Topics

Adjust RX?


Natalie Washburn
 

Hi there,

My gelding's labwork came back and his numbers moved back into Uncompensated and Poorly Compensated categories.  He's currently on 4mg of compounded Pergolide.  I would think that we should increase his dose. - but how much do we increase it?  1mg? I'll copy the latest results below.  Full info in updated case history that is linked in my signature.

Sept 2019: Insulin 24.12, Glucose 89, ACTH 38.2 (3 mg Pergolide)
Jan 2020: Insulin 13.9, Glucose 90, ACTH 12.6 (4 mg Pergolide)
Oct 2020: Insulin 30.11, Glucose 74, ACTH 28.3 (4 mg Pergolide)

Thank you for all your help!

~Natalie and Jay in TX

Nov 2002

NRC & NAT 2008

Jay - https://ecir.groups.io/g/CaseHistory/files/Natalie%20and%20Jay

Photos - https://ecir.groups.io/g/CaseHistory/album?id=1902&p=Name,,,20,2,0,0


LJ Friedman
 

Do you notice any symptoms that have increased? I don’t think those numbers are too bad. I believe I would be quite happy to have them
--
LJ Friedman  Nov 2014 Vista,   Northern  San Diego, CA

Jesse and majestic ‘s Case History 
Jesse's Photos

 


Nancy C
 

Hi Natalie

Hope you are well.

Just so you have another voice....

With each of my three PPID guys I tried to keep their ACTH well under 30 during seasonal rise. This is true for Beau -- who was very sensitive to being lamintic, and for Gabe and Skip, who both were/are not EMS/IR. I like to see them under 20, Beau especially for control of his insulin.

Would be great if you could get the insulin down by lowering ACTH.

I'd probably start with 1 mg, but if you have signs of being out of control, I'd want to keep an eye on their resolution and raise the pergolide as needed to control.

It looks like you are testing after seasonal rise. I'd keep doing that.

Hope this helps.

--
Nancy C in NH
ECIR Moderator 2003
ECIR Group Inc. President/Treasurer  2019-2020
Join us at the 2021 NO Laminitis! Conference, August 12-15, Harrisburg, PA


Natalie Washburn
 

Thank you Nancy!  I've asked my vet to increase his RX to 5mg and we will retest in Jan to see if that insulin has come down.
Best,

~Natalie and Jay in TX

Nov 2002

NRC & NAT 2008

Jay - https://ecir.groups.io/g/CaseHistory/files/Natalie%20and%20Jay

Photos - https://ecir.groups.io/g/CaseHistory/album?id=1902&p=Name,,,20,2,0,0