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Re: Chloe - X-ray Not Good - More Lasix/Vetmedin

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  • tourtaney
    Wow, this sounds earily simlilar to what my Maggie is going through. Just had an x-ray 2 weeks ago and it is showing fluid building up again. She is not
    Message 1 of 8 , Mar 1, 2013
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      Wow, this sounds earily simlilar to what my Maggie is going through. Just had an x-ray 2 weeks ago and it is showing fluid building up again. She is not currently on Vetmedin but it has been discussed. I'm waiting for a call back from my vet today, actually, to discuss meds. Is Chloe on Plavix as weel? How 'tiny' is Chloe? And do you konw the mg per dose they are recommending. I'd like to ask my vet as well.

      Good Luck! Keep us posted!
      Courtney & Maggie

      --- In feline-heart@yahoogroups.com, "zan200" <zan200@...> wrote:
      >
      > Hi Everyone,
      >
      > Well, despite the fact Chloe actually looks and acts remarkably good considering the severity of her condition, the x-rays told the tale - more fluid buildup. Vet was very concerned - she gave Chloe an immediate injection of Lasix and discussed our next step - adding Vetmedin and bumping up Chloe's Lasix to 3X per day.
      >
      > Chloe's vet is fantastic - she spends an amazing amount of time discussing treatment plans, going over x-rays, etc. - she immediately consults with an internal med. specialist (vet who performed Chloe's ultrasounds/echocardiograms) and a cardiologist before changing Chloe's meds, and offers lots of support - as does the rest of the staff...If I had to pick a group of professionals to help Chloe and me through this, it would be this vet and this clinic...The vet "gets" my philosophy of wanting to explore every possible treatment, medication, etc. to help Chloe, and is totally on board with what I'm doing at home regarding assist-feeding/fluids etc. She has said she'll tell me when she thinks Chloe is no longer responding to treatment...etc...but as of now, we are definitely not there, as Chloe continues to enjoy life as a senior kitty...
      >
      > Prior to the x-rays and bloodwork we talked about Chloe's stomach issues - vet thinks this past week's symptoms could have been a pancreatitis flare-up. Since she didn't find any unusual tenderness in Chloe's abdomen, and as she's not vomiting, etc. we'll just wait and watch for now.
      >
      > ---------------------------------------------------------------------
      >
      > I'm writing this note in two parts as I just stopped to answer the vet's phone call.
      >
      > Chloe's blood work results are in - all good. Creatinine levels are down - vet says it's all due to my syringing extra fluids. Chloe's hydration is excellent. Potassium is low-normal, but no supplementation necessary. Vet had another consult with the internal med. specialist - all a "go" on the Vetmedin. Vet is calling in the prescription - it should arrive early next week.
      >
      > Since Chloe is so tiny, vet is going to start Chloe on 1/2 normal dose of Vetmedin 2X per day - she said there shouldn't be any adverse reactions, and it's OK with all the other heart meds. - worst case scenario is that it just doesn't help...
      >
      > If all goes well, we'll go in for another x-ray late next week or early the following week (barring any other emergencies). Vet says if the Vetmedin works - we'll all do a "happy dance" :)
      >
      > Thanks so much everyone - keep us in your prayers!
      > Suzanne and Chloe
      >
    • Laurie Stead
      Hi Suzanne, Since the kidney levels have improved, have you discussed not doing more fluids for now until you can get the fluid buildup under control? Have you
      Message 2 of 8 , Mar 2, 2013
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        Hi Suzanne,

        Since the kidney levels have improved, have you discussed not doing more fluids for now until you can get the fluid buildup under control?

        Have you discussed trying spironolactone (a mild diuretic) along with the lasix to see if that helps?

        I do believe vetmedin is worthwhile.  I just replied to another member about that same exact drug.

        Laurie




        ________________________________
        From: zan200 <zan200@...>
        To: feline-heart@yahoogroups.com
        Sent: Friday, March 1, 2013 1:55 PM
        Subject: [FH] Chloe - X-ray Not Good - More Lasix/Vetmedin


         
        Hi Everyone,

        Well, despite the fact Chloe actually looks and acts remarkably good considering the severity of her condition, the x-rays told the tale - more fluid buildup. Vet was very concerned - she gave Chloe an immediate injection of Lasix and discussed our next step - adding Vetmedin and bumping up Chloe's Lasix to 3X per day.

