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Is it okay to give heart meds all at once?

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  • cafelty77
    Hi there Today has been quite the day. BoBo had a check up with his doctor this morning. Initially she was really concerned with my adjusting his lasix over
    Message 1 of 10 , Mar 20, 2013
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      Hi there

      Today has been quite the day.

      BoBo had a check up with his doctor this morning. Initially she was really concerned with my adjusting his lasix over the weekend, but as soon as she reviewed his X-rays she said I had done the right thing.

      We have officially upped his dose to 12.5mg of lasix twice a day.

      His blood pressure was low-- and she felt uncomfortable with how low it was due to she felt that it was probably lower at home when he was not in stress. It was 80. We are reducing his enalapril to 1.25mg once a day.

      She added vetmedin to his drugs at 1.25mg pill twice a day. She felt that with the lower blood pressure from the enalapril and some pleural effusion (not a lot but some) and some additional fluid in the lungs that this would be a good add to his drugs.

      I read somewhere that the other heart meds should NOT be given at the same time as Lasix. NOw, my vet has not said anything about this-- and I have been giving them all at once (with the exception of the morning doses). Can anyone confirm if they are realy giving lasix at one time and then earlier/later giving the other heart meds?

      After we got home, my older kitty Crybaby was put to sleep by a in-home euthanasia vet. It was heartbreaking, but so much better to be at home and the vet just had such a incredible way about her. She kept speaking to my kitty as she did what she needed to do the whole time saying, "You are so loved Crybaby, so very loved." After giving us a few more minutes she brought in a beautiful basket with a cable knit blanket to take him away. She delivered him to the pet cremation service so I get to pick him up tomorrow at 5pm.

      At any rate, thank you in advance for the help!

      Christina
    • Laurie Stead
      Christina, I am so very sorry for the loss of Crybaby.  I am glad it was peaceful.  As far as the heart meds, I have always given all of Boo s meds together
      Message 2 of 10 , Mar 20, 2013
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        Christina, I am so very sorry for the loss of Crybaby.  I am glad it was peaceful. 

        As far as the heart meds, I have always given all of Boo's meds together (lasix, plavix, benazepril and vetmedin).  I was never instructed otherwise and she has been taking them this way since Nov 2011.  I do think the addition of vetmedin will help.  Hopefully with the increased lasix, BoBo won't have any more scares.  Go with your gut, you knew BoBo needed an extra dose and you were right. 

        Keep us posted...
        Laurie





        ________________________________
        From: cafelty77 <gollydolly@...>
        To: feline-heart@yahoogroups.com
        Sent: Wednesday, March 20, 2013 6:06 PM
        Subject: [FH] Is it okay to give heart meds all at once?


         
        Hi there

        Today has been quite the day.

        BoBo had a check up with his doctor this morning. Initially she was really concerned with my adjusting his lasix over the weekend, but as soon as she reviewed his X-rays she said I had done the right thing.

        We have officially upped his dose to 12.5mg of lasix twice a day.

        His blood pressure was low-- and she felt uncomfortable with how low it was due to she felt that it was probably lower at home when he was not in stress. It was 80. We are reducing his enalapril to 1.25mg once a day.

        She added vetmedin to his drugs at 1.25mg pill twice a day. She felt that with the lower blood pressure from the enalapril and some pleural effusion (not a lot but some) and some additional fluid in the lungs that this would be a good add to his drugs.

        I read somewhere that the other heart meds should NOT be given at the same time as Lasix. NOw, my vet has not said anything about this-- and I have been giving them all at once (with the exception of the morning doses). Can anyone confirm if they are realy giving lasix at one time and then earlier/later giving the other heart meds?

        After we got home, my older kitty Crybaby was put to sleep by a in-home euthanasia vet. It was heartbreaking, but so much better to be at home and the vet just had such a incredible way about her. She kept speaking to my kitty as she did what she needed to do the whole time saying, "You are so loved Crybaby, so very loved." After giving us a few more minutes she brought in a beautiful basket with a cable knit blanket to take him away. She delivered him to the pet cremation service so I get to pick him up tomorrow at 5pm.

        At any rate, thank you in advance for the help!

        Christina




        [Non-text portions of this message have been removed]
      • CHRISTINA FELTY
        Whew!! I am glad that I had not missed something. :) I figured if it were really important I would have read it here and heard it from the vet. Thanks for your
        Message 3 of 10 , Mar 20, 2013
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          Whew!!

          I am glad that I had not missed something. :)

          I figured if it were really important I would have read it here and heard it from the vet.

