Basically it's Psittacosis Chlamydia, just as thought, with a Yeast Infection secondary to all of the antibiotics already given....Nailed that one! Lol...I'm pretty confident looking at the Culture/Sensitivity results that this confirms that the main, original issue was and still is Psittacosis Chlamydia. Finally some confirmation!
You've got two different eye-drops. the Gatifloxacin, which is an antibiotic eye-drop from the Quinolone family (Cipro/Macrobid family), so this will treat the Bacterial Conjunctivitis in the eyes, and is the correct spectrum antibiotic according to the culture results. So this is good....The second eye-drop, the Lotepred, is a steroid that will help to stop the swelling and itching in her eyes. So this one is also good. Use as directed.
The Terbicip tablet is an oral Anti-Fungal medication to treat the secondary-Yeast infection caused by all the antibiotics...YAY! This is very good. The Probiotics will also help to calm her stomach and GI Tract, and will slowly replace all of the healthy/normal bacteria back into her GI Tract, but Probiotics will not "treat" the secondary-Yeast infection throughout her GI Tract, so she definitely NEEDS this medication...Looks like they gave you the compounding information and it's pretty straight-forward, just be sure that since you're only giving her literally "1 drop" by-mouth twice a day that she actually ingests that "1 drop", and do not at all hesitate to give her a second drop orally if you think that she didn't get the first drop, for example if she shakes her head because it tastes terrible, etc. And it's best that you just give her this directly right into her beak/mouth and that you don't mix it with any food because she really NEEDS to get this Anti-Fungal medication into her system, all of it. And if you mix only a single drop into food or juice, unless she eats or drinks every last bit of it she won't get all of it. So use an eye-dropper or oral syringe and just go in to her beak on the left-side...(HER left, so if you're facing her you go-in with the syringe on YOUR right, and then aim the syringe over her tongue and across to the other side, or HER right side, your left if you're facing her, as the entrance to her Crop is on HER right side, at the back of her throat, and that's where you want it to go. So if you're facing her you put the syringe into HER left side of the beak (your right), go OVER the tongue, and aim towards the back of her throat on HER right side (your left) and then push it in. This will also keep you from aspirating any liquid into her lungs...
The Cefpodoxime is the main antibiotic they are putting her on to treat the Bacterial Infection causing this whole mess. Good choice since the Doxy did nothing and that pretty much eliminates using any of the Penicillin drugs or the Tetracycline drugs. The Cephlosporins are very strong and should knock it out, though same directions as giving her the Anti-Fungal drops you're going to be compounding from a tablet. Make sure that you get it directly into her beak/mouth, using the same technique, and that she gets the entire dose and keeps it in her mouth without spitting it out or shaking it out.
****I would caution you that since you're only supposed to give her the Anti-Fungal med and the Antibiotic med twice daily for 14 days, that after that 14 days is up, if her respiratory symptoms are not markedly improved, it's most-likely because it was too-short a course of the Cefpodoxime, and you'll most-likely have to continue both it and the Anti-Fungal for at least another week, as 21-days is the recommended minimal treatment length, and this is a difficult bacteria to knock-out and to keep relapse from occurring, as you already know. But I think the choice of a Cephlosporin is a good one based on how the Doxy did nothing at all to help her.
The Milk Thistle is not a medication but rather a plant-based supplement that is great for liver-support...I don't see any blood-work results or anything written that indicates that her liver enzyme levels were off, so in that instance they are giving her the Milk Thistle to protect her liver from all of these continual medications, which is a good idea. Milk Thistle is safe to actually give your bird everyday as a liver supplement anyway, so this is a very good idea.
Finally, Nutrolin B is also not a medication so much as a supplement, but it's used to treat a whole lot of symptoms in a more "natural" way, which is a good idea with a bird who has been taking so many prescription medications...It treats GI Tract disturbances and irritations, as well as replaces the normal, healthy flora in the GI Tract, as it's main-function is as a Probiotic...It's also a Vitamin B supplement, I believe Vitamin B1 (Thiamine), Vitamin B2 (Riboflavin), and Vitamin B6 (Pyrodoxine), which are all meant keep her from becoming anemic, keep her Neurological System functioning properly, and also eye support...But basically this is mainly a very strong Probiotic, which you need to give her daily throughout the rest of the Antibioitic treatments, and for at least a couple of weeks after she finishes the antibiotics, both the oral and the eye drops.
I think this sounds like a good plan, but you need to keep a close watch on her as far as how well her symptoms are clearing, specifically the Respiratory symptoms. Her GI symptoms will no doubt improve and should be cured with the Anti-Fungal med and the Probiotics, as should the eye infection. What you're looking closely for is to see if the antibiotic (the Cefpodoxime) is FINALLY the correct antibiotic for treating the Psittacosis strain that she has, which is causing both the Respiratory symptoms and the underlying cause of the eye Conjunctivitis...
Keep us posted on how she's doing, and if you have any specific questions about the meds or dosing them just ask...
