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Stopping pergolide and low insulin
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Karen Anderson
My vet suggests discontinuing all pergolide for a month after the seasonal rise as a way to help my PPID horse's body to "reset." She says this will make the medication more effective when it is restarted. The vet feels that 5.5 mg of compounded pergolide is a massive dose and she wants me to reduce back to 2 mg of Prascend. She is also suggesting cyprohepradine as a treatment. The vet told the owner/manager of the barn where I board that she was not comfortable with my insisting on compounded medications and such dangerously large doses.
The vet also told the barn owner that she was concerned because Fhinland's tested insulin levels were too low, coming in at the single digits. Is there a problem with that? Any suggestions on finding a vet in the Maryland/VA area that is willing to work with me and follow the recommendations of this group? Many thanks, Karen -- Karen and Fhinland in Maryland Case Study: https://ecir.groups.io/g/CaseHistory/files/Karen%20and%20Fhinland |
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Sherry Morse
Well my first reaction is 'time to find a new vet' but really you could ask her to produce scientific based articles showing that stopping pergolide, or reducing the dose, will in fact help your horse 'reset' and make the medication more effective when restarted. You can do a search in the archives for discussion on Cypro but the short answer is 'it doesn't work'. 5.5 is hardly a 'dangerously large dose' and the fact that that vet felt the need to talk to the barn owner behind your back is another indicator to me that it's time to find a new vet. The accepted insulin range from Cornell IS now 10-40 but you might want to have a read on the website here about reference ranges: Fasting Insulin – Lab Ref Ranges | ECIR Group, Inc. (ecirhorse.org) In the meantime, you may want to share your actual location as there's quite a bit of Maryland and Virginia that share a border.
Thanks, Sherry and Scutch (and Scarlet over the bridge) EC Primary Response PA 2014 https://ecir.groups.io/g/CaseHistory/files/Sherry%20and%20Scutch_Scarlet https://ecir.groups.io/g/CaseHistory/album?id=78891 |
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I agree you need a new vet and virtually everything she is suggesting is totally unsubstantiated. Post again with the message title of "need a new vet in Md/Va area".
-- Eleanor in PA www.drkellon.com |
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Hi Karen- Where are you located? |
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Starshine Ranch
Karen, my horses get 12.5 and 9 mg, respectively, of compounded liquid pergolide and I know some who get even more. We give what it takes to keep their #'s as low as possible. Get a new vet!
-- Linda in Grass Valley, CA 2020 Midnight and Ostara https://ecir.groups.io/g/CaseHistory/files/Linda%20Midnight%20OStara |
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Karen Anderson
Hi Jen: My vet has gone along with my insistence on compounded pergolide (from Wedgewood) up to 6 mg but she clearly doesn't support my decisions.
My horse is boarded at Riverwood,, in Boyds, MD which is in upper Montgomery County. I think your guys were boarded close by,, but you may have moved them.. I will be looking for a new vet. I appreciate any suggestions from the group. Karen -- Karen and Fhinland in Maryland Case Study: https://ecir.groups.io/g/CaseHistory/files/Karen%20and%20Fhinland |
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