์ก์ํ๋ํ
์ก์ํ๋ํ (Epsiprantel)์ ๊ฐ์ ๊ณ ์์ด๋ฅผ ์ํ ๊ฒฝ๊ตฌ์ฉ **์ด์ถฉ ๊ตฌ์ถฉ์ **์ ๋๋ค. - **์ ์์ฆ**: ๊ฐ์ ๊ฐ์ด์ถฉ(*Dipylidium caninum*) ๋ฐ ๋์์ด์ถฉ(*Taenia pisiformis*), ๊ณ ์์ด์ ๊ฐ์ด์ถฉ ๋ฐ ๊ณ ์์ด์ด์ถฉ(*Taenia taeniaeformis*) ์ ๊ฑฐ. - **์์์ ํน์ง**: ํ๋ผ์ง์ฝดํ (Praziquantel)๊ณผ ๋ฌ๋ฆฌ ์์ฅ๊ด์์ ๊ฑฐ์ ํก์๋์ง ์์ ์ ์ ๋ถ์์ฉ์ด ์ ๊ณ ์์ ์ฑ์ด ๋งค์ฐ ๋์ต๋๋ค.
์์ฉ ๊ธฐ์ : While the exact mechanism of action against cestodes is not fully elucidated, epsiprantel acts directly on the tapeworm: - **Calcium Dysregulation** โ Induces severe tetany (muscle spasms) in the parasite. - **Attachment Disruption** โ Causes the tapeworm to lose its grip on the host's intestinal mucosa. - **Integument Alteration** โ Damages the worm's outer protective layer, rendering it highly vulnerable to digestion by the host animal's gastrointestinal enzymes.
๋๋ฌผ ์ข ๋ณ ์ฉ๋
- Cestode infection (Dipylidium caninum, Taenia taeniaeformis) ยท 2.75 mg/kg ยท PO ยท once ยท Single dose ยท Cats up to 10 lb should receive one 12.5 mg tablet; cats 11-20 lb should receive one 25 mg tablet
- Cestode infection (Dipylidium caninum, Taenia pisiformis) ยท 5.5 mg/kg (2.5 mg/lb) ยท PO ยท once ยท Single dose ยท Round up to the next larger tablet size
์ฉ๋์ ๋ฉดํ ์์ ์ ๋ฌธ๊ฐ๋ฅผ ์ํ ์์ ์ฐธ๊ณ ์๋ฃ์ ๋๋ค. ํญ์ ์ต์ ๋ผ๋ฒจ๊ณผ ๊ฐ๋ณ ํ์์ ๋ํด ํ์ธํ์ญ์์ค.
ํฌ์ฌ ๊ฒฝ๋ก
๊ธ๊ธฐ
- Puppies less than 7 weeks of age
- Kittens less than 7 weeks of age
์ด์๋ฐ์
- Vomiting (rare)
- Diarrhea (rare)
์ฝ๋ฌผ ์ํธ์์ฉ
- Prokinetic agents ยท Theoretically may reduce the drug's efficacy by decreasing gastrointestinal transit time
- Fast-acting laxatives ยท Theoretically may reduce the drug's efficacy
๋ชจ๋ํฐ๋ง
- Clinical efficacy (resolution of tapeworm infection)
๊ณผ์ฉ๋
Acute toxicity resulting from an inadvertent overdose is highly unlikely due to poor systemic absorption. - **Cats**: Doses as high as 36X the recommended dose resulted in vomiting in some of the kittens tested. - **Dogs**: Single doses of 36X those recommended in dogs caused no adverse effects.
VetSheet ์ฝ๋ฌผ ๋ ํผ๋ฐ์ค๋ ๋ฉดํ ์์ ์ ๋ฌธ๊ฐ๋ฅผ ์ํ ์์ ์์ฌ๊ฒฐ์ ๋ณด์กฐ ๋๊ตฌ์ด๋ฉฐ, ์ ๋ฌธ์ ํ๋จ์ด๋ ์ ์กฐ์ฌ์ ์ต์ ๋ผ๋ฒจ์ ๋์ ํ์ง ์์ต๋๋ค.