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Re: [feline-heart] Diltiazem--Voula

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  • Voula Augerinos
    Hi Laura, I will ask the vet tomorrow about Diltiazem and what the differences are and why beta blockers are prescribed for some cats and Diltiazem for others.
    Message 1 of 24 , Oct 31, 2000
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      Hi Laura,
      I will ask the vet tomorrow about Diltiazem and what the differences
      are and why beta blockers are prescribed for some cats and Diltiazem for
      others. I have heard some positive stories about Diltiazem.
      Love, Voula and Pebbles and Lucy and my Beautiful Angel Sachie.

      ----------
      > From: Laura Penny <lepenny@...>
      > To: feline-heart@egroups.com
      > Subject: Re: [feline-heart] Diltiazem--Voula
      > Date: Wednesday, 01 November , 2000 11:56
      >
      >
      > Kassy's energy level also increased quickly and dramatically after she
      began
      > diltiazem. Miraculously, she has had no progression of HCM in nearly 3
      > years, even after being dx with hyperT.
      >
      > Laura
      >
      >
      >
      > To unsubscribe from this group, send an email to:
      > feline-heart-unsubscribe@onelist.com
      >
      >
    • joe.weissmann@uc.edu
      My Tigger initially was put on Propanolol after a severe case of CHF (conjestive heart failure) when he was 18 months old. Propanolol wiped him out...lethargic
      Message 2 of 24 , Nov 1, 2000
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        My Tigger initially was put on Propanolol after a severe case of CHF
        (conjestive heart failure) when he was 18 months old. Propanolol wiped
        him out...lethargic wouldn't move...trouble breathing, etc. Found out
        this drug is a non-selective beta blocker and can cause adverse
        reactions including difficulty in breathing but it is the most
        powerful beta blocker at a vet's disposal. After a week we then
        switched him to Atenolol, a selective beta blocker, and he improved
        dramatically. Tigger was almost back to himself with just a little
        less stamina then before.
        Tigger was taking a combination of Atenolol, Vasotec, and the baby
        aspirin and was doing fine when on his semi-annual exam the vet
        discovered moderate arrythmia and doubled his dosage of Vasotec &
        Atenolol. He was tolerating this increased dosage pretty well for
        about a month when one night his heart threw a clot that paralyzed his
        rear legs. Fortunately it was only a partial blockage and within a
        week he was back on his feet and could walk around. I think it may
        have only been a partial blockage due to the baby aspirin he's been
        taking.
        To make a long story short(er), after consulting w/ several people
        on the web and doing a lot of research, I convinced the vet to take
        him off the Atenolol and put him on Diltiazem instead. She
        begrudgingly did so, but only for a week and if that didn't work he
        was going back on Atenolol/Propanolol or I would have to find a new
        specialist. After a week he some seemed no worse than before but he
        still had the arrhythmia. We decided to keep him on the Diltiazem and
        he's been doing great for the last 6 months.
        My feelings are that if your cat has not been in CHF then the beta
        blockers (Propanolol/Atenolol) can keep HCM in check but if your cat
        has had CHF episode, then a calcium channel blocker(Diltiazem) is the
        better choice. Diltiazem also has some anti-clotting properties which
        is good thing, while the beta blockers can restrict blood vessels
        which is a bad thing if clot is thrown. I will have to say that beta
        blockers (Propanolol and to a lesser extent Atenolol) are much better
        at treating arrhythmia which is a major cause of clot formation.

        - Joe Weissmann
      • Voula Augerinos
        Hi Joe, thank you for your message. I think I read somewhere that beta blockers should be used with caution in CHF (congestive heart failure). I will look at
        Message 3 of 24 , Nov 1, 2000
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          Hi Joe,
          thank you for your message. I think I read somewhere that beta
          blockers should be used with caution in CHF (congestive heart failure). I
          will look at the site and write again. I think it said that they can worsen
          heart failure.

          > My feelings are that if your cat has not been in CHF then the beta
          > blockers (Propanolol/Atenolol) can keep HCM in check but if your cat
          > has had CHF episode, then a calcium channel blocker(Diltiazem) is the
          > better choice.

          Pebbles has not been in CHF.

          > Diltiazem also has some anti-clotting properties which
          > is good thing, while the beta blockers can restrict blood vessels
          > which is a bad thing if clot is thrown.

          That is interesting. I will look into this and ask the vet.

          > I will have to say that beta
          > blockers (Propanolol and to a lesser extent Atenolol) are much better
          > at treating arrhythmia which is a major cause of clot formation.

          For Pebbles the specialist said he wanted to lower her heart rate and
          hopefully that would help the heart.
          I am still learning about heart disease in cats. I don't know very
          much so I am sorry if I can't explain myself too well.

