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Re: Winston's Update - Asthma

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  • jintzr
    I have two cats with HCM and one with asthma, and one with suspected asthma. My one with HCM and asthma takes- lasix (1/2 pill twice daily), 1/2 enalapril,
    Message 1 of 11 , Dec 2, 2009
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      I have two cats with HCM and one with asthma, and one with suspected asthma. My one with HCM and asthma takes- lasix (1/2 pill twice daily), 1/2 enalapril, 1/4 atenolol pill twice daily (he is on this for his arrythimia), and for his asthma he gets two puffs of flovent inhaler in the morning, and 1 puff at night. He gets his rescue albuterol inhaler when needed, if he is having problems. So far, his atenolol has not seemed to aggravate his asthma. I also give him several supplements like CoQ10, cardiostrength, vitamins, Omega 3's. Both my cats are stable and doing well.

      Make sure you cat never gets a steriod shot. My cat spent 48 hours in an oxygen cage fighting for his life after receiving a steroid shot, before we knew he has the heart problem. I wouldn't give your cat oral prednisone either, it seemed to aggravate the heart problem also. The inhaled meds like flovent are the safe way to go.

      Donna


      --- In feline-heart@yahoogroups.com, "smittyhj82" <smittyhj82@...> wrote:
      >
      > Winston is currently getting atenolol every 12 hours, but his xrays were reviewed by a specialist and they say he has asthma. Can anyone that has an HCM cat with asthma please let me know the meds you give and how stable they are? I want to give everything to my vet, as i am thinking the atenolol is aggrevating his breathing. I'd like to switch his medications.
      >
    • kathryn m
      belle has HCM and asthma. she takes atenolol 1x a day and flovent 1x a day at this point. she started on atenolol 2x a day and flovent 220 twice a day for
      Message 2 of 11 , Dec 2, 2009
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        belle has HCM and asthma. she takes atenolol 1x a day and flovent 1x a day at this point. she started on atenolol 2x a day and flovent 220 twice a day for about 1.5 years then went to atenolol 1x a day and flovent 220 once a day for about 1.5 years and was recently dropped to flovent 110 once a day (atenolol remains 1x a day). within 3 weeks on flovent her asthma issues resolved but she does have a rescue inhaler (albuterol it was called im pretty sure its proventil now but hasnt needed it in a year or two at least). she was diagnosed with HCM in september 2004 and asthma march 2006 and is stable for both issues. i would also suggest changing your cleaning habits- i clean with more mild cleaners (vinegar and water a lot), if i must use a more smelly cleaner i close off the room and open windows in there, i wash all her bedding weekly in hot water- mild soap no fabric softener, i no longer wear perfume, burn candles or spray and smelly air cleaner, i run a HEPA (this is important you want HEPA not ionic). belle was put on diltiazem instead of atenolol for a couple of months because we wanted to make sure that it wasnt the atenolol causing the issues but it wasnt- her attacks continued plus she had major stomach issues on the diltiazem and to top it off her murmur returned on diltiazem while gone on atenolol. i was relieved that the atenolol wasnt the cause as it works so well for her heart.

        >^..^<
        katy & belle

        --- In feline-heart@yahoogroups.com, "smittyhj82" <smittyhj82@...> wrote:
        >
        > Winston is currently getting atenolol every 12 hours, but his xrays were reviewed by a specialist and they say he has asthma. Can anyone that has an HCM cat with asthma please let me know the meds you give and how stable they are? I want to give everything to my vet, as i am thinking the atenolol is aggrevating his breathing. I'd like to switch his medications.
        >
      • Pat
        Hi smittyhj82 ; ... From: smittyhj82 ... I totally understand how you feel about the meds as we have just had to put one of our cats
        Message 3 of 11 , Dec 2, 2009
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          Hi "smittyhj82";

          ----- Original Message -----
          From: "smittyhj82" <smittyhj82@...>
          > Winston is currently getting atenolol every 12 hours, but his xrays were
          > reviewed by a specialist and they say he has >asthma. Can anyone that has
          > an HCM cat with asthma please let me know the meds you give and how stable
          > they >are?

          I totally understand how you feel about the meds as we have just had to put
          one of our cats back on phenobarbital and I hate using that stuff on a cat!

