Slightly Tilt Head and Nystagmus Eyes

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You could crush up the tablet and resuspend it in a liquid and then divide the liquid (well-mixed) instead of having to parcel out the powder. The resuspended liquid should be ok to use for a week if kept refrigerated, I would think.

I think all the drugs you mentioned are ok to use together, but again I don't have the experience. I know my bunnies have been given metacam, simethicone, and a gut motility drug (either cisapride or metoclopramide) together at once for stasis.

I am not sure this is EC, which is what fenbendazole would treat. I am more inclined to think it is an ear infection. I couldn't see well in the video, but it looks like a horizontal nystagmus, which is more commonly associated with ear infection, rather than a vertical nystagmus, which is more commonly seen with EC. I know this is contrary to what your vet says, but it sounds like your vet was giving the antibiotic every 3 days, which is not commonly done. I don't think he got enough antibiotic to actually work at the infection. This is of course a personal opinion and I do not have the specialized training that a vet has. I know that many people give fenbendazole at the same time as antibiotics in cases of head tilt, just in case it is caused by EC or a bacterium, then they're covering their bases.

info about nystagmus with relation to head tilt
http://www.medirabbit.com/EN/Neurology/Otit/otitis.htm

It can take up to a week for fenbendazole to show improvement in true cases of EC. I personally would expect improvement from an antibiotic after 4-5 days, provided the rabbit is getting enough to make a difference and it is given frequently enough. I am not familiar with the triaxone antibiotic your vet used, but it sounds like he have too little and/or too infrequently. In rabbits, bicillin is given every other day, convenia is given every 5 days, and all other meds are given daily or twice daily (at least from what I can find). The every-3-day schedule is strange. The half-life of ceftriaxone is 6-9 hours, according to wikipedia, and that would indicate to me it should be dosed daily or twice a day.
 
I'm home!
Maxie looks good. He barely rolling like days before, and his appetite is good too. He looks more alert. I have start the Fenbendazole today.

Vet has stopped the antibiotic, he said Maxie doesn't need antibiotic anymore. Because he said maxie has taken Baytril for 12 days, Metrodinazole for 5 days and Trixone for 2 days in a row. He said if there is any infection, it must be gone now.

I am not sure about continuing the injectable anti-inflamatory (tolfine) given to Maxie. The last injections given 3 days ago was anti-inflamatory, steroid and sedative, but Maxie had a bad gas episodes a few hours after that, so my boyfriend resist to send him for another jabs yesterday.

Do u guys think i should try Metacam instead? I only have human metacam. We do not have any oral Metacam available for the animal. Vets here carrying injectable Metacam only.
 
I'm glad to hear Maxie is doing a little bit better. I think giving the metacam should be ok, but you shouldn't be giving it if he is still getting the steroid and tolfine. I'm a little surprised that vet was giving both of those together. Usually you shouldn't also be giving an anti inflammatory medication if you are also giving steroids. So as long as your rabbit isn't getting those injections anymore, giving the metacam should be alright. I would also be reluctant to continue giving steroids, because it can be risky to give to rabbits because it compromises their immune system. It may be possible to give the injectable metacam, orally instead, and it may be easier to get the right dosage with it as opposed to using the tablets. Maybe you could ask your vet that is nearer to your location, if this would be ok to do.
 
Metacam can be given for up to a week if the rabbit's eating ok and there are no concerns about the kidneys. Usually antibiotic treatments for head tilt are 14 days at a minimum, but you obviously can't administer it if your vet doesn't agree. I am glad he's doing better.
 
My current vet insists on continuing the injectable Tolfine anti-inflamatory and Prednikel 01 steroid every alternate days. He doesn't carry injectable Metacam, so he insists to use the same drugs given to Maxie the past few sessions.

