Eine Alternative wäre ggf. auch Panacur
Die Behandlung gegen Lungenwürmer kann oral oder mit Spot-on-Behandlung
erfolgen, die für die Behandlung gegen A. abstrusus zugelassen sind
(
Fenbendazol orale Paste; Emodepsid 2,1 % / Praziquantel 8,6 % Spot-on; Fipronil 8,3 % / (S)
Methopren 10 % / Eprinomectin 0,4 % / Praziquantel 8,3 % Spot-on) bzw. gegen T.
brevior (Fipronil 8,3 % / (S)-Methopren 10 % / Eprinomectin 0,4 % / Praziquantel 8,3
% Spot-on) bzw. gegen C. aerophila (Imidacloprid 10 % / Moxidectin 1 % Spot-on).
Es gibt Hinweise auf Wirksamkeit von Moxidectin Spot-on-Präparaten gegen A.
abstrusus oder T. brevior, von Emodepside Spot-on gegen T. brevior und C.
Quelle:
https://www.abcdcatsvets.org/wp-con...ACTSHEET_Feline_lungworm_December_2019_DE.pdf
_____________
....Treatment and Prognosis
Emodepside, eprinomectin, fenbendazole, moxidectin, and selamectin have been used to treat cats with aelurostrongylosis. Based on fecal larval counts, emodepside (3 mg/kg, in combination with praziquantel) had an efficacy of 99% when used in a single topical application and 100% with two bi-weekly applications.57,58 In an efficacy study based on total worm counts at necropsy, a single application of 3 mg/kg emodepside had an efficacy of 73%; with two doses 14 days apart, the efficacy rose to 99%.59
Based on fecal larval counts, an efficacy of 90% was reported for a single topical application of eprinomectin (with fipronil and praziquantel) at 0.5 mg/kg in naturally infected cats.60 Efficacies of 91.6 to 98.9% with a single application and 99.9% after two treatments of eprinomectin (0.5 mg/kg) was reported in cats infected with A. abstrusus.61
Fenbendazole (50 mg/kg PO q24h for 3 days) greatly reduced but did not eliminate larval excretion in A. abstrusus-infected cats.57,62 Extension of treatment duration appears to increase effectiveness. Dosages of 20 mg/kg for 5 days, 25 mg/kg for 5 days, and 50 mg/kg for 15 days have all been reported as effective treatments.63–65 The efficacy of a single topical application of moxidectin (in combination with imidacloprid) at 1 mg/kg was 100% based on fecal larval counts.66 Efficacy of topical moxidectin based on necropsy worm counts was reduced to 88% for a single application; administering two to three monthly applications resulted in an efficacy of 99 to 100% when used as either a treatment or preventive.67 A single topical application of selamectin (6 mg/kg) resulted in cessation of fecal larval excretion in one of three naturally infected cats.63 Administration of two selamectin treatments 23 days apart resulted in clinical improvement and negative post-treatment fecal examinations in 9 of 10 naturally infected cats.68
With timely diagnosis and treatment, prognosis is good. Case reports of fatal infections often involve prolonged periods of time from the onset of clinical disease to diagnosis. To what degree a delay in diagnosis contributes to a fatal outcome is unknown. Some airway changes, such as bronchiectasis, may be irreversible and predispose cats to chronic bronchial disease.
Quelle: 2021, Greene's Infectious Diseases of the Dog and Cat (Fifth Edition)
Gary A. Conboy, Jane E. Sykes
