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Thank you for the detailed write up. Would it be possible to send to me a copy of the bloodwork here for my review? We can keep this question open for some days, so no hurry. Is the other antibiotic Metronidaozle?
The concern is that we may have a small are of buildup of infection in the sinuses somewhere. How long total have the antibiotics been used for?
Swollen pads? You mean swollen paws? Also if we only had amoxicillin we may have many things resisitant in the sinus passages only to amoxicillin. Many times we will also want to use an antibiotic called Metronidazole, as this antibiotic will do a very good coverage of the anarerobic bacteria (the ones that live without oxygen) now was it Claviseptin or just Amoxicillin by itself. The liver enzymes being elevated also may be an indication of other underlying conditions also.
Clavisteptin has amoxicillin in it, however it has also clavulanic acid to increase the killing spectrum for more resistant bacteria. Many times I will use both claviseptin and metronidazole together for minimum 14 days, some cases will need to go for 3 or 4 weeks to adequately clear the more chronically seated bacteria in the sinus area.