          Thanks for your thoughts-- I think both my mom and I are cried out now and yet at the same time I feel relief that I don't see him suffering now.

          Thanks again!

          Christina


          On Mar 20, 2013, at 6:25 PM, Laurie Stead <kittykatwhiskas@...> wrote:

          > Christina, I am so very sorry for the loss of Crybaby. I am glad it was peaceful.
          >
          > As far as the heart meds, I have always given all of Boo's meds together (lasix, plavix, benazepril and vetmedin). I was never instructed otherwise and she has been taking them this way since Nov 2011. I do think the addition of vetmedin will help. Hopefully with the increased lasix, BoBo won't have any more scares. Go with your gut, you knew BoBo needed an extra dose and you were right.
          >
          > Keep us posted...
          > Laurie
          >
          > ________________________________
          > From: cafelty77 <gollydolly@...>
          > To: feline-heart@yahoogroups.com
          > Sent: Wednesday, March 20, 2013 6:06 PM
          > Subject: [FH] Is it okay to give heart meds all at once?
          >
          >
          >
          > Hi there
          >
          > Today has been quite the day.
          >
          > BoBo had a check up with his doctor this morning. Initially she was really concerned with my adjusting his lasix over the weekend, but as soon as she reviewed his X-rays she said I had done the right thing.
          >
          > We have officially upped his dose to 12.5mg of lasix twice a day.
          >
          > His blood pressure was low-- and she felt uncomfortable with how low it was due to she felt that it was probably lower at home when he was not in stress. It was 80. We are reducing his enalapril to 1.25mg once a day.
          >
          > She added vetmedin to his drugs at 1.25mg pill twice a day. She felt that with the lower blood pressure from the enalapril and some pleural effusion (not a lot but some) and some additional fluid in the lungs that this would be a good add to his drugs.
          >
          > I read somewhere that the other heart meds should NOT be given at the same time as Lasix. NOw, my vet has not said anything about this-- and I have been giving them all at once (with the exception of the morning doses). Can anyone confirm if they are realy giving lasix at one time and then earlier/later giving the other heart meds?
          >
          > After we got home, my older kitty Crybaby was put to sleep by a in-home euthanasia vet. It was heartbreaking, but so much better to be at home and the vet just had such a incredible way about her. She kept speaking to my kitty as she did what she needed to do the whole time saying, "You are so loved Crybaby, so very loved." After giving us a few more minutes she brought in a beautiful basket with a cable knit blanket to take him away. She delivered him to the pet cremation service so I get to pick him up tomorrow at 5pm.
          >
          > At any rate, thank you in advance for the help!
          >
          > Christina
          >
          > [Non-text portions of this message have been removed]
          >
          >



          [Non-text portions of this message have been removed]
        • elfinmyst
          Hello Christina, I am so sorry you lost Crybaby. He is at peace now and it was an act of kindness. As for medications, I`ve been dealing with heart cats for 6
          Message 4 of 10 , Mar 20, 2013
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            Hello Christina,

            I am so sorry you lost Crybaby. He is at peace now and it was an act of
            kindness.

            As for medications, I`ve been dealing with heart cats for 6 years and have
            always given all morning pills at 9am, and all evening pills at 9pm. Pills
            are all given together in all their combinations including that Bobo has.
            Vetmedin was great for my cats, I hope it helps yours too.

            :) Lyn

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

            [Non-text portions of this message have been removed]
          • binarina1
            Hi Christina. Really sorry to read about your other cat. :( I give frusemide and cardisure together, and then clopidogrel, fortekor and prilactone together.
            Message 5 of 10 , Mar 21, 2013
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              Hi Christina. Really sorry to read about your other cat. :(

              I give frusemide and cardisure together, and then clopidogrel, fortekor and prilactone together. And asprin on it's own. But...I did this because nobody advised me on how to give them, and I thought spreading them out would be the best method. Since reading here and seeing that others give them together, now I wish I had done that. Would have been so much easier.

              Sara.

