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DOG with Immune Mediated Anemia

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Our dog, 7 years old, lab/airdale terrier mix., Lexie, was diagnosed with IMA 2 weeks ago and has been taking 80 mgs. of Prednisone 2x day & Atopica, 150mgs 2x day. She has signs of Cushings syndrome, lethargy, sometimes naseau, vomiting & diahrea. Her last red blood cell count analyzed on the 8th of Mar. showed her at 29.9%. When do you believe we can reduce the prednisone? We hate the symptoms associated with it.

 I am not comfortable with adjusting a pred dose because your vet is hopefully following a protoacal. I hope that the dog is on gi protectants. Prednisolone can cause significant gi ulcerations.


You need to request both Carafate and Cimetidine to help your dog out while on pred.


Let me know if you have further questions.


Dr.V

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Customer: replied 11 years ago.
Reply to Dr. Vamvakias's Post: Dr. V.

THank you so much for the additional information. No one has mentioned these two items, Carafate & Cimetidine so I will look them up right now to see what benefit they might produce. Lexie is being closely monitored, but it's always good to ask questions of others. I so appreciate your answer!

Thank you, XXXXX XXXXX let you know how Lexie does.

Regards!
Customer: replied 11 years ago.
Reply to Dr. Vamvakias's Post: One more thing Dr. V, Lexie is currently taking 2 Pepcid AC, 2x day. Would this replace the other two you mentioned?

 Pepcid AC is an over the counter medication used to help with the acidity in the stomach...it probably helps.  But, you described your issue to include vomiting, nausea, and diarrhea...which leads me to believe it is not doing enough.


I feel with the level of pred your dog is receiving...which is high because you are needing an immuno-suppressive strength...there should be equal attention to the stomach lining! Call your vet and ask...but I recommend addressing it soon because you don't want the dog to be uncomfortable...and nausea/vomiting/diarrhea is not a good quality of life.


Dr.Vamvakias

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