New from South Korea.

[Miae]

Hello everyone.
I’m Miae from the South Korea. My English is bad. ^^;(I can read and understand English. But I can’t write English well.) I’m happy to meet you and I’m impressed in lots of cushing information here.

I own two Miniature Pinscher cross and they are 11 years old.(Kyungkuk=K and Makdung=M)
They were just diagnosed with cushing disease. :(They have had ultrasound and ACTH stimulation test. ‘K’ has no obvious cushing signs. But her POST ACTH is 25.2ug/dL (normal 6.0-18.0) and PRE ACTH is 7.65ug/dL. (normal 2.0-6.0) Since there are no cushing symptoms, my vet didn’t recommend Trilostane.
‘M’ has obvious cushing signs and his POST ACTH is 21.6ug/dL(normal 6.0-18.0) and his pre ACTH is 11.1ug/dL. (normal 2.0-6.0) My vet suggested Trilostane 10mg a day and I bought the Vetoryl. Is this dose appropriate level?(10mg a day) ‘M’ is 8.5kg.

I bought 10mg 30capsules Vetoryl(Trilostane) at 198,000won.(194.5$)
I know that my dog must take the medicine for lifetime. It’s very expensive. :(In South Korea, this price belongs to the cheaper one. As I know, it is a price three times higher than the price of sales in US. In U.S, online pharmacies require a prescription in order to buy Vetoryl. Even without a prescription, is there a place where it is possible to buy the medicine?

I think that they are sick by my fault. So I do my best for them.
I hope that your friends will be healthy. And thank you for reading my pool writing.

[Squirt's Mom]

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[Squirt's Mom]

Hi and welcome to you and your babies, Kyungkuk and Makdung! :)

Goodness! You joined this "game" full speed ahead with two possible cush pups! :D But we have several members who have had more than one cush pup...maybe we draw them to us because the Universe knows they are in the best hands possible with us and that they will be loved and cared for no matter what. I believe folks like you, and everyone here, is special. We were given a little something extra that allows us to be good caretakers of our babies, that allows us to love in a way that many cannot understand. So I know K and M are in good hands and will get the best care possible with you as their Mom.

We were a Lysodren house so I will let those who use Trilostane talk to you about that. I did want to address your guilt, tho.

Unless there have been some very recent developments, we do not know what causes Cushing's - it just happens to some pups and while we do know that certain breeds are more prone to Cushing's, we do not know why that is. But we all come here with the feeling that we somehow caused this in our babies. We fed them wrong, we gave them a med we shouldn't have, we didn't pay enough attention - and the list goes on and on and on of the things we did and didn't do that could have caused this disease. But that is simply wrong. We did nothing to cause this - YOU did nothing to cause this. It is NOT your fault your babies have Cushing's. ;) That I can promise you with all my heart.

Now, one other thing I want you to know - cush pups can and DO live out their normal life span and beyond with correct treatment, often passing from things unrelated to Cushing's, like old age. This is not a death sentence - it simply means some changes in your life and changes that we are here to help you with. You, K and M are not alone - we will be with you every step of the way on this journey. Your English came across very easy to read and understand so never worry about talking to us. If we don't understand we will ask - and you do the same, ok? Ask us anything until you understand. Ya'll are part of our family now and this family sticks together through thick and thin. ;)

Hugs,
Leslie and the gang

[molly muffin]

Hello and welcome to the forum. I think you did fine with writing English.

8.5kg would be 18.739 lbs, so 10mg is a fine dose to start at and see how the symptoms do and the cortisol level.

They ruled out thyroid and diabetes as possible problem?

I'm in Canada and we too have expensive vetroyl :( Every place I know of requires a prescription which your vet should be able to write for you.

Sharlene and molly muffin

[Harley PoMMom]

Hi and welcome to you and your babies!

I have manually approved your membership so now all your posts will be seen right away. Also please just disregard the validation email that was sent to you from k9cushings.

Many of our members have their dog's Trilostane compounded, which a prescription is needed. Diamondback is one of the online pharmacies that our members use, not sure if they ship to South Korea here is a link to their site: http://www.diamondbackdrugs.com/contact-us/

Hugs, Lori

[Dixie'sMom]

Hello and welcome to the forum. My dog was recently diagnosed with Cushing's also so I am new here just like you. We have not started treatment yet, so you and I will be learning together. I have a friend with mini dobies and they are very cute doggies! I thought your writing was very good so never worry about that here. Hugs to you and your 4 legged babies and I look forward to getting to know you.

