Date   

Re: Urine testing and grazing muzzle

riggslippert@...
 


Re: Update on Cadet, insulin is higher after 4 months on Invokana

chemelle
 

The storage temperature issue came up with my post too so I went back and checked both my prascend and invokana storage temps. I can't recall what the actual temps were (about 77-80 deg F) but there was only a high temperature listed. There was no lower bound temperature given for storage.
--
Chemelle
Hillsboro, OR
2019
https://ecir.groups.io/g/CaseHistory/files/Chemelle%20and%20Andy 

https://ecir.groups.io/g/CaseHistory/album?id=94380


Re: Update on Cadet, insulin is higher after 4 months on Invokana

Eleanor Kellon, VMD
 

Were you ever able to find out what assay Idexx uses? We are seeing quite a few Cornell results that don't match the horse's clinical condition and are significantly higher than other labs.

Lunging isn't a good idea because of the higher forces on the inside leg. Handwalking is OK and so is turnout. The vigorous  playing is a good sign. He would be sore after that if anything is going on in his feet.

Flying would certainly be easier on him. By summer he will have many more months of good growth on his feet and may make  the trip by road uneventfully but commercial shippers tend to spend more hours on the road in a day and I  don't know how much you can rely on adherence to diet restrictions and meds.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Update on Cadet, insulin is higher after 4 months on Invokana

riggslippert@...
 

Thanks Dr. Kellon.  I guess I was more concerned about the Cornell insulin result.  I just submit to Idexx for interest.  His weight is stable, attitude good (similar to when his insulin was lower), and his minimal crest and supraorbital fat pads slightly less.  At least his PPID is well controlled.  Do you have any comment about increasing his (nonridden) exercise or the potential risk in transporting him cross country?

I'll plan on rechecking insulin when there is a consistent warm up before I consider a dosage increase.  As always, I really appreciate your input.
--
Aunna
October 2018
Oakland County, Michigan, USA
Cadet Case History:  https://ecir.groups.io/g/CaseHistory/files/Aunna%20and%20Cadet
Ruger Case History:  https://ecir.groups.io/g/CaseHistory/files/Aunna%20and%20Ruger

Cadet Photo Album:  https://ecir.groups.io/g/CaseHistory/album?id=84102




Re: Giving Omeprazole To Horses Getting Phenylbutazone

Eleanor Kellon, VMD
 

Sara,

I can't say for sure but it's in the same drug class.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Update on Cadet, insulin is higher after 4 months on Invokana

Eleanor Kellon, VMD
 

The FDA monograph says to store it between 59 and 86F https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/204042s026lbl.pdf .

His insulin (Idexx) is well below the estimated threshold for acute laminitis but I'm sure you would like to see it lower. Any change in weight, fat deposits, energy/attitude? I have no experience with doses higher than 300 mg but you could try 450 to see if that changes his urine glucose. I would wait to recheck insulin until the weather has  consistently warmed up.

The only failure to lower insulin I have seen to date is a horse that still tested over 200 but had complete resolution of laminitis and fat pads. Frustrating for the owner and vet but the horse is doing great. There are also instances where insulin dropped but not completely to normal (like your horse) or rose when diet was liberalized or ACTH not in control but none of them had any evidence of laminitis.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Update on Cadet, insulin is higher after 4 months on Invokana

riggslippert@...
 

Hi Terri,

Yes, the medication is stored at home.  BTW, I checked the package insert and it states "This medication does not require any special storage conditions".  I order it through PriceProPharmacy and it comes from the UK.  Thank you!
--
Aunna
October 2018
Oakland County, Michigan, USA
Cadet Case History:  https://ecir.groups.io/g/CaseHistory/files/Aunna%20and%20Cadet
Ruger Case History:  https://ecir.groups.io/g/CaseHistory/files/Aunna%20and%20Ruger

Cadet Photo Album:  https://ecir.groups.io/g/CaseHistory/album?id=84102




Re: Giving Omeprazole To Horses Getting Phenylbutazone

Sara Gooch
 

Thank you Dr. Kellon,

This is pertinent and timely for me.  On my veterinarian’s recommendation, I have recently been treating a horse with intermittent ,mild colic with Banamine and Gastrogard.  She has been treated in the past with omeprazole for ulcers, but never scoped.  (When our winter weather permits mountain traveling to an equine hospital where she can be scoped, I plan on getting her scoped.)  Do you think Banamine would have the same effect as Bute when used with Gastrogard?  If so, that could help explain her intermittent ulcer symptoms.

Thanks for  your thoughts,

 

Sara Gooch, NE California

ECIR, 2011

 

Sent from Mail for Windows 10

 

From: Eleanor Kellon, VMD
Sent: Thursday, February 25, 2021 1:22 PM
To: main@ECIR.groups.io
Subject: [Special] [ECIR] Giving Omeprazole To Horses Getting Phenylbutazone

 

It sounds like a good idea to use Gastrogard to protect the stomach when on bute - but it might not be. A recent study found the combination reduced squamous ulcerations in horses getting bute but had no effect on worsening/creation of ulcers in the glandular portion of the stomach. They also found that 50% of the horses getting the combination had clinical signs of colic or diarrhea, two of them severe and fatal, compared to 16.6% with mild signs in the phenylbutazone only group. All horses were healthy before the trial and were scoped before, during and after the 14 day trial period.Blood total protein also dropped more in the bute + omeprazole group than bute alone.

https://beva.onlinelibrary.wiley.com/doi/10.1111/evj.13323
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001

 


