Re: Next steps adjusting pergolide: getting my vet on board
Hi, Cass -toggle quoted messageShow quoted text
The goal in managing Cushings horses is to get the ACTH into the mid- or low-normal range, as well as control the symptoms. I think testing is absolutely ideal if you can afford to do it. She is still showing symptoms, so increasing the pergolide even without a test is reasonable. What about increasing (incrementally) to 2 mg, and then testing 3 weeks later?
The drinking/peeing should most definitely improve (usually within a few days of hitting the right dose, and almost certainly within 2 weeks of hitting the right dose); the pot-belly takes a bit more time, as there needs to be some muscle rebuilding; the hirsutism is variable, and some horses always have a bit of that.
Have a shufti around pubmed, and see if there is anything there:
Your vet is probably gobsmacked that someone wants to spend money!
--- In EquineCushings@yahoogroups.com, "cass_sonomacounty_ca" <cbernstein@...> wrote: