2012年1月31日星期二

Vetoryl For Canine Cushing's Disease

Canine Cushing's disease (or hyperadrenocorticism) is a austere action area the dog's physique makes top levels of the hormone cortisol. Vetoryl is the cast name for trilostane and the alone accountant analysis in the United States for basset Cushing's.

Side Effects

Dr. Forney addendum that accepted ancillary furnishings of dogs with Cushing's on Vetoryl cover drowsiness, diarrhea, vomiting, abnegation to eat. A bead in physique salts (hyponatremia) or claret potassium (hypokalemia) can aswell occur. Call your vet should any abnormal affection appear.

Dosage

The FDA recommends a starting dosage of 1 to 3 milligrams per batter that the dog weighs. Give the medication already a day with food.

Consideration

Dechra, the makers of Vetoryl, acclaim that dogs doubtable of accepting Cushing's disease abide either an ACTH dispatch analysis or a low-dose dexamethasone abolishment analysis afore getting accustomed a aboriginal dosage of Vetoryl to be abiding the dog does not accept addition illness.

Function

According to Barbara Forney, VMD, Vetoryl prevents the adrenal gland from authoritative an agitator alleged 3-beta hydroxysteroid dehydrogenase, which helps stop the action of authoritative cortisol.

Types

There are two types of Cushing's affection in dogs--pituitary-dependent and adrenal-dependent. The Federal Drug Administration (FDA) has accustomed Vetoryl for both types.

Diet for Dogs With Cushings Disease

A dog diagnosed with Cushing's disease produces too abounding corticosteroids due to an aberancy of the adrenal or pituitary gland. This usually occurs at a adolescent age and requires abounding years of treatment. A advantageous diet may advice addition the allowed system, accumulate the blow of the physique advantageous and even advice amusement Cushing's disease.

Warning

Try to abstain bartering food, which contains preservatives that may not breach down in your dog's physique over time or accommodate abounding nutrients. Even decree diets may not be the best best for abiding use due to balance fat, low comestible agreeable and balance preservatives.

Supplements

Antioxidants like vitamin C, vitamin E and selenium should be acclimated to supplement your dog's diet. The allowed arrangement have to be additional to advice action Cushing's disease.

Diet & Medicine

If your dog is demography medication for Cushing's disease, be abiding to accommodate affluence of baptize and foods affluent in potassium. The anesthetic may bankrupt assertive nutrients in the body, which you have to furnish through diet.

Ingredients

Use beginning all-natural meat, eggs and vegetables as the base for your dog's diet. Raw aliment is best, as calefaction kills some of the amino acids, but you may accept to baker the ingredients.

Basics

A diet for a dog with Cushing's disease should abide of top levels of protein and low levels of fat, cilia and purine. Purine is mostly begin in beastly proteins and is beneath abounding in animal superior food.

How to Care for a Dog With Cushing's Disease

Cushing's disease usually occurs in earlier dogs and, in abounding cases, is acquired by a amiable bump of the adrenal gland.The adrenal glands aftermath cortisol, a actual important hormone that helps to adapt the body's metabolism. You can admit Cushing's disease by some affection such as boundless eating, bubbler and urination. While this Disease is not curable, it is acquiescent through diet and supplements so your dog can accept a acceptable superior of life.

Treatments

1

Accept your dog's Cushing's disease advised by your veterinarian with Lysodren. This biologic works by antibacterial the alien band of the adrenal gland, attDiseased its adeptness to aftermath cortisol. As with abounding chemotherapy treatments, apprehend some adverse reactions to the chemicals. Watch for affection that cover lethargy, abridgement of appetite, diarrhea and vomiting. Always be abiding to let your veterinarian apperceive if your dog is announcement any of those symptoms.

2

Add a dandelion supplement to your dog's diet. This assemble is affluent in vitamins, minerals and potassium and acts as a diuretic and alarmist analeptic to advice alter minerals absent to boundless urination. Just dry the greens and crumble them assimilate your dog's food. Alternatively, accomplish an herbal blade tea by baking the greens in unsalted vegetable or meat borsch and abacus it to your dog's food.

