Thanks for your response Csherrill! Please say hello to Simon for me! In regard to the Levetiracetam (Keppra is a brand and I'll use that because it's easier to type and I need every break I can find to aid my typing!) and possible other antiepileptic drug therapy; what is Simon's current weight on a digital scale, preferably in grams? There have been some here on TSB who have had Squirrels on Keppra but the optimal dosing, even for rats is not that clear. With phenobarbital, there is considerably more of an experiential database but the dosing for this drug is also based more upon the accumulated experiences of using this medication for seizure prone Squirrels than any formal studies even in rats! My usual sources of Medication Guidance beyond TSB itself and my own experience are the Exotic Animal Formulary (EAF) 5th Ed, Wild Mammal Babies 4th Ed, and the Rat Guide but there is little in these (even in the EAF!) to use as definitive guidelines for anticonvulsant therapy on a chronic basis for Squirrels! That being said, I do have some "ballpark" dosing for both. It is impossible to say whether or not Simon's Keppra dosing is in "the ballpark" without knowing the formulation of the Keppra itself (tablets or liquid, the original strength and the specifics of any dilutions that was made). Also, there is no way to determine the true strength of any dilution made IF tablets or capsules were divided simply by "eyeballing" the pill or capsule. Ordinarily, tablets and capsules should be used whole to eliminate the unreliability of "eyeball" method of division. Even dividing in half unless the tablet is properly scored is a crapshoot!
I still have concerns about Simon's diet and I would like to post some more about MBD and diet (I recently posted most of this in another thread but I wanted to post a variation of it is Simon's thread);
What specifically was the MBD treatment protocol that you utilized initially and what are the details of Simon's current MBD treatment? Just for completeness sake; here is a link to Henry's MBD Info page (
https://henryspets.com/what-is-metabolic-bone-disease/ ) and here is a link to Henry's Treatment protocol for MBD which most every one of us who have treated a Squirrel for MBD have used with frequent optimal outcomes if not full recoveries
(
https://henryspets.com/emergency-treatment-for-mbd/ ).
I am placing these links here in recognition that MBD usually takes months to reach a final stable calcium state and following that, the Squirrel MUST continue to have adequate intake of elemental Calcium and minimal phosphorus to maintain a Calcium to phosphorus ratio of around 2 to 1 (Elemental Calcium to phosphorus).
Treats such as nuts, seeds, and many fruits must forever (as long as the Squirrel is in captivity) be restricted to just occasional treats! Stashes must also be an item to check for on a daily basis!
What are the specifics of your Squirrel's current diet? Ideally, your Squirrel should be getting at least 80% of her nutrition from quality Blocks such as Henry's Healthy Blocks, Teklad 2018 or Mazuri Rat and Mouse Diet to name three brands. Using Henry's food pyramid (
https://henryspets.com/healthy-diet-for-pet-squirrels/ ) additional healthy foods can be offered but these should be from the lower levels of the pyramid as they correspond to the healthier choices and generally those with a more ideal Calcium to Phosphorus ratio.
Regards,
SamtheSquirrel