How much medication at the same time without damaging the bodytoo much?
So, we have a group of 22 kittens (6 months) and 2 mothers. All are treatet for ringworm (Microsporum Canis) and in 3 days are finished (only 8 showed symptoms, but since they all had contact, all had to be treated).
They were treated with Itraconazole (1 week treatment, 1 week break, 1 week treatment, another 1 week break and a last week treatment). Additionally they were bathed 1 once a week in Enilconazole.

Some of them are treated with marbocyl for cat flu right now (most likely Calici).

Additional they were tested positive for giardia and worms (Toxocaridae?) last friday after most of them developed bad diarrhea that smelled incredibly bad.
For the Giardia they get treated with Metronidazole (twice a day).
Fenbendazole is not an option, as it doesn’t help anymore most of the time.

So now I still need deworm them and make a flea treatment (as they have also fleas). I don’t want to do worm and flea medication at the same day – as that would mean that at least the ones with cat flu would get 5 medications at the same time.

Only two more days till the ring worm treatment is finished, so I thought of doing flea treatment the following day and deworming the day after that to spread the treatment a little.

Some of them are clearly not well right now, so while I would normally deflea/deworm at the same time, I’m a bit hesitant here.

What do you think?

What I have to add – one of the kittens died this morning without known reason. It was not extremly thin or dehydrated and acted normal when I saw it the first time this morning. When a collegue wanted to clean their room she called me because it would lie on the floor and couldn’t move. (I was like 20 meters away in another room) She said it made strange noises and lost poo (diarrhea). When I arrived it was already gone. The hair on his tail was poofed up, eyes/pupils wide, but no heart beat and breathing. I tried to bring it back, but without success.
It had no signs of being extremly sick. It was not affected by ringworm itself and hat no catflu. It had diarrhea, but ate well. It played, was active and so on. It showed no signs of liver problems (as Itraconazole could cause that) like yellow skin.

No one has seen what happened. I was thinking that it may has fallen off a wooden layer that are left and right to the door, right beneath the windows. The cats like to sit in it and look out the windows or wait for someone to come inside. But those are only like 1,20m in height.

So I’m even more worried that all those medicaton already was too much for that one :(.