Question Details
IMHA
by CVWDVM - May 7, 2009
What is your recommendation regarding co-administration of western meds. and chinese herbs with the following situation?

A 5yr, FS lab mix presented and diagnosed with IMHA on 5/2 at ER. Started on Prednisone (1mg/#/day), Imuran, pepcid AC, sucralfate, and doxycycline. Initially she was febrile (105), anemia of 23% with numerous spherocytes, only mild increase in total bilirubin.

The treatment has been continued at my clinic and her PCV has held steady at 19% for 24 hours after gradually dropping since diagnosis.

Vaccinations were administered end of March.

I remember when discussing an oncology case, you recommended choosing either western or chinese treatment. How about in this case?

Her tongue is lavender, pulse thin and rapid. I was considering Qing Ying Tang.

If only western treatment is pursued for now, I would like to address the dog's suspected, underlying blood deficiency down the road.

Thanks for your input!
Replies
by naturevet
May 6, 2009
Hi there,

There's no concern in using herbs with drugs. More than likely, certain cases will experience a synergistic benefit where both the drug and herb are well indicated and tolerated. So I would just go ahead and dive in with all your guns blazing!

Steve
by CVWDVM
June 15, 2009
An update on Stephie: she is doing great! She is off of all medications. Her PCV is normal. She feels great. I just switched from Qing Ying Tang to Yi Guan Jian.
by naturevet
June 16, 2009
Way to go, Courtney! And thanks so much for updating us

S
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