3

Cover the assemble burdock in your dog's diet. This is a awful able assemble for the detoxification of the body. Its actinic apparatus can abolish baneful substances that abuse your dog's bloom and helps balances his allowed system.

4

Cover annoy in your dog's circadian meal. This assemble is an accomplished tonic, as it provides nutrients for the absolute body. Due to its comestible value, this assemble is an accomplished assemble analeptic for your dog. It provides nutrients to the accomplished body. Sprinkle 1/2 tsp. of this broiled assemble over your dog's aliment daily.

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5

Try a change in diet as a advantageous alternative. Provide your dog with a diet consisting of antioxidants to action tumors and advice his all-embracing allowed system.

How to Manage Cushing's disease in Dogs

Several adapted breed can ache from the furnishings of Cushing's disease, including humans, horses, bodies and dogs. However, a part of the animals that Cushing's ache affects, it is a lot of frequently diagnosed in dogs. The ache causes the dog's physique to overproduce cortisol, a accustomed steroid that has several important functions. Cortisol regulates your dog's weight, derma condition, tissue anatomy and the all-embracing bloom of his body. If your dog is diagnosed with Cushing's disease, you should apprentice how to appropriately administrate it.

1

Look for affection that are apocalyptic of Cushing's disease. These cover added bistro and drinking, added urination, the actualization of a potbelly, and the accident of derma and hair. If you apprehension any of these symptoms, yield your dog to a veterinarian immediately.

2

Apprentice how to appropriately administrate your dog's medication. Cushing's ache in dogs is advised abundantly with medication. Your veterinarian can appearance you how to appropriately administrate the all-important drugs.

3

Apprentice the ancillary furnishings of your dog's medication, some of which can accept austere ancillary effects. Understand what these ancillary furnishings are and what you should be searching for. Your dog's medication may charge to be adapted to annihilate these reactions.

4

Yield your dog to the veterinarian on a approved basis. After your dog is diagnosed with Cushing's disease, you'll charge to accept his claret activated frequently, abnormally during the aboriginal few months. Once the ache is beneath control, he'll charge to be brought in every few months for added testing.

How to Detect Cushing's disease in Dogs

Cushing's disease is aswell accepted as hyperadrenocorticism and is begin a lot of generally in changeable dogs earlier than five. The dog breeds that are at top accident cover terriers, such as boston and balderdash terriers, forth with poodles and dachsunds. Cushing's disease is an overproduction of the hormone cortisol by the adrenal glands. It is best to yield your dog to the veterinarian for a analysis up if you ascertain affection of Cushing's disease.

1

Monitor your dog's aliment and baptize intake. Cushing's disease causes a dog to alcohol and defecate excessively. They may accept accidents and may charge to go out added generally in the night. Excessive urinating can aswell advance to urinary amplitude infections.

2

Beware of an added appetence in your dog. Cushing's disease causes your dog to wish added aliment all of the time. This can advance to an ample or even adipose dog.

3

Examine your dog's hair. Cushing's disease causes the dog's hair to become attenuate and harder to grow. It can even could could cause the hair to abatement out. The blush of the hair aswell changes. For dogs that accept aphotic black hair, it will become lighter.

4

Notice if your dog has a harder time accepting up, jumping, or aggressive stairs. Cushing's disease weakens the dog's legs, authoritative it harder for the dog to action properly.

5

Touch the dog's skin. In a dog with Cushing's disease, the arrangement of the derma will be attenuate and added affected to cuts. Infections could action from these cuts because they will not alleviate as able-bodied or as quick. Cushing's disease will aswell could could cause dogs to abrasion easier.

How to Treat Cushing's disease in Dogs

Cushing's disease is accepted in abounding calm animals, including dogs. It about strikes earlier canines and causes a array of abhorrent affection and potentially alarming complications. Fortunately, Cushing's disease in dogs is actual manageable, and its furnishings can be minimized if you alpha the analysis early. You can amusement Cushing's disease in your dog with a few simple accomplish and the advice of a veterinarian.

1.Watch for the signs of Cushing's disease in canines, abnormally if you accept a dog that is 10 years old or older. These cover boundless appetite and urination, added aliment consumption, billowing belly, apathetic hair growth, addled hair, lethargy, affluence of able-bodied and seizures.

