Re: Cami: return of adrenal tumor/s; trilostane?
Hello and welcome to the forum.
Dang I am so sorry that the adrenal tumor has come back. Adrenal tumors can be harder to regulate than pituitary tumors but it is worth a try and we have had others use trilostane with adrenal tumors, when they aren't removable.
First you want to start at no more than 1mg/1lb. You can use a compounded trilostane, from a pharmacy like Diamondbacks for instance, to keep cost down. I'm not sure how much your dog weighs but compounded pricing is dependent upon dosage. Someone said they paid like $18.50 a month for 11mg.
It can certainly help with the symptoms. As to whether all of them go away or not, that isn't a given in any dog with medication, you just don't know if they all will or only some.
Side effects seem to be small as long as you don't give over what it takes to control cortisol. Starting at a larger dose than needed for instance, can cause problems. Every dog of course can have a reaction to any medication and that is why it is just safer to start at the 1mg/1lb ratio as now recommended by the manufacturer.
I think if symptoms have already started then it would be worth it to go ahead and start.
Is the tumor growing? and has it invaded the vena cava? Much will depend on what the tumor itself does. If it remains small and not growing, then the medication can help her to have a good time remaining however long that might be.
Sharlene and the late great diva - Molly muffin (always missed and never forgotten)