        Chloe's vet is fantastic - she spends an amazing amount of time discussing treatment plans, going over x-rays, etc. - she immediately consults with an internal med. specialist (vet who performed Chloe's ultrasounds/echocardiograms) and a cardiologist before changing Chloe's meds, and offers lots of support - as does the rest of the staff...If I had to pick a group of professionals to help Chloe and me through this, it would be this vet and this clinic...The vet "gets" my philosophy of wanting to explore every possible treatment, medication, etc. to help Chloe, and is totally on board with what I'm doing at home regarding assist-feeding/fluids etc. She has said she'll tell me when she thinks Chloe is no longer responding to treatment...etc...but as of now, we are definitely not there, as Chloe continues to enjoy life as a senior kitty...

        Prior to the x-rays and bloodwork we talked about Chloe's stomach issues - vet thinks this past week's symptoms could have been a pancreatitis flare-up. Since she didn't find any unusual tenderness in Chloe's abdomen, and as she's not vomiting, etc. we'll just wait and watch for now.

        ----------------------------------------------------------

        I'm writing this note in two parts as I just stopped to answer the vet's phone call.

        Chloe's blood work results are in - all good. Creatinine levels are down - vet says it's all due to my syringing extra fluids. Chloe's hydration is excellent. Potassium is low-normal, but no supplementation necessary. Vet had another consult with the internal med. specialist - all a "go" on the Vetmedin. Vet is calling in the prescription - it should arrive early next week.

        Since Chloe is so tiny, vet is going to start Chloe on 1/2 normal dose of Vetmedin 2X per day - she said there shouldn't be any adverse reactions, and it's OK with all the other heart meds. - worst case scenario is that it just doesn't help...

        If all goes well, we'll go in for another x-ray late next week or early the following week (barring any other emergencies). Vet says if the Vetmedin works - we'll all do a "happy dance" :)

        Thanks so much everyone - keep us in your prayers!
        Suzanne and Chloe




        [Non-text portions of this message have been removed]
      • zan200
        Hi Laurie, Thanks so much for your note. Chloe has been taking spironolactone, Lasix, and enalapril 2X per day since early December - the dosages of her
        Message 3 of 8 , Mar 2, 2013
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          Hi Laurie,

          Thanks so much for your note. Chloe has been taking spironolactone, Lasix, and enalapril 2X per day since early December - the dosages of her "spiro" and Lasix were both doubled about a month ago, when Chloe again started to fill up with fluid. As of Thurs. we've added a third dose of Lasix, midday.

          As far as the supplemental fluids, I also thought I was maybe overdoing it, so a couple of weeks ago (with the vet's approval) I decreased Chloe's syringe fluids from 9mls 4X per day to 9mls 3X per day. I'll see what the vet says about possibly decreasing it a bit more as Chloe does drink (and nibble) small amounts on her own.

          Chloe's schedule is approximately...
          Lasix 8:00AM
          Syringe Food 10:00AM
          Enalpril and "Spiro" with 9mls water 12:00PM
          Syringe Food 2:00/3:00PM
          Lasix 4:00PM
          Cyproheptadine for appetite with 9mls water 6:00
          Syringe Food 6:30/7:30PM
          Syringe Food 10:30/11:00PM
          Lasix/Enalpril/Sprio with 9mls water 12:00AM

          We're adding the Vetmedin this week - Do you know if it can be given along with any of the other heart meds or does it have to separated - YIKES...I'm running out of hours in the day - meds etc. start at 8:00AM and end at midnight!

          Suzanne and Chloe



          --- In feline-heart@yahoogroups.com, Laurie Stead <kittykatwhiskas@...> wrote:
          >
          > Hi Suzanne,
          >
          > Since the kidney levels have improved, have you discussed not doing more fluids for now until you can get the fluid buildup under control?
          >
          > Have you discussed trying spironolactone (a mild diuretic) along with the lasix to see if that helps?
          >
          > I do believe vetmedin is worthwhile.  I just replied to another member about that same exact drug.
          >
          > Laurie
          >
        • Laurie Stead
          Hi Suzanne, Wow that is some schedule!  Boo gets all her meds together - plavix, lasix, benazepril and vetmedin.   Is there a reason you are giving her the
          Message 4 of 8 , Mar 2, 2013
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            Hi Suzanne,

            Wow that is some schedule!  Boo gets all her meds together - plavix, lasix, benazepril and vetmedin.   Is there a reason you are giving her the enalpril and spiro at a different time than the lasix? 

