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Thread: Cody diagnosed with cushings

  1. #11
    Join Date
    Dec 2018
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    Default Re: Cody diagnosed with cushings

    Thank you for that information. He weighs about 18 pounds so would it be 18mg or does it go in increments of 10?

  2. #12
    Join Date
    Apr 2009
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    York, PA.
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    Default Re: Cody diagnosed with cushings

    At 18 lbs, 18 mg is ideal but if your using brand-name Vetoryl than you could start out at 10 mg or purchase some 5 mg capsules and start at 15 mg. I would recommend not starting any higher than 18 mg.

    Lori

  3. #13
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    Dec 2018
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    Default Re: Cody diagnosed with cushings

    When I was talking to the specialist she said that she uses a compound pharmacy and gives it in a liquid so the amount can be easily changed and the dosing more exact. I mentioned what I had read on here about compounding not being regulated and how it may not be consistently the same each time it's done. She told me she knew about that and they use 2 pharmacies that she has had good results with. She also said that if I felt more comfortable using the actual Vetoryl we could do that too. What do you think?

  4. #14
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    Mar 2009
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    rural central ARK
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    Default Re: Cody diagnosed with cushings

    I have used compounded meds from Diamondback Drugs and feel very very comfortable with them. I have never had any issue. They will be glad to work with any vet....all they need is a prescription.
    "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.

  5. #15
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    Default Re: Cody diagnosed with cushings

    Good to know. Thank you! ��

  6. #16
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    Dec 2018
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    Default Re: Cody diagnosed with cushings

    So the specialist and my regular vet finally got together and they both want to start him on 10 mg 2x a day. My vet is going to get capsules which I'm hoping aren't too big for him to take. She said if he won't take them we may have to go with the compounded medicine so we'll see. Do you think I should ask her if we can start with 15 mg. instead?

  7. #17
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    Mar 2009
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    Default Re: Cody diagnosed with cushings

    Personally I would want the 15mg/1x/day or compounded so it could be taken twice a day. If you go with the 20mg/2x/day watch carefully for any signs of nausea/vomiting, loose stools/diarrhea, loss of appetite, lethargy. If you see ANY of these signs stop the drug immediately and call the vet. If the signs you saw don't go away in 24 hours or less have an ACTH performed asap to make sure the cortisol has not dropped too low.

    You got this! Don't worry too much - you have us on your side all the way!
    Hugs,
    Leslie
    "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.

  8. #18
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    Default Re: Cody diagnosed with cushings

    The recommended starting dose of Vetoryl is 1 mg per pound of the dog's weight so for Cody's weight of 18 pounds that would be mean a dose no higher than 18 mg. Since the total daily 20 mg (10 mg BID) dose that the vet is advising is just a tad bit higher I think it is a reasonable starting dose, however, you still need to look for symptoms of cortisol dropping too low which are diarrhea, vomiting, inappetence, lethargy, or Cody simply not acting himself, if any of one of those symptoms are observed than the Vetoryl has to be stopped.

    Also, the Vetoryl has to be given with a meal to be properly absorbed and the timing of those monitoring ACTH stimulation tests are very important. Is the vet going to be checking his cortisol with a full ACTH stimulation test or using the pre-pill method?

    Lori

  9. #19
    Join Date
    Dec 2018
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    Default Re: Cody diagnosed with cushings

    Thank you Leslie. It is freaking me out. His stools are soft but they are formed and not runny. He doesn't eat a lot but if he refuses to eat all day I know there's a problem. As for lethargy he sleeps a lot during the day but when it's time for his walk he's raring to go and I have trouble keeping up so if he doesn't go like he normally does it will definitely be a problem! I will keep a watch for all the signs and bring him in ASAP. Better to be safe than sorry. I think I will call the vet and ask her about the 15 mg. vs. the 20 and see what she says.

  10. #20
    Join Date
    Dec 2018
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    Default Re: Cody diagnosed with cushings

    Thank you Lori. When you say give with a meal do you mean a full on meal or can he just have some food. The reason I'm asking is he only really eats once a day but I would be able to give him the morning dose with a little bit of food. i tried feeding him twice a day but he doesn't seem interested in the food in the morning and it would just sit there all day so I just stopped giving it to him.

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