i just been treating a goat who went down at the weekend and after treating with the refridgerator approach finally repeated a dose of Flukicide which turned her around in 24 hours. As fluke affects the liver id recommend anything for your ram lamb that will help the liver heal- so the B vitamins, penicillin, anti inflammatories, and low protein feeds were all things I gave my goat and after 3 days from looking like death she seems to be returning to herself. Fluke is a terrible thing and winters are getting wetter and warmer I think It is going to be a problem for many. I used Rycoben after changing from Combinex last year. Its a double sheep dose for goats. And will repeat monthly in order to kill juveniles, and eggs once they reach the killable adult stage.