Re: [FH] Side effects of Tapazole?
- Hi Elaine,
In a message dated 2/25/09 11:47:25 AM, cluvaughn28@... writes:
> He is undiagnosed hyperthyroid. What I mean by that is after 3 bloodI'm going to tag on to Carol and Candace about the importance of running a
> tests his range is considered normal, but he has all Classic symptoms
> of Hyperthyroid. Weight loss (extreme)while still eating normally,
> dull coat, thyroid nodule enlarged, spurts of high energy then utter
> exhaustion, almost daily vomiting of bile/clear spittle but no food.
Free T4 EQD with the Total T4. Here are 2 articles that give a good idea about
Since the Free T4 is not incl in many standard blood panels, you may need to
remind the vet to ask specifically for it to be incl.
Another option for thorny thyroid cases is to have the blood sent to Dr Dodds
for analysis at Hemopet at http://www.hemopet.org/services.html .
> Last week the vomiting has gotten so bad 2x a day every day, I tookAs Candace said, I don't know if famotidine is going to do the trick. It
> him in again. No weight gain in a month, but no loss either. The vet
> and cardiologist conferred & agreed to take him off Atenolol and put
> him on 1/4 of Famotadine 1x a day, to help get his vomiting under
might...but it's an acid blocker (basically). Something that might be helpful to
calm down the digestive tract even tho it doesn't address vomiting from hyperT
is slippery elm bark.
I'm also concerned about dehydration with a vomiting cat, which gets more
concerning with a heart cat. I hope that he's eating a meat-based
species-appropriate diet with 60-80% moisture (that is, not dry food)...in which case, you
can add some extra water to each meal. (Species-appropriate diet might also help
with the chronic resp. problems...and there are other low-risk, gentle
remedies for that, as well.) Another option is to give him some Hyland's BioPlasma
daily, which helps replenish minerals in a very gentle way, which can in turn
help with maintaining balanced hydration. (And some heart cats have had other
benefits from BioPlasma as well.) If you need help with administering, just
> I understandAnd liver. In addition to slippery elm bark, another thing to think about is
> Tapazole has a big side effect of vomiting, and a risk to his
milk thistle, which can help support the liver, esp for cats taking Tap.
> that damn bloodwork range beingSee above. Here's also a little snippet from an old VIN article that is no
> ok... 2.4 (his results) sounded high to me, but they both felt it was
> normal, yet I was told 2.5 - 4 was high. So he is borderline if
> nothing else!
longer online entitled "Basal Free Thyroid Hormone Determinations":
"The finding of a high free T4 by dialysis concentration (despite a normal
total T4) in a cat with a history and physical exam findings (e.g., a palpable
thyroid nodule) consistent with hyperthyroidism, would support the diagnosis.
Occasionally, however, cats with nonthyroidal illness have high free T4 by
dialysis concentrations for reasons that are unclear. Therefore, to avoid a
misdiagnoses of hyperthyroidism, free T4 should always be evaluated in conjunction
with a the total T4 concentration. In general, an high free T4 by dialysis
value and low total T4 concentration (< 20 nmol/L or 2 µg/dl) is indicative of
nonthyroidal illness while a mid- to high-normal T4 concentration in conjunction
with an high free T4 value (measured by dialysis) is suggestive of
hyperthyroidism." // Rosemary
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