          Our Hamlet has had a borderline murmur and doesn't have to take meds for
          that, but has also been diagnosed with "asthma" in the past, which was also
          the comment made when he had a physical yesterday. In actual fact, we
          believe that some of that, in his case, may be contributed to by polyps,
          (partly because of his advanced age), but what we do to correct the
          situation is give periactin, (aka cyproheptidine), if he is sounding
          'wheezy'. That might be something for your veterinarian to consider?

          Pat and all the boys
          http://felinenutritionalnotes.blogspot.com/
          http://petfoodpitfalls.blogspot.com/
          http://eliminationdietforpets.blogspot.com/
        • Westgold
          I have to say that before I joined this list, I only heard of a couple cats with asthma. And I belong to more than a dozen lists. Why do so many cats with
          Message 4 of 11 , Dec 2, 2009
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            I have to say that before I joined this list, I only heard of a couple cats with asthma. And I belong to more than a dozen lists. Why do so many cats with heart disease get asthma? Have your vets said anything? Do you guys think it might be the atenolol?? Or something else? Let's discuss this -- please let us all know what your vets and cardiologists say about this --

            thanks, Michelle & Tigger Too in Toronto
            ----- Original Message -----
            From: smittyhj82
            To: feline-heart@yahoogroups.com
            Sent: Wednesday, December 02, 2009 10:09 AM
            Subject: [FH] Winston's Update - Asthma



            Winston is currently getting atenolol every 12 hours, but his xrays were reviewed by a specialist and they say he has asthma. Can anyone that has an HCM cat with asthma please let me know the meds you give and how stable they are? I want to give everything to my vet, as i am thinking the atenolol is aggrevating his breathing. I'd like to switch his medications.





            [Non-text portions of this message have been removed]
          • Westgold
            to those of you with cats with both heart disease and asthma --- did they have the asthma before they got the heart disease? Or after? ... From: kathryn m To:
            Message 5 of 11 , Dec 2, 2009
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              to those of you with cats with both heart disease and asthma --- did they have the asthma before they got the heart disease? Or after?
              ----- Original Message -----
              From: kathryn m
              To: feline-heart@yahoogroups.com
              Sent: Wednesday, December 02, 2009 10:22 AM
              Subject: [FH] Re: Winston's Update - Asthma



              belle has HCM and asthma. she takes atenolol 1x a day and flovent 1x a day at this point. she started on atenolol 2x a day and flovent 220 twice a day for about 1.5 years then went to atenolol 1x a day and flovent 220 once a day for about 1.5 years and was recently dropped to flovent 110 once a day (atenolol remains 1x a day). within 3 weeks on flovent her asthma issues resolved but she does have a rescue inhaler (albuterol it was called im pretty sure its proventil now but hasnt needed it in a year or two at least). she was diagnosed with HCM in september 2004 and asthma march 2006 and is stable for both issues. i would also suggest changing your cleaning habits- i clean with more mild cleaners (vinegar and water a lot), if i must use a more smelly cleaner i close off the room and open windows in there, i wash all her bedding weekly in hot water- mild soap no fabric softener, i no longer wear perfume, burn candles or spray and smelly air cleaner, i run a HEPA (this is important you want HEPA not ionic). belle was put on diltiazem instead of atenolol for a couple of months because we wanted to make sure that it wasnt the atenolol causing the issues but it wasnt- her attacks continued plus she had major stomach issues on the diltiazem and to top it off her murmur returned on diltiazem while gone on atenolol. i was relieved that the atenolol wasnt the cause as it works so well for her heart.

