Dot has been on BL’s Prascend for 6 years, 1mg/day, ACTH pretty steady in the low 20’s with 2 exceptions in 2.5 years.  In that time I have worked with 3 vets and none of them have ever suggested an increase in dose.  His recent ACTH taken on 9/29 was 30.  I expect the vet to increase the dose to 1.5 mg when he is out next week.  Dot is at a boarding facility staffed by laborers, not horse people.  They struggle to remember to give him the single pill now.  I have no expectation that he would get 1.5 pills, or that they would keep the other half securely wrapped.  Therefore it makes more sense to switch to a compounding provider.  It sounds like capsules would work best since I am there several days a week and can leave small quantities.  

I see it available on Chewy.com at many dosages.  Also saw a recent post about Wedgewood Pharmacy but I can’t view their dose options on their website.  Are there more compounding pharmacies that I should consider?  

At 1.5 mg, a compounded dose (x1.3) would be 1.95, which I doubt is available in a capsule.  Would 2 mg be too much?  

Anything else I should be considering?
--
Nancy O, Colorado, 2022

https://ecir.groups.io/g/CaseHistory/files/Nancy%20and%20Dot

https://ecir.groups.io/g/CaseHistory/album?id=280596

I would suggest you get friendly with the border that comes every day and offer her or something in exchange
--
LJ Friedman  Nov 2014 Vista,   Northern  San Diego, CA

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