How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Tammy F. Your Own Question
Tammy F.
Tammy F., Not an active Expert
Category: Pet
Satisfied Customers: 9168
Experience:  Not an active Expert
2456257
Type Your Pet Question Here...
Tammy F. is online now
A new question is answered every 9 seconds

dog: s white blood cells..red blood cells..steroids and an antibiotic

Customer Question

My dog's white blood cells are destroying her red blood cells, she is on 3 types of steroids and an antibiotic for a toe infection, is this safe for her?
Submitted: 11 years ago.
Category: Pet
Expert:  NancyH replied 11 years ago.
As long as all the medications are prescribed by the same vet who knows that the dog is taking them all then I would say the protocol is lots safer than letting her immune system kill her.
The steroids should help that problem and the antibiotics counteract the immune suppression effect of the steroids to control the infection in the foot.
If your vet isnt' communicating enough with you try taking in a list of questions you want answers to when you next see him or her. I find that helps me a lot to remember what I think I should ask.
Hope this helps you!
Customer: replied 11 years ago.
Reply to Nancy Holmes's Post: I'm sorry Nancy, but this was not the answer I was looking for. I am having trouble trusting my vet and I was hoping for a more detailed answer. Ideally I would go get a second opinion, but because of the expense already paid I can't afford too. I've spent enough that my current vet is giving me a discount.
Thanks, Kate
Expert:  Tammy F. replied 11 years ago.
Exactly what medications is she on?
Expert:  NancyH replied 11 years ago.
You didn't list the medications or the disease you simply asked if the particular protocol was safe.
My expectations of a veterinarian is that if the same person prescribed the medications and knows that you are giving all to the pet at the same time that this would be the best choice for treatment protocol.
I hope you know that dogs can react to steroids differently than we humans do which is why dosages and treatment plans vary between species.
While lots of steroids might not be the treatment of choice for a human with their longer lifespan it can be the best treatment for a canine.
If you are basing your distrust of your veterinarian on the reading you have done on human medication then that might be an error because of the difference between the species.
My feeling is the pet's health and well being should be a partnership between the owner and the veterinarian.
If you are uncomfortable with your vet and the vet's treatment plan asking the vet for a better explanation of what the meds do and why those were chosen to be used together would probably help you the most.
This shouldn't cost you more money to obtain the information. A phone call by you and a return one by the vet might be enough to do it.
List out the medications and the diagnosis the vet gave you here and we will be happy to see if we can help you more to add to what the vet has already told you.
Customer: replied 11 years ago.
Reply to Tammy Falkner's Post: The meds she is on are: Cyclosporin 100mg (2 pills a day), Prednisone 20mg (2.5 pills a day), Azathioprine 50mg (1 a day). Cephalexin 500mg (2 a day).
Expert:  Tammy F. replied 11 years ago.

Cyclosporine: Cyclosporine is an immune suppressing agent. It inhibits B and T lymphocyte cell activity. Its main activity is exerted by inhibiting the release of interleukin-2. Cyclosporine is used for immune-mediated diseases and also in patients receiving organ transplants. Cyclosporine is also used as a topical preparation for use in patients that have keratoconjunctivitis sicca (dry eye). Side effects include immunosuppression, vomiting, diarrhea, anorexia, gingival hyperplasia and pyoderma. The main side effects of the topical form are local irritation.


Prednisone: Prednisone is a corticosteroid that inhibits the production of prostaglandins and leukotriens to reduce inflammation. It also has immunosuppressive effects. Side effects include vomiting, diarrhea, increased thirst and urination, or iatrogenic Cushing's if prolonged high doses are used.


Cephalexin: Cephalexin is a cephalosporin antibiotic that is related to penicillin. Fewer allergic reactions are seen with this family of antibiotics than with the penicillin's. Cephalosporins are also more resistant to the enzyme beta-lactamase, making them more effective against a broader range of bacteria. Cultures are still important to find what antibiotic an organism is susceptible to. Side effects may include vomiting, diarrhea or uncommon allergic reactions.



Azathioprine (Imuran Rx) is used fairly commonly in dogs in combination with prednisone, in an effort to decrease the amount of prednisone that is necessary to control a problem or to add to the effect of prednisone when
it is not working well enough.



When these drugs are all used together, they should not be harmful to the dog.


I hope that this helps you more!


JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I must tell you I found this site by accident and was amazed when I asked a question of the Veteranians online. I wish I could have found it sooner it could have made such a difference in the outcome of my pet's surgery. However, I am passing along the information to my sister-in-law (a cat-rescue person who is also a nurse), and perhaps it will help someone else who may experience the same problem. The doctor who answered my question was amazing, and while it didn't come it time to change the outcome of my situation, it is reassuring to know the caliber of Vets/Doctors that you have at JustAnswer. Thank you for being there. Alice H. Jacksonville, Fl.
< Previous | Next >
  • I must tell you I found this site by accident and was amazed when I asked a question of the Veteranians online. I wish I could have found it sooner it could have made such a difference in the outcome of my pet's surgery. However, I am passing along the information to my sister-in-law (a cat-rescue person who is also a nurse), and perhaps it will help someone else who may experience the same problem. The doctor who answered my question was amazing, and while it didn't come it time to change the outcome of my situation, it is reassuring to know the caliber of Vets/Doctors that you have at JustAnswer. Thank you for being there. Alice H. Jacksonville, Fl.
  • You are a light at the end of scary tunnel when $ are tight, but people need professional help to turn to for help with their dear pets! Linh Charleston, WV
  • $1,000 spent at his vet, and I finally get the correct diagnosis from Nancy Holmes for $15 Carol Cedar Hill, MO
  • I think this is the greatest web site in the world. Thanks to all! Judy New Haven, CT
  • I have referred several friends to your web site. I'm impressed with how easy it is to use your site, the Experts available and the quickness of answers. Nina USA
  • I am completely pleased with the quick response that I received in our time of need for our dog, Jasmine. I couldn't believe how quick the response was and I thank you. It's good to know you're there!! Jasmine's Mom USA
  • Please let everyone involved with your site know that your Expert, Dr. Lucy, has saved my dog's life. I will recommend your site to all my pet loving friends. Thank you again for simply being there! Sonya G Easley, SC
 
 
 

Meet The Experts:

 
 
 
  • Dr. Andy

    Dr. Andy

    Medical Director

    Satisfied Customers:

    547
    2003 Graduate
< Last | Next >
  • http://ww2.justanswer.com/uploads/VE/vetforyou/2012-6-20_33122_PearlPhoto.64x64.jpg Dr. Andy's Avatar

    Dr. Andy

    Medical Director

    Satisfied Customers:

    547
    2003 Graduate
  • http://ww2.justanswer.com/uploads/JA/Jav917/2012-2-20_54059_201221802254JoananddavidArchuleta3.64x64.jpg Joan's Avatar

    Joan

    Vet Technician

    Satisfied Customers:

    2649
    Vet Tech for 35+yrs. Small Animals and Fish
  • http://ww2.justanswer.com/uploads/RY/rydergar/2012-6-6_192240_IMG0328.64x64.JPG Dr. Gary's Avatar

    Dr. Gary

    Veterinarian

    Satisfied Customers:

    322
    DVM, Emergency Veterinarian; BS (Physiology) Michigan State Univ
  • http://ww2.justanswer.com/uploads/1I/1ISUDVM/2011-3-1_22028_Honeymoon2005075294928803490646858.64x64.jpg Dr. Bruce's Avatar

    Dr. Bruce

    Veterinarian

    Satisfied Customers:

    168
    15 years of experience in emergency, surgery and medicine
  • http://ww2.justanswer.com/uploads/MS/MsAM/2012-6-9_16426_anna.64x64.jpeg Anna's Avatar

    Anna

    Pet Expert/Biologist

    Satisfied Customers:

    3254
    40 yrs.: herps, pocket pets, rabbits, poultry, dogs, horses. Biology degree. Vet assistant.
  • http://ww2.justanswer.com/uploads/BA/babybloo/2011-3-10_62613_DavidandI.64x64.jpg Theresa's Avatar

    Theresa

    Voice for your pet

    Satisfied Customers:

    1133
    Veterinary Technician for 15 years
  • http://ww2.justanswer.com/uploads/ginamod/2008-03-24_152913_cheryl.jpg Cheryl K.'s Avatar

    Cheryl K.

    shelter volunteer

    Satisfied Customers:

    836
    14+ years of shelter work/ vaccinations/ disease/ illness/ injury/ medical care