Hello again, and I’m so sorry that you don’t have better news to share. As you’ll see, I did go ahead and merge your new post into your original thread. This way, we can trace back through Sasha’s entire history and view the whole big picture.
Doxepin is not a medication with which I’m familiar, so I just now did a quick Google search and one of the first articles I pulled up is this brand new study that found *no* value in using it to treat Labs suffering from laryngeal paralysis:-(((((.
https://pubmed.ncbi.nlm.nih.gov/33998727/
However, at this point, the main benefit for Sasha may just be its overall calming influence, anyway. And if she seemed to be doing better on that prior to starting the Anipryl, I’d also be inclined to just ditch the Anipryl and revert back. You’re so right that immediate quality of life seems to be of paramount importance. You may need to do another wash-out first, though. Even if not, it might be helpful to follow your husband’s suggestion and see how she does if she’s totally off everything again for a couple of days. If she stays bad or even worsens, and then she does improve again after restarting the Doxepin, you’d have greater confidence that the drug is truly beneficial in some way. But of course that means having to watch her suffer in the meantime if she does stay bad. That would be hard for me, too.
I’m so sorry that I don’t have any great suggestions for you guys. You’re really in a tough spot, that’s for sure. But please do let us know what you decide and how things develop. We’re definitely here to lend an ear even if we can do nothing else to really help :-(((.
Sending healing thoughts to you all,
Marianne