Re: Cost of treatment
If Rosie were mine, based on those ACTH results I would give a her break from the Vetoryl then restart on the lower dose. Sometimes even tho the numbers aren't in the actual danger zone according to the papers, it is in the danger zone for THAT dog. So while 1.8 ug/dl isn't technically too low it may well be too low for Rosie and making her feel pretty bad. So I would give her adrenal glands a chance to rebound a bit then start the lower dose. If the electrolytes are out of whack that will really make her wobbly and feel just awful. Completely stopping the med for a bit should allow the electrolytes to stabilize too. I would watch for an increase in appetite and thirst then put her on the 30 mg.
I did a quick scan of Rosie's thread here and didn't see where you have told us her weight. It was a quick scan tho and I may have missed it. But looking at her pic I am thinking she is a medium to medium large dog. If that is the case then even the 30mg may be too much for her. Recent studies have shown that larger dogs need a much much smaller dose that originally thought - 0.5mg per pound VS the 1-3mg per pound stated in the literature. So if she continues to have issues on the 30mg I would ask for an even lower dose...something like 15mg to start.
Please stay in touch and let us know how your sweet girl is doing.
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.