Date   

Re: Riosa and Invokana dose

Lecia Martin
 

Hi Heather:   I have been following with great interest, especially after Nancy's journey with Vinnie. I, too have noticed a lack of energy,  and unwillingness to move forward. Discussed it with my vet on Friday as a matter of fact.  Flyte's bloods showed increased liver enzymes and slightly elevated triglycerides. Currently he is on 2/3 of a tab,  but I am wondering about cutting it to half a tab.  We will be testing again first week of May. I have struggled this winter with his weight as well.  On the plus side his feet are good and moves well when he wants to.  I am hoping Dr. Kellon will weigh in at some point for feedback.
Lecia Flyte and Flame
Alberta, Canada


Re: early ppid question

Sherry Morse
 

Hi LJ,

I'd retest in June or July at the latest so if you need to update his dose prior to the rise you have time to do that (and you would just need the basal ACTH test, not TRH stim).




Re: Riosa and Invokana dose

hdavis
 

Yes I totally agree we are the experimental herd and lots of unknowns but I do know that this drug is what has saved us so far. I am thinking maybe she just needs more energy in her diet maybe, even if she isn’t loosing weight. Hopefully Dr. Kellon can respond but in the meantime we will carry on as is and I know lots of others have questions they posted they would like help with too and I don’t think we are in dire straights yet so can wait.

So appreciative of this group and the support and sharing of all the info and experiences!
--
Heather
August 5, 2017, Brandon, Manitoba, Canada

Riosa 
https://ecir.groups.io/g/CaseHistory/files/Heather%20and%20Riosa

https://ecir.groups.io/g/CaseHistory/album?id=8819 


Storm

Case History


 




Re: early ppid question

LJ Friedman
 

The reason why I’m confident in the diagnosis is because he was having problems with his tendons that cleared up almost immediately after starting pergolide. Recapping, when should I test and which test should I get?
--
LJ Friedman  Nov 2014 Vista,   Northern  San Diego, CA

Jesse( over the rainbow) and majestic ‘s Case History 
Jesse's Photos

 


Re: Free feeding tested hay

Sara Gooch
 

Thanks Cass regarding the Abler omeprazole.  I had success with the Abler granules too. I was just curious if maybe there was another effective omeprazole product besides the Abler.  And sorry, I mistakenly thought that this post was on the Horsekeeping page--

Sara,  2011, NE California


Re: early ppid question

Sherry Morse
 

Hi LJ,

Was the test in 2019 the last one Majestic had?  If so, since the TRH stim test was done during the seasonal rise when we don't have an accurate scale for post-TRH results I would take that result with a large grain of salt and perhaps think of checking him this year just to see how he compares to the 2019 test.




Re: Riosa and Invokana dose

Sherry Morse
 

Hi Heather,

Obviously I'm not a vet but I think that at this point we may just not know all the answers to these questions as Invokana use is so new and the horses on this group are basically the 'experimental herd'. I think Dr. Kellon may be keeping track of who's on what dose at this point and what possible side effects are being seen but I'm not sure if anybody else has mentioned lack of energy.  Hopefully one of the other Invokana users will see this and be able to let you know if it's something they've seen in or not. 



Re: Recent bloodwork concerns

Sherry Morse
 

Hi Jennifer,

You can titrate up by .5 so do 1.5 for 3 or 4 days (all in one dose) and then go to the 2mg in one dose.  If you think you're seeing signs of the veil you can slow the titration rate but going by halves is easiest.  As far as once a day vs. twice a day dosing, there's been some research into it that says it may be effective but from the experiences on the group here 1x is most effective and if people have gone to 2x a day dosing it's usually something like 2mg at one time and then another 1mg to keep the therapeutic level in the blood up.  As you noted, even the vet at BI said dividing the dose in 2 would be for horses with a good level of ACTH and that's not where Firestorm is now.

Hope that helps answer your questions.





Re: Boarding in San Diego area?