I told him Maxie had a bad gassy and loud gurgling tummy and looked so much in pain after a few hours receiving the injections (even he had his Critical Care force fed every 3 hours), but he said "that is worth to risk". Imagine if i have no experience handling rabbit with gas problem, or didn't have Simethicone (bought from a pharmacy in Singapore) in my first aid kit, i might have lost Maxie due to GI stasis. I know the vet is trying to help me 'fix' Maxie's tilt head, but i can't let Maxie suffers. We have skipped 2 sessions of injections. And we have start the Fenbendaloze even without the vet's approval :pray:

This is video of Maxie i took yesterday morning soon as i reached home.

https://www.youtube.com/watch?v=_yu97Pbrg-I

Isn't he looks much better? :)
 
I read an article saying that it takes 5-7 days before switching other NSAIDs to Metacam. In a meanwhile, i will ask other vets around if the might have Metacam injectable. Most of the vets are closing this week due to big festival in Malaysia, Hari Raya.
 
Hi i have panacur from my vet a 10 ml bottle vet has advised 0.2 per kg of rabbit so yes o.3 sounds about right you can also buy the rabbit panacur on line at pet supermarket.com with no delivery charge be patient a head tilt can take weeks to right itself dont give up you may need to syringe feed either critical care or liquidised pellets and water about 10mls 4 times a day plus about 5mls water 4 times a day good luck
 
Hi Guys!
I just want to share Maxie's progress and update.

On day 3 - https://www.youtube.com/watch?v=xJfDcgyQJ1k
On day 10 - https://www.youtube.com/watch?v=o79WWJKOn_E
On day 16 - https://www.youtube.com/watch?v=doTePTJOIPI
On day 20 - https://www.youtube.com/watch?v=_yu97Pbrg-I
On day 24 - https://www.youtube.com/watch?v=rj7ZcE5piZI

And this is my tilter boy today :)

maxie-1.jpg
 
Thanks for the update! It looks like he's going to be much better! I wouldn't have thought he could be as healthy as he is now, having seen him during the bad ties.
 
Guys,

Maxie has started his 1st Fenben on Day 5 of his headtilt, but due to his downturn, we have to change him to a new vet on Day 10 and the new vet asked us to stop the Fenbendazole at all. He managed to take the Fenbendazole for 5 days only.

Soon after we finish the vet's medication (a week later), we start his 2nd Fenben course and this time i want him to finish all the 28 days. But unfortunately, on Day 23 & 24 (this coming weekend), i have to be away. Just incase there is no one to feed medicine for him, do i need to start the 28 days course again?
 
That's a tough one. I wonder if maybe going for a couple extra days instead would be ok?
 
I am a bit worried.
Maxie finished his 28 days Fenbendazole on 5th Sept.
He was all right until this morning. I found he is not eating by hiw own before i off to work this morning. I gave him simethicone, reglan and Critical Care and i left a slice of apple, bokchoy leaf, alfalfa hay and pellets.

But when i checked on him this afternoon, he wasn't touched his food. I gave him Critical Care and Benebac and he munched on a slice of watermelon.

I remember a night before his headtilt began, he wasn't eating and hiding himself under the shelves. I hope this is not an alarm of relapse :(
 
I'm so glad to see that Maxie has recovered from the head tilt. He had quite the battle with it, but he's looking really good in his picture.

A rabbit going off it's food and possibly developing GI stasis, can be caused by many things. It could be from an upset stomach because of it's diet, or from molting and ingesting too much fur and a blockage occurring, from medications, from stress, and from other health problems that cause the rabbit pain or discomfort which then results in lack of appetite. So it's possible that he has stopped eating because of the EC reoccurring, but I would think it is more likely that something else is causing it. Have you seen any symptoms besides not eating? Is he peeing and pooping still? Has his pee been sludgy at all, any urine dribbling or pee accidents, or has his poop been very tiny or soft and mushy? I would suggest not feeding the sugary treats right now as it will cause a bacterial imbalance in the digestive system. It's possible something he is eating could be causing digestive upset.

Here is some information on GI stasis:
http://www.bio.miami.edu/hare/ileus.html
http://www.veterinarypartner.com/Content.plx?P=A&S=0&C=0&A=484#.UZ8FPbx7LTo.twitter
 

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