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Re: can the furosemid sometimes be stopped?

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  • acrocat@rocketmail.com
    Hi Marie Furosemide often can t be stopped. The point of furosemide is not just to get rid of edema that is there, it is to prevent edema from building up
    Message 1 of 6 , Dec 5, 2011
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      Hi Marie

      Furosemide often can't be stopped. The point of furosemide is not just to get rid of edema that is there, it is to prevent edema from building up since this is an often fatal condition (the cat can "drown" from fluid in the lungs if not treated quickly).

      Some cats will have mild or moderate heart disease and have an episode of heart failure due to stress, or steroids, or even a huge salty meal. These cats can often go off furosemide because their underlying disease isn't that bad, but this should be done carefully and with vet (preferably cardiologist) supervision.

      Cats with severe or advanced disease will build up fluid if they don't stay on furosemide. The cats should have chest x-rays if they go off their cardiac meds to watch for a build up of fluid.

      An important point is that no vet can listen to your cat and tell you that there is no edema. Only chest x-rays do this. So going to the vet, having them listen to the heart, and then someone saying to go off the furosemide is silly, unless they do chest x-rays and prove there is no edema. I know you didn't say this happened, I'm just saying for general information :)

      Take care
      Adriann
    • Cont Marie
      Thanks Adriann. The fact is indeed that, before she had CHF mid-August, I had to give her prednisolon because interpreting the x-rays, the vet had first
      Message 2 of 6 , Dec 5, 2011
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        Thanks Adriann.
        The fact is indeed that, before she had CHF mid-August, I had to give her prednisolon because interpreting the x-rays, the vet had first thought she had asthma...
        (Not speaking of the vaccination against cold and the flea spot on she received at the beginning of August)


        At the end of Septembre, the specialist who did the second echo, said that it was a beginning cardiopathy (with a thrombus though).
        He adviced to stop the furosemide.
        But I saw another cardiologist for a second advice (based on the results of the echo only). That person told me I should not stop the furosemide, out of prevention.


        Now this person whose advice I followed, said to me, on the phone, that I should check my cat's heart condition soon, to see if it might be possible to stop the furosemide. It gives me the feeling that I might have done the wrong choice in Septembre, while my cat's kidneys had already been under a lot of pressure to get rid of the edema (5 mg a day, during one month and a half).

        She's been since Septembre on 5mg of furosemide twice a week (2x 2 quarters).

        So I am worried for the kidneys on one hand.

        But on the other hand, I'm worried for the stress I 'll put my cat through with a third echo within not even three months (if I have an appointment before Christmas)...

        My cat is in better condition (though she still sleeps a lot). I can't really see improvement on the day she gets furosemide. Sometimes I feel she's then more tired.


        Either I do a new echo before Christmas to be sure, either I try to reduce the furosemide during next month to 2,5 mg twice a week and wait until about the 10th of January for a new echo?

        I can't decide!!

        Thank you,
        Marie.
















        ________________________________
        From: "acrocat@..." <acrocat@...>
        To: feline-heart@yahoogroups.com
        Sent: Monday, December 5, 2011 4:28 PM
        Subject: [FH] Re: can the furosemid sometimes be stopped?


         
        Hi Marie

        Furosemide often can't be stopped. The point of furosemide is not just to get rid of edema that is there, it is to prevent edema from building up since this is an often fatal condition (the cat can "drown" from fluid in the lungs if not treated quickly).

        Some cats will have mild or moderate heart disease and have an episode of heart failure due to stress, or steroids, or even a huge salty meal. These cats can often go off furosemide because their underlying disease isn't that bad, but this should be done carefully and with vet (preferably cardiologist) supervision.

        Cats with severe or advanced disease will build up fluid if they don't stay on furosemide. The cats should have chest x-rays if they go off their cardiac meds to watch for a build up of fluid.

        An important point is that no vet can listen to your cat and tell you that there is no edema. Only chest x-rays do this. So going to the vet, having them listen to the heart, and then someone saying to go off the furosemide is silly, unless they do chest x-rays and prove there is no edema. I know you didn't say this happened, I'm just saying for general information :)

        Take care
        Adriann




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      • joanne marbut
        Marie,  I agree with Adriann.  If you re noticing the cat is better the days she takes lasix, then she needs it each day. While my cat receives a 1/4  three
        Message 3 of 6 , Dec 6, 2011
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          Marie, 
          I agree with Adriann.  If you're noticing the cat is better the days she takes lasix, then she needs it each day. While my cat receives a 1/4  three times a day, your cat might need 1/4 of a pill a day or twice a day. The object is to keep down and away the edema. Stick with lasix but I would do it daily. Discuss it with the vet the amount needed.  Get the echo when you can because it's a great diagnostic tool. Stick with the doctor who said that the cat needs lasix and avoid the one who seems not to understand the situation.  The cat won't like going to the vet but it's necessary. The more you go, the calmer the cat will be in the car and at the vet (at least mine is but getting her into the carrier at home is another story. I need lots of patience, a quiet atmosphere, and must pretend that nothing is going on AND I don't move the carrier until I have her in my arms.)  As for the kidneys, if the heart isn't working, the kidneys won't either and the
          body will shut down. A potassium supplement will help the kidneys and Spironolactone as I've mentioned before. 

          You must make decisions and choose a course of action based on what you know and the vet knows and then stick with that for a few hours or days and see how the cat responds. Then if you see an adverse reaction, call the vet and make another decision based on what is happening at that moment. As time goes by, you will learn more about your cat, the disease, the reactions of the meds, etc. and will be better informed for future decision making.

          -Joanne

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