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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...

Hi I'm so stressed out!

Veterinarian's Assistant: I'll do all I can to help. What is wrong with the dog?

Veterinarian's Assistant: Hello. How can we help?

My vet is out of town and my dog who is an 11 yr old beagle mix has CHF

Veterinarian's Assistant: Where does your beagle seem to hurt?

He was up coughing all night

Veterinarian's Assistant: Coughing can be worrying. The Veterinarian will know what you should do. What is the beagle's name?

Otherwise he's fine Buster

Veterinarian's Assistant: Is there anything else important you think the Veterinarian should know about your beagle?

Submitted: 2 years ago.Category: Dog Veterinary
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Answered in 3 minutes by:
2/26/2016
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 2 years ago
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 35,506
Experience: University of California at Davis graduate veterinarian with 45 years of experience
Verified

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

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Customer reply replied 2 years 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.
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 2 years 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?

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Customer reply replied 2 years ago
33 lbs
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 2 years 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.

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Customer reply replied 2 years ago
awesome thank you so much!!!
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 2 years 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.

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Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 2 years ago
Hi,
I'm just following up on our conversation about your pet. How is everything going?
Dr. Michael Salkin
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