Hello, my puppy suddenly developed diarrhea even after treating for giardia multiple times. The diarrhea always goes away after 3 or 4 days of panacur and metronidazole. The last treatment was panacur for 15 days and metronidazole for about 20 days. She was well for about a month and it seems like she just relapsed. Is there any other effective treatments for this parasite? Can azithromycin be effective in this case? She is on a chicken/rice diet.
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The use of azithromycin to treat giardia is controversial. The reports of its effectiveness in humans varies widely. There have been no studies on it's use in dogs for this purpose. You will have to speak to your vet about this.
Most cases of chronic giardia are due to reinfection rather than failure of treatment. During treatment I recommend bathing the perineum (area around the anus) daily and trying to decontaminate the environment. I would also recommend using a probiotic like Fortiflora for a month and add some extra fiber in the diet. Many dogs have giardia and are asymptomatic so the fact that she keeps getting it makes me worried that her immune system is not that strong. Maybe an immune boosting supplement would also be a good idea.
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