          Love, Voula and Pebbles and Lucy and my Beautiful Angel Sachie.
        • Mike & Linda Irrgang (Now in Jamaica!)
          Voula, I ll be praying for you and Pebbles in my thoughts and prayers. Pumpkin, Max and Linda ... From: Voula Augerinos [mailto:catwoman1@iprimus.com.au] Sent:
          Message 4 of 24 , Nov 3, 2000
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            Voula,
            I'll be praying for you and Pebbles in my thoughts and prayers.

            Pumpkin, Max and Linda
            -----Original Message-----
            From: Voula Augerinos [mailto:catwoman1@...]
            Sent: Thursday, October 19, 2000 10:38 PM
            To: feline-heart@egroups.com
            Subject: Re: [feline-heart] Re: Diltiazem--Voula


            Hi there Jeanne,
            another positive and hopeful message. Thank you. And thank you for
            saying that the anxiety eases. Yes I have noticed Pebbles has been a bit
            less active lately. I also thought that because over the past few months
            before Sachie died, that it was because Sachie was sick, because she used
            to get Pebbles to play with her. I think that is true, because before
            Pebbles would tear around a million miles an hour chasing Sachie. But I
            also think that her heart could be a factor too. Well everyone, I am soon
            to give Pebbles her first tablet (one quarter of a propranolol). Wish us
            well. I think Pebbles will be okay, but I am going to need something
            myself!
            Love, Voula and Pebbles and my Beautiful Angel Sachie.

            ----------
            > From: Jeanne Warner <jwarner310@...>
            > To: feline-heart@egroups.com
            > Subject: [feline-heart] Re: Diltiazem--Voula
            > Date: Friday, 20 October , 2000 12:28 PM
            >
            > Hi!
            > I too have a cat, Dom, who is 5 years old and was diagnosed with HCM
            > almost 1 year ago. He takes Diltiazem and Enalarpril. We did try baby
            > aspirin for him but had to discontinue it because it caused him to
            > throw up most every day. He has had 2 ultrasounds so far and the
            > second 1 showed that there has been no farther deterioration and his
            > heart rate was lower. The Enlarpril was added after the second
            > ultrasound and we will return for the next ultrasound in January. I
            > will be anxious to see if there have been any changes. We do see our
            > regular vet in between the cardiologist check ups. She did a chem
            > profile to check for renal function and it was fine. So, all has been
            > going very well for Dom since his diagnosis. We have noticed that he
            > became alot more active after being on the meds. He stated running
            > and jumping again. Cardiologist says it is because he feels better.
            >
            > We all live with the fear of blood clots, kidney problems etc. but it
            > does become less stressful as the time goes by. At first, I just
            > watched him waiting for something bad to happen but now we know that
            > we are doing everything we can for him and that is all that we can
            > do. Of course this is easier to say when he has been doing so well.
            > It does help if you have a good vet that you trust and a good
            > cardiologist. Dom and I are lucky to have both!
            >
            > Good luck to you and Pebbles,
            > Jeanne & Dom
            >
            >
            >
            >
            >
            >
            >
            >
            >
            >
            >
            > --- In feline-heart@egroups.com, "Jonathan Rosenberg" <jr40@r...>
            > wrote:
            > > > -----Original Message-----
            > > > From: Melinda Bruno [mailto:brunobaby@a...]
            > > > Sent: Thursday, October 19, 2000 10:54 AM
            > > > To: feline-heart@egroups.com
            > > > Subject: [feline-heart] Re: Diltiazem--Voula
            > >
            > > > The cardiologist recommended enalapril (Vasotec), which is an ACE
            > > > Inhibitor.
            > >
            > > This is the same drug as enacard, which is what Lynx takes.
            > >
            > > > If you've heard that this drug is not recommended for kidney
            > > > patients, it's because it "cuts" the communication between
            > > > the heart and the kidneys. Meaning that the kidneys yell "more
            > > > blood!" and the heart doesn't hear them. This means less work
            > > > for the heart, which is good for a heart patient, but could be
            > > > bad for the kidneys.
            > >
            > > I asked our vet about this a few weeks agio. She said that when
            > enalapril
            > > was first introduced, this was everyone's fear. But she said that
            > the
            > > latest research had shown that the drug actually appears to be less
            > > troublesome for the kidneys than ohter treatments.
            > >
            > > Just another data point ...
            > >
            > > > --Melinda and Pongo
            > >
            > > --
            > > JR
            > > & Tabby (RB), Licorice, Tigger, Lynx
            >
            >
            >
            > To unsubscribe from this group, send an email to:
            > feline-heart-unsubscribe@onelist.com
            >
            >


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