Re: Update on Cadet, insulin is higher after 4 months on Invokana

TERRI JENNINGS
 

Are you storing it at “room temperature” (77 degrees). I failed to do that and it stopped working for my boys. I threw out all of the meds and started with fresh pills and it’s working again. 
--
Terri Jennings with Teeny, Finn and Elliott
Arcata, CA
https://ecir.groups.io/g/CaseHistory/files/Terri%20and%20Teeny
Joined 2019


Re: Red Light Therapy

Buzz
 


Re: Red Light Therapy

Buzz
 

Yes Sherry thanks, I did see it.  I need to research where the points are located to apply the red light therapy.  Im thinking of trying it too. The massage therapist  is coming  Tues.  I need to talk with her too as I would be willing to do massage  to help improve his circulation to his feet If it would also help.  Of course, I know first thing is to get the insulin down!!!
--
Marsha and Dame - Buzzy TN 2019

https://ecir.groups.io/g/CaseHistory/files/Marsha%20and%20Dame%20-%20Buzzy
https://ecir.groups.io/g/CaseHistory/album?id=258797


Re: How to get my IR horse eating his supplements

Sherry Morse
 

Hi Myriam,

For a weight loss program you would need to be feeding 1.5% of his current weight or 2% of his ideal weight.  For a 14.3 hand horse I would think that would be about 1000lbs. 9kgs = 19.8416 so that would be fine to keep feeding him for the 1000lb goal.  You just need to make sure you are weighing everything he's fed and be aware that total includes any hay as well as concentrates that he is fed each day.




Re: How to get my IR horse eating his supplements

Lorna Cane
 

Hi Myriam,

Do you have fleece-lined shipping boots? They would offer more warmth.
If you don't have fleece-lined shipping boots,do you have cotton batting sheets,or quilts to out on before you put on the polos? That would be warmer than just polos alone.

--

Lorna  in Eastern  Ontario
2002
Check out FAQ : https://www.ecirhorse.org/FAQ.php


Re: How to get my IR horse eating his supplements

myriam.desrosiers@...
 

Hi! I did redo the tape, i think i was wrong the first time!! He is 1117 pounds... or could he have lose that much weight in such a little time? I will go correct it on his Case History form. For now i give him 9 kilos of hay/day... but i think iM gonna have to go down a little to 7 or 8... i will try finding hid ideal weight.
He eats in his stall, but the rest of the time, he is in a paddock of about 160 feets by 150 feets. It is flat. I did wrap hid legs with polos. I can already see some improvement... But it seems that the colder it gets, the more pain he feels. I still did'nt receive the oxyde Magnesium...i'm expecting it on monday or tuesday by mail, and the beet pulp too. 

--
MyriamD, Qc, Canada

https://ecir.groups.io/g/CaseHistory/files/Myriam%20and%20Aragon

https://ecir.groups.io/g/CaseHistory/album?id=260540


Re: Red Light Therapy

Lavinia Fiscaletti
 

 As mentioned before, he IS growing hoof, just not in a healthy direction.

--
Lavinia, George Too, Calvin (PPID) and Dinky (PPID/IR)
Nappi, George and Dante Over the Bridge
Jan 05, RI
Moderator ECIR


Re: Red Light Therapy

Sherry Morse
 

Hi Marsha,

Hopefully you saw this message from Dr. Kellon regarding the use of Red light therapy: https://ecir.groups.io/g/main/message/249627.  Have you added Jiaogulan in yet as that will increase circulation.




Re: Tens Unit

Lavinia Fiscaletti
 

Hi Marsha,

Massage therapy is an option for any equine and most tend to enjoy it - just as most people do. It helps to "get the kinks out", which can make him more comfortable by helping his tight muscles relax to some degree.

He has minimal rotation, so that's not part of the issue. Sinking can create some compression of the circumflex artery but there is no evidence that this is a major issue for Buzzy. Jiaogulan will help increase circulation - which you are already feeding.

The big factors that he needs addressed are getting the trim tight and getting his insulin under control. Nothing else is going to make a long-term difference.

--
Lavinia, George Too, Calvin (PPID) and Dinky (PPID/IR)
Nappi, George and Dante Over the Bridge
Jan 05, RI
Moderator ECIR


Re: boots

Bobbie Day
 

Yep Daisy we are 😊
So far I really like them, they fit more snuggly than her others (EF, Soft R, Easy boots, scoots) yes she has just about everything!
Oh and cav’s lol.
They don’t twist have a good break over and are really light. I’m pretty impressed for the price actually. I can’t say how long they’ll last since we haven’t had them too long. I think they wouldn’t be as forgiving as some of the others (size wise) I wish they came in half sizes, I have to put her back in her others when we’re between trims. But so far so good.


--
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


Re: Tens Unit

Sherry Morse
 

Hi Marsha,

Have you seen this email from Dr. Kellon regarding the dosing of LaminOx and adding in J-herb? https://ecir.groups.io/g/main/message/261813.  The last time I looked (2019) there was very little research on using TENS units with horses (little enough that I didn't pursue it).  You can always do massage on a horse or mini for the overall wellbeing but at the end of the day the advice for Buzzy is going to remain the same - get the trim in order, get the diet as tight as possible, add metformin.  




Re: Update on Cadet, insulin is higher after 4 months on Invokana

riggslippert@...
 

Sorry Dr. Kellon!  I didn't realize that info was not in his CH.  I will add it asap.  He started on 10/20/2020, 300 mg QD.  He gets it in a homemade flax pill pocket fed by hand by me.  I know he's getting it.
--
Aunna
October 2018
Oakland County, Michigan, USA
Cadet Case History:  https://ecir.groups.io/g/CaseHistory/files/Aunna%20and%20Cadet
Ruger Case History:  https://ecir.groups.io/g/CaseHistory/files/Aunna%20and%20Ruger

Cadet Photo Album:  https://ecir.groups.io/g/CaseHistory/album?id=84102



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