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- Pred/Atopica not working anymore
Great CBC results today! PCV is up to 21 and bone marrow is a strong reticulocyte count/regeneration.
Our doc wants to pull her pred from 40mg to 30mg. She said that now that things are going in the right direction, we shouldn’t keep her at 40mg for too long. Keep in mind that her PCV fell/stabilized while on 40mg, so she feels it really is a bone marrow root cause.
Current regimen is:
Pred: 30mg/day
Pepcid: 1/2 tablet 2x/day
Pet-Tinic: 3 ml 2x/day
Azathioprine: 12.5 mg every other day
Amoxicylin for bladder infaction that flared up
B12 injection 1x/week
We’re supposed to wait one week and then do another CBC. Fingers crossed.
One question for everyone here: Lola shows muscle atrophy from the increased pred (when she went from off to 40 mg/day for over a month). Is there anything safe we can do to try and help her maintain muscle tone?
Yay Lola. Who’s a star!!!
Mike, the muscle atrophy is part and parcel I’m afraid, but it improves as the pred is lowered. I guess using good proteins may help a little, which you’re doing, but I don’t think you can stop it. But truly, it goes away as the pred is lowered.
Hey do you need a medicine chart? I’d love to make one up for you. Just post a note with the times and doses you’re giving. I’ve also put my email into the Private Content below. To access it, I think you need to just post a simple reply, eg, just post “Hi” and send it and then after that the private content is linked to you. I think that’s how it works. Let me know if you can’t get into it after you’ve posted a note.
Thanks for the med chart offer. I’ve got a whiteboard for it, so I’m good for now (easy to adapt to the changes).
Our doc wants to see her stay on the 30mg of pred for one whole month to pump up the PCV. So I think we will be treating her to some high-protein foods. Are there good kibbles for this or do we just spoil her with chicken? If so, what is a sensible amount so we don’t go overboard?
Also, what kind of exercise regimen should we do? When the PCV was dropping, our doc said to just keep her relaxed because we didn’t want to push her. Now that things seem to be stabilizing, we want to try and build up some of that muscle tone. Unfortunately, Lola’s favorite hobbies are eating and sleeping. She’s not even that big a fan of walks, but we want her to keep her strength if possible.
Mike, Bingo must be related – eat and sleep.
Don’t do any long walks or anything, especially if Lola’s not the type.
Bingo just recently learned to sit – only for treats though. I couldn’t believe it. He’s 11 years old and has resisted all this time – maybe it’s because he LOVES his treats SOOOO much. Anyway sit to stand is the best exercise for their hind legs. Does Lola sit on command? I’ll bet she does. I think every dog except for Bingo learned this. If she doesn’t though, hey if Bingo can learn, ANYONE can. Its the standing motion that works the muscles. So even if she almost sits and then stands again, that’s fine too. Also, if you can set up a ramp somewhere. Walking up and down a ramp is good work for the muscles too.
I got these from a dog physio that I took Bingo to because I was very worried about his legs and it has made a big difference. But Bingo is now on only a very low dose of pred and that’s probably why the exercise has made the difference.
My best, Vally & sexy legs.
Mike,
Look at these three pictures of Chance as he recovered from many months of high dose prednisone. I want you to see exactly what this recovery will look like and how long it can take.
This first picture was taken of Chance in August 2007 after he had been on prednisone since late March. He looked awful, his muscle tone was gone (note his dropped abdomen, weak legs and poor spinal control), his coat was thin and ratty and his elbows were raw. You can actually see in his eyes how affected he was by months of heavy drugs, a vacant stare. But the interesting thing was that he had been feeling better and had started to recover at this point. We knew for sure he was going to survive. However, I felt compelled to explain to everyone who saw him that “he’s getting better! Honest!”
This second picture was taken in Fall 2007. His muscle tone was beginning to recover, his coat was a little better and you can see in his eyes that he feels better.
The third picture was taken a full year later in Fall 2008. You can see his muscle tone is back to normal and his coat looks great. He is holding his head up and is showing interest in a squirrel running across the fence in the yard. He is completely drug free here. He lived another two years after this and passed in early 2010 at the good age of 12 from an unrelated heart condition.
Mike, there is always great hope for a Second Chance for every dog. Chance’s story is why I started this website.
my best
patrice