calliecritturs
Posted : 7/31/2008 1:30:10 PM
Lori, the fact that you are "right on it" simply gives Willow a better shot, but it also makes the diagnostic period longer because there are no severe "symptoms" (as in a dog not able to stand, etc.) because you've thankfully caught it early. That makes it more nerve-wracking on YOU, but at the same time just realize you are doing incredibly well ***BECAUSE*** you caught it while she was asytmptomatic.
Pred is scarey, but it's also a heck of a drug (yeah, this is ME the herb queen talking!!!!), and it's the least of the immune-suppressing drugs.
I know you don't do much that is alternative, however, please consider strongly giving Willow milk thistle. Milk thistle will detox the liver and also the kidneys. This is medically pretty well acceptable at this point -- when Billy was being treated for the IMHA frankly, none of the 'regular' vets cared at all, and when it was all over they were **astounded** that we hadn't killed his liver and kidneys with the amount of the drugs he'd been on.
Because Willow is prone to some kidney issues, you want to mitigate damage there if possible. Even the ground herb milk thistle is SO helpful -- and giving LOTS of it. They are studying silymarin all over the place at this point (that's the latin name for milk thistle) and the AKC is even funding a study of it now.
If your vets want to talk to any of the vets Billy used, they can verify that it had no ill effects on any of the medicines and that it also truly helped protect the liver and kidneys.
Talk to your vet -- typically when milk thistle is used like this it's used in big doses (like 2-3 times the adult 'dose' -- which is just an arbitrary figure because it's an herb). Just buy a good brand, and don't use anything "time-release" (diminishes the effectiveness). Some vets like the tincture, some like the ground herb. The general consensus is it just plain works and it's benign.
I understand SO well your concerns about pred -- but the milk thistle will help mitigate the damage the pred might cause so you lessen that risk.
Talk to your vets -- I'm not suggesting you do anything without their blessing. Billy was on an absolute MAX dose of pred for about 5 months ... plus the huge doses of cyclosporine at the same time. (They use both of those when the situation is immune-mediated.)
Another question for the vets -- did the platelets take a downturn after they started doxycycline or remain the same?