I'd ask the vet about the vaccine. Everyone uses different combinations. I have no idea what the D is, but the rest should be rhinotracheitis, calicivirus, and panleukopenia. Together they make up the common URI viruses in cats, and are also known collectively as feline distemper vaccine. But I'm not aware of any feline vaccination that starts with a D. May be whatever brand they use, so it's best to call. There's a one time ear mite treatment called Acaraxx, but you have to get it from the vet. If they gave this treatment then there is no reason to do more. Great stuff, just high dose topical ivermectin.

Marygailv, I suppose it's possible that it varies by state, but the pharmacists I spoke to in PA said no prescription is necessary. My insurance company doesn't care who administers the shot; they'll charge me $45 no matter what. Here's the article I wrote, for anyone who's interested. A lot of it concerns availability at our local pharmacies, though. Shingles Vaccine Available Locally One thing most of us know about shingles is that we don't want to get it. Shingles--an infection caused by the same virus (varicella zoster) that gives us chicken pox--is painful. It's easy to understand why, as the virus attacks nerves directly. After a case of chicken pox, the virus remains in nerve tissue near the spinal cord and brain. Many years later, the virus may reactivate as shingles. Everyone who has had chicken pox--and 90 percent of Americans over the age of 15 are in this category--are at risk for getting shingles later in life. This risk is increased in those whose immune systems are weakened by advancing age, extreme stress, diseases such as cancer, or medications like chemotherapy and steroids. Early symptoms of shingles include pain and tingling or itching, usually located on one side of the body or face. Blisters, sometimes covering a large area, appear 1 to 14 days after the onset of the early symptoms.The rash and pain from shingles usually lasts about a month. But for some, the pain lingers on. People with postherpetic neuralgia (PHN), the most common complication of shingles, can have pain that hangs on for months, sometimes years, after the shingles rash has healed. Possible prevention There is no cure for shingles, but antiviral medicines can reduce the severity and duration of an attack. These include acyclovir, valacyclovir, and famcyclovir. With all of them, the earlier in the illness they are started, the more effective they will be. But prevention is also possible for some: People over the age of 50 can reduce their chances of getting shingles by getting Zostavax, the shingles vaccine. The vaccine is said to cut one's risk of shingles in half. It also cut the risk of PHN by two-thirds. The Centers for Disease Control and Prevention recommends that everyone in the approved group get a single dose of Zostavax, even if they already had shingles. Hard to find The shingles vaccine was originally approved for people aged 60 and over, but in March 2011 the approved age was lowered to 50. Two issues have kept the vaccine from becoming as widely used as the medical community anticipated when it was first approved in 2006: availability and cost. Zostavax can be hard to find. For one thing, it is frozen and must be kept frozen until it is administered. Some pharmacies aren't equipped to keep it at the required 5 degrees F. For another, pharmacies have reported difficulty in obtaining supplies of the vaccine from its manufacturer, Merck. We spoke with pharmacist Bob McGowan at the K-Mart Pharmacy, who told us the Zostavax vaccine is always hard to obtain. He orders it, but can never be certain when it will arrive. His pharmacy is out of the vaccine right now, but hopes to get it soon. When they do have it, they are able to administer the shot to customers in the store. Wal-Mart doesn't carry the vaccine in their pharmacy, but pharmacist Mike Harris told us they're strongly considering it. He has a personal interest in shingles prevention, as a member of his extended family lost the sight in one eye after contracting the disease. Stephens Pharmacy carries the shingles vaccine, but doesn't administer it. That will change soon, according to pharmacist Wayne Stephens, who said they're working on becoming certified to give the shots. Stephens' biggest concern regarding the shingles vaccine is its availability. He explained that Merck supplies it irregularly. Pharmacies have been likely to receive more in the winter than during the other seasons. Wayne Stephens said his store has a waiting list of 50 people hoping to get the shingles vaccine; this is the third waiting list Stephens Pharmacy has had this year. Rite-Aid carries the vaccine and administers it. At this writing, they have it in stock. Pharmacist Mike Vaccaro of the Vaccaro Pharmacy tries to keep the vaccine in stock, and also administers it. His pharmacy presently has some, but he said availability has been an issue for the past 18 months or so. He reports an approximate three-month lag between ordering Zotavax and receiving it. His pharmacy keeps a waiting list when necessary. Cost The cost of Zostavax is a factor, too. Locally, the average price for the shot can run over $200. Insurance plans vary as to how much of this, if any, they will cover. Medicare recipients should check with their prescription Part D insurer to find out what their plan will pay. For those over 50, the shingles vaccine seems like an option worth considering.