2.Take the dog to the veterinarian to affirm the diagnosis. Abounding of the affection of Cushing's disease are agnate to those acquired by added basset bloom problems. A veterinarian can appraise the dog and accomplish a absolute diagnosis. Veterinarians usually do this through urinalysis and claret work. Because Cushing's disease can be catchy to diagnose, abounding doctors use a aggregate of tests.

3.Consider the analysis options for Cushing's disease accustomed by the veterinarian. They ability cover anaplasty to abolish the adrenal bump that is causing the disease. If the bump is on the pituitary gland, the doctor a lot of acceptable won't acclaim a surgical approach. Radiation is addition advantage if the dog is not too old. Otherwise, drugs such as Lysodren, Ketaconazole or Anipryl will be prescribed. Your veterinarian can explain why she is authoritative her specific recommendations, and accord the pros and cons of anniversary analysis if she offers added than one option.

4.Choose a analysis option, and if you accept medication--follow through with the administering schedule. Medication to amusement Cushing's disease can alone plan appropriately if you accord it to your dog as the veterinarian has prescribed. To accomplish abiding that you don't run out of medication, you may be able to set up an automated bushing affairs with a mail-order or online veterinary decree account such as Wedgewood Pharmacy or 1800petmeds. See "Additional Resources," below, for added information.

5.If the Cushing's disease analysis does not assume to be alive for your dog, argue your veterinarian to see if he needs to accomplish an adjustment. Sometimes it takes some analysis to get a medication dosage at the appropriate level, or the dog ability be added acknowledging to a altered biologic choice.

How to Diagnose Cushing's disease in Dogs

Cushing's disease is also known as hyperadrenocorticism, and can be fatal. While any dog can become a victim, it is most prevalent in beagles, Boston terriers, boxers, dachshunds, poodles, and Yorkshire terriers.

1.Look for the early symptoms, such as the dog losing a good deal of hair and/or developing thin and fragile skin. Dogs with Cushing's disease have adrenal glands that produce too much cortisol, which causes them to bruise easily. You will also notice the dog drinking and urinating much more than normal.
2.Take the dog to the vet if you notice the above symptoms. There are many tests the vet can perform to make a diagnosis of Cushing's disease. The first one he will perform is a blood test. (In fact, a blood test can pick up Cushing's disease even before any symptoms appear. That's why you should have a blood test done on an older dog at least once a year.)
3.Expect the vet to do a radiograph. This will help him determine how badly the dog's liver has been damaged. With Cushing's disease, the liver will become enlarged. Urinalysis will show an increase in the amount of glucose and protein, and there may be an infection. More likely, the exam will reveal a low specific gravity, a good indication of Cushing's disease.
4.Know that, if the dog has any of the skin conditions, the vet will do a skin biopsy, which will either indicate or rule out the possibility of Cushing's disease. This is not a decisive test, but the vet will decide how to proceed based on the results.
5.Understand that X-rays will be taken to see if the adrenal glands or other tissues have become calcified, and to check the density of the bones. Low bone density is another symptom of Cushing's disease. In most cases, the vet will perform a variety of these tests, as each one detects a different symptom; put together, they will give a definitive diagnosis.
6.Expect to have to administer various medications depending on the cause of the dog's Cushing's disease. If it is caused by a tumor of the pituitary gland, the vet will most likely prescribe Anipryl (L-Deprenyl). Another choice is Lysodren (Mitotane), which will kill off parts of the adrenal gland. Other treatments include Mitotane in combination with Prednisone. The dog needs to be carefully monitored when taking any of these medications. Ketaconazole can be used to reduce the amount of cortisol produced by the gland, but there are side effects. The vet also has the option to remove the glands, but this is usually done only as a last resort.

What Is Cushings Disease in Dogs?

Cushing's disease is a disorder of the adrenal glands. Cushing's disease causes the adrenal glands to produce too much cortisol. Cortisol is the primary stress hormone. Cushing's disease is also referred to as hyperadrenocorticism.

