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Re: [FH] Winston's Update - Asthma

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  • 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 1 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
      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 2 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 3 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 4 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 5 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 6 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 7 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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