Re: New Member Post
Hello and welcome to the forum from me too.
The importance of giving the meds with food is that food helps with the absorption of the medication and is considered to be an important part of the treatment. So, likely she hasn't been absorbing her dosage as well as she could be. That being said, you want to also have consistency with testing so that you know what the actual results look like. I do want to let you know about a new testing that vets in Europe have been using effectively, that doesn't require an ACTH but a blood draw prior to giving the dosage of trilostane (vetroyl) and see what the cortisol levels are. This is though to be an even more accurate way to determine how a dog is doing on treatment. I'll quote you what marianne wrote another member and provide the link. You can take that to your vet and see if she would be willing to follow that testing protocol (it is supposedly better and saves money)
Just within the last couple of weeks, those of us in the U.S. have learned that many vets in the U.K. and Europe have shifted away from using ACTH stimulation tests to monitor trilostane treatment unless there is a worry that a dog’s cortisol may have dropped too low. Instead, they are simply measuring resting cortisol right before the next dose of trilostane is due to be given. New research supports the notion that this actually gives better guidance re: the need for dosing increases, and it’s certainly a heck of a lot cheaper. Take a look at this link and the monitoring flowchart that’s included. Your vet may be very interested in this info, as well, and might be willing to investigate it further on your behalf.
http://www.k9cushings.com/forum/show...=1252#post1252
You can also check this thread for possible financial help
http://www.k9cushings.com/forum/show...with-Vet-bills
the important thing is to get her on track with correct testing and giving her meds with food.
Sharlene and the late great diva - Molly muffin (always missed and never forgotten)