            Laurie


            ________________________________
            From: zan200 <zan200@...>
            To: Laurie Stead <kittykatwhiskas@...>; feline-heart@yahoogroups.com
            Sent: Saturday, March 2, 2013 4:31 PM
            Subject: Re: [FH] Chloe - X-ray Not Good - More Lasix/Vetmedin

            Hi Laurie,

            Thanks so much for your note. Chloe has been taking spironolactone, Lasix, and enalapril 2X per day since early December - the dosages of her "spiro" and Lasix were both doubled about a month ago, when Chloe again started to fill up with fluid. As of Thurs. we've added a third dose of Lasix, midday.

            As far as the supplemental fluids, I also thought I was maybe overdoing it, so a couple of weeks ago (with the vet's approval) I decreased Chloe's syringe fluids from 9mls 4X per day to 9mls 3X per day. I'll see what the vet says about possibly decreasing it a bit more as Chloe does drink (and nibble) small amounts on her own.

            Chloe's schedule is approximately...
            Lasix 8:00AM
            Syringe Food 10:00AM
            Enalpril and "Spiro" with 9mls water 12:00PM
            Syringe Food 2:00/3:00PM
            Lasix 4:00PM
            Cyproheptadine for appetite with 9mls water 6:00
            Syringe Food 6:30/7:30PM
            Syringe Food 10:30/11:00PM
            Lasix/Enalpril/Sprio with 9mls water 12:00AM

            We're adding the Vetmedin this week - Do you know if it can be given along with any of the other heart meds or does it have to separated - YIKES...I'm running out of hours in the day - meds etc. start at 8:00AM and end at midnight!

            Suzanne and Chloe



            --- In feline-heart@yahoogroups.com, Laurie Stead <kittykatwhiskas@...> wrote:
            >
            > Hi Suzanne,
            >
            > Since the kidney levels have improved, have you discussed not doing more fluids for now until you can get the fluid buildup under control?
            >
            > Have you discussed trying spironolactone (a mild diuretic) along with the lasix to see if that helps?
            >
            > I do believe vetmedin is worthwhile.  I just replied to another member about that same exact drug.
            >
            > Laurie
            >

            [Non-text portions of this message have been removed]
          • tafoster4000
            That is one crazy schedule. Moe gets all his meds twice a day in gelcaps.... AM: prozac, lasix, methimazole (one gelcap), vetmedin (2 gelcaps), potassium and
            Message 5 of 8 , Mar 2, 2013
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              That is one crazy schedule. Moe gets all his meds twice a day in gelcaps.... AM: prozac, lasix, methimazole (one gelcap), vetmedin (2 gelcaps), potassium and enalapril (one gelcap), azodyl (one gelcap) PM: lasix, methimazole, plavix (one gelcap), vetmedin (2 gelcaps), azodyl (one gelcap). About twice a week he gets 1/8 cyproheptadine in one of the above gelcaps, which ever one has the most room.

              In his food, he gets ALOH, lysine, cosequin, CoQ10, B vitamins and miralax. Vet has a copy of his medication schedule and said it was fine.

