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Rhapsody after first dose of prednisolone

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  • Jim Sinclair
    I gave him the pred last night: 7.5 mg. (Weight is about 6.1 pounds.) He ate breakfast today but has been very lethargic this afternoon. Gums are pink,
    Message 1 of 12 , May 10, 2013
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      I gave him the pred last night: 7.5 mg. (Weight is about 6.1 pounds.)
      He ate breakfast today but has been very lethargic this afternoon.
      Gums are pink, breathing seems okay, but he's just lying around. If I
      pick him up and set him on his feet, he doesn't fall over like during
      an ataxia attack, he just lays himself back down again and goes back
      to sleep.

      I have a phone call in to the hospital. The neurologist's tech has
      promised to call me back "before she leaves" today, but the
      receptionist said that could be as late as 8 p.m.

      Jim Sinclair jisincla@...
    • Jim Sinclair
      Whew, he s awake! Holding head up, did some grooming, responding to petting. Tech from hospital still has not called me back. I don t know if the lethargy was
      Message 2 of 12 , May 10, 2013
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        Whew, he's awake! Holding head up, did some grooming, responding to
        petting. Tech from hospital still has not called me back. I don't know
        if the lethargy was from the pred or from the underlying condition
        that has caused previous episodes of lethargy which sometimes
        escalated into attacks of ataxia and/or dyspnea requiring oxygen. So I
        don't know whether to give him another dose of pred tonight or not. I
        wish the hospital would call back!

        On Fri, May 10, 2013 at 3:26 PM, Jim Sinclair <jisincla@...> wrote:
        > I gave him the pred last night: 7.5 mg. (Weight is about 6.1 pounds.)
        > He ate breakfast today but has been very lethargic this afternoon.
        > Gums are pink, breathing seems okay, but he's just lying around. If I
        > pick him up and set him on his feet, he doesn't fall over like during
        > an ataxia attack, he just lays himself back down again and goes back
        > to sleep.
        >
        > I have a phone call in to the hospital. The neurologist's tech has
        > promised to call me back "before she leaves" today, but the
        > receptionist said that could be as late as 8 p.m.
        >
        > Jim Sinclair jisincla@...
      • Westgold
        we re praying for him and you. Try to get him to eat as often as possible, little bits every hour or so will help keep his strength up. I d also add some
        Message 3 of 12 , May 10, 2013
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          we're praying for him and you. Try to get him to eat as often as possible, little bits every hour or so will help keep his strength up. I'd also add some extra water to the canned food if he will take it that way -- they usually love the "soup" that produces and will slurp it right up.
          What was the prescription? Twice a day, same dose? Like you, I would also be hesitant to give a second dose until I talk to someone about how the first dose went. Can you reach the cardiologist? Whenever I start a new vitamin or supplement, etc, I always take just half a dose for the first couple days, to see how I react. Anything new is scary, and steroids are powerful drugs. I've never taken steroids, did anybody else write you about them to see if they can cause weakness at the beginning? Did you google all the side effects? That tiredness might be perfectly normal until his body adjusts to it.
          ----- Original Message -----
          From: Jim Sinclair
          To: undisclosed-recipients:
          Sent: Friday, May 10, 2013 5:15 PM
          Subject: [FH] Re: Rhapsody after first dose of prednisolone



          Whew, he's awake! Holding head up, did some grooming, responding to
          petting. Tech from hospital still has not called me back. I don't know
          if the lethargy was from the pred or from the underlying condition
          that has caused previous episodes of lethargy which sometimes
          escalated into attacks of ataxia and/or dyspnea requiring oxygen. So I
          don't know whether to give him another dose of pred tonight or not. I
          wish the hospital would call back!

