Re: Millie (12 y/o border collie kelpie cross) Trilostane & arthritis
Hi Michelle and welcome to you and Millie!
It isn't unusual for pups to need several tweakings of their Trilostane dose before getting dialed in to just the right amount for them. Each pup is different, so some require a higher dose than others. The return of signs is an indication this could be the problem - Millie may simply need her dose adjusted up a bit. The ACTH will tell the tale so it is good that is scheduled soon.
Did she have blood work done? Recently? If not, you might want to have diabetes and hypothyroidism ruled out. Diabetes, especially, can come on quite rapidly and an increase in drinking and urination are signs of diabetes, too. How is her appetite? If it is still pretty strong, or if it is increasing as well, then diabetes is not as apt to be an issue. Pups will generally lose their appetites with diabetes while appetite increases with Cushing's and hypothyroidism.
There is a product called GlycoFlex that comes in three strengths - I, II, and III. It has many very good ingredients that will help with inflammation from arthritis. It does not require a prescription but I would do a bit of research on the three strengths and see what you think of the product itself, then talk to your vet about it if you are interested. My Squirt has been on it since July of 2010 when she had one of her knees repaired and has done quite well with it. Here is a link -
(click on the tab that says "joint support")
http://www.vetriscience.com/dog-cat-....php#glycoflex
Our vet has started stocking it, yours may have it as well. It is expensive, but worth it for my little dogs...all under 15 lbs. With a larger dog, the cost would probably be too high for me, unfortunately, as I think it is a great product.
I'm glad you found us and look forward to learning more as time passes. You need to know that you and Millie are no longer alone. You are both family now and we will be with you all the way.
Hugs,
Leslie and the gang
"May you know that absence is full of tender presence and that nothing is ever lost or forgotten." John O'Donahue, "Eternal Echoes"
Death is not a changing of worlds as most imagine, as much as the walls of this world infinitely expanding.