LJ Friedman
 

facebook “socal horse community “
you can post a “ looking for”
After you’ve selected a few, I can get the inside scoop from others in the area
--
LJ Friedman  Nov 2014 Vista,   Northern  San Diego, CA

Jesse( over the rainbow) and majestic ‘s Case History 
Jesse's Photos

 


Re: Boarding in San Diego area?

LJ Friedman
 

Can you be specific as to where you will be living. What area?
--
LJ Friedman  Nov 2014 Vista,   Northern  San Diego, CA

Jesse( over the rainbow) and majestic ‘s Case History 
Jesse's Photos

 


early ppid question

LJ Friedman
 

Is there amount of time,months, years etc. where in early PPID horse that only showed with a TRH stim test, can move over to ACTH with good confidence?  Majestic is doing quite well though I don’t test him perhaps as often as I should.
--
LJ Friedman  Nov 2014 Vista,   Northern  San Diego, CA

Jesse( over the rainbow) and majestic ‘s Case History 
Jesse's Photos

 


Re: Recent bloodwork concerns

jennigrossi.jg@...
 

Martha,

Thank you very much for your advice, but I need more help understanding. At one point, when I spoke to a Vet at BI, I was told that dividing your total daily dose in 2 and giving the Prascend 2x a day was preferable to 1x a day and that if a horse isn't having a good symptomatic response to Prascend, but acth in the bloodwork looks good, that dividing the dose and giving 2x a day can often lead to improvement. Is this incorrect? I would much prefer to give the Prascend once a day because it's such a pain, but I thought I was doing something good by doing it twice a day.

Also, my plan was to just increase to 1.5 mg, but I went with 2 mg because Sherry advised it because his numbers are so very high. I have APF on order. I hope it will get here this week. Should I just do 1.5 mg for a few days and then go to 2? I will also hopefully have some news from Cornell tomorrow about any likelihood of this being an error.
--
Jennifer Grossi
Charlevoix, Michigan
2018
https://ecir.groups.io/g/CaseHistory/files/Jennifer%20and%20Firestorm
https://ecir.groups.io/g/CaseHistory/album?id=262822


Re: Free feeding tested hay

Bobbie Day
 

Cass
i have a order in route from Adler, I’m pretty sure that at least three of our five are getting ulcers, our vets don’t scope here so I’m going to be proactive and start them all. We lost my husband’s mare two years ago from colic and now (hindsight) I’m pretty sure that was the beginning of her problems. I bought a couple tubes of ulcer meds from my vet just to see if it would help our other mare that is exhibiting symptoms now, At thirty five dollars a tube there is NO way I can afford to treat my horses so I’m anxious to try the pellets from Adler.
--
Bobbie and Desi
NRC Plus March 2020
Utah, Nov 2018

https://ecir.groups.io/g/CaseHistory/files/Bobbie%20and%20Desi 

https://ecir.groups.io/g/CaseHistory/album?id=78821


Boarding in San Diego area?

coffincomplex@...
 

Hi everyone,

I will be moving to San Diego soon and I'm looking for good boarding options. I know there are a few board members in the area, so I wanted to post in case anyone had suggestions. I need a place that is workable for a PPID/IR horse: if they are in turnout there can't be grass, and the facility needs to be amenable to feeding my hay. I would prefer them (I have 2 horses total) to live in individual pens 48' x 48' or larger, or if in smaller pens, they'll need turnout for several hours a day. Good shelter/shade is a must.

I'll be working in La Jolla and would like to keep them less than a 45 minute drive away. I've found a few places further out (Lakeside, Escondido, Imperial Beach) that look to fit the bill but they're close to my max drive distance and so I'm still beating the bushes to see if there is anything closer in, like Poway or Olivenhain. I'd prefer a smaller facility (less than 50 horses), but beggars can't be choosers.

Thanks for any ideas!
--
Alanna
May 2018
Los Angeles, CA
Buster's case history: https://ecir.groups.io/g/CaseHistory/files/Alanna%20and%20Buster  .


