I am about to start Rusty on Prascend. Does it matter whether I give it with am feed or pm feed? Should I have APF on hand before I start in case he loses his appetite? Keeping his weight up is a current challenge and source of worry at least partly due to poor molar chewing surfaces. 

Thanks. 

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Lasell in VA 2022
Fairlane Rusty https://ecir.groups.io/g/CaseHistory/files/Fairlane%20Rusty%20Case%20History

Hi Lasell. We usually recommend starting the APF a couple days before starting the Prascend. This will help to mitigate any effects of the Prascend in causing a "veil" which is a term coined here by one of our members....the veil is a word that describes the lethargic pace, the decreased appetite, etc that sometimes can occur with the start up of the Prascend. To read more about the APF and Prascend: https://ecir.groups.io/g/main/files/3%20Cushings%20Disease%20-%20PPID/Cushings%20Disease%20Treatments/Pergolide/Pergolide%20101.pdf  -- 
Start slowly with your Prascend...1/4 tablet each day for 2 or 3 days and gradually increase to your target dose. You can dose either in the morning or the evening, but try to keep it consistent. And you will give your target dose all at once, don't divide it between am and pm.
Trisha DePietro
Aug 2018
NH
Primary Responder
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