              Taca

              --- In feline-heart@yahoogroups.com, Laurie Stead <kittykatwhiskas@...> wrote:
              >
              > Hi Suzanne,
              >
              > Wow that is some schedule!  Boo gets all her meds together - plavix, lasix, benazepril and vetmedin.   Is there a reason you are giving her the enalpril and spiro at a different time than the lasix? 
              >
              > Laurie
              >
              >
              > ________________________________
              > From: zan200 <zan200@...>
              > To: Laurie Stead <kittykatwhiskas@...>; feline-heart@yahoogroups.com
              > Sent: Saturday, March 2, 2013 4:31 PM
              > Subject: Re: [FH] Chloe - X-ray Not Good - More Lasix/Vetmedin
              >
              > Hi Laurie,
              >
              > Thanks so much for your note. Chloe has been taking spironolactone, Lasix, and enalapril 2X per day since early December - the dosages of her "spiro" and Lasix were both doubled about a month ago, when Chloe again started to fill up with fluid. As of Thurs. we've added a third dose of Lasix, midday.
              >
              > As far as the supplemental fluids, I also thought I was maybe overdoing it, so a couple of weeks ago (with the vet's approval) I decreased Chloe's syringe fluids from 9mls 4X per day to 9mls 3X per day. I'll see what the vet says about possibly decreasing it a bit more as Chloe does drink (and nibble) small amounts on her own.
              >
              > Chloe's schedule is approximately...
              > Lasix 8:00AM
              > Syringe Food 10:00AM
              > Enalpril and "Spiro" with 9mls water 12:00PM
              > Syringe Food 2:00/3:00PM
              > Lasix 4:00PM
              > Cyproheptadine for appetite with 9mls water 6:00
              > Syringe Food 6:30/7:30PM
              > Syringe Food 10:30/11:00PM
              > Lasix/Enalpril/Sprio with 9mls water 12:00AM
              >
              > We're adding the Vetmedin this week - Do you know if it can be given along with any of the other heart meds or does it have to separated - YIKES...I'm running out of hours in the day - meds etc. start at 8:00AM and end at midnight!
              >
              > Suzanne and Chloe
              >
              >
              >
              > --- In feline-heart@yahoogroups.com, Laurie Stead <kittykatwhiskas@> wrote:
              > >
              > > Hi Suzanne,
              > >
              > > Since the kidney levels have improved, have you discussed not doing more fluids for now until you can get the fluid buildup under control?
              > >
              > > Have you discussed trying spironolactone (a mild diuretic) along with the lasix to see if that helps?
              > >
              > > I do believe vetmedin is worthwhile.  I just replied to another member about that same exact drug.
              > >
              > > Laurie
              > >
              >
              > [Non-text portions of this message have been removed]
              >
            • elfinmyst
              Hi I have 8 cats on various medications (40 pills/capsules a day.. Trixi has 10 just for herself! ) and we give our morning pills at 9am and evening pills at
              Message 6 of 8 , Mar 2, 2013
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                Hi

                I have 8 cats on various medications (40 pills/capsules a day.. Trixi has
                10 just for herself! ) and we give our morning pills at 9am and evening
                pills at 9pm. All the pills are given at that time and the cardiologist is fine
                with that. Each cat gets theirs all at once with chicken or paste. Luckily
                my cats are incredibly greedy and will eat anything!

                The number of times the wrong cat has snatched and eaten a pill though!

                Lyn:)

                _www.myfurkids.co.uk_ (http://www.myfurkids.co.uk/)

                [Non-text portions of this message have been removed]
              • zan200
                Hi Laurie, Yes, there is a reason behind the wild schedule...Chloe s vet added a third dose of Lasix to the mix this past Thursday - so in an attempt to group
                Message 7 of 8 , Mar 2, 2013
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                  Hi Laurie,

                  Yes, there is a reason behind the wild schedule...Chloe's vet added a third dose of Lasix to the mix this past Thursday - so in an attempt to group as many meds together, I came up with this idea:

                  Since:
                  Lasix is now given every 8 hours
                  Enalapril/Spiro is given every 12 hours

                  Lasix 8:00AM, 4:00PM, 12:00AM
                  Enalapril/Spiro 12:00PM/12:AM

                  If I give the Lasix alone at 8:00AM, the last dose can be combined with the Enal./Spiro at midnight. It also enables me to give Chloe her "breakfast" before the Enal./Spiro as the vet said these drugs are better tolerated with food...Prior to this, Chloe received all three heart meds all at once (ahh, the simple life!) :).

                  I do work at home, but it all gets crazy when I have to go out on appointments/errands or am preparing/serving dinner. I am convinced one day I'll sit down to dinner to find Chloe eating a plate of spaghetti and me eating a Fancy Feast milkshake! :)

                  I'm keeping my fingers crossed the Vetmedin can be combined with the other heart meds - I don't know how I could possibly fit anything else into the day...

                  Any ideas or suggestions for an easier schedule would be greatly appreciated!

                  Exhausted Suzanne and Chloe


                  > Hi Suzanne,
                  >
                  > Wow that is some schedule!  Boo gets all her meds together - plavix, lasix, benazepril and vetmedin.   Is there a reason you are giving her the enalpril and spiro at a different time than the lasix? 
                  >
                  > Laurie
                  >
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