isolate infected birds
Any one of a group of medications called nitro imidazoles are effective against trichomonads. There are four commonly in use:
1. Dimetradazole - The common brand name here is Emtryl, available as a water-soluble powder. Dimetradazole was the first nitro imidazole available and is still an effective drug, although trichomonad resistance to it in some areas is a problem because it has been used for the longest. It must be used with care as it has a narrow safety margin. Overdose leads to a reversible loss of balance and coordination and, in high doses, death. The medication can interfere with sperm production in cocks, leading to a temporary infertility, and so is not recommended for use during breeding. The usual dose is 1 teaspoon (3 grams) to 4½ - 8 litres of water. Lower dose rates should be used in stock birds feeding youngsters and during hot weather when water intake increases and evaporation occurs from drinkers, increasing the concentration of the medication.
2. Carnadazole - The common brand name here is Spartrix. It is only available in tablet form. It has a wide safety margin and is very useful for individual bird dosing, particularly youngsters in the nest. The dose is one 10-mg tablet daily.
3. Metronidazole - The common brand name is Flagyl. This is available as a water-soluble syrup and as tablets in a variety of strengths. It is very economical, with the tablets being useful to dose individual birds. Individual birds are given ¼ of a 200-mg Flagyl tablet once daily. Flagyl syrup is water soluble and is given at the dose of 5 - 10 ml per litre but is very sugary and not very palatable to the birds.
4. Ronidazole - This is available as a water-soluble powder under a number of brand names world-wide, including Ridsol-S, Turbosole, Tricho-Plus and Ronivet. The usual strength used is 10%. The dose at this strength is ½ teaspoon per litre. Weaker preparations are available but the birds need to be treated longer with these. The drug is very bitter so preparations stronger than 10% tend to be unpalatable to the birds. It has a very wide safety margin and is safe to use during breeding, racing and moulting. World-wide, ronidazole is the current medication of choice to treat canker. However, in some countries it is not available for use in pigeons, authorities being concerned that resistant organisms may develop. As the drug is used in food-producing animals such as pigs, its use is reserved for these.
In any canker-control program, it is often best to rotate between at least two of these medications in order to decrease the chance of a resistant trichomonad strain developing. Currently, ronidazole-based preparations are used as the primary treatment because of their effectiveness and wide safety margin, but it is a good idea to swap to one of the other available drugs every third or fourth treatment.
Sources:
Damerow, G (1994) The Chicken Health Handbook. Storey Publishing, MA