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Thread: 9 Year Old Maltese with Cushings

  1. #961
    Join Date
    Mar 2013
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    3,022

    Default Re: 9 Year Old Maltese with Cushings

    Good luck Kenny!!!!
    Valerie

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    Daisy Bella

    "My sunshine doesn't come from the skies, it comes from the love in my dog's eyes." - Author Unknown

  2. #962
    Join Date
    May 2013
    Location
    Roanoke, VA
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    626

    Default Re: 9 Year Old Maltese with Cushings

    Ok everyone, Gracie had the ACTH test today. Dr Herring said the results would be back in a day or two. I already know she has it. There is no doubt in my mind. Drinking water like crazy, hair very thin, urinating all over the place. Even peed on my blanket again today that she was riding on. But this is my question. I would like to know this before the Vet calls me. What will be the normal range for the ACTH and then the High range that indicates Cushings?? Thanks as always.

  3. #963
    Join Date
    Apr 2009
    Location
    Arizona
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    2,832

    Default Re: 9 Year Old Maltese with Cushings

    Normal: Pre-ACTH: 2–6 µg/dL - Post-ACTH: 6–18 µg/dL

    cushings possible: - Post-ACTH 18–22 µg/dL

    Consistent with Cushngs: - Post-ACTH >22 µg/dL

    This is when not on treatment.
    John (Roxee & Rozee's Dad)

  4. #964
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    Mar 2013
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    Default Re: 9 Year Old Maltese with Cushings

    Hi Kenny,

    I'm so glad that you finally got Gracie tested! I don't know the ranges, but if you ask the vet to email you the full report and what he recommends, then post it here, there are others who are really good at deciphering those things.

    Don't be alarmed if something else is going on with Gracie, because Cushings wreaks havoc on the immune system, Cushpups are prone to skin infections and UTIs. If he prescribes antibiotics you'll want a retest once any other health issues are cleared up because an infection can throw the test results off.

    Keep us posted
    Valerie

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    Daisy Bella

    "My sunshine doesn't come from the skies, it comes from the love in my dog's eyes." - Author Unknown

  5. #965
    Join Date
    May 2013
    Location
    Roanoke, VA
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    626

    Default Re: 9 Year Old Maltese with Cushings

    Even without the results back yet, I am positive she has Cushings. The symptoms have gotten worse. I hear people say you need to put gloves on when giving her the capsules, is that true?

  6. #966
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    Apr 2009
    Location
    Arizona
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    2,832

    Default Re: 9 Year Old Maltese with Cushings

    Human Warnings:
    Keep out of reach of children. Not for human use.
    Wash hands after use. Do not empty
    capsule contents and do not attempt
    to divide the capsules. Do not handle
    the capsules if pregnant or if trying
    to conceive. Trilostane is associated
    with teratogenic effects and early
    pregnancy loss in laboratory animals.
    In the event of accidental ingestion/
    overdose, seek medical advice
    immediately and take the labeled
    container with you
    John (Roxee & Rozee's Dad)

  7. #967
    Join Date
    May 2013
    Location
    Roanoke, VA
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    626

    Default Re: 9 Year Old Maltese with Cushings

    Good lord, and I am putting this stuff down Gracie's body?? I am not sure what is worse, the disease or the medication.

  8. #968
    Join Date
    May 2013
    Location
    Roanoke, VA
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    626

    Default Re: 9 Year Old Maltese with Cushings

    Vet just called. Gracie came in right above the normal range at 22.9 which she said was consistent with Cushings. She will be given a compounded version from Wedgewood Pharmacy at roughly 2.3 milligrams twice a day. She is also going to prescribe prednisone just in case. She didn't think I would need it since Gracie would be on such a low dosage but just being on the safe side. Ok guys, what do you think?? Does this sound like a good plan?

  9. #969
    Join Date
    Apr 2009
    Location
    Georgia
    Posts
    15,292

    Default Re: 9 Year Old Maltese with Cushings

    Kenny, if it were me, I would talk with your vet about using a compounding pharmacy that is included on this list:

    http://www.nabp.net/programs/accredi...nline-pharmacy

    This is an explanation as to the credentialing associated with this list:

    http://www.nabp.net/programs/accreditation/vet-vipps

    You will see that Wedgewood is not on the list. Additionally, the FDA noted a number of irregularities in an inspection report they issued for Wedgewood last February. I don't know how many of the internet pharmacies on this list can compound trilostane in the dose that Gracie needs, but I know there is at least one -- Diamondback Drugs in Arizona -- because a number of our members currently use them. I would talk with your vet about getting Gracie's medication from one of these pharmacies.

    In terms of dosage, can you remind us what Gracie weighs?

    Marianne

  10. #970
    Join Date
    Mar 2013
    Posts
    3,022

    Default Re: 9 Year Old Maltese with Cushings

    Kenny,
    We also use Diamondback. Please call your vet and insist that they call in the prescription a
    1-866-578-4420. Someone from Diamondbacks will then call you for payment information, mailing address etc.

    Starting low is great and your vet is being proactive by giving you then Prednisone just in case.

    Other than their choice in pharmacies, you're off to a good start.
    Valerie

    //^ ^\\ //^^\\
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    /''*''\ / "*"\
    (,,,)^(,,,)​ (,,,,)^(,,,,)
    ❤ ♥
    Daisy Bella

    "My sunshine doesn't come from the skies, it comes from the love in my dog's eyes." - Author Unknown

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