Aloha, and thank you for the quick response. The information you had noted is the same in the study which I researched and provided to my veterinarians. I was hopeful to hear/see something other than that. Thank you for the link - I had also seen that while researching but cannot seem to find the actual written case study/ies in order to further provide and substantiate my alternative approach to my vet, who, as noted, is quite reluctant to use anything except Trilostene.The dosage you recommended is the same from the study, but what was not noted in the study, nor can i find online is how, if at all, is the dosage adjusted when a canine is currently taking insulin. As I first noted, Diamond has become diabetic due to the cushings and is currently taking 3-4 units 2x per day.Can they be taken together?
Would/should the cabergoline and/or the insulin be adjusted upon initial start of therapy?
What are signs of needing to adjust either one as the treatment goes along (as I am told the diabetes
will reverse with cushings treatment)?
What are the tests along the way and how often?
And, what test range levels would lead to needing to transfer to Trilostene?
Cabergoline seems to have initial stomach
upset and no other adverse effects - can a stomach medicine be given as well (whether simple pepto or prescription)?I will be taking the ACTH test on Friday in order to start a therapy and wanted to compare different case studies as far as the cabergoline. Either way, I will go off-label and attempt the 40% chance with no side effects to start.Thank you again for your time and should you find more studies along the way, I would be interested in hearing about them.