Signalment
- Age: 4 years
- Sex: female spayed
- Breed: Labrador Retriever
- Species: dog
Disease Notes
- Certainty: confirmed
- Final Status: slightly better as of day 50 of treatment
Treatment and Outcome
Notes:
Hello!
Lily initially had a 3 week span of no seizures since adding the Ban Xia, with good energy. She is on highest doses of SMS and Ban Xia Bai Zhu Tian Ma Tang. ( 72lbs 8ml's divided BID SMS, Ban XIa -1.25tsp BID), Keppra Extended release 1000mg TID( 31mg/kg) and Zonisamide 270mg BID 8.4mg/kg), CBD twice daily.
Recently she has reverted back to having seizures more often (some less intense) but often still intense and lasting from 30 sec - 2 minutes. I had mentioned previously that she had been leaking urine and that is now more often as well as excessive licking of vulva. Her appetite has also increased dramatically, she is ravenous. Stools are good, no vomiting. The perianal odor is gone.
Her last labs on 11/1/23 her ALK spiked to 1414( 23-212), and baseline cortisol was 1.3 ( 1-5) ( we are going to go ahead and stim her today or tomorrow. Her HCT is always on the low end or just below normal, and her total t4 is 0.9 (1-4).
Should I stop the Ban Xia and start Long Dan tie Gan tang? Thanks so much!