Do you pronounce your name Mee-yah or My-yah, or May? or none of the above?

[Miae]

We did nothing to cause this - YOU did nothing to cause this. It is NOT your fault your babies have Cushing's. ;) That I can promise you with all my heart.



I appreciate 'Squirt's Mom's kind words.
In fact, my second daughter 'Kang' was dignosed with Cushing 2 years ago. In the course of treating Cushing, I lost her by abnormal kidney. My three babies are suffered from Cushing. So I feel sorry for them. I don't know the cause of the disease is what. Your words give me a great comfort. Thank you again.

[Miae]

I appreciate Molly Muffin's hospitality.
'M' is treating pancreatitis. 'K' is treating nephritis and she is suffering from chronic renal failure. Also 'K' is going to operate mammary gland tumor removal surgery soon. But my vet has not been said about the possiblity of thyroid and diabetes. I'll asked about it the next week. Thank you for letting me know possilble problem.

[Miae]

Hello 'Dixie's Mom'?
I'm very glad to know you. Knowing this place, how happy I am!!!
When I write a sentence in English, it takes a very long time. It is nice to be able to read my sentence. ^^; I hope that your friends will be healthy.

[Miae]

Dear Lori..
I sent an email to U.S. online pharmacy.(VallyVet, Vetdepot...) They replied that it is not available prescription issued in South Korea. But I'll contat the Diamondback. Thank you for your kindness.

[My sweet Ginger]

Hi Miae, have you heard back from Diamondback?

[Miae]

Hi,'My sweet Ginger'?
I contacted Diamondback and I got a reply.
I'm happy because the company can accept my vet's prescription.
But the company required my Korean vet's license in order to buy Vetoryl. I can't be sure that he gives his license to me. But I will request it politely.

[My sweet Ginger]

Miae, after a few phone calls to diamondback and Fedex I was able to find out a few things for you. What they want is a prescription and a copy of your vet's license faxed directly from his clinic as a proof that the prescription is valid. Have him fax these from his clinic to 1-866-646-2223. I hope your vet will do this for you.
The shipping charge will be $50.00 minimum and the price for 30 x 10mg Vetoryl is $52.32. So you can save quite a lot of $$ ordering from Diamondback especially if you have to buy for 2 pups. Once they stabilize on their dosage then you can order in bulk and there will be a big saving from shipping cost.
There's a part you need to do once the pkg is shipped but let's get started with the license and prescription first.
They were really helpful and professional and I hope this will work out for you. Take care. Song.

[Miae]

Dear 'My sweet Ginger'...
I appreciate the kindness of your reply. I do not know how the expression of gratitude should be as my English is short. Thank you so much.

[My sweet Ginger]

Hi Miae,

All I want is for you to be able to care for your precious babies both financially and emotionally as I know the journey you've just started would be a long and expensive and exhausting one. I'm just trying to be helpful to you if I can. I'm really glad you've found this family.
There are a lot of resources available on this site for you to read and we also have very, very experienced members who will guide you through out your journey right by you. You are not alone anymore.
Hugs, Song.

[Miae]

Update on August 27

Hello, everyone?
After 'M' ate Vetoryl, 4days has passed. Many symptoms including drinking, urinting, panting are improved. I sincerely hope that your friends recover health.

There are some qestions about Vetoryl's sale.
I got a reply came from other online pet pharmacy. She said "Along with the prescription please send a copy of the patients valid government issued photo identification. Please be advised that if you are ordering for a pet photo identification is not required."

I want to know what she wants is a my ID card such as a driver's license. Have I understood corectly?

I didn't require my vet's license and prescription yet. Because I will request it on the scheduled day. But I believe that I can not receive my vet's license. A friend whom I met in the South Korea forum for sick dog thought the same thing. ㅜㅠ In South Korea, it is difficult to ask vet's license.

If what she wants is my ID card's copy, it will be easier to buy Vetoryl. However I just concern that I send my personal information to the company. Is it O.K.?
In South Korea, I/D card is used when I have contract with someone or get a loan. I/D card includes my many personal information. (ex.address, Resident Registration Number(=social security number)

I asked her why it was needed. Her reply was that "If you are providing a prescription for a pet photo identification is not required for the approval process, however, we may need it for the payment information. Could you please confirm which country the credit card that you would be using issued in, USA or South Korea? "

I don't know what a pet photo identification is. I don't know what she wants. Whether my ID or anything else. I feel bad that I don't understand English well.
It is very difficult to buy Vetoryl from U.S.

