Re: Correct Pergolide dosage before seasonal rise?
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What kind of pergolide are you using? As I'm sure you know not all types are created equal and not all maintain their potency over a period of time so that's the first thing to be addressed. Were he mine and depending on the type of pergolide you're using I would titrate him up a full mg (3.5mg total) and then retest 3 weeks after that dose has been started. If he's still showing an elevated reading that would be a sign that a further increase is needed or you may want to look at Cabergoline as an option, but again to start - what type of pergolide is he on?
As far as the dosage question - the correct dose is the one that controls the ACTH of the horse, and that obviously varies from one individual to another.
On Thursday, March 26, 2020, 12:35:30 PM EDT, Dawn & Qharma <dawn_winans@...> wrote:
Forgive me Dr Kellon, for I have been a bad mom, it's been 11 months since my last bloodwork and unfortunately the recent numbers came back bad. I should have clued in earlier as his skin/coat has been bad and he got a little tenderfooted for no reason.
He's on 2.5 mg Pergolide and the ACTH is 112.
My question is should I double the Pergolide dose now? Or increase gradually in 1 mg increments? Increase to what dose? How long will it take for the ACTH level to decrease?
He's only 10 yrs old - I'm scared what dose he's going to be on when he's 20!
The calculator shows that he went from a RSQI of Uncompensated IR in 04/16/2019 to Poorly Compensated IR. Which is worse?
I seem to vaguely remember reading that there is a surgery to remove the tumor that causes PPID? Is there such a surgery or am I just wishful thinking?
Thanks for your help!
Dawn & Qharma
December 2017, Phoenix, AZ
Case History: https://ecir.groups.io/g/CaseHistory/files/Dawn%20and%20Qharma
Hay Analysis: https://ecir.groups.io/g/CaseHistory/files/Dawn%20and%20Qharma/Hay%20Analysis
Photo Album: https://ecir.groups.io/g/CaseHistory/album?id=66067