Hello, my name isXXXXX am a licensed veterinarian and I will try and help you as best as I can
I am sorry to hear that Henry is not dog so well
There are a few options here:
one option is to add in one or both of the following medications: enalapril/benazepril and/or spironolactone. Those are medications that will help to drain fluid out into the urine
another option is to have the belly "tapped" or drained (abdominocentesis) regularly: sometimes 1-2 times a week
The lasix and vetmedin can also be increased in dose depending on the current dose
Or all of the above
Current doses Vetmedin 7.5mg per day & Salix 150 mg per day. What is time, difficulty & cost of tapping - any down sides?
I need to know how much your dog weighs as well so I can calculate an appropriate dose. As far as tapping: the down side is that it will continue to fill with fluid after tapping, however that will allow for some comfort. This is a very simple procedure. Costs vary dramatically between veterinarians based on location and demographics: it could cost anywhere from $35 to $100 or more each time
He is a normal 40 pounder but is possibly more than 50 now - cannot weigh without distressing him. If tapped will tapping requirement (fluid buildup) continually increase such that tapping frequency must be increased? If it were your dog what would you do?
What frequency are you giving these medications, once a day, twice, 3 times?
twice (1 vetmeding morn 100 salix morn & rest in evening.
by 1 vetmedin I meant 1 pill 5mg
I see. The vetmedin could potentially be increased to 5mg twice daily, and the lasix can be increased up to 150 mg every 8 hours, so there is still some wiggle room with the drugs. If this was my dog, I would probably begin enalapril and spironolactone and see how things go before moving to tapping the belly
OK Thankyou Doctor
You are very welcome. I wish you the best with Henry. Have a great day