Consequences
Untreated Cushing's disease can be extremely uncomfortable for the dog and may eventually result in death. If left untreated, the dog's body will eventually become poisoned by too much cortisol.

Controversial Treatment
Some veterinarians opt for chemotherapy treatment for dogs affected by Cushing's disease. According to Pet Connection, this treatment option can occasionally backfire as the body can go from producing too much cortisol to producing none at all. Surgery is another treatment option for dogs with Cushing's disease. Surgery is usually a last-resort treatment option due to its invasive properties.

Treatment
One form of treatment for Cushing's disease is trilostant. Although not yet approved by the Food and Drug Administration, trilostant has been successful in keeping dogs symptom free of Cushing's disease. Vetoryl has recently been developed and approved by the FDA. Vetoryl is similar in make-up and properties to trilostant and provides the same successful results.

Asymptomatic
According to "Cushing's disease in Dogs Guide," it is not uncommon for a dog to exhibit no symptoms at all when suffering from Cushing's disease. One of the reasons for asymptomatic Cushing's disease can be that the dog is exhibiting symptoms of aging so the owners don't consider other illnesses or disorders.

Symptoms
Dogs with Cushing's disease present symptoms very similar to side effects of being on prednisone or cortisone. Dogs exhibit symptoms such as extreme thirst and extreme hunger, frequent urination and weight gain. An advanced symptom of Cushing's disease is liver damage.

Dog Cushing's Disease Symptoms,Causes,Diagnosis,Treatments and Prevention

Cushing's Disease (hyperadrenocorticism) in dogs is a condition that results from the chronic overproduction of too much glucocorticoid in the body. In the normal dog, the pituitary gland produces a hormone called ACTH, which stimulates the adrenal gland to produce the glucocorticoid hormones necessary for the function of many systems in the body. If something goes wrong in the pituitary gland or adrenal gland and too much glucocorticoid is produced, then Cushing's disease develops. This is a very complicated disease with a wide range of symptoms and causes. This article will try to give a concise description of the disease, its symptoms, how it is diagnosed, and its treatment and Prevention.

Dog Cushing's Disease Symptoms
Dogs Cushing's Disease symptoms include, but are not limited to, excessive thirst, frequent urination, increased appetite, loss of muscle mass, lethargy, changes in coat, excess panting and more. Another indirect symptom to consider sometimes is the disappearance of previous health problems like inflammatory arthritis or less trouble with allergies. These things may actually improve due to the effect of the heavy amounts of cortisone being produced by the dog's body. Although, the idea of having other ailments disappear may sound good, it is important to note that excess cortisol, left unchecked, can still cause greater problems than those it might correct, including suppression of the immune system leading to development of infections, hypothyroidism, diabetes, kidney failure and other issues.

Dog Cushing's Disease Causes
The most common cause of hyperadrenocorticism is a benign (non-spreading) pituitary tumor. Malignant tumors of the pituitary, which metastasize through the body, are a less frequent cause for hyperadrenocorticism. An even less common cause is a tumor of the adrenal gland (adrenal tumor - AT), but when it does occur, it may be a benign tumor, or a malignant metastasizing tumor. Pituitary-dependent hyperadrenocorticism (PDH) includes tumors of the adrenal glands, as well as pituitary overgrowth.
Excessive glucocorticoid administration, which may be used for allergies, inflammation, or as a replacement therapy for low cortisone levels, can also cause hyperadrenocorticism in dogs.

