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Thread: Cushings, Diabeties and now pancreatitis

  1. #11
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    Default Re: Cushings, Diabeties and now pancreatitis

    Quote Originally Posted by frijole View Post
    On the blood results that you posted I noticed you did not post the liver enzymes which are alk phos and alt. Were they within normal ranges? I ask because cush dogs ALWAYS have high liver enzymes, particularly the alk phos.

    Also I agree that the dose you are on seems extremely high. Please confirm that your dachsund is on 80 mgs a day. If so please tell us your dog's weight. Normal dosing is more like 1 mg per kg of weight. I find it hard to believe your dachsund is 80 lbs.

    Kim
    Also yes sorry totally missed the alkaline phoshatase it was 177u/l with normal being 1-120
    Proud mum of two Miniture Dachshunds Bella and Frankie and a cat Grey

  2. #12
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    Default Re: Cushings, Diabeties and now pancreatitis

    If a dog is vomiting or sick, not feeling well, then with hold the vetroyl.
    With vomiting, diarrhea, these are common signs of too low of cortisol. Also, did they mention pancrease episode possibly?
    Is there any way at all to get an ultrasound if needed? If this is a possibility both location and financially, then I would probably go for it.
    Did they do the ACTH or are they just not giving you the results yet? It is very important that an ACTH be done due to the symptoms Bella is currently experiencing. Electrolytes also.

    Sharlene and Molly Muffin
    Sharlene and the late great diva - Molly muffin (always missed and never forgotten)

  3. #13
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    Default Re: Cushings, Diabeties and now pancreatitis

    Stop the Vertoryl.
    Valerie

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    Daisy Bella

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  4. #14
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    Default Re: Cushings, Diabeties and now pancreatitis

    So we'll all be on the same page regarding Bella's dosing, 8 kg. equals approximately 18 pounds. So at 80 mg. of Vetoryl daily, this equals a formula of 10 mg. per kg. (Dechra recommends an initial range of 2.2 - 6.7 mg. per kg.), or 4.4 mg. per pound (Dechra recommends an initial range of 1 - 3 mg. per pound).

    So it is a higher dose than we are accustomed to, but whether or not it has been appropriate really depends upon the results of the previous monitoring ACTH testing during this past year that she's been taking the drug. We'd surely be interested in the actual numerical test results, though.

    First things first, though, and I definitely agree that Bella needs to be seen by the vet and her Vetoryl withheld for the moment. But if her cortisol was actually too high last week, it seems to me that you really do have to wonder about pancreatitis as being more likely than low cortisol, though. Just want to warn you that a specialized blood test (cPL) is really necessary to rule out pancreatitis. My own dog is living proof that lipase and amylase may appear normal on lab results even in the midst of an acute pancreatic attack.

    Marianne
    Last edited by labblab; 12-29-2013 at 07:29 AM. Reason: To add.

  5. #15
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    Default Re: Cushings, Diabeties and now pancreatitis

    Happy new year

    We took Bella back to the vet as mentioned and she was given maxalon shot to help settle her stomach. Took her home and was back to her happy self again. I wonder if the vomiting and diaherra can be stress related as she typically does this after a visit / overnight stay? The vet on didn't seem to think so, but normal vet agrees with us when she's stress and come homes she 'sick' again.

    It's a public holiday here today, but will call the vets in the morning as to what to do regarding vetroyl and try to get copies of the last ACTH test. At this stage yes she is still on it as we are doing what we were told by the vet.

    The past week or so Bella has been very itchy, we gave her a soothing bath yesterday but has not helped 100%, is this the cortisol levels playing up?

    Hope everyone has a safe and happy new year
    Proud mum of two Miniture Dachshunds Bella and Frankie and a cat Grey

  6. #16
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    Default Re: Cushings, Diabeties and now pancreatitis

    Ok got the last ACTH test
    0-94
    1-194

    Still looking for orginal ACTH test will post when find
    Proud mum of two Miniture Dachshunds Bella and Frankie and a cat Grey

  7. #17
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    Default Re: Cushings, Diabeties and now pancreatitis

    Quote Originally Posted by Bella's Mum View Post
    Ok got the last ACTH test
    0-94
    1-194

    Still looking for orginal ACTH test will post when find
    Found the very first ACTH
    0-100
    1 -714
    Last edited by Bella's Mum; 01-04-2014 at 04:58 PM. Reason: Spelling
    Proud mum of two Miniture Dachshunds Bella and Frankie and a cat Grey

  8. #18
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    Default Re: Cushings, Diabeties and now pancreatitis

    Quote Originally Posted by Bella's Mum View Post
    Ok got the last ACTH test
    0-94
    1-194

    Still looking for orginal ACTH test will post when find
    Translated for US members this is Pre 3.3 and post 6.92. That is improvement! Cortisol previously was 25.5 and now it is 6.92 so it has gone down which is exactly what you want. Kim

  9. #19
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    Default Re: Cushings, Diabeties and now pancreatitis

    Okay I am guessing that this is in nmol? is that correct? And do you have the dates for each test?

    converting to ug/which most here are use to viewing, it would be as follows

    1st ACTH
    pre - 100nmol (3.62 ug)
    post -714nmol (25.87ug)

    2nd ACTH
    pre - 94noml (3.4 ug)
    post - 194nmol (7.03ug)

    If this is correct, and please verify that the unit is nmol and the dates, then this is on the right track. Dechra says that results if symptoms are controlled can be up to 9.0ug, if not controlled then to bring the post number to under 5.4ug.

    How is Bella now? Is she still itchy? Any more vomiting or diarhea?

    Sharlene and Molly Muffin
    Sharlene and the late great diva - Molly muffin (always missed and never forgotten)

  10. #20
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    Default Re: Cushings, Diabeties and now pancreatitis

    Quote Originally Posted by molly muffin View Post
    Okay I am guessing that this is in nmol? is that correct? And do you have the dates for each test?

    converting to ug/which most here are use to viewing, it would be as follows

    1st ACTH
    pre - 100nmol (3.62 ug)
    post -714nmol (25.87ug)

    2nd ACTH
    pre - 94noml (3.4 ug)
    post - 194nmol (7.03ug)

    If this is correct, and please verify that the unit is nmol and the dates, then this is on the right track. Dechra says that results if symptoms are controlled can be up to 9.0ug, if not controlled then to bring the post number to under 5.4ug.

    How is Bella now? Is she still itchy? Any more vomiting or diarhea?

    Sharlene and Molly Muffin
    Hi,
    Sorry I don't know how to convert for US .
    The 1st ACTH with the result 714nmol was at first diagnosis 28 August 2012.
    2nd one of 194nmol was 13 December 2013.

    I did look at previous results when all was being controlled and the post was around 52nmol which vet told me is excellent control so being on the same dosage doesn't always remain the same .

    Yes, Bella is still extremely itchy, thankfully no diaherra or vomiting . we have another ACTH test booked for tomorrow as the specialist from the lab wanted to double Bella's medications and I am wary of doing that as last time we went to 65mg twice daily, Bella got really sick.

    Fingers cross her levels are back to 'normal' tomorrow
    Proud mum of two Miniture Dachshunds Bella and Frankie and a cat Grey

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