              >^..^<
              katy & belle

              --- In feline-heart@yahoogroups.com, "smittyhj82" <smittyhj82@...> wrote:
              >
              > Winston is currently getting atenolol every 12 hours, but his xrays were reviewed by a specialist and they say he has asthma. Can anyone that has an HCM cat with asthma please let me know the meds you give and how stable they are? I want to give everything to my vet, as i am thinking the atenolol is aggrevating his breathing. I'd like to switch his medications.
              >





              [Non-text portions of this message have been removed]
            • kathryn m
              heart disease was diagnosed first about a year later is when the asthma started. belle s asthma is very mild. she has no halos only a very mild flattening of
              Message 6 of 11 , Dec 2, 2009
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                heart disease was diagnosed first about a year later is when the asthma started. belle's asthma is very mild. she has no halos only a very mild flattening of the diaphragm. she went into an asthma attack in front of the IM and agreed with me that it was asthma.
                >^..^<
                katy & belle

                --- In feline-heart@yahoogroups.com, "Westgold" <westgold@...> wrote:
                >
                > to those of you with cats with both heart disease and asthma --- did they have the asthma before they got the heart disease? Or after?
                > ----- Original Message -----
                > From: kathryn m
                > To: feline-heart@yahoogroups.com
                > Sent: Wednesday, December 02, 2009 10:22 AM
                > Subject: [FH] Re: Winston's Update - Asthma
                >
                >
                >
                > belle has HCM and asthma. she takes atenolol 1x a day and flovent 1x a day at this point. she started on atenolol 2x a day and flovent 220 twice a day for about 1.5 years then went to atenolol 1x a day and flovent 220 once a day for about 1.5 years and was recently dropped to flovent 110 once a day (atenolol remains 1x a day). within 3 weeks on flovent her asthma issues resolved but she does have a rescue inhaler (albuterol it was called im pretty sure its proventil now but hasnt needed it in a year or two at least). she was diagnosed with HCM in september 2004 and asthma march 2006 and is stable for both issues. i would also suggest changing your cleaning habits- i clean with more mild cleaners (vinegar and water a lot), if i must use a more smelly cleaner i close off the room and open windows in there, i wash all her bedding weekly in hot water- mild soap no fabric softener, i no longer wear perfume, burn candles or spray and smelly air cleaner, i run a HEPA (this is important you want HEPA not ionic). belle was put on diltiazem instead of atenolol for a couple of months because we wanted to make sure that it wasnt the atenolol causing the issues but it wasnt- her attacks continued plus she had major stomach issues on the diltiazem and to top it off her murmur returned on diltiazem while gone on atenolol. i was relieved that the atenolol wasnt the cause as it works so well for her heart.
                >
                > >^..^<
                > katy & belle
                >
                > --- In feline-heart@yahoogroups.com, "smittyhj82" <smittyhj82@> wrote:
                > >
                > > Winston is currently getting atenolol every 12 hours, but his xrays were reviewed by a specialist and they say he has asthma. Can anyone that has an HCM cat with asthma please let me know the meds you give and how stable they are? I want to give everything to my vet, as i am thinking the atenolol is aggrevating his breathing. I'd like to switch his medications.
                > >
                >
                >
                >
                >
                >
                > [Non-text portions of this message have been removed]
                >
              • Judi Levens
                Max had asthma long before we knew he had heart disease, but it s possible that he had HCM all along and was asymtomatic...I have noticed the number of people
                Message 7 of 11 , Dec 2, 2009
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                  Max had asthma long before we knew he had heart disease, but it's possible that he had HCM all along and was asymtomatic...I have noticed the number of people with cats having both also and wondered, but also Max doesn't take atenolol, just enalapril. Max's asthma is mild and I control it by spraying a little Ventolin in his face when he has a problem, only a few times a year and mostly in the fall. Strange, I know, but it works and I can't imagine him tolerating the hood...

                  Judi and Max








                  To: smittyhj82@...; feline-heart@yahoogroups.com
                  From: westgold@...
                  Date: Wed, 2 Dec 2009 12:53:29 -0500
                  Subject: Re: [FH] Winston's Update - Asthma





                  I have to say that before I joined this list, I only heard of a couple cats with asthma. And I belong to more than a dozen lists. Why do so many cats with heart disease get asthma? Have your vets said anything? Do you guys think it might be the atenolol?? Or something else? Let's discuss this -- please let us all know what your vets and cardiologists say about this --

                  thanks, Michelle & Tigger Too in Toronto
                  ----- Original Message -----
                  From: smittyhj82
                  To: feline-heart@yahoogroups.com
                  Sent: Wednesday, December 02, 2009 10:09 AM
                  Subject: [FH] Winston's Update - Asthma

                  Winston is currently getting atenolol every 12 hours, but his xrays were reviewed by a specialist and they say he has asthma. Can anyone that has an HCM cat with asthma please let me know the meds you give and how stable they are? I want to give everything to my vet, as i am thinking the atenolol is aggrevating his breathing. I'd like to switch his medications.