Re: WAS: Stabul 1 / NOW: Julanne and Oreo

Julanne Baker
 

Sherry, the lab reports I put in the photos section titled “Julanne and Oreo” are the only lab results I have from Cornell. Sorry.
Martha, thanks for that. From here on I will ask my vet not to do the TRH stim test, just the ACTH test.
Learning so much from all of you!


--
Julanne in Florida 2020
CaseHistory
Https://ecir.groups.io/g/CaseHistory/files/Julanne%20and%20Oreo
https://ecir.groups.io/g/CaseHistory/album?id=262881


Riosa and Invokana dose

hdavis
 

I am still awaiting my lab results for my glucose, insulin and triglycerides and Rio is doing well except for not being as forward and wanting to exercise as she once was. I don’t believe she is foot sore but maybe just less energetic.  Should I be perhaps cutting her Invokana dose as could the 300mg dose be part of this?  She is usually a very forward mare and lately she isn’t as enthusiastic to go for hikes or Into her lunge line work outs. She doesn’t appear to be foot sore but wondering if maybe it is the 300mg dose of Invokana?  Could she be needing less of it now that it now thst she is getting properly stored product than before. Or do we just stay on the original dose until we get blood work back?  Thanks in advance.
--
Heather Davis
August 5, 2017, Brandon, Manitoba, Canada

Riosa 
https://ecir.groups.io/g/CaseHistory/files/Heather%20and%20Riosa

https://ecir.groups.io/g/CaseHistory/album?id=8819 


Storm

Case History


 




Re: Candy Elevated Triglycerides on Invokana

Shawn Gould
 

Patti,
You are welcome. It is so true, it’s hard to keep horses healthy now that they are living way beyond what use to be the typical life expectancy. And the village? Oh my yes,   with a team of experts at the ready. One thing I’ve learned is it’s helpful to have a variety of people who can help you. Sometimes what is suppose to work just doesn’t. You are not alone. And a lot of us have had to make a career out of advocating for our horses.
--
Shawn and Candy
Dec 2020, Santa Cruz, CA
Candy Case History:  https://ecir.groups.io/g/CaseHistory/files/Shawn%20and%20Candy
Candy Photo Album:  https://ecir.groups.io/g/CaseHistory/album?id=258140


Re: WAS: Stabul 1 / NOW: Julanne and Oreo

 

Hi Julanne,
Once your horse has been diagnosed with PPID, there is no reason to do the TRH stim test.  There are no reference values for ACTH after TRH stimulation once the horse is on pergolide.  When a horse is borderline PPID, it may not show an elevated ACTH with the endogenous test and the vet thus does a stim test to clarify the diagnosis.  If your vet insists upon doing the stim test, after the horses is on pergolide, it’s important to see the pre stimulation test result as it is the only one you can use to make a meaningful analysis.  
--
Martha in Vermont
ECIR Group Primary Response
July 2012 
 
Logo (dec. 7/20/19), Tobit(EC) and Pumpkin, Handy and Silver (EC/IR)

Martha and Logo


 
 


Re: WAS: Stabul 1 / NOW: Julanne and Oreo

Sherry Morse
 

Hi Julanne,

Do you have copies of the actual test results?  The whole idea of using TRH testing is to have pre and post numbers to look at and every test result I've seen from Cornell always has both numbers. Once you have a confirmed diagnosis of PPID using the TRH outside of the seasonal rise you only need to repeat basal ACTH (which is the equivalent of the pre-TRH number) to see if the current dose of Prascend is controlling the disease.




Re: Free feeding tested hay

 

Hi, Sara.
Yes, I used the Abler product, AbPrazole granules. I believe you were part of the EC Horsekeeping discussion:
https://ecir.groups.io/g/Horsekeeping/topic/71803024#29172 I'd be happy to answer any questions on that forum.
--
Cass, Sonoma Co., CA 2012
ECIR Group Moderator
Cayuse and Diamond Case History Folder                
Cayuse Photos                Diamond Photos

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