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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 24454
Experience:  University of California at Davis graduate veterinarian with 44 years of experience
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I'm so stressed out!, my vet is out of town and my dog who

Customer Question

hi I'm so stressed out!
JA: I'll do all I can to help. What is wrong with the dog?
JA: Hello. How can we help?
Customer: my vet is out of town and my dog who is an 11 yr old beagle mix has CHF
JA: Where does your beagle seem to hurt?
Customer: he was up coughing all night
JA: Coughing can be worrying. The Veterinarian will know what you should do. What is the beagle's name?
Customer: otherwise he's fine Buster
JA: Is there anything else important you think the Veterinarian should know about your beagle?
JA: OK. Got it. I'm sending you to a secure page on JustAnswer so you can place the $5 fully-refundable deposit now. While you're filling out that form, I'll tell the Veterinarian about your situation and then connect you two.
Submitted: 9 months ago.
Category: Dog Veterinary
Expert:  Dr. Michael Salkin replied 9 months ago.

I'm sorry to hear of this with Buster. Which medications is he currently being administered, please?

Customer: replied 9 months ago.
Thank you for replying so quickly
He is on lasix – 75mg 3x per day
Benazapril 5mg 2x per day
Vetmedin 5mg 2x per dayhe’s on another diuretic 1/2 tab at night but I’m sorry I don’t have the name with me, I get it at CVS.
Expert:  Dr. Michael Salkin replied 9 months ago.

Thank you for the additional information. Always reach for the diuretic first if you're concerned that Buster is decompensating. He's already on quite a dose of Lasix and I suspect that the other diuretic is spironolactone. This concerns me that he may not be able to respond to a temporary increase in his diuretic dosing but that's your best bet at home. How much does Buster weigh, please?

Customer: replied 9 months ago.
33 lbs
Expert:  Dr. Michael Salkin replied 9 months ago.

Thank you. Initially, a dose of Lasix (furosemide) at 0.5 - 2 mg/lb is administered when pulmonary edema is detected. 75 mg/33 lbs = 2.3 mg/lb - already a high dose but if Buster is decompensating, I recommend doubling the dose to 150 mg thrice daily until you can speak to Buster's vet.

The recommended dose of spironolactone ranges from 0.25 - 2 mg/lb once daily or ~10 - 40 mg once daily for Buster. Whether any clinical benefit is derived from spironolactone is controversial but I've had success with it when ascites is refractory to Lasix. If that 1/2 tab is hydrochlorothiazide instead of spironolactone, it's usually dosed at 1 mg/lb every other day.

Please continue our conversation if you wish.

Customer: replied 9 months ago.
awesome thank you so much!!!
Expert:  Dr. Michael Salkin replied 9 months ago.

You're quite welcome. I can't set a follow-up in this venue so please return to our conversation - even after rating - with an update at your convenience.

Expert:  Dr. Michael Salkin replied 9 months ago.
Hi,
I'm just following up on our conversation about your pet. How is everything going?
Dr. Michael Salkin