Wildhounds
UKC Forum Member
Registered: Jul 2008
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Posts: 118 |
I have a 9 yo black and tan who had an Addison's crash when he was 3.
He had initially been misdiagnosed (common) with renal failure, so when it was all said and done, he was down from 80# to 50#, could barely walk.
But after he got his first dose of meds, he stabilised and took about 6 months to gain his condition back.
He has been fine ever since.
Addison's is very low to no adrenal gland function.
When we exercise, our adrenals have a feedback loop telling when more adrenalin or cortisol is needed. This does not work in a person or animal with Addison's, so fatigue is the outcome. The adrenals also connect to how our body maintain blood potassium and sodium levels.
Potassium will spike and sodium will drop, which will eventually affect the heart, and stop it.
One medicine for it is a mineralocorticoid to replace what the adrenals do not produce. This is supplemented by the needed cortisol in the form of prednisone.
This med, Percortan V, is made by Novartis. They have talked about discontinuing it because they do not sell tons of it. There are only so many Addisons dogs in the world!
It is about $150 for a 4 ml vial.
My 80# coonhound gets 1.2 ml every 35-45 days, and .5mg of prednisone per day. (Prednisone is cheap, just pennies per day, and comes in 1mg tablets which I break in half.)
Another option is the medicine used for humans with Addison's, a pill called Florinef.
It can be purchased compounded from the the pharmacy, and is a lot cheaper, but it has to be given daily.
Prednisone supplement is not usually indicated with the Florinef, but your vet can help you out with that.
Because the electrolyte balance must be maintained for the body to function, you would also want to get some monthly blood tests for a while, to make sure the dog is within normal parameters. If the lytes are too high or too low, usually results in lethargy, drinking a lot of water and excess peeing, vomiting and diarhea.
While the Percorten is dosed by weight, most large dogs end up not needing the amount of the initial dose. There is some 'storage' of the drug in the muscle or fat. I gradually lowered my hound's dose until his lytes were right on, and he does not have any of the symptoms of too high or too low a dose of the meds.
Once I figured out his best dose and number of days between, most of the time this doesn;t change and is easy to manage. But it does require some maintenance, and of course, is expensive too.
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