“Lily “ Nannestad, 14 yr old FS 12/5 # poodle
Diagnosed years ago with cushings and having difficulty regulation on trilostane. She can do 4 mg for a while and then she gradually gets very crazy, ravenously hungry and loses hair. On higher doses she gradually, over several weeks, gets listless and anorexic and her ACTH stim goes flat
Other history includes front leg lameness probably due to cervical disc disease – it is helped by chiro
She won’t tolerate acup
Her pulses are very thin, her tongue is usually pale pink with no coat.
She has sebaceous cytic skin disease and some low grade yeast dermatitis that is controlled with Malaseb although she is still itchy.
She has severe crepitus all along her back and hind leg weakness.
She has tummy gurgles, metallic breath and presumed gastric reflux. A real food diet helped with this but it is still a problem. She has a “sensitive “ GI tract and easily gets tummy upsets.
I tried si miao san at 1/8 tsp SID. Over 4 days she became anorexic, was lip smacking a lot, (her sign of regurg) and decreased energy. When the herbs were stopped she improved.
Other than trying homeopathic s.m.s., what other herbs would you recommend. We would like to try to keep the trilostane at 4 & ½ mg and do the rest with herbs, or eventually be able to stop the trilostane.