Terilyn, that is BIZARRE. The chicken pox vaccine is, as they all are, dead disease that increases your bodies antibodies to fight live disease. Where it is possible to have such a slight case of chicken pox one might not become immune, to have that many "sever" cases--would be most unusual, if not impossible according to generally held beliefs on disease. My son brought chicken pox home from Kdg. the year the vaccine was just being made readily available. He had maybe 10 pox. His sisters three and 6 mos got it MUCH worse. The 6 month old was COVERED. I do think he is likely not to be immune and I worry about him getting it as an adult. When I asked my doctor about the shingles vaccine she let me know it could be prohibitively expensive and that I should check with my Insurance provider. I was happy to be covered. Thank the lord for private coverage!!! I received the pneumonia shot in my 40's. I had been contracting bronchitis and or pneumonia at least twice a year and the Doc was concerned about lung damage. I was told it was unknown how long that shot was good for--they usually give it to people 65+ and most die still covered. I will likely get a booster in a few years.

"Hepatitis B vaccination General information Adults who seek protection from hepatitis B virus infection may receive a 3-dose series of single-antigen hepatitis B vaccine (HepB) (Engerix-B, Recombivax HB) at 0, 1, and 6 months. Adults may also receive a combined hepatitis A and hepatitis B vaccine (HepA-HepB) (Twinrix) at 0, 1, and 6 months. Acknowledgment of a specific risk factor by those who seek protection is not needed. Special populations Adults at risk for hepatitis B virus infection by sexual exposure should receive a HepB series, including sex partners of hepatitis B surface antigen (HBsAg)-positive persons, sexually active persons who are not in a mutually monogamous relationship, persons seeking evaluation or treatment for a sexually transmitted infection, and men who have sex with men (MSM). Adults at risk for hepatitis B virus infection by percutaneous or mucosal exposure to blood should receive a HepB series, including adults who are recent or current users of injection drugs, household contacts of HBsAg- positive persons, residents and staff of facilities for developmentally disabled persons, incarcerated, healthcare and public safety workers at risk for exposure to blood or blood-contaminated body fluids, younger than age 60 years with diabetes mellitus, and age 60 years or older with diabetes mellitus at the discretion of the treating clinician. Adults with chronic liver disease including, but not limited to, hepatitis C virus infection, cirrhosis, fatty liver disease, alcoholic liver disease, autoimmune hepatitis, and an alanine aminotransferase (ALT) or aspartate aminotransferase (AST) level greater than twice the upper limit of normal should receive a HepB series. Adults with end-stage renal disease including those on pre-dialysis care, hemodialysis, peritoneal dialysis, and home dialysis should receive a HepB series. Adults on hemodialysis should receive a 3-dose series of 40 μg Recombivax HB at 0, 1, and 6 months or a 4-dose series of 40 μg Engerix-B at 0, 1, 2, and 6 months. Adults with human immunodeficiency virus (HIV) infection should receive a HepB series. Pregnant women who are at risk for hepatitis B virus infection during pregnancy, e.g., having more than one sex partner during the previous six months, been evaluated or treated for a sexually transmitted infection, recent or current injection drug use, or had an HBsAg-positive sex partner, should receive a HepB series. International travelers to regions with high or intermediate levels of endemic hepatitis B virus infection should receive a HepB series. Adults in the following settings are assumed to be at risk for hepatitis B virus infection and should receive a HepB series: sexually transmitted disease treatment facilities, HIV testing and treatment facilities, facilities providing drug-abuse treatment and prevention services, healthcare settings targeting services to persons who inject drugs, correctional facilities, healthcare settings targeting services to MSM, hemodialysis facilities and end-stage renal disease programs, and institutions and nonresidential day care facilities for developmentally disabled persons."