          On Fri, May 10, 2013 at 3:26 PM, Jim Sinclair <jisincla@...> wrote:
          > I gave him the pred last night: 7.5 mg. (Weight is about 6.1 pounds.)
          > He ate breakfast today but has been very lethargic this afternoon.
          > Gums are pink, breathing seems okay, but he's just lying around. If I
          > pick him up and set him on his feet, he doesn't fall over like during
          > an ataxia attack, he just lays himself back down again and goes back
          > to sleep.
          >
          > I have a phone call in to the hospital. The neurologist's tech has
          > promised to call me back "before she leaves" today, but the
          > receptionist said that could be as late as 8 p.m.
          >
          > Jim Sinclair jisincla@...




          [Non-text portions of this message have been removed]
        • Jim Sinclair
          ... Didn t think of that, thanks. It s dinnertime now anyway. Will see how his appetite is. ... No, just once a day. 5 mg tablets, one and a half tablets once
          Message 4 of 12 , May 10, 2013
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            On Fri, May 10, 2013 at 5:27 PM, Westgold <westgold@...> wrote:
            >
            > we're praying for him and you. Try to get him to eat as often as
            > possible, little bits every hour or so will help keep his strength up.

            Didn't think of that, thanks. It's dinnertime now anyway. Will see how
            his appetite is.

            > What was the prescription? Twice a day, same dose?

            No, just once a day. 5 mg tablets, one and a half tablets once a day
            for two weeks, then start reducing it to one a day, 1/2 a day, etc.

            > Like you, I would
            > also be hesitant to give a second dose until I talk to someone about how the
            > first dose went. Can you reach the cardiologist?

            I haven't actually talked directly to the cardiologist. She saw him
            during one of his emergency hospitalizations when the ER specialist
            called her in for an internal consult. Since then the emergency
            specialist, internist, and now neurologist have consulted with her as
            needed. In order for me to meet with her directly, I would have to
            schedule and pay for a cardiology appointment. I guess I'll need to do
            that anyway in six months (five now), when it's time for his follow-up
            echocardiogram. Until then, it seems to be working to have the other
            specialists, who have already been paid for their consultations, to
            just consult internally with the cardiologist.

            > I've never taken steroids, did anybody else write you about
            > them to see if they can cause weakness at the beginning? Did you google all
            > the side effects?

            Nobody else wrote to me, but the tech yesterday gave me a long list of
            things to watch out for, including, of course, signs of heart failure.
            Problem right now is, he's on the pred in the first place because he's
            had recurring episodes of weakness/lethargy, ataxia, and dyspnea. So
            if he becomes lethargic or even (I hope not!) has another full-blown
            attack the day after starting prednisolone, is that because of the
            prednisolone, or because of the condition the prednisolone is meant to
            treat? I can't determine that myself. A vet would have to examine him.

            I've been on prednisone myself for chemotherapy, and it definitely did
            not make me tired. On the contrary, it hit me like an amphetamine,
            making it impossible to sleep and jangling my nerves to the point I
            practically jumped out of my skin at the slightest stimulation. Very
            unpleasant. And very different from whatever is happening to Rhapsody
            today.

            Jim Sinclair jisincla@...
          • Jim Sinclair
            Tech called me back. She had spoken with the neurologist and relayed instructions to not give prednisolone for three days (today, tomorrow, and Sunday), give
            Message 5 of 12 , May 10, 2013
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              Tech called me back. She had spoken with the neurologist and relayed
              instructions to not give prednisolone for three days (today, tomorrow, and
              Sunday), give it again Monday, and report back to them on Tuesday. If he
              isn't lethargic while off pred but becomes lethargic again when given
              another dose on Monday, she will probably discontinue it entirely.

              Rhapsody ate dinner with a good appetite but without his usual enthusiastic
              "YUMMY" vocalizations. After eating he walked (without apparent difficulty)
              to a litter box and pooped, normal poop, no diarrhea. A few minutes later
              he went to another litter box and pooped some more. Maybe he'd been too
              tired and groggy all day to get to the box so had a lot of poop stored up?

