Hi Erica, As Dr. Kellon already mentioned in a horse that's both PPID and IR getting ACTH under control is the first priority as that will help bring insulin down in most cases. Additional insulin

As per Dr. Kellon - no, it's not. https://ecir.groups.io/g/main/message/258901. You can do a search on the archives and find more information if you need to. Thanks, Sherry and Scutch (and Scarlet

Just to add an addendum on why it's so important to try to mirror the same conditions every time blood is drawn, I had the vet out last week to check Scutch's Lyme level and I asked her to run an

Hi Cheryl, Blood should be pulled at least 4 hrs after the first hay of the day (or 4 hrs after hay is given following any >6 hrs without food). Whatever time Jewel finishes her morning meal is when

My horse also had the tiniest blood drops in nose off and on for 6 months only on one side. Had him scooped and xrayed Was benign tumor. Vet said they see them quite often. Hope this is not the case

Hi Vicky, I suppose it’s ‘safe’ in small amounts but I don’t know of any reason to feed it. It’s fatty acid omega 6:3 ratio is upside down compared to what is helpful for them. Flax oil

-- Vicky E, Canuso member - 2017 Location - New York/Florida

LJ, You won't be able to get the insulin controlled until the PPID is controlled. They both have to be addressed. -- Eleanor in PA www.drkellon.com EC Owner 2001

I'm trying to do both but know the ACTH will be the more expensive option. What methods would you suggest for insulin? -- Erica H CA 2021

Thanks Kirsten! -- Trisha DePietro Aug 2018 NH Dolly and Hope's Case Histories Dolly's Photos Hope's Photos Primary Responder

Shouldn’t more focused be given to controlling the insulin? I know that often the correct amount of pergolide medication would not control over 200 insulin,? The next time you retest for insulin

-- 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

Thank you for the clarification. I definitely read the response wrong. Now all I need to do is convince my vet to prescribe me compounded pergolide. -- Erica H CA 2021

Erica have your vet write the Rx as Dr.Kellon wrote it in her post below.( Where the x is , insert the amount of pergolide you want. The pharmacy will calculate the amount of pergolide for you, you

Erica, Sherry was calculating what you are paying per month for Prascend . At his current dose of 2.5mgs, you are using 75 mgs of Prascend a month. Prascend costs $2.12 per 1 mg tablet so 75 mgs, per

Thank you for the additional information Dr Kellon. I'm trying to get my vet to prescribe me compounded as I cannot afford to pay for Prascend at 4 mg per day. The 160 count prascend box would only

The concentration of pergolide in the compounded capsule depends on how the prescription is written. If it is written as: "X mg of pergolide base from pergolide

Erica, As you pointed out, the cabergoline would cost more and there is no guarantee the 1 mL dose would be any better than your current pergolide - sometimes it is, sometimes not. Compounded is your

Erica, There is only one source for the cabergoline injections, BET. The 2.5 mg pergolide dose isn't that high and obviously not high enough. There's no way to predict what the effective dose would

Hi Mara CA Trace Plus is on our list of acceptable ration balancers