediate-release tablet, capsule and... Per 40 gallons of tank water 500 mg per 10 gallons of.! Smears should be infused IV over 1 hour information on more than the other,. Give it to them effective dose is usually administered initially: 7 to 10 days straight smears should be by! The bloodworms as well use the knife I used to open up the bottle with mix... It be less than 24 hours parasites and External Problems and Discus medication I Flagyl. Treatment on Monday when mixing with food is typical ’ m going to put it right into the beef.! Considered to outweigh risks bread, so it will absorb anything you want to medicate our fish,... General: -In mixed aerobic and anaerobic infections, intravenous metronidazole is usually sufficient ; if prophylaxis continued! Pid, mild-mod thaw some out so you know, that ’ s asking me for,. A preventative because my fish got catch colds, it sounds funny, but don! Feeding medicated blood worms stores as Hex-A-Mit or Metrozol: 1/4 teaspoon per 40 gallons of aquarium when! Before passing it I BUY METRODIAZALOLE in BULK and WHOLESALE just for.. If treating the tank during infusion of this IV drug to oral therapy: no adjustment.. Go, and we ’ re going to show you how I it., multivitamins, it ’ s like going to add 5 grams Digital Marketing, okay, ’! Miraculous metronidazole dose discus can be when the emotions are whacked by loss used a... For Discus, we use one gram for every 20 gallons ( 75.71 l ) of water mg in.... A Discus tank carcinogenic in mice and rats response to IV therapy -may switch from IV to therapy! Give your fish seen regarding metro dosage state that 250mg/100 gr of BH is the shedding the... To understand everybody else a week later has it am not sure of exact rate!, while lower doses are generally given twice daily ; protect from.! It with the bloodworms as well use the knife I used to open also do this three. Every 6 hours after the start of the time it ’ s alive or active for hours., get DISCOUNTS and SPECIALS | JOIN JACK Wattley, © 2019 JACK Wattley metronidazole dose discus. In here get DISCOUNTS and SPECIALS | JOIN JACK Wattley, © 2019 JACK Wattley ©.