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Rabbits/Naxel in a nebulizer


Hi dana,
long story short, my bunny has had chronic URI symptoms for a while now. She percolates and sneezes {no discharge} a lot. we ran the gammot of treatment and nothing works. The other day my vet said that he has been having a good result with bunnies who are not responding to other treatment by using a non-bunny friendly injectable antibiotic in the nebulizer. He made it clear that this is  not a good bunny anti bio, but he hasnt had any adverse effects using it in this form in his patients and the results have been excellent. I asked if it was 100% safe in this form and he said he couldnt tell me that. do you have any knowledge/experience with this drug in this form??. i desperately want to help my bunny feel better, but i am afraid to use anything that comes with such a disclaimer.

Dear Jeanine,

I have never used Naxcel in a nebulizer.  Cephalosporins are not the first choice for rabbits, but we have used them without harm.  They are certainly not as dangerous as the oral penicillins or lincosamines.

If your vet has had good results with this in rabbits, I would not be averse to giving it a try.  But if this is ONLY an upper respiratory condition, then consider the very real possibility that this is due to chronic dental problems, not just bacterial overgrowth in an otherwise healthy sinus.  Please see:

Nebulization might help alleviate symptoms, but if the cause is a blocked maxillary sinus (due to tooth base intrusion), then it will be only temporary.

I hope this helps.



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Dana Krempels, Ph.D.


I've lived with companion rabbits for more than 35 years, and consider them members of my family. I can answer any questions about the biology and health of rabbits, from the commonplace to the unusual. But please note:

RULE #1:

Find a rabbit vet at for immediate help, and don't risk your bunny's life by spending time asking questions online! If you can't get in touch with your vet, read these Emergency Sick Bunny Instructions.

If you have found a wild baby rabbit, please read these EMERGENCY INSTRUCTIONS FOR WILD BABY RABBITS and then use this link to FIND A LOCAL WILDLIFE REHABILITATOR who can give you the right advice.

RULE #2:
Help me help you! Please make your subject line informative if you have an urgent question. then LET ME KNOW IN THE SUBJECT LINE so I can give your question highest priority over non-urgent questions. If you don't do this, then I can't guarantee timely assistance!

For all the best, most accurate rabbit health, care and behavior information, visit The House Rabbit Society.


I have been rescuing and rehabilitating domestic and wild rabbits for about 30 years. I have written articles for many rabbit rescue publications, as well as for the veterinary journal, Exotic DVM. I own EtherBun, the internet's largest listserve dedicated to health, care, and behavior of domestic rabbits.

Houserabbit Adoption, Rescue, and Education, Inc. (H.A.R.E., Inc.) president National House Rabbit Society (Board member)

Exotic DVM
Warren Peace (Journal of the House Rabbit Society of Miami)
Various newsletters of the House Rabbit Society, nationwide

Ph.D - Biology
B.S. - Biology
B.A. - English

Awards and Honors
Lightspan Academic Excellence Award for web site on rabbit health and biology

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