[Miae]

Dear 'My sweet Giner'
You give me a great comfort. Taking care of my babies is only me among the family. So I take a lot of courage and comfort in this family. ^^ I'm trying hard in order to give comfort to others in my South Korea forum for sick dogs like you. Thank you so much.
Do you know that your sweet Ginger is similar to my 'K'. Is your Ginger Miniature Pinscher? My 'K' also has a nice brwn hair. ^^

[Squirt's Mom]

I would not send my personal ID unless they ask for it later on. She did say they MAY need it for payment purposes but I would not send it now. Since you are getting the Vetoryl for M you do not have to send a photo ID now. Just let her know this is for your dog and what country your credit card is from and that is all I would do for now.

[Miae]

Thank you so much. It means that they may need my ID for payment later!!! I can understand what they want thoroughly. Thank you and thank you. "정말로 감사합니다." in Korean.

[My sweet Ginger]

Hi Miae,

Have you decided not to get Vetoryl from Diamondback? It was pretty clear to me what they wanted in order for you to get the drug i.e. a prescription and a copy of your vet's license to start off. Of course your address, phone # and payment option...
What I hear is that Diamondback is a pretty reputable drug co among us here and I don't think they are requiring your personal info. i.e. your driver's license, etc.
In my opinion you have to talk to your vet regarding this matter and he is the one who should fax the prescription and a copy of his license to the drug co. and I can't think of any reason why he will have any issues in helping his patients in saving money to care for their fur babies. Don't be afraid. You are doing it for your babies and you are the only one who can help them. Everything will work out. You won't know until you ask. We do it here all the time.
Do you live in Seoul?

Ginger is a 14.5 years old chihuahua, weighs 10 lbs. (4.6 kg) and she's been with us since she was 8 weeks old.
She's on many different medications but she's hanging in there like a trooper. She's so sweet.:)

Oh, that's good.

[Miae]

Dear 'My sweet Ginger',
I have already decided to get Vetoryl from Diamondback. But I thought that it is easier to send my ID card than to get my vet's license.
So I was worried about sending my ID card to the company. But I don't have such a worry anymore. ^^
K's clinic is reserved in the first week of September. I'll request the necessary documents at that time for my babies. Thank you for giving me the courage.

I live in Gunpo is located at a distance of about 33km from Seoul. It is surprising that you know Seoul. ^^
K and M have been with me since they were born in my home. Your sweet Ginger seems to brave among the warrior that I know.

[Squirt's Mom]

Morning...or evening on your side of the world rather! :D

One thing I want to be sure you understand - Diamondback will have to have your vet's info but the vet will have to send that, not you. So you don't have to worry about them giving you that info - just ask them to send it to Diamondback. ;)

[Miae]

Hello, everyone?
I've been trying to tell the news about Vetoryl.
As I said earlier, if I want to purchase Vetoryl from Diamondback, I must send my vet's liscense and prescription to the Diamondback. Yesterday, I asked politely the documents to my vet but he refused. :( It was what I expected.

He said that to import the medicine that has not passed through the quaratine is dangerous. But my thinking is different from that. (Why he rejected my request)
Many Koreans including me are buying various pet supplements from foreign pharmacy. (England, France, America...) Because most Korean vets are selling pet drugs expensively. For example, Vetoryl is supplied to $100 by official supplier and vets add additional fee based on the guidelines of the official supplier. Eventually I will buy Vetoryl on approximately $200. (10mg, 30caps) And my vet told me. It is difficult that he violate the guideline because he is a executive of my region's veterinarians association. So he didn't give me even prescription.

He said the reason for not giving his prescription is due to the fact that the drug can't pass through the quarantine. But I think that the reason for not giving his prescription to me is due to their interests.
So I'm very angry because there is no such thing with the power of my own. But I'll put the power for my babies. Thank everyone for working hard for me.

M had a second ACTH test yesterday and the result will come out after one week. M seems good compared to the past and I hope that his result will be good.
K had a urine test and blood test. But her BUN figure is high so mammary gland tumor removal surgery has been postponed.


