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Digest Number 8
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Carla Davis <lmdavis@...>
Donna:
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Measuring the ACTH level Dexamethasone suppression test ACTH stimulation test Insulin tolerance test TRH (throid releasing hormone) test are all tests that can be used in helping to diagnose Cushings Here are a couple of web sites to refer to if you haven't already. thehorse.com (then go to their Knowledge Bank; click on Care of the older horse; then select the article on Cushings Syndrome). In the section on diagnosing they talk about the different tests. ruralheritage.com is a site mainly for draft horses but there is a lot of information there. Go to their vet clinic page, then in Exam room II (scroll down a ways) and there is a little discussion between the vet and a client regarding Cushings. As far as costs of treatment: yes it can get expensive. Cyproheptadine (which use to be about $20-$30/month) jumped last fall to the $70-$100/month price (ouch!!). That is about what I've been paying for my horse. HODWEVER, I have just ordered a liquid suspension compounded by a lab in CT which will be much cheaper. It is 100mg/ml cyproheptadine sold in 500ml bottles for $165/bottle. My horse is currently getting 180mg cypro. so I figure 1.8cc/day for him which means the bottle should last 7-9 months. That makes the cost around $20/month!!! If your vet doesn't want to order and carry it for you he/she can call in the perscription then you call in with a credit card# and they will ship directly to you. The company is Prescription Specialties 1(800)861-0933 (They have a web site also) As for the other drug, Permax (pergolide). Very expensive! I checked out costs at Christmas time and found that if I had to treat my horse with the full dose it would be about $360/mo. I have heard that it is possible to combine cypro and Permax and you may not have to use the full dose of Permax. I've also read where a vet used permax in a much smaller dose on horses and got very good results without as much risk of causing founder (which I'm told can happen with that drug). Anyway, I have no experience with using Permax so perhaps there's someone else out there can share their experiences with it. Good luck and let us know what happens. Carla -----Original Message-----
From: sentto-376841-8-lmdavis=wa.freei.net@... [mailto:sentto-376841-8-lmdavis=wa.freei.net@...]On Behalf Of EquineCushings@... Sent: Wednesday, February 23, 2000 1:55 AM To: EquineCushings@... Subject: [EquineCushings] Digest Number 8 ------------------------------------------------------------------------ Get what you deserve with NextCard Visa! ZERO! Rates as low as 0.0% Intro or 9.9% Fixed APR, online balance transfers, Rewards Points, no hidden fees, and much more! Get NextCard today and get the credit you deserve! Apply now! Get your NextCard Visa at: http://click.egroups.com/1/914/2/_/_/_/951299701/ ------------------------------------------------------------------------ Equine Cushings email addresses: Post message: EquineCushings@... Subscribe: EquineCushings-subscribe@... Unsubscribe: EquineCushings-unsubscribe@... List owner: EquineCushings-owner@... Shortcut URL to this page: http://www.onelist.com/community/EquineCushings ------------------------------------------------------------------------ There is 1 message in this issue. Topics in today's digest: 1. RE: Digest Number 6 From: Donna Mire <dmire@...> ____________________________________________________________________________ ___ ____________________________________________________________________________ ___ Message: 1 Date: Tue, 22 Feb 2000 04:55:33 -0800 (PST) From: Donna Mire <dmire@...> Subject: RE: Digest Number 6 --- Carla Davis <lmdavis@...> wrote: accurate one for diagnosing. Cushings is difficult to be "absolutely" sureThere are several different tests and many opinions on which is the most of because we can't look into their heads and actually see any tumors. .....His first approach was to check the level of ACTH in my horses blood. ...the next step would be to do a Dexamethasone suppression test.<< I have the vet going out today and tomorrow to do the Dexamethasone suppression test. Do we have information about how accurate this test is? What would you suggest doing if the cortisol levels are normal after this test? medication. The earlier the diagnoses the more likely you are to have goodCushings is a pretty manageble disease if the horse responds to the results with the medication. Just remember that you are only treating the symptoms. There is no way to treat the actual tumor.<< I heard it could be pretty expensive to treat this disease. I heard $70 - $100 a month. Is that the case? thanks alot for your feedback Donna __________________________________________________ Do You Yahoo!? Talk to your friends online with Yahoo! Messenger. http://im.yahoo.com ____________________________________________________________________________ ___ ____________________________________________________________________________ ___ |
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