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there is more information out there about Thyroxine and it seems like a lot of vets say it doesn’t matter about the food, but then the other half say 1 hour before or 3 hours after food.
So, eating at 10 and taking pills at 1 would be good for her. If I needed to feed her at lunch time, around 12:30… would a scoop of green beans and less than 1/4c of dry really interfere? It’s never much at lunch – just something to make her forget about it. And we often skip lunch these days as she has started to ignore it for a while when I put it down since she’s not as hungry.
Alyssa,
I know that some vets say it does not matter if you give it with or without food. However Dr. Dodds has always said without food, like you said 1 hour before or 3 hours after meals. We always recommend this here and I think it is wise to go with this recommendation. I am sure that a little food will not be a huge deal, just work towards giving it away from food as much as possible.
Good luck,
Brigitte
Alyssa,
Time of day doesn’t really matter in this case. What is important is a “steady” state of hormone in the body. That means exactly every 12 hours. The half life of Soloxine is about 12 hours, so that is why it’s important to dose regularly.
This simply mimics how our body works, attempting to keep homeostasis.
I should note here, and have been remiss in not mentioning this before, it is well known that many dogs respond much differently (and negatively) to generic thyroxine than they do to Soloxine, the brand. I personally always use Soloxine because of this.
I have a friend who breeds Great Danes. One of her females was on thyroid supplementation and the vet prescribed thyroxine. This dog responded to this with seizures. Once she was switched to Soloxine this resolved. Not all dogs respond the same way, but it is important for me to mention that there can be extreme reactions.
Why the difference? It’s pretty simple. Brand drugs develop proprietary manufacturing processes using specific quality fillers. The amount of drug in each tablet is quality controlled. They ensure that there will be homogeneity from one tablet to the next. Generic drugs are not always manufactured with the same care (and are often manufactured in other countries). Why does the government let this happen? They often evaluate drug quality by evaluating the amount of drug in a batch, not necessarily from one pill to the next. If the batch has the right amount then they consider that acceptable.
Certain medications that are critical and can cause life threatening side effects if the dose is different from one pill to the next are put on a list called Critical Dose Drugs. The government wants to apply more rigid controls to the manufacture of these drugs. One such drug, digoxin, can be extremely dangerous if over or under dosed from one pill to the next, even leading to death. I experienced this when treating Chance for a heart condition. His digoxin (a human drug) was recalled for exactly this reason and in fact, he was having collapses because of this. I put him on Lanoxine, the brand drug to avoid this happening again.
Soloxine might not have the same life threatening side effects, but maintaining steady levels of this drug in the blood seems to be critical to many dogs. You might get the same dose in a generic averaged out over the 100 or so pills in the bottle, but they may use fillers that don’t have equivalent bio-availability quality. So one pill that is supposed to be .3mg may be .2mg while the next one may be .4
Something to keep in mind, if you can afford the brand, use it.
my best
patrice
Thank you Patrice, I wasn’t offered a choice in brand or explained that it was generic. She called me today to tell me the results and I had Justin go pick it up at lunchtime. Not knowing about thyroid meds I didn’t know it was generic/think to ask.
I looked at 1-800 pet meds website and 120 pills of the name brand soloxine is actually cheaper by $3 than the 120 of Levothyroxine I got at my vet, so I would assume the cost at the vet would be similar (as in, not much more expensive).
What should I do? I’m suppose to start the pills in 3 hours. Should I not do it and call the vet tomorrow? Would they take back these 120 Levothyroxine?
It’s your choice at this point. I am not sure vets take back meds nor do they appreciate having clients buy drugs on line
Tell me a bit more about how they diagnosed her need for this? I have missed some things so I am not up to speed. Was there definitely a test panel done and it indicated several low values?
I just have always used Soloxine because my vets know about this particular sensitivity and never would have prescribed anything else. Your vet has either had great success with Levothyroxine or isn’t familiar with this peculiarity.
When is morning? Wait the few hours til they open, call them and see if they will swap out for Soloxine. If they struggle with you, just use the Levothyroxine for now. If there is no response or some issues, bring it up again with your vet. Not all dogs are affected this way.
my best
patrice
We went to the vet Thursday following 2 weeks after a pred reduction for a checkup. She was lowered to 10mg a day, and 2 weeks prior she weighed 74lbs. I had also cut her food way down, and added LOTS more greenbeans. I was expecting her weight to have dropped and was shocked to see it at 81lbs. Along with that, two weeks of Zenequin didn’t clear up her skin issues and they’ve been getting worse – really flaky, scaly, and now small bald patches. So I insisted on a thyroid panel at this point because I felt the skin not getting better and gaining 6lbs was impossible with the pred reduction.
I believe a full panel was sent out to check her levels – and she called today to say she had low levels. I do not know the actual results, however. It was sent off to a lab.
Alyssa, well done on insisting on that test. Bingo takes thyroxine and yes there is a huge difference in what is being said about how to take it. I was never told there was any particular way to take it, however, after Patrice told me to stop giving it with food, Bingo started doing better with his blood test results, so I always do it, and tell others, to do it away from food.
Vally & Bingo
xxx
So, I noticed when we went outside today and sassy was rolling the the sun, shes got red on her belly. Shes had rashes throughout all this but with the low (still normal) PLT last week the dr told me to diligently look for petechia on her belly/gums, and I really can’t tell if that is what it is.
There is redness along the folds of her nipples, 2 of them, there the body meets the nipple, and a few splotches on her belly. HOWEVER, a few of the red areas DO have pus filled bumps. I am leaning towards this being a rash? Would petechia ever be accompanied with pus bumps? There is nothing on her gums and I even looked at her eyelids, they’re both fine.
I searched through what I could of her short fine black hair and don’t see any red splotches anywhere else.
Going to attach some really high res photos!
The photos didn’t pick up any of the tiny pus bumps but they are t here, mainly on the center of her belly. I took these by myself so I was trying to keep her relaxed on her back while working the camera, if more photos would help and a close up of the pus bumps I could get someone to hold her while I take them.
Photos:
http://i.imgur.com/u4cQD5m.jpg
http://i.imgur.com/Oi0efJ9.jpg
http://i.imgur.com/bbbtk6V.jpg
http://i.imgur.com/ffRR3mT.jpg