              He rode on my shoulder back to my bedroom, and is now washing himself. I'll
              be keeping a close eye on him in case the lethargy returns or, worse,
              escalates into another attack of breathing problems.

              Jim Sinclair jisincla@...


              [Non-text portions of this message have been removed]
            • Westgold
              excellent news! Nobody could possibly take better care of him than you, Jim -- please keep us posted ... From: Jim Sinclair To: undisclosed-recipients: Sent:
              Message 6 of 12 , May 10, 2013
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                excellent news! Nobody could possibly take better care of him than you, Jim -- please keep us posted
                ----- Original Message -----
                From: Jim Sinclair
                To: undisclosed-recipients:
                Sent: Friday, May 10, 2013 7:13 PM
                Subject: [FH] Re: Rhapsody after first dose of prednisolone



                Tech called me back. She had spoken with the neurologist and relayed
                instructions to not give prednisolone for three days (today, tomorrow, and
                Sunday), give it again Monday, and report back to them on Tuesday. If he
                isn't lethargic while off pred but becomes lethargic again when given
                another dose on Monday, she will probably discontinue it entirely.

                Rhapsody ate dinner with a good appetite but without his usual enthusiastic
                "YUMMY" vocalizations. After eating he walked (without apparent difficulty)
                to a litter box and pooped, normal poop, no diarrhea. A few minutes later
                he went to another litter box and pooped some more. Maybe he'd been too
                tired and groggy all day to get to the box so had a lot of poop stored up?

                He rode on my shoulder back to my bedroom, and is now washing himself. I'll
                be keeping a close eye on him in case the lethargy returns or, worse,
                escalates into another attack of breathing problems.

                Jim Sinclair jisincla@...

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





                [Non-text portions of this message have been removed]
              • marianna.mayer
                I thought pred was never ever to be given to heart kitties.... Marianna ... From: Jim Sinclair To: undisclosed-recipients:; Sent: Fri, May
                Message 7 of 12 , May 10, 2013
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                  I thought pred was never ever to be given to heart kitties....



                  Marianna




                  -----Original Message-----
                  From: Jim Sinclair <jisincla@...>
                  To: undisclosed-recipients:;
                  Sent: Fri, May 10, 2013 7:13 pm
                  Subject: [FH] Re: Rhapsody after first dose of prednisolone






                  Tech called me back. She had spoken with the neurologist and relayed
                  instructions to not give prednisolone for three days (today, tomorrow, and
                  Sunday), give it again Monday, and report back to them on Tuesday. If he
                  isn't lethargic while off pred but becomes lethargic again when given
                  another dose on Monday, she will probably discontinue it entirely.

                  Rhapsody ate dinner with a good appetite but without his usual enthusiastic
                  "YUMMY" vocalizations. After eating he walked (without apparent difficulty)
                  to a litter box and pooped, normal poop, no diarrhea. A few minutes later
                  he went to another litter box and pooped some more. Maybe he'd been too
                  tired and groggy all day to get to the box so had a lot of poop stored up?

                  He rode on my shoulder back to my bedroom, and is now washing himself. I'll
                  be keeping a close eye on him in case the lethargy returns or, worse,
                  escalates into another attack of breathing problems.

                  Jim Sinclair jisincla@...

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








                  [Non-text portions of this message have been removed]
                • Jim Sinclair
                  ... As noted in my post about the neurology consultation, the cardiologist was consulted and agreed with the neurologist s and internist s recommendation for
                  Message 8 of 12 , May 11, 2013
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                    On Fri, May 10, 2013 at 8:43 PM, <mmayer11@...> wrote:
                    >
                    > I thought pred was never ever to be given to heart kitties....

                    As noted in my post about the neurology consultation, the cardiologist
                    was consulted and agreed with the neurologist's and internist's
                    recommendation for prednisolone, as his heart condition is mild but
                    his lung and suspected brain inflammation are life-threatening.

                    I don't know what the next step will be if he can't take the pred.

