Please help! Question about Epogen for Taj
- First of all, I want to thank everyone who sent me emails in regard
to my post about Taj's crash. I want to write back to each person
individually, but right now I'm a basket case from no sleep and
worry, and want to spend as much time as possible with Taj. Your
support has been incredible and has really helped.
Anyway, Taj's bloods were done the other night at the emergency
clinic, his PCV was about 18 or 19. The last time his PCV was so low
was about 3 months ago. He was put on Epogen 3X a week and when his
level got to 30, his dose was reduced to only once a week. For the
past 2 months he has maintained a PCV of about 35.
When he crashed, all of his blood levels were out of control. His
creatinine is 17 (it has always been very high, but this is the
highest), his phosphorus is very high, his glucose is high (although
my vet says that could be from stress) and his PCV fell way down. We
think that the crash was precipitated by a change in his meds and
routine after seeing a cardiologist.
Here is my dilemma - At the emergency hospital the vet told me to
stop giving him Epogen because he was developing antibodies. My
regular vet said that the low PCV is probably due to the advanced
kidney disease and not antibodies, and she thinks that maybe we
should increase the Epogen! When I told her my concerns, she
suggested that if he makes it through this crisis, which is still
very questionable, we should retest his blood and then decide what to
do. But obviously I want to help him in any way, and if additional
Epogen will help him recover, I want to give it to him. On the other
hand, I don't want to exacerbate an already bad situation.
Has anyone been in this position before? Any ideas? Again, thanks for
all of the support and prayers. Taj sends you all a purr and a kiss
on your noses!