The day after tomorrow is Korean Thankgiving. ^^
I hope everyone had a good weekend~

[My sweet Ginger]

Miae,
We can't expect any vet violating their guidelines but on the other hand we don't have to go by everything they say either. He maybe right or he may not be right in this type of cases. Start your own research by calling the Korean Customs yourself and request for the correct customs process on the brand, manufactured Vetoryl.
I'd like to give your vet the benefit of the doubt but also what you are thinking is not all that far fetched either in your case. Find out as much as you can until you are absolutely convinced that this way isn't going to work.
I'm in contact with Diamondback and waiting on their reply but you need to find out the customs rules there ie the quarantine on manufactured drugs and stuff which will be more meaningful to you and your vet.
Hang in there and don't get discouraged yet.;)

[Miae]

Thank you 'My sweet Ginger'
I was embarrassed because of my vet. So I can't think to investigate the quarantine procedures. Thanks to you, I was able to find calm again.

There is a story that I didn't say. (Because of my Engllish...)
I had ever written M's ACTH test result on the Korean forum previously.
Last week, when I requested a prescription to the vet, I just said " Sir... About Vetoryl..." Then he said " I Know. You want to buy a Vetoryl from foreign company. And I saw an article you wrote about his result."
Wow... For a while, I didn't say anything in surprise.
According to his words, Vet's Association has been monitoring the Korean forum. They had been watching the thing for us to buy the medicine at a lower price in a foreign company. Nominally, they said because of the use of safe medicine.

The forum's members just do their best for the animals that they have been kept. I don't know why this should be monitoring by Vet's Association.
First, I informed to the forum's administrator on the fact. Now, I'm worried about how to be addressed in the future. There is no way to more accurately represent my sadness and anger.

South Korea is a holiday until today. So I'll call tomorrow to animal quarantine's officer.

It took 90 minutes to write this article. :o
If my English is good, I would have been able to express my opinion to other member's writing.
In South Korea, the fall is coming. Korea's fall is wonderful. When I take a photo of a nice fall of Korea, I'll show you in this forum.
I would like to thank all that.

[Squirt's Mom]

Oh I can't imagine the vets monitoring us like that! And all you want to do is help your baby get better. It is such a shame your vet won't or can't work with you on getting this medicine for M. :(

I hope the quarantine idea brings you some good results. Keep in touch and let us know how things are going!
Hugs,
Leslie and the gang

PS Can't wait to see the pics of fall in South Korea!

[My sweet Ginger]

Hmm, interesting. I could be wrong but isn't the fact that they (vets) have already been able to legally sell Vetoryl to their patients in Korea speaks for itself if the safety of Vetoryl is an issue with them? I don't think you are the very first person trying to import Vetoryl into Korea.:rolleyes: To me it is very insulting what your vet told you the reason he can't write you a prescription for your pup when they are doing it for themselves already. It just doesn't add up.
I'm sorry that you are having this kind of difficulty but don't give up yet. Do whatever is necessary for now to help your pups but in the meantime keep working on this matter until you see a resolve. There's got to be a way since their reasoning sounds so flimsy to me going by what you've said.
Try to stay cool. You have enough time to tackle this adversity.

Enjoy the beautiful foliages over there and indulge your babies with lots of hugs and kisses. They are so adorable.
BTW, it may take some time for you to write but you are doing great with your English and that's how everybody improves, by practicing over and over. ;) Hugs, Song.

[Miae]

Dear. Squirt's Mom

Yes... It was unimaginable to me, too. I think he didn't feel any shame.:mad:

[Miae]

Dear, Song.

My vet said. He had purchased Vetoryl from England before the drug is imported officially. The drug had been discarded occasionally because of quarantine procedures. So Korean vets requested official import to "Vetcobabc company" for the patients. I'm grateful to them so far. But I'm dissatisfied with a price.

