Kaolin
**Kaolin** is an adsorbent antidiarrheal agent used in veterinary medicine to treat non-specific diarrhea in dogs and cats. While it is effective at improving stool consistency by binding water and potentially toxins in the gastrointestinal tract, it does not address the underlying cause of the diarrhea. > **Clinical Warning:** Studies do not show that kaolin corrects fluid balance or shortens the duration of morbidity. It should never replace appropriate fluid therapy in dehydrated patients. **Clinical Pearl:** Kaolin is frequently formulated in combination products (e.g., with pectin, probiotics, or other adsorbents like bismuth salts and aluminum hydroxide) to enhance its gastrointestinal soothing effects.
กลไกการออกฤทธิ์: Kaolin acts locally within the gastrointestinal tract as an **adsorbent**. * It binds to water, toxins, and potentially enteropathogenic bacteria, preventing their systemic absorption and reducing fluid loss in the stool. * It may also possess a mild **antisecretory effect**. * Kaolin is not absorbed systemically → Excreted unchanged in the feces.
ขนาดยาตามชนิดสัตว์
- Treatment of diarrhoea of non-specific origin · 0.5-1.0 ml/kg · PO · divided into 3-4 doses daily · Until stool consistency improves · Dose is given as a total daily dose, which may be divided 3-4 times daily.
- Treatment of diarrhoea of non-specific origin · 0.5-1.0 ml/kg · PO · divided into 3-4 doses daily · Until stool consistency improves · Dose is given as a total daily dose, which may be divided 3-4 times daily.
ขนาดยาเป็นข้อมูลอ้างอิงทางคลินิกสำหรับสัตวแพทย์ผู้มีใบอนุญาต โปรดตรวจสอบกับฉลากล่าสุดและผู้ป่วยแต่ละรายเสมอ
วิธีการให้ยา
ข้อห้ามใช้
- Intestinal obstruction
- Intestinal perforation
อาการไม่พึงประสงค์
- Constipation (especially with prolonged use or high doses)
- Fecal impaction (rare)
อันตรกิริยาระหว่างยา
- Lincomycin · Decreased gastrointestinal absorption of lincomycin · moderate
- Trimethoprim · Decreased gastrointestinal absorption of trimethoprim · moderate
- Sulphonamides · Decreased gastrointestinal absorption of sulphonamides · moderate
การติดตาม
- Fecal consistency and frequency
- Hydration status
- Signs of constipation or straining to defecate
การได้รับยาเกินขนาด
Overdose is unlikely to cause systemic toxicity since kaolin is not absorbed. However, excessive administration may lead to severe **constipation** or **bowel impaction**. Treatment is supportive, including discontinuation of the drug, hydration, and potentially mild laxatives if impaction occurs.
ข้อมูลอ้างอิงยาของ VetSheet มีไว้สำหรับสัตวแพทย์ผู้มีใบอนุญาตเพื่อช่วยในการตัดสินใจทางคลินิก ไม่ใช่สิ่งทดแทนการวินิจฉัยของผู้เชี่ยวชาญหรือฉลากล่าสุดของผู้ผลิต