Fluid build up- will it keep returning?
Levi was diagnosed with hcm on 21st August. On the Monday he had 275ml of fluid removed and went to a specialist on the Wednesday and medication was started including frusomide- 10mg once a day. Over the next week it was upped to 20mg, 30mg, 50mg and back to 30mg.his breathing was between 32-48 ( on a visit to the vet- he went 4x in 2 wks and had blood taken which was pretty stressful)
On our visit 3 wk visit to the specialist he again had to be drained again- this time 300ml of fluid. The dosage recommended was furosemide 30mg (10mg 3 x per day) and 1/8 moduretic over the next five day his breathing was between 19-24- the lowest it has been. It's now creeping up 15 days later to 24-28. I sent a video to the specialist last Friday and he said it looks like some fluid could be building up so now on 20,10,10 for next ten days.
My questions: I can't see any info on moduretic for feline: is anyone else using this?
Is it likely the fluid is just going to keep building up every three weeks even with furosemide?
What are my other options?
Any advice appreciated. :(
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HiYes, the fluid will keep building up if all you use is a diuretic. Something else needs to be added to help stop the heart failing in the first place, this might be an increase in a drug or a new drug added. When Milli went into CHF last week, we used high dose diuretic and an increase in her Vetmedin. Once the Vetmedin worked, we could decrease the diuretic. Ask about adding or increasing a drug such as pimobendan(vetmedin/cardisure) , beta blocker (atenolol) or ACE inhibitor (benazepril)Lyn