              --- In feline-heart@yahoogroups.com, "cafelty77" <gollydolly@...> wrote:
              >
              > Hi there
              >
              > Today has been quite the day.
              >
              > BoBo had a check up with his doctor this morning. Initially she was really concerned with my adjusting his lasix over the weekend, but as soon as she reviewed his X-rays she said I had done the right thing.
              >
              > We have officially upped his dose to 12.5mg of lasix twice a day.
              >
              > His blood pressure was low-- and she felt uncomfortable with how low it was due to she felt that it was probably lower at home when he was not in stress. It was 80. We are reducing his enalapril to 1.25mg once a day.
              >
              > She added vetmedin to his drugs at 1.25mg pill twice a day. She felt that with the lower blood pressure from the enalapril and some pleural effusion (not a lot but some) and some additional fluid in the lungs that this would be a good add to his drugs.
              >
              > I read somewhere that the other heart meds should NOT be given at the same time as Lasix. NOw, my vet has not said anything about this-- and I have been giving them all at once (with the exception of the morning doses). Can anyone confirm if they are realy giving lasix at one time and then earlier/later giving the other heart meds?
              >
              > After we got home, my older kitty Crybaby was put to sleep by a in-home euthanasia vet. It was heartbreaking, but so much better to be at home and the vet just had such a incredible way about her. She kept speaking to my kitty as she did what she needed to do the whole time saying, "You are so loved Crybaby, so very loved." After giving us a few more minutes she brought in a beautiful basket with a cable knit blanket to take him away. She delivered him to the pet cremation service so I get to pick him up tomorrow at 5pm.
              >
              > At any rate, thank you in advance for the help!
              >
              > Christina
              >
            • zan200
              Hi Christina, I m so very sorry to hear about your other kitty, Crybaby...Prayers out to you and your family... My Chloe is on some of the same meds as
              Message 6 of 10 , Mar 21, 2013
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                Hi Christina,

                I'm so very sorry to hear about your other kitty, Crybaby...Prayers out to you and your family...

                My Chloe is on some of the same meds as BoBo...My vet has told me I can mix Chloe's Lasix with enalapril,and spironolactone, but not to mix Vetmedin with enalapril...Check with your vet and ask about what meds can safely be given at the same time.

                I try to combine meds as much as I can, but Chloe gets Lasix 3X per day (every 8 hours) and the enalapril and "spiro" 2X per day (every 12 hours) I give the Lasix around 9:00AM, enalapril/spiro at noon, Lasix at 5:00PM, Lasix/enalapril/spiro at midnight...Chloe also gets cyproheptadine for her appetite - this can't be combined with any heart drugs, so I'm giving that around 6:00PM...

                Hope this helps,
                Suzanne and Chloe
              • Christina Felty
                Thanks Sara My vet never said to separate so based on folks responses I m going to continue to give Bobo his meds at the same time. I will say now with the
                Message 7 of 10 , Mar 23, 2013
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                  Thanks Sara

                  My vet never said to separate so based on folks responses I'm going to continue to give Bobo his meds at the same time.

                  I will say now with the full lasix pill twice a day, the reduced enalapril and the vetmedin he seems to be the baby I remembered for years. Although thankfully NOT bossy now.

                  Thanks again

                  Christina

                  Sent from my iPhone

                  On Mar 21, 2013, at 10:00 AM, binarina1 <binarina@...> wrote:

                  > Hi Christina. Really sorry to read about your other cat. :(
                  >
                  > I give frusemide and cardisure together, and then clopidogrel, fortekor and prilactone together. And asprin on it's own. But...I did this because nobody advised me on how to give them, and I thought spreading them out would be the best method. Since reading here and seeing that others give them together, now I wish I had done that. Would have been so much easier.
                  >
                  > Sara.
                  >
                  > --- In feline-heart@yahoogroups.com, "cafelty77" <gollydolly@...> wrote:
                  > >
                  > > Hi there
                  > >
                  > > Today has been quite the day.
                  > >
                  > > BoBo had a check up with his doctor this morning. Initially she was really concerned with my adjusting his lasix over the weekend, but as soon as she reviewed his X-rays she said I had done the right thing.
                  > >
                  > > We have officially upped his dose to 12.5mg of lasix twice a day.
                  > >
                  > > His blood pressure was low-- and she felt uncomfortable with how low it was due to she felt that it was probably lower at home when he was not in stress. It was 80. We are reducing his enalapril to 1.25mg once a day.
                  > >
                  > > She added vetmedin to his drugs at 1.25mg pill twice a day. She felt that with the lower blood pressure from the enalapril and some pleural effusion (not a lot but some) and some additional fluid in the lungs that this would be a good add to his drugs.
                  > >
                  > > I read somewhere that the other heart meds should NOT be given at the same time as Lasix. NOw, my vet has not said anything about this-- and I have been giving them all at once (with the exception of the morning doses). Can anyone confirm if they are realy giving lasix at one time and then earlier/later giving the other heart meds?
                  > >
                  > > After we got home, my older kitty Crybaby was put to sleep by a in-home euthanasia vet. It was heartbreaking, but so much better to be at home and the vet just had such a incredible way about her. She kept speaking to my kitty as she did what she needed to do the whole time saying, "You are so loved Crybaby, so very loved." After giving us a few more minutes she brought in a beautiful basket with a cable knit blanket to take him away. She delivered him to the pet cremation service so I get to pick him up tomorrow at 5pm.
                  > >
                  > > At any rate, thank you in advance for the help!
                  > >
                  > >
                  >
                  > .
                  >
                  >


