Dad of Lulu - sweet Lulu has crossed The Bridge

[frijole]

OK I want to make sure we are on the same page ... you are waiting for pills that are a smaller dose right? (because your vet is concerned she's addisonian) I am assuming that the pills you have on hand are the higher dose right? If so I would NOT give a full dose because then you are just ASKING to go Addisonian (lower cortisol even more).

If you are giving two pills a day you could give one vs two but you cannot use a portion of a capsule.

Please confirm that I have this right because I don't want to mislead you if I am wrong. Thanks! Kim

[LabDad]

I give Lulu one 100 mg. capsule every morning. I don't want to wait until Tue. or Wed. for the new pills to be in. Dr. Booth said she should be fine until then.

Correction. I don't want to just stop giving Lulu her pills until Tue or Wed. The vet didn't say she was in Addison's just that she is lower.

[frijole]

OK. You said:

He said that her values were off enough that he was concerned because her adrenals could be suppressed too much and didn't want her to go into Addison's Disease. So he is reducing her dosage of Trilostane to 75 mg from 100 mg. I won't get the new pills till Tuesday though.

If Lulu's values are low and she's had diarrhea then she could in fact be close to addisonian and giving her the higher dose four more days could send her even lower.

What I would do depends entirely on the test results. If the 2nd number on the test is between a 1.0 and a 2.0 then I would find a way to speak to the vet because frankly I would not risk her going any lower and going Addisonian. If her test result is higher than that then I'd chance the four more days at the higher dose but I would watch her like a hawk. That means going outside with her everytime so you can SEE her poop to make sure it isn't diarrhea. If it is - withhold the drug.

This is why the vet wants to lower the dose. (to avoid going low) Giving the higher dose scares me if her cortisol is already too low. That is why it is so important to get those numbers.

So call the vet in the a.m. and get the numbers from the test from the front desk. Tell them it is important and you need them right away. If they are low then try to get the vet on the phone so you can talk about skipping a couple days. I truly do not think it'll hurt anything. Her cortisol will go up a wee bit but frankly if she's low to the point you are changing the dose then it will probably HELP her not hurt her.

Does this make sense?

Thanks,
Kim

[milosmom]

just sending a thank you kim for keeping an eye and all that are here !!! patty (milo)meka xoxo

[frijole]

I give Lulu one 100 mg. capsule every morning. I don't want to wait until Tue. or Wed. for the new pills to be in. Dr. Booth said she should be fine until then.

Correction. I don't want to just stop giving Lulu her pills until Tue or Wed. The vet didn't say she was in Addison's just that she is lower.

I see your update. Just keep a close eye on those poops ok? also if she acts lethargic or vomits - cease and call the vet. We are worry warts! Kim

[frijole]

just sending a thank you kim for keeping an eye and all that are here !!! patty (milo)meka xoxo

No problem - I've been there and know it is scary. This forum saved my dog's life almost 8 yrs ago and I never left.

[LabDad]

I will call first thing in the morning. I can wait on giving her morning dose. I believe I forgot giving her a pill one morning a few months back, since I ended up having an extra day and I don't think the lab gave me any extras.

[LabDad]

She did have diarhea a bit ago and treated with antibiotics. Her poop today was a bit strained. I wouldn't call it diarhea, but she had a bit of problem going, from what I saw, doesn't mean she didn't go on her own. See you tomorrow. She's outside now, a slight rain and she's barking, she loves to bark at night.

[frijole]

Good luck. Glad she's out enjoying the rain and barking!! Good sign. Look forward to tomorrow's update.

[LabDad]

Okay, on the phone, the results are Pre: 1.2 and Post 0.8

Dr. Booth is at one of the satellite offices. The lady is faxing me a copy and the satellite office for Dr. Booth.

I am waiting giving Lulu a dose this morning and will call the satellite office when I'm sure the faxed results have been sent.