                  [Non-text portions of this message have been removed]






                  [Non-text portions of this message have been removed]
                • Pat
                  Hi Judi; ... From: Judi Levens ... There also aren t any good answers out there (scientific or not), regarding where the steroids
                  Message 8 of 11 , Dec 2, 2009
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                    Hi Judi;

                    ----- Original Message -----
                    From: "Judi Levens" <casaobelisco@...>
                    >Strange, I know, but it works and I can't imagine him tolerating the
                    >hood...

                    There also aren't any good answers out there (scientific or not), regarding
                    where the steroids go, so we much prefer to use the periactin as long as it
                    works, and it is doing so.

                    Pat and all the boys
                    http://felinenutritionalnotes.blogspot.com/
                    http://petfoodpitfalls.blogspot.com/
                    http://eliminationdietforpets.blogspot.com/
                  • jintzr
                    It s hard to say because we knew about the asthma first, and then learned of the heart disease later, but like Judi said, he could have had HCM all along and
                    Message 9 of 11 , Dec 2, 2009
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                      It's hard to say because we knew about the asthma first, and then learned of the heart disease later, but like Judi said, he could have had HCM all along and was just asymptomatic.

                      He just started his atenolol about 2-3 weeks ago, and has had the asthma diagnosis for years, so the atenolol couldn't have attributed to his asthma.

                      I asked my cardiologist about asthma and heart disease, and he said often they go hand in hand. So he seemed to indicate that it was common for cats to have both. It could also be that some HCM cats have very mild asthma and the owners aren't even aware of it. It can be very challenging sometimes to determine whether my kittie's asthma is bothering him or his heart.

                      Donna

                      --- In feline-heart@yahoogroups.com, Judi Levens <casaobelisco@...> wrote:
                      >
                      >
                      >
                    • Carolyn Larson
                      Hi - my cat Stanley has asthma and HCM (and other problems as well). Here are the meds he s on, plus he gets a wonderful heart vitamin pill (actually
                      Message 10 of 11 , Dec 3, 2009
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                        Hi - my cat Stanley has asthma and HCM (and other problems as
                        well). Here are the meds he's on, plus he gets a wonderful "heart
                        vitamin" pill (actually recommended by my horse vet and
                        enthusiastically agreed to by my small animal vet). Just FYI, Stan
                        has a disease which causes severe potassium deficiency, so the
                        potassium I'm listing is way, way beyond any normal dose. Because
                        what helps with asthma, like pred, is bad for HCM, it's a heck of a
                        balancing act, but bless my vets, he's been on this regime now for
                        three years, knock on wood. Stan is 9.3 pounds, +/- 17 years old
                        (he's adopted so that's the best guess). Every cat's situation is
                        different, and your vet would determine what would be applicable, but
                        I'm posting this to tell you it can be done. Here's what he gets:
                        Baby aspirin - twice a week, not on the same days as the
                        prednisilone, for addressing potential clotting (aspirin is dangerous
                        for cats but this schedule was felt safe under the circumstances)
                        Aminophyline - 1/2 pill twice a day for the asthma
                        Triacinolone - twice a week for the asthma (form of pred - this is a
                        very low dose)
                        Atenolol - 1/2 pill daily for his heart
                        Furosemide - this was removed from his schedule when the potassium
                        problem showed up, but it was for his heart
                        Enalapril - 1/2 pill once a day
                        Tumil K - potassium - 6 per day (!)
                        Spironolactone - 1/4 pill twice a day for high blood pressure
                        Cardio-Strength vitamin from Vetri-Science - 1 per day

                        I put these myriad pills in gelatin capsules (with the pred, the
                        capsules have to be size 0), rub the capsule in a little butter to
                        help it down. He has never had a problem even with this size, and
                        Stan became very easy to pill at the rate of 8 per day. He's a sweetheart.

                        Carol and Stan in Maine

                        P.S. Years ago I had a wonderful cat named Winston - hugs to yours
                        from my angel
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