Addison's disease??

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Micheritz

Boxer Pal
Newbie here! I have 9 yr old male boxer- my only child, had him since he was a pup!! Been fortunate to not have any real health issues (other than ACL and arthritis), Until this past week! Last Friday I came home from work to find him Very sick - weak, labored breathing, pale and tacky mouth- not good. Based on blood tests and presentation he was thought to have Addison's. (extremley High potassium, history of vomitting, and current symptoms; was going into shock - anemic, high wbc, low temp, dehydration). We had the worst night of our life, but then a turn around the next am- which confirmed diagnosis in vets eyes. Begin Prednisone...high dose at first- he didn't do well after two days high dose - my experience as nurse told me to halve prednisone and we did recheck of blood. Liver enzymes are now outrageous, WBC still elevated (not sure why - was also high on initial crash - also given abx). Potassium questionably high (problems with machine reading only that test - one time showed erroneously high reading). Plan is to taper prednisone to a comfortable level. Current dose is making him drink some serious water, leads to lots of urination and occasional panting for no apparent reason. Acts a little off, but I see improvement with that. My concern is How do I know when enough prednisone is enough? Has anyone gone through this, have any suggestions or tips? The day he was sick he had to have crashed quickly - he was seen by "daddy" at noon in fine condition - playful even. 5 hours later a dog on the verge of death! So if it happened that quickly- can he currently be as sensitive to a potentially too low of a dose prednisone while i'm trying to figure out where his dose should be?! Does this make sense?

I'm not sure if I've already been too wordy- I wanted to give a little history and info that I've received just from reading online. I'm fairly comfortable with what the vet has done thus far, but he doesn't seem to be as knowledgable about this as I'd like - we are considering seeing a specialist when we get back from vacation next week! Yes, vacation - which some what worries me, but we'll be with him constantly and this is always a relaxing time, so hopefully will help Chopper fully recover - as long as we're "guessing" right on the prednisone taper plan. From what I've read, there are no real steadfast rules ....making it ever so stressful to mommy!!

Any input that anyone might have, I sure would appreciate it!! I hope we're on the right track. Chopper does seem better each day, I'm worried about this first day off prednisone (starting an every other day dose).
Thanks in advance!
 

Micheritz

Boxer Pal
No, just on prednisone. Kidney labs were normal this last check up. Only mildly elevated that first night. We didn't do that stimulation test to find how his body is making cortisol, and now since he's already on prednisone we can't get a true value. I'm not sure what that med is, is it aldosterone replacement?
 

crazychopper

Boxer Booster
Percorten is desoxycortisone Usually its used in combination with prednisone. Recencent studies have shown you can use really low doses and get great results. We have used low doses on a st bernard and had great success.
 

Micheritz

Boxer Pal
We are tapering down right now. We started with 20mg twice daily for 2 days, then 10mg twice daily x3 days, then 10 mg once for 2 days and now 10 mg every other day. Today was first day of nothing and I was a bit worried! I'm still not home, but I hear he's doing good. When you had St Bernard on it, did you do every other day? I'm thinking 5mg a day for a bit , but I'm trying to stick with what doc says!
 

Caney Creek

Boxer Insane
I don't know a whole lot about Addison's but I will share with you my personal experience several years past, when I was pup-sitting an Addison's dog (a weimaraner named Windsor) in my home while his owners were out of town. Unfortunately Windsor passed one night while I was caring for him. Here is my original post about Windsor:

http://www.boxerworld.com/forums/ot...im-petsitting-has-addisons-hip-dysplasia.html

A little back-story on Windsor's condition... his passing was less than a year after his initial diagnosis of Addison's. I don't know what medications -- or in what amounts -- he was originally prescribed to upon diagnosis, all I know is that he was getting prednisone 5mg once daily in the AM, as prescribed by the vet, when he was staying with me right before he passed... and it was my understanding at the time that he was also receiving Florinef injections once a month (which, after his passing, I'm not sure if he actually got these in his last few months).

I hope that helps spme. So sorry Chopper and you are having to go through this. I've done minimal research on Addison's in dogs and from what I have read it is very manageable and prognosis is good as long as the dog is getting the right treatment.
 
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Micheritz

Boxer Pal
Thank you all for encouragement and support. It just helps to know that we're doing what seems like most others are - I don't necessarily question my vet, but he doesn't seem 100% sure, so it helps to know how others have experienced the treatment and/or condition.
Chopper seems to be doing really well with our schedule so far- I'm very pleased to have my silly boy back!!
Thanks again to everyone and in advance to any other advice or input!!
 
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