VetNet®
VetNet® AIHA discussion forum
VetNet® Forum
Lifelong Learning Network
www.vetnetlln.ac.uk
Veterinary Recruitment
Premier Partner Program
Canine Autoimmune Hemolytic Anemia (AIHA & IMHA) - Bugy Update 2/23/08
| Hi All, Well as usual Bugy is not responding to the antibiotic-Baytril. He is still vomiting. They have with held any food for the day and will try to feed him early Sunday morning. No one seems to know why he's still vomiting. I'm so frustrated. I told the vet that I am taking him home on Sunday no matter what !!! Being admitted to the hospital dosen't seem to be helping so he might as well be home getting our love and attention rather than in a cage at the vets !!! Oh and it's alot cheaper. Lisa :( |
| Lisa Rhode Island |
| Lisa, Do you have Bugy on Sucralfate? Holy went through a vomiting spell about 4 weeks ago now, she was not on sucralfate or pepcid and they feared a bleeding ulcer because first day was black, but after that she continued vomiting everything she ate for 4 days. Lost a pound and was dehydrated, plus her retics skyrocketed. The vet and internist said she must have just gotten a virus or bug like people do. But once we started the sucralfate, the vomiting stopped. Linda |
| Linda Sapphire |
| Hi, as some of you know I'm new to this. is it at all possible for the vets to give regular injections with the meds for this disease? Lisa, I hope Bugy is already safely at home and doing much better. Seems like good advise from Linda. Myriam |
| Myriam Belgium |
| Myriam, Very interesting question and one that I have been thinking about for awhile. Dexamethasone sodium phosphate is sometimes used in the early acute stages of AIHA, usually in a hospital setting. Dr. Dodds has this on her protocol for initial tx. So I researched on line to see what I could find. This web site's editor has some research on dexamethasone just for this purpose. Whether or not it is something that can be given on an ongoing basis would be a question for a vet with clinical experience in treatment of AIHA. Print for your vet so they can access the research papers at nih.gov pubmed listed below. Patrice Quoted From Pamela Davol> http://www.labbies.com/AIHA_Letters.htm "Are you aware of anyone who has used Decadron instead of Prednisone to treat an AIHA dog?" "Dexamethasone (Decadron) has indications for use in the treatment of AIHA in humans and some livestock. The often high doses of glucocorticoids required to control AIHA and associated symptoms do make dexamethasone a preferred choice over prednisone in regard to reducing sodium retention, weight gain, etc. Unfortunately, there isn't much recent information regarding the use of dexamethasone to treat AIHA in dogs, however. A couple of early studies cite the use of dexamethasone treatment for AIHA in dogs, but I have not looked at the results of these studies specifically. The references are as follows: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=4734241&dopt=Abstract http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=4933855&dopt=Abstract One example of dexamethasone efficacy against AIHA in other species can be found in this reference: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1644656&dopt=Abstract Most of the studies that I've reveiwed regarding dexamethasone efficacy against AIHA have been anecdotal; citing results in only isolated cases. This is not surprising because it is believed that response to glucocorticoid therapy, in general, is dependent upon the individual patient. Therefore, your veterinarian will probably switch over to the dexamethasone and frequently monitor course of the disease. If results suggest that the dexamethasone is unable to control the symptoms as effectively as the prednisone treatment, then your dog should be returned to the prednisone regimen. " |
| Patrice New York State |
This thread was discussed between 23/02/2008 and 24/02/2008
Canine Autoimmune Hemolytic Anemia (AIHA & IMHA) forum index
This thread is from the Vetnet archive. The live Vetnet forum is active now.
