Wednesday, June 23, 2010

Nose bridge summary Jan - June 2010

June 22, 2010: One week after Prednisone dose was lowered to 40mg down from 60mg. All other drugs remained the same. Azathiprine 50mg given in pm / doxycyline 100mg twice daily / niacinamide 500mg twice daily / prednisolone acetate 1% eyedrops 3 x's daily / Veterinary Immune Tabs / Tropicamide eyedrops 3 x's weekly. There is more pigmentation returning however I am watching that tiny spot centered on nosebridge and the cracks above his nostrils that have been consistant for weeks. Also his paw pads have been extra cracked and bleed some. He wears his Ruff Wear Grip boots for walks. I keep vitamin E on his nose and paws. Think I'll also try calendua cream.

June 18, 2010: after an intensive course of high dosage of meds the pigment gradually returned and his two eye exams showed positive results. So far there has not been any retinal detachment and the eye pressure is now more normal. Back at the acute stage in December '09 his eye pressure was dangerously low measuring 4 & 5. Today it is around 13 & 15. He has been on prednisone 60mg (two dosages) for 18 days and was tapered to 40mg June 14. He has the normal side effects, excessive thirst with urination, hunger, hyperactive. We had to give doxycycline to help clear up a skin rash as a result of low immunity. In spite of all the drugs, Corky is full of life and enjoying life.

May 15, 2010: by May 21st we increased the prednisone to 30mg in the am and azathiprine 50mg in the pm every day, continuing the naicinamide, immune tabs, and eyedrops daily. By May 27 we still weren't seeing enough results so we got more aggressive and increased the pred to 30mg TWICE daily along with azathiprine 50mg and increased eyedrops to 4 x's daily.

April 30, 2010: Corky was doing so well we tried skipping one day of meds per week but two consecutive weeks but by late March the pigment around his nose, eyes, and lips started to receed again. The depigmentation was very slow and we thought taking the pred dosage up to 7.5mg every other day would be enough to turn it around. By the end of April we went to 10mg two days in a row then skipping every other day continuing the azathioprine alternate days.

March 30, 2010

February 7, 2010

January 19, 2010: here we were seeing the disease in remission. The pigmentation continued to return. The bare spot above his nostril was orginally like that when he was a pup, it was the last spot to fill in as he grew. At this point he was getting only 5mg prednisone every other day alternated with azathioprine 25mg and the niacinamide 500mg twice daily.

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