Dog Cushing's Disease Diagnosis
1.Look for the early symptoms, such as the dog losing a good deal of hair and/or developing thin and fragile skin. Dogs with Cushings disease have adrenal glands that produce too much cortisol, which causes them to bruise easily. You will also notice the dog drinking and urinating much more than normal.
2.Take the dog to the vet if you notice the above symptoms. There are many tests the vet can perform to make a diagnosis of Cushings Disease. The first one he will perform is a blood test. (In fact, a blood test can pick up Cushings Disease even before any symptoms appear. That's why you should have a blood test done on an older dog at least once a year.)
3.Expect the vet to do a radiograph. This will help him determine how badly the dog's liver has been damaged. With Cushings Disease, the liver will become enlarged. Urinalysis will show an increase in the amount of glucose and protein, and there may be an infection. More likely, the exam will reveal a low specific gravity, a good indication of Cushings Disease.
4.Know that, if the dog has any of the skin conditions, the vet will do a skin biopsy, which will either indicate or rule out the possibility of Cushings Disease. This is not a decisive test, but the vet will decide how to proceed based on the results.
5.Understand that X-rays will be taken to see if the adrenal glands or other tissues have become calcified, and to check the density of the bones. Low bone density is another symptom of Cushings Disease. In most cases, the vet will perform a variety of these tests, as each one detects a different symptom; put together, they will give a definitive diagnosis.
6.Expect to have to administer various medications depending on the cause of the dog's Cushings Disease. If it is caused by a tumor of the pituitary gland, the vet will most likely prescribe Anipryl (L-Deprenyl). Another choice is Lysodren (Mitotane), which will kill off parts of the adrenal gland. Other treatments include Mitotane in combination with Prednisone. The dog needs to be carefully monitored when taking any of these medications. Ketaconazole can be used to reduce the amount of cortisol produced by the gland, but there are side effects. The vet also has the option to remove the glands, but this is usually done only as a last resort.

Dog Cushing's Disease Care
Antioxidants like vitamin C, vitamin E and selenium should be acclimated to supplement your dog's diet. The allowed arrangement accept to be additional to advice action Cushing's disease.If your dog is demography medication for Cushing's disease, be abiding to accommodate affluence of baptize and foods affluent in potassium. The anesthetic may bankrupt assertive nutrients in the body, which you accept to furnish through diet.Use beginning all-natural meat, eggs and vegetables as the base for your dog's diet. Raw aliment is best, as calefaction kills some of the amino acids, but you may accept to baker the ingredients.A diet for a dog with Cushing's Disease should abide of top levels of protein and low levels of fat, cilia and purine. Purine is mostly begin in beastly proteins and is beneath abounding in animal superior food.An adapted diet for a dog with Cushing's Disease includes top levels of protein; low levels of fat, cilia and purines; and able levels of potassium and sodium. Top levels of purines are begin in beef alarmist and kidneys. As always, beginning baptize should be accessible at all times. If possible, accommodate filtered water.

Dog Cushing's Disease Treatments
As mentioned earlier, canine cushing’s disease can be caused by a problem with either the adrenal or pituitary gland. Chemotherapy can be used to treat problems with both glands. Adrenal tumors can also be removed surgically. In most cases, treatment of this disease isn’t aimed at lengthening your dog’s lifespan. However, treatment focuses on improving your dog’s quality of life.
Depending on what's causing the Cushing's, treatment can range from surgery (in some tumor cases)to courses of treatment with Lysodren(the generic name for Lysodren is mitotane), Ketaconazole, Anipryl or Trilostane , all of which are described at the link below.

There is sometimes the medical need to either remove or destroy the adrenal glands through medication. This causes Addison's disease--a lack of enough cortisol, and means replacement cortisone medication must be taken for life.

Trilostane, known as Vetoryl when dispensed for veterinary purposes, and Modrenal, Desopan or Modrastane when prescribed for people, is the only approved treatment for Cushing's in the UK. It has yet to be approved for animals in the US. The drug is approved in the US for use in some human conditions--it is simply not available in the US.

One can now receive it under the Vetoryl brand name minus the FDA red tape from Master's Marketing in the UK. A prescription will be needed, even though the ordering process is easier. Masters also has importing and ordering procedure information on its website for residents of Canada, Australia, EU,and the UK. Dechra, also in the UK, is the exclusive distributor of the drug under the veterinary Vetoryl name. They are also a source of information for how to use the drug for veterinary purposes.

Dog Cushing's Disease Prevention
You can't prevent Dog Cushing's Disease, but with early treatment, you may prevent potential complications. treatment for spontaneous Cushing's syndrome includes medication to reduce blood cortisol levels (mitotane and ketoconazole) or to improve mind neurotransmitter balance (selegiline), or surgical treatment to remove the adrenal glands, that are located close to the kidneys. Your veterinarian will treat iatrogenic sickness by slowly reducing your dog's steroid treatment.