                  [Non-text portions of this message have been removed]
                • Ana Gutierrez
                  Dear all, I kept wondering about giving all the meds at once. I ve always tried to separate Punky s pills as much as possible. Today I found a great app. It s
                  Message 8 of 10 , Mar 28, 2013
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                    Dear all,

                    I kept wondering about giving all the meds at once. I've always tried to
                    separate Punky's pills as much as possible.
                    Today I found a great app. It's called "epocrates" and works fine on
                    Android. It has a huge database and contains all the info for every med,
                    including some plants.
                    Also, it has an awesome database on diseases. I have been reading the ones
                    that Punky has (HCM, Pulmonary valve stenosis, etc...) and I've been
                    learning a lot.

                    Moreover, it has an interaction drug search thing. And apparently
                    furosemide interacts with pretty much everything. I'm attaching the
                    interactions of Punky's meds. If you cannot download/use the app, I'll be
                    happy to do the searches for you guys.

                    Hope this helps.

                    Best,
                    Ana and Punky


                    [Non-text portions of this message have been removed]
                  • Pablo Frank
                    I ve been giving furosemide 4mg, enaladex 1.25 mg and pimobendan 1.25 together twice a day, for about 3 years and everything is ok. Once in 2 days my cat
                    Message 9 of 10 , Mar 29, 2013
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                      I've been giving furosemide 4mg, enaladex 1.25 mg and pimobendan 1.25 together twice a day, for about 3 years and everything is ok.
                      Once in 2 days my cat receives also tadalafil (cialis) 5mg with the other meds, and everything goes ok too.
                      To: gollydolly@...
                      CC: binarina@...; feline-heart@yahoogroups.com
                      From: anagtz@...
                      Date: Thu, 28 Mar 2013 23:13:29 -0600
                      Subject: Re: [FH] Re: Is it okay to give heart meds all at once?


























                      Dear all,



                      I kept wondering about giving all the meds at once. I've always tried to

                      separate Punky's pills as much as possible.

                      Today I found a great app. It's called "epocrates" and works fine on

                      Android. It has a huge database and contains all the info for every med,

                      including some plants.

                      Also, it has an awesome database on diseases. I have been reading the ones

                      that Punky has (HCM, Pulmonary valve stenosis, etc...) and I've been

                      learning a lot.



                      Moreover, it has an interaction drug search thing. And apparently

                      furosemide interacts with pretty much everything. I'm attaching the

                      interactions of Punky's meds. If you cannot download/use the app, I'll be

                      happy to do the searches for you guys.



                      Hope this helps.



                      Best,

                      Ana and Punky



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


















                      [Non-text portions of this message have been removed]
                    • r schu
                      I ve been giving May her daily lasix, benaz, and plavix in the same gel cap. The cardiologist knows this and didn t say not to. She seems fine. I just
                      Message 10 of 10 , Mar 29, 2013
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                        I've been giving May her daily lasix, benaz, and plavix in the same gel cap. The cardiologist knows this and didn't say not to. She seems fine.

                        I just searched for drug interactions on drugs.com:

                        lasix (furosemide)
                        plavix
                        benazepril

                        And this is what it said:

                        Although furosemide and benazepril are frequently combined together, their effects may be additive on lowering your blood pressure. You may need a dose adjustment or special tests to safely take both medications. Contact your doctor if you have a reduced heart rate, dizziness, fainting, or headaches. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

                        No other interactions were found between your selected drugs.

                        Note: this does not necessarily mean no interactions exist. ALWAYS consult with your doctor or pharmacist.
                        Other drugs that your selected drugs interact with

                        benazepril interacts with more than 300 other drugs.
                        Lasix interacts with more than 400 other drugs.
                        Plavix interacts with more than 100 other drugs.

                        Interactions between your selected drugs and food
                        benazepril ↔ food

                        Applies to: benazepril

                        It is recommended that if you are taking benazepril you should be advised to avoid moderately high or high potassium dietary intake. This can cause high levels of potassium in your blood. Do not use salt substitutes or potassium supplements while taking benazepril, unless your doctor has told you to.

                        Hope this is useful.

                        -Lee and May
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