                    Jim Sinclair jisincla@...
                  • marianna.mayer
                    yes, I re-read your post after I mentioned my concern. It s just that...I m super sensitive to this issue... I lost a beloved cat [she was not a senior] to *1*
                    Message 9 of 12 , May 11, 2013
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                      yes, I re-read your post after I mentioned my concern.
                      It's just that...I'm super sensitive to this issue... I lost a beloved cat [she was not a senior] to *1* single dosing of pred...she was supposedly without heart problems...yet she died from a heart attack [a cardio had cleared her priorly]. and then watched a human patient with mild 'monitored' heart issues nearly die from a heart attack due to a 3 day dose, less than 6 months ago. So this brings up red flags for me.

                      Marianna


                      -----Original Message-----
                      From: Jim Sinclair <jisincla@...>
                      To: mmayer11 <mmayer11@...>
                      Cc: feline-heart <feline-heart@yahoogroups.com>
                      Sent: Sat, May 11, 2013 11:25 pm
                      Subject: Re: [FH] Re: Rhapsody after first dose of prednisolone


                      On Fri, May 10, 2013 at 8:43 PM, <mmayer11@...> wrote:
                      >
                      > I thought pred was never ever to be given to heart kitties....

                      As noted in my post about the neurology consultation, the cardiologist
                      was consulted and agreed with the neurologist's and internist's
                      recommendation for prednisolone, as his heart condition is mild but
                      his lung and suspected brain inflammation are life-threatening.

                      I don't know what the next step will be if he can't take the pred.

                      Jim Sinclair jisincla@...




                      [Non-text portions of this message have been removed]
                    • Lynda
                      Jim, Martha, with HCM and also diabetic, cannot have pred. We are giving her Budesonide, which acts primarily on the gut instead of systemically. You might
                      Message 10 of 12 , May 12, 2013
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                        Jim, Martha, with HCM and also diabetic, cannot have pred. We are giving her Budesonide, which acts primarily on the gut instead of systemically. You might want to ask your vet about that. We have had good success with it, although it does raise her blood sugar a bit.

                        ~~~~~~~~~~~~
                        Blessings,Lynda, Martha, Morelli and Angel C.B.

                        [Non-text portions of this message have been removed]
                      • Jim Sinclair
                        ... Why is Martha taking it? Does she have IBD? (I m guessing she does as I ve just noticed the email address you re posting from.) Rhapsody doesn t have any
                        Message 11 of 12 , May 12, 2013
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                          On Sun, May 12, 2013 at 11:20 AM, Lynda <ibdcat@...> wrote:
                          >
                          >
                          >
                          > Jim, Martha, with HCM and also diabetic, cannot have pred. We are giving
                          > her Budesonide, which acts primarily on the gut instead of systemically.

                          Why is Martha taking it? Does she have IBD? (I'm guessing she does as
                          I've just noticed the email address you're posting from.) Rhapsody
                          doesn't have any apparent GI problems. If Budesonide acts primarily on
                          the gut, would that help a cat with lung and suspected brain
                          inflammation?

                          Jim Sinclair jisincla@...
                        • Lynda
                          Jim, yes, I don t have an answer to your question. I never thought about it, since Martha has IBD. Maybe some others on here will chime in with an answer, and
                          Message 12 of 12 , May 13, 2013
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                            Jim, yes, I don't have an answer to your question. I never thought about it, since Martha has IBD. Maybe some others on here will chime in with an answer, and be sure to ask your vet. I do hope you get a satisfactory answer soon.

                            <<<Why is Martha taking it? Does she have IBD? (I'm guessing she does as

                            I've just noticed the email address you're posting from.) Rhapsody

                            doesn't have any apparent GI problems. If Budesonide acts primarily on

                            the gut, would that help a cat with lung and suspected brain

                            inflammation?>>>>~~~~~~~~~~~~
                            Blessings,Lynda, Martha, Morelli and Angel C.B.

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