I have an idea that I'd like to report the company to Consumer Protection Board. Because Consumer Protection Act is defined that there is a right of consumers to choose freely the price. It may be something hittng rocks with eggs. But I'll try to do everything that I can. :D


P.S
I had a conversation with animal quarantine's officer. He said that Personal can't purchase the drug from foreign country. nb

[My sweet Ginger]

Oh, crap! I guess they are all in this together.:mad::mad::mad:
How do the vets in Korea expect that anyone can afford Vetoryl knowing patients need them for life (in most cases) if they double the price? They should try to help their patients by lowering the prices as much as they can considering these adversities. I feel so bad for you. Try to negotiate with your vet (beg, plead, threaten (not) or whatever) , maybe he will come around and give you a better price.:rolleyes:

[labblab]

If I am understanding things correctly, I am afraid that Korea is not the only country with importation restrictions on prescription drugs -- in fact, many countries do with the U.S. included. Before Vetoryl was FDA approved, vets here could import it from the U.K., too, but had to jump through lengthy regulatory hoops in order to do so. As an alternative, owners were allowed to personally import limited supplies of the human brandname version of the drug ("Modrenal"). That is how I obtained trilostane for my dog back in 2003.

However, now that Vetoryl is FDA-approved and marketed directly in the U.S. through Dechra's exclusive license, theoretically importation from other countries is no longer allowed. And I can tell you that Vetoryl bought in the U.S. now is a lot more expensive than was the human version I imported from the U.K. :o

Unfortunately, until Dechra's exclusive marketing rights expire and generic versions of the drug can be produced, I'm afraid the cost will remain high here, too.

Marianne

[Miae]

Hello everyone?
I write an article on this place in a long time. ^^;
Recently, many things happened to me.

When Kyuungkuk got a ultrasound in early August, my vet found a tumor in her breast and he said K has not pyometra.
In mid September, she started to shudder her body suddenly and seemed very painful. So I went to the hospital in a hurry. A result of the ultrasound test, my vet found a pyometra in my K.
So she had a surgery to remove the uterus and tumor. It's a little embarrassing to say but I cried a lot as a child during her sugery.
After sugery, she did not receive an analgesic agent for chronic renal failure. I thought I have hurt instead of her.
She is back on her feet now. Her appetitie has increased than before sugery. ;)

When I saw the results of her blood test, there are some strange point. It is that her Platelet figure has been increasing steadily. In a recent check, her Platelet figure recorded the doubling of the maximum value. My vet did not say anything about this.

Platelet normal range : 175-500
K's result :
788(2013-09-30) -> 782(2014-07-29) -> 881(2014-09-16) -> 848(2014-09-23) -> 961(2014-10-02)

And her Glucose figure is high too. After sugery, the figure of white blood cells is high so my vet prescribed an antibiotics. It will become three weeks from taking antibiotics.
On searching for abnormal figures in Google, these abnormal figures are related to Cushing. Did I have found successful?
If her abnormal figures is caused by Cushing, it is concerned to me.
Because she is suffering from chronic renal failure. In the instruction of the Vetoryl, chronic renal failure patient should not take the drug.
I don't know what to do for her. She also must have a second sugery for remaining tumors.
Blood test is scheduled the day after tomorrow. I hope that the figures are lower even a little.

And my son Makdung, it will become two months from eating the Vetoryl. In second ACTH Test, his cortisol levels was recorded normal range. He will receive a third ACTH test the day after tomorrow. Time pass away really fast.

Is there a good supplement to manage the Cushing? Currently my babies are eating Probiotics and URINAID(for urinary organ) and AKTIVAIT(antioxidant) and Rubenal(for kidney) and Omega3 and Aventi KS(for kidney) and Pronefra(for kidney). Is it too much?:p
My M has a bowed leg in the born. Especially in these times he had a difficulty in walking. I think because of Cushing, the joint has become more and more weak.
I want to give the joint supplement to him but I fear that the medicine is a bad influence on the M's liver.
I realized once again that Cushing is very difficult disease to manage.

The weather of Korea is cold like a winter. How about your country?
Nursing is difficult but I hope that it is possible for you to have a time to watch the landscape. Because our war is a long war.
I sincerely hope your happy and your friend's happy. :)

[Harley PoMMom]

What symptoms is Kyuungkuk displaying? You mentioned that her glucose level is high, could you post her glucose number for us with the reference ranges and units of measurement...as an example GLU 140 mg/dL (75-120), also how was her renal failure diagnosed?

Hugs, Lori

[Miae]

Dear. Harley PoMMom

Kyoungkuk is not observed any symptoms.
The size of the adrenal gland is large and the level of the cortisol is just high. In 11 Aug 2014, her Pre-ACTH cortisol was 7.65(reference range 2.0-6.0) and Post ACTH cortisol was 25.2.(reference range 6.0-18.0)

In Sep of last year, she intended to hide in the corner and shook her frame. So she had a blood test and ultrasound in the hospital.
Her BUN figure was 31(reference range 7-27) and Creatinine figure was normal. My vet give chronic renal failure to her at that time.

