I think the spots were pretty large for velvet...but it's not impossible for him to have both [emoji15]
I think I would hold off on the antibiotics completely for the time being. The spots, heavy breathing, and light sensitivity indicate parasites and should be addressed first at this point. Once these are gone, he may even be able to fight the mild bacterial infection on his own.
I would remove all medications using carbon, buy a copper test kit, and then start again with either copper (much more slowly) or CP. If you decide to use CP, you're going to want to be sure the copper has been removed first so the test kit is important either way.