My Pug Scoop (Precious Scoop has passed... )

http://www.k9cushings.com/forum/showthread.php?t=4592

link to discussions about purchasing Vetoryl at a good price;)

Quote:

---

Originally Posted by addy

http://www.petapothecary.com/
This pet pharmacy is right near my house and was suggested by our IMS. They sell both compounded and name brand. I use the name brand Vetoryl from them as their compounded Trilostane is not much cheaper. I think you can do much better then the prices your vet is charging, they seem high. I cant find my last bill but we don't pay that. Alot of our members purchase from Diamondback Drugs in AZ when the use compounded. Not all compounding pharmacies are created equal so you need to purchase from a reputable pharmacy.

I do know that we all have read that it is easier to control blood sugars when the cortsiol is more evenly controlled throughout the day, which means twice day dosing.

I am not sure why your vet thinks a post of 6ug/dl is low unless it has something to do with controlling Scoop's diabetes. It is not low.
Yes, a dog's cortisol can continue to drop on the same dose but it also can go higher. Keep in mind hormones fluctuate so that is why we have a range of numbers to begin with. My Zoe was appx 6.2 in September, 10.2 post in October and dropped to 7.1 in January all on the same dose. ( I may be off a bit on those numbers, but you understand my point) She has bounced around when she first started on the same dose going lower, then gowing higher.

There can be a difference in Trilostane and Vetoryl as far as how much of the acting ingredient is in a capsule. With the name brand, it does not vary, so we know for sure that 10mg is exactly 10mgs. There was a study done where I think it was 5 different compounding pharmacies Trilostane capsules were tested. Not all of the pharmacies passed the test and the amount of Trilostane in a 10mg capsule varied. This is why we say only use a reputable compounding pharmacy.

Hope this helps a little. Oh- I see Marianne and I were typing at the same time.

---

Addy, Do you think I should ask my Vet for a prescript for Vetroyl instead of Trilostane so that Norman gets a true and accurrate amount? and maybe get it more reasonably and in a speedier fashion?

Sharon

Thanks everyone.
The vet called again today. She said she talked to the IMS and that nothing will change for now. She wants me to measure his water for a few days and she said her and the IMS talked about doing a fructosamine(sp?) test. That tells the BG levels for the past couple of weeks. I didn't know there was such a thing. She said it will be less stressful. I said what about splitting the Vetoryl dose. I mentioned the article from Dr. Peterson. She said she didn't think it was necessary at this time. Maybe she wants to wait till after that test and see how it goes. That's not for a couple of weeks. Then she said something about Vetoryl doesn't come in 20mg. Geez, I know that. That's where compounding would come into the picture, right? Using all 10mg would be so expensive. Even if would do 30mg morning, 10mg evening you would still think it would be better than once a day. I get so frustrated sometimes after I talk to her. I always feel rushed. I know she's busy and I can't get my thoughts straight. I'll be emailing the water measurements so I guess I can ask questions then. Nothing is easy.

Hate that when you feel like you cannot get your point across because you feel rushed, I have taken to having a list handy so I don't forget anything, even typed it into my phone. But hard to read if I am actually speaking to them on that phone :D:D Sending big hugs to Scoop and you.. what a great Mom you are!
Trish xxxxxxx

Seems like you learn something new on here all the time Vicki. I didn't know about that test either.
Hang in there! You're doing good.

hugs,
Sharlene and Molly Muffin

Thank you Trish and Sharlene

Vicki: from everything I've read the curves you've had done give you a lot more accurate information than the fructosamine test would. What good would an average of Scoop's blood sugar over the last several weeks do?

From everything I've seen people suggest saving your money on that test.

I think you are smart to push the twice a day dosing of the trilo. hang in there! Judi

Judi-I was wondering how much a test like that costs. I will see if I can question the vet as to what she thinks will be gained from the test. She said the IMS agrees with her.

12 years ago my husband told our daughter she could pick what kind of dog she'd like to have. She decided on a Pug. The last Saturday in Jan. 2001 my daughter and I went to a pet shop. I had been told they had a Pug there. As soon as we walked in the door there was Scoop. In the first pen as you walked in. He was 3.5 months old. We took that little guy home with us that day and we have been blessed for the past 12 years with so, so much love and happiness. Hopefully there is a lot more to come. It is so hard now with all his problems to see such a difference in him but he is loved more than words can say.
To my Scoop-Thank you Scoop for giving us such joy, happiness and love the past 12 years and for being "the best dog ever". We LOVE you so very much.
Mom, Dad and Molly

Hoping you got some good cuddle time in with Scoop!!!!!

((((((((((((((((((hugs)))))))))))))), sweetie.