K's BUN Figures (normal range is 7-27)
30 Sep 2013 = 31
29 Jul 2014 = 36
4 Sep 2014 = 53
16 Sep 2014 = 50
23 Sep 2014 = 51
2 Oct 2014 = 32


I will tell you her Glucose figure.
K's Glucose figures(normal range is 77-125(mg/dl))

30 Sep 2013 = 138
29 Jul 2014 = 211
4 Sep 2014 = 119
16 Sep 2014 = 162
23 Sep 2014 = 143


I want to express my gratitude to you but my English is short.:o
Thank you for thinking of us.

[Harley PoMMom]

Kidney failure can not be based on a elevated BUN, many other things can cause the BUN to rise, even a dog being dehydrated can cause the BUN to be high. Creatinine is a better marker for kidney problems and since Kyoungkuk's creatinine is within the normal ranges I question her diagnosis of kidney failue.

Although her post ACTH stim number is a bit high I still would not say that Kyoungkuk has Cushing's especially since she is not showing any of the regular Cushing's symptoms such as a ravenous appetite, excessive drinking and urinating. Dogs with Cushing's generally have a high elevations in the ALP (Alkaline phosphatase) and cholesteral along with mild elvations in the ALT.

Does Kyoungkuk have any other health issues? Is she taking any other herbs/supplements/medications?

Hugs, Lori

[Miae]

Dear, Lori.
Thank you for advice and support.

Kyungkuk had a ultrasound examination in the summer of this year.
My vet said "Echo level of K's kidney is high. That means decline of the functions of the kidney. And her BUN figures is high so she has a chronic renal failure."
I found that there was a problem with her kidney like that.
She isn't showing symptoms of the cushing yet so I have no desire to put her to check additional ACTH. I'll check closely her symptoms while managing her kidney.

Makdung had a third ACTH test last week.
His Cortisol-PRE ACTH is 2.38(normal 2-6) and Cortisol-POST ACTH is 4.26(normal 6-8). Vet said the treatment has been successful. So he will maintain the dose of Vetoryl.
I have a question. M's Post figures is lower than the normal figures.
Is it OK? In this regard, I've never heard.

M has been suffering from chronic pancreatitis. Last week his Lipase figure had gone up significantly so he got the IV injection for two days. The management of chronic disease is difficult.
Let us put the power of all!!!!!!

[Harley PoMMom]

According to Dechra, the makers of Vetoryl, a dog's post cortisol number should be between 1.45 ug/dl and 5.4 ug/dl, a post as high as 9.1 ug/dl is acceptable as long as clinical signs are controlled. Here is a link to Dechra's product insert: Dechra's U.S. Product Insert (http://www.dechra-us.com/files/dechraUSA/downloads/Product%20inserts/Vetoryl.pdf)

Are Makdung's stim results in ug/dl? If so, than her post of 4.26 is perfect, how are her symptoms?

When a dog has pancreatitis a low fat diet is recommended, also suggested is feeding several meals throughout the day. Does Makdung display pancreatitis symptoms such as vomiting, tenderness in the tummy area, and/or diarrhea?

Hugs, Lori

[Miae]

Makdung had a fourth ACTH test on November 22, 2014.
His Cortisol-POST ACTH is 6.41ug/dl(normal 6-8).
This figure is higher than the previous test(2.38).
Vet said it is necessary to increase the dose if M's symptoms do not alter for the better.
His symptoms did not improve and it did not become worse.
After taking Vetoryl, his polyuria is improved but his urine specific gravity is still low.
(M's urine specific gravaty is 1.022 and normal range is 1.030=<.)
Is it necessary to increase the dose?
In South Korea, sales unit of Vetoryl is 10mg, 30mg, 60mg, 120mg.
If there is a need to increase his dose, he must take 30mg a day.
M's weight is 8.2kg now.
In Korea as far as I know, there is no veterinary clinic that will compounded to suit the medicine to the proper capacity.
I'm very worried.



-------------------
Dear Lori
Sometimes he would vomit before.
Makdung's Lipase figure is still high but he does not vomit now.
He is taking digestive enzymes and has recently began to take SAMET (S-Adenosyl-L-Methionine-sulfate-P-toluene sulfonate) because of arthritis.

