Bottle Jaw Treatment (Final Correct Plan)

Based on your medicines: Triclabendazole, Ivermectin, Closantel, Tribivet, Sharkoferrol, Lasix.

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🐑 1. Deworming — Do NOT give all together

You must choose based on cause.

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**👉 If you suspect Liver Fluke (wet fields, marshy grazing):

Give ONLY THIS:**

✔ Triclabendazole — 10 mg/kg (single dose)

• Give once, orally.

• Do NOT combine with other dewormers on the same day.

OR

✔ Closantel sodium dihydrate — 10 mg/kg

• Also good for flukes + Haemonchus worms.

• Give only once.

(Choose ONE of the above, not both.)

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**👉 If you suspect Haemonchus worm (pale eyelids, anemia):

Give ONLY THIS:**

✔ Closantel sodium — 10 mg/kg

OR

✔ Ivermectin 1% — 1 ml per 50 kg

Do NOT give Ivermectin and Closantel together. Choose only one.

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🩺 2. Improve Blood (Very Important)

✔ Vitamin B1, B6, B12 Injection (e.g., Tribivet)

• 2–3 ml IM (depending on sheep weight)

• Daily for 3 days

✔ Sharkoferrol / Iron–Calcium–Vitamin Supplement

• 5–10 ml orally daily for 7 days

• Improves anemia and protein levels.

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🔵 3. For Bottle Jaw Swelling — Use Lasix safely

About Rimeda / Furosemide

• Rimeda = Furosemide (diuretic)

• Human "Lasix" (Furosemide) can be used for sheep in emergency.

✔ Safe Dose for Sheep (Lasix 20 mg tablet or injection)

• 1 mg per kg body weight
  Example:

• 20–25 kg sheep → 20–25 mg Lasix

Injection:

• 0.25–0.5 ml IM (if 20 mg/2 ml vial)

• Give only once daily

• Maximum 2–3 days only.

⚠ Important Warning:

• Give Lasix ONLY after the sheep is drinking water.

• Do NOT give if sheep is dehydrated.

• Do NOT give Lasix on empty stomach.

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🍀 4. Nutrition Support (Required)

Give for 2 weeks:

• Green fodder: Desmanthus / Juar / Lucerne

• Concentrate: 200–300 g

• Mineral mixture: 10–15 g

• Salt block: daily

• Jaggery + ORS water: once daily

Protein improves blood protein (albumin) → reduces bottle jaw.

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🚫 5. What NOT to do

❌ Don’t give multiple dewormers on the same day.
❌ Don’t mix Ivermectin + Closantel + Triclabendazole.
❌ Don’t give Lasix without proper deworming.
❌ Don’t give too much Lasix — causes dehydration.

Final Bottle Jaw Treatment Table (Dose + Timing + Duration)

1. Deworming (Based on Cause)

A. If Bottle Jaw is due to Liver Fluke

Medicine	Dose	Timing	Duration
Triclabendazole	10 mg/kg	Day 1	Single dose
OR Closantel Sodium Dihydrate	10 mg/kg	Day 1	Single dose
Repeat (if heavy infection)	Same dose	After 21 days	One time

B. If Bottle Jaw is due to Haemonchus Worm

Medicine	Dose	Timing	Duration
Closantel (preferred)	10 mg/kg	Day 1	Single dose
OR Ivermectin 1%	1 ml per 50 kg	Day 1	Single dose
Repeat Dose	Same medicine	After 14 days	One time

2. Supportive Medicines (Anemia & Recovery)

Medicine	Dose	Timing	Duration
Tribivet (B1, B6, B12)	2–3 ml IM	Daily	3 days
Sharkoferrol / Iron-Calcium-Vit Syrup	5–10 ml orally	Daily	7–10 days
ORS + Jaggery Water	200–300 ml	Morning	5–7 days

3. Swelling Control (Bottle Jaw Edema)

Medicine	Dose	Timing	Duration
Lasix / Furosemide	1 mg/kg (Ex: 20–25 mg for 20–25 kg sheep)	Once Daily	Max 2–3 days

4. Nutrition Support

Item	Quantity	Timing	Duration
Green Fodder (Desmanthus/Juar)	1–2 kg	Daily	14 days
Concentrate Feed	200–300 g	Daily	14 days
Mineral Mixture	10–15 g	Daily	Ongoing
Salt Block	—	Free Access	Ongoing

5. What NOT to Do

Don't Do This	Reason
Do NOT mix multiple dewormers same day	Can harm the sheep
Do NOT give Lasix without water	Causes kidney issues
Avoid marshy grazing areas	Fluke reinfection risk
Do NOT skip protein	Protein deficiency causes bottle jaw again

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Bottle Jaw