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The 5mg booster might just do the trick. You're thinking she's not all that controlled so once you get the number from your acth you can re-think the dose. If you need to go up you could do an even number and try and even split if the current plan doesn't help. I get 10mg Vetoryl and 4 compounded Trilostane and give 14mg twice a day, the even split seems to work pretty well for us. I hope you see some positive change when you try 5mg in the afternoon...do you start that tomorrow?
Barbara
Hi Everyone:
Tipper was a little restless last nite before bed time, but she slept fairly well. Still the congestive noise though. and I noticed mucus in her one eye this morning. I had noticed that before when she started this swallowing etc. that she had mucus. I am going to give her one of the allergy pills the IMS told me to use. This is a bad time for allergies with everything falling off the trees etc. I started the 20mg in the morning split today. I will give her the 5mg at 4:00pm and see how it goes.
Sharlene when you said her tumor could be pressing on things and pushing her side out I am not understanding that. Are you saying that these tumors get that large? As I don't know that much about them. Tipper's tumor with was only around 2 centimeters which is much smaller than an eraser on pencil, would it grow that big and that fast in 2 months? This is really scaring me now. I am going to have her Ultra Sound on the 15th. I decided rather that have my vet find someone, I will take her back to the hospital as they have the high resolution scanner. I have called and asked that they put the images on a disk from both scans so that my vet can see them also. That way there will be no funny business going on about the measurements of each scan. Tipper has not been as active as she usually is for about two weeks now. I am deeply concerned about the progression of this disease. She will be 12 on Friday, and I thinks the odds of her making 13 are very questionable form what I am seeing. It will be God's will from now on, and I pray she can be with me a long time even though I have my doubts. I will continue on at full speed to try and defeat this disease. Blessings
Patti
Oh Patti, I'm sorry, I wasn't trying to scare you, about that it has grown, just that things sort of move around. Livers that are enlarged tend to push out sometimes. I can't remember if Tippers is enlarged or not, but because they have the muscle weakness and fat redistribution, things just end up looking different and sometimes that is the stomach particularly.
So I rather meant in general not specifically. Like the stomach is weaker, so it doesn't hold everything in place as well as it does normally. This doesn't hurt them, but it makes them look over weight.
Tippers adrenal tumor appears to be relatively small size.
This is all very scary. I agree totally, still Tipper is an amazing dog and has done pretty well over all.
Hang in there and again, so sorry, I didn't mean to scare you so much as to reassure you that it could just be muscle weakness that is contributing to the belly.
hugs,
Sharlene and molly muffin
Patti,
Buddy's liver was immense. It was so large that it had grown over all his other organs, leaving little room for anything else. His GP vet suspected a tumor. He was sent for an ultra-sound at a emergency vet hospital because they had a high resolution machine and an specialist to interpret the data. My point being that his his little body adapted to accommodate his immense liver and he lived comfortably (for the most part) with it. His suspected pituitary macro-tumor is what finally did him in, not his liver problem. sometimes organs are shifted around accommodate various growths and masses. We have no idea if Tipper's tumor has grown. Having the US done is totally up to you. However, that would be one way to evaluate whether Tipper's tumor has grown and how much. We are not trying to scare you. We just don't know. Xxxxx
Hi Patti... hoping Tipper had a better night last night and not so restless. How was her hunger last night? Did that split dose work? Did the allergy pill help?
Keeping you in my thoughts daily, you are such a trooper for Tipper.
Hi Everyone:
I think the thing I cannot understand is that both the vet and the IMS told me Tipper's liver is not enlarged. I guess I have to attribute her barrel chested appearance to all the muscle gone. I am sure things have shifted around as she is uncomfortable certain ways she lays down. Sharlene I did get scared, but I understand what you meant, so no harm done. I am going to have Tipper's ultra sound as I decided I need to know what this tumor is doing. I am taking her to the hospital to the high resolution US. I have asked that they burn two discs for me, so my vet can view the tumor and give me his measurements also, and he has a friend that does US and I want him to show him the discs and ask him to measure also. I want solid concrete numbers and opinions. I need to know what I am dealing with. Tipper just does not have the appearance of being heavier she is almost up a pound from her usual weight. It came on during the 2 weeks of being uncontrolled. I am trying a little at a time to cut her back even more. yesterday I started the split dose 20/5mg. She was not as bad as the previous days with hunger at nite. I gave her the second dose early at 4:00pm. The only thing I noticed was she was very restless at nite moving all around, and I know what that means. I may have to go to the 27mg or 28 if it continues. I am starting her on the Hawthorne for her heart murmur as soon as it arrives. I have been giving her massages very lightly before bed time to try and relax her. She had quite a few muscle contractions last nite soon after falling asleep. I am giving her the allergy pills and she does not seem to be swallowing what sounds like fluid all the time, it seems to have helped in that regard. There is a definite difference between a regular dry swallow and what she has been doing, I can hear fluid like she drank water when she swallows. It may be some form of post nasal drip or mucus and that is why the sticking the tongue out and licking is happening again. I am either researching something to help her or praying for her in any spare time I get, which is not too much. I got her balloons yesterday and some things for her birthday. I started to cry in the store buying the items. I am so scared I will not get another birthday with her, it just creeps up on me at times. The cashier said " oh are you getting this for your grandchild?" I said " no it's for my dog." She said " I thought you were getting emotional about a grandchilds birthday?" I said " No, but my dog is like a child to me and she is very ill." She said I wish I could be at that party." I am not one for crying in public places, the emotion of all this just swept over me. I pray I can be blessed enough that she lives for another birthday. I made a deal with God and told him if she has her 13 birthday I will be the best person I can for the rest of my life, and help others as much as possible. I hope he takes the deal I offered. I am a little worried about the balloons and her heart, as she gets crazy when she sees them, if she get really nuts I may have to grab her and stop her. Hoping the split dosage gets better tonite, and continues. Blessings
Patti
Patti,
Hoping you and Tipper had a good night last night.
Kathy:
I wanted to send you a special note of thanks because you always keep me going. I get strength from you, and appreciate you help always. Blessings
Patti
From page 166 of Tipper's thread here -
If you got the glycerite - that is still considered a tincture so the dosing would be the same. Gycerites are typically not as potent as alcohol tinctures so if you give a bit more, that shouldn't be a problem. But always start with the low end and go up over time if needed. Also, herbs work best when cycled - a few weeks on, then a few days off, then back on....;)Quote:
The dosing according to Dr.s Wynne and Fougere is as follows -
Dried herb - 25-300 mg/kg given TID
Infusions and decoctions - 5-30 grams per cup of water, with 1/4-1/2 per 10kg (20lbs) cup of tea given TID
Tincture - 1:2 or 1:3 ratio; 0.5-1.5ml per 10kg 20lbs) given TID and diluted or combined with other herbs. Higher doses may be appropriate if the herb is used singly and is not combined in a formula.
Now to see what I can find on the Rhodiola!
First hit! LOL I don't remember this but here it is! (It's a wonder I remember how to dress myself most days! :D)
http://www.k9cushings.com/forum/showthread.php?t=874