Coping with Prednisolone
Is anyone's beloved pooch on Prednisolone?
Misty has been on it for a fortnight now, as a trial, to see if it helps with her SM scratching. She started on five days of two, five of one and then she was to be cut to one every other day. I really feel there was an improvement on the two a day, and I thought I saw it continue into the one a day. Once we started our one every other day the scratching/head rubbing returned, so our Neuro decided to put her back on the one a day, which we've been on again since Monday. The scratching is less, but still there, so I don't know if we may need to go back up to two a day :(
The big problem is the side effects, she drinks lots now, which we cope with just fine, however, she is hungry all the time. She's driving me crazy wanting fed. She sits under the cat food, and cries/howls, she's scratching the cupboard door, but worst of all, as soon as she is awake in the morning she wants fed. It doesn't matter what time it is, she scratches the cupboard door or the babygate crying. Ignoring her behaviour isn't working, she's very persistant, I'm so tired this morning.
I came back home at four yesterday to find her on the kitchen table! She could have been up there for a couple of hours, she couldn't get back down as she can't/wont jump off high things due to her SM. Luckily there wasn't any fruit in the fruit bowl, but she was eyeing up the cat food on the worktop, but the gap was too big for her to have jumped.
We've been adding veg into her meals, but it's just not working. I don't know what to do. Any suggestions :confused:
You could try feeding low calorie snacks to fill her up. Ricecakes are good. Also i give mine almondmilk to drink! She loves it and it fills her up.
Its very low calorie and lots of proteins in it as well as vitamin E. Mine is hungry 100percent of the time too, although not on preds. She got spayed late and ever since..
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Thanks Blondiemonster. I've never even heard of almondmilk, but I'll google it now :)
The vet has suggested feeding her a diet or a light food, so I can give her a feed at supper time, so we'll try that. I'll give her some extra of her normal food tonight to see what happens. Fingers crossed :D
Is she on a complete food?
If she is you could try giving her the dried food that is especially for over weight dogs, they can have alot
more without worrying about putting on more weight.
Some people say nuts aren't good for dogs. But mine LOVES all nuts and has eaten it without any problems her entire life. (no macademias because those are toxic).
Almond milk is mostly water, it has a thcikener in it too and is derived of almond paste, but the almond quantity is not high at all...
Almond milk is very very healthy for humans , and replaces real milk when you are lactose intolerant.
Try giving her carrot batons or water melon or swede to chew on .:)
You could add some oatbran to her food as well to help her feel fuller for longer.
HollyDolly, she's on Royal Canin small breed, so I'll go tomorrow and get a bag of the light stuff.
Blondie I had a look and couldn't see any in Tesco's but I'll keep hunting for some.
Brian, she gets carrots and greenbeans with her RC ;)
Madpip, now you mention it I'm sure that was the other thing the vet mentioned, a powdered bran I think he said. The stuff from a natural health shop would probably be better I suppose? Although she does try her luck when I have my Branflakes :rolleyes:
She's had her supper so we'll see how she does tomorrow, I'd kill for a lie in till 7 or 8 :cool:
Why prednisone? Were other things tried that didn't work? Usually that would be the final option to try. Or is this just a short term attempt to calm severe scratching before moving to something like gabapentin/Lyrica? Either of the latter,along with a CSF inhibitor and in some cases, an NSAID painkiller like trocoxil would be the more typical route to manage scratching. Unless there were no other working options, I'd always avoid long term preds use. When nothing else works effectively, it can give back quality of life though. Usually would not be used alone for SM.
The hunger aspect of it can be hard to manage but it also will take time to train a dog -- by ignoring the unwanted behaviour to not do what he is doing. Also: if you must remain on preds then perhaps you will need to change management tactics especially for when you are not there. Eg he will need to be kept in some other room that one where he smells food on the counter?
Karlin it started as a short course, two a day for 5 days, one a day for 5 days, and then one every other day. When we stepped her down to the one every other day, the scratching returned the same as before, so we were told to put her back on the 1 a day for another week and see how she went. The Neuro advised she may need to stay on them depending on how she reacted.
I've just come off the phone to them again though. I had already expressed my concern on Monday about her having to be on them full term without trying a CSF reducer, so we discussed it again, and she will start on cimetidine, three times a day from tomorrow. We'll wean her down to 1/2 a Prednisolone tablet for a week, and then stop. So we'll have another review of her meds next week. I was advised that in some cases Prednisolone is the only thing that work, but we'll just have to wait and see.
I'm still going to move her onto a light food in the mean time, as she is not 10.5kg, and I'm not feeling her ribs quite so easily as before.