Cushings, Diabeties and now pancreatitis

[doxiesrock912]

Please ask them to determine the cause of the itching before increasing anything. Infections can throw off test results.
If there is an infection, I would reschedule the ACTH until it has resolved.

Hope Bella feels better soon.

[molly muffin]

I would definitely ask them to take a look at her skin and maybe even take a scraping to find out what is going on there.

65mg twice daily, Yowser, I can see how that might make her very sick, dropping the cortisol likely. Well, you know that is a no no dosage to go already then.

hugs,
Sharlene and Molly Muffin

[Bella's Mum]

Well retested and ACTH came back as
Post 114, sorry can't recall the pre will check tomorrow.

We slowly increased by 20mg per day so now 50mg twice daily. So far no side effects. Bella is still itchy and scratchy show for the time being but no skin infections

[labblab]

Did you increase the dosage before or after this ACTH test? For our U.S. readers, the result translates into 4.1 ug/dl, which is safely inside Dechra's desired therapeutic range. So if the test was after the increase, it seems to be a very good result. If the increase has come subsequent to the testing, I am confused and worried because you will again be risking a cortisol drop that is too low.

For a post ACTH result between 40 - 150 nmol/L, the Dechra literature very clearly states: "Continue on same dose."

http://www.dechra-us.com/files/dechr...ts/Vetoryl.pdf

So please do let us know about the timing of this increase, OK?

Marianne

[Bella's Mum]

Did you increase the dosage before or after this ACTH test? For our U.S. readers, the result translates into 4.1 ug/dl, which is safely inside Dechra's desired therapeutic range. So if the test was after the increase, it seems to be a very good result. If the increase has come subsequent to the testing, I am confused and worried because you will again be risking a cortisol drop that is too low.

For a post ACTH result between 40 - 150 nmol/L, the Dechra literature very clearly states: "Continue on same dose."

http://www.dechra-us.com/files/dechr...ts/Vetoryl.pdf

So please do let us know about the timing of this increase, OK?

Marianne

Hi, this increase was after the test- both vets and lab specialist recommended it so now I am confused
Behaviour wise still happy and barking, but drinking lots of water still and very itchy.

Vet is back next week so perhaps we should re test then.

[labblab]

If I were you, I would print out the Dechra Product Sheet so that you will have it for reference purposes, and then ask your vets why they are wanting to decrease Bella's cortisol even lower than it already is since a dosage increase at this point is contrary to Dechra's recommendation. Perhaps there is something at play of which we are unaware, but it will be important for you to know the specifics of their thinking.

Marianne