[Harley PoMMom]

Could you tell us what symptoms that Makdung has that have not improved?

And a 1.022 USG for a dog with Cushing's is not that bad, actually it's pretty good. Is increasing the USG the vet's main reason to up the dosage? If so, that is not a good enough reason to do so.

Hugs, Lori

[Miae]

Dear. Lori
I can't thank you enough. ^^

My vet seems to considered necessary to increase the dosage because M's symptoms didn't improved from previous test.
In addition, his post cortisol figure was higher than before.
I think M began to improve from after taking the Vetoryl.
His symptoms such as polyuria, panting were improved.
However he is still drinking more water than normal dog.
I'm trying to his ACTH test again after one week.

Please refer to the care of cold because the day is cold.
I'm very thankful to everyone.

[Squirt's Mom]

Is the drinking the only sign that remains?

You are doing a great job under less than ideal circumstances so you should be very proud, Mom!

[Harley PoMMom]

I seen from a previous post that Makdung was on 10 mg of Vetoryl, is that the dose of Vetoryl that Makdung is taking now?

I'm assuming since Makdung USG is known that an urinalysis has been performed, correct? And if so, was any blood and/or sediment found in his urine?

I agree with Leslie, you are doing a wonderful job taking care of Makdung.

Hugs, Lori

[Miae]

Dear. Harley PoMMom

I think that his drinking is the only sign that remains.
His eyes are still bigger than his stomach. ^^;
However he was eating a lot of food from an early age.
So I don't worry too much about this issue.
I really appreciate it and your words gave a big impression on me.



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Dear. Lori

He has been taking 10mg of Vetoryl from the begining until now.
Makdung's USG is performed by me.
I bougut urine refractometer for animals and urine test paper.
His USG has recorded the average of 1.022.
Do you think he needs to receive urine test?
I thouhgt that he has never received a urine test after diagnosing with cushing.
I'm grateful to all of you and be careful not to catch a cold.


:oIf I made a slip of tongue, please excuse my mistake.
I have done my best but English is not my first language.

[Squirt's Mom]

Your English is WONDERFUL! :)

[Harley PoMMom]

If this were me I would have an urinalysis done before any dosage increase in Vetoryl is made. My main reason for this is because an urinary tract infection (UTI) can cause an increase in a dog's drinking/urinating.

Getting a clean urine sample from a dog is all that is necessary for an urinalysis, the urine needs to be collected by a container that is, preferable, sterile (a run through a dish washer can do this). Once the urine is collected it should be taken to the vet's office ASAP, if this is not possible storing it in the refrigerator will do.

With a google search I did find two products that one can purchase to test a dog's urine at home, I don't know if they can ship outside the United States, also I have not tried any of these products so I don't know if they are accurate, but here are the links to them: Paw Check - Instant Urinary Tract Infection (UTI) Home Urine Testing Kit for Dogs (2 Tests per Package) (http://www.testcountry.com/products.html?product=2349#description)

Cranimals Pet UTI Home Test Kit (http://www.1800petmeds.com/Cranimals+Pet+UTI+Home+Test+Kit-prod11530.html)

Hugs, Lori

P.S. You are doing a excellent job with the English language. ;)

[Miae]

I appreciate you for useful tip.
I bought a urine strip for human and it can measure 10 different components of urine.
Among them, there is a part that can be tested for urinary tract infections.
It is similar to "Phinex 10 Parameter (10SG) Urinalysis Reagent Test Strips". [/URL]([url]http://www.amazon.com/Phinex-Parameter-Urinalysis-Reagent-Strips/dp/B0099WTWTA/ref=sr_1_1?ie=UTF8&qid=1418219754&sr=8-1&keywords=urine+strip (http://www.amazon.com/Phinex-Parameter-Urinalysis-Reagent-Strips/dp/B0099WTWTA/ref=sr_1_1?ie=UTF8&qid=1418219754&sr=8-1&keywords=urine+strip))
Is there a difference between human product and pet product?
Most people would use human urine strip for their dog in South Korea.
In fact, I didn't even know UTI test kit for pet. :p

[Harley PoMMom]

I don't think there is much a difference between the human UTI kits and the dogs, however, I'm not positive. Did the urine test show that Makdung has an UTI?

Hugs, Lori