Barbara & Uncle (GA)
Member Since 2016
http://www.felinediabetes.com/FDMB/...30-6-46-6-5-86-7-5-114-pmps-200-3-223.182504/
I haven't posted in a couple of days. Uncle's numbers have been out of control and he's not feeling well.
His cardiologist had recommended that I double the Sotalol dose on Friday , because his ECG results showed only a little improvement in the arrhythmia. So I did that for a couple of doses and 24 hours later he didn't want to eat and had a bout of diarrhea. He has had a terrible appetite since. I think it is nausea because he will look interested, take a few bites, run away and hide in the closet.
I spoke with my vet first thing this morning, she relayed the info to the cardiologist and he said:
"These are HIGHLY unusual and unexpected side effects. But, is it impossible? Of course not.
Let’s STOP the medication for 24 hours, then resume at 1 mg/kg PO q12h for several days, see how he is doing, and then we can try to go to 1.5 mg/kg PO q12h (assuming this is liquid compounded). We absolutely can start any/all necessary GI meds (Cerenia and Metronidazole) to help recover the appetite faster.
I suspect this is unrelated, but would rather default to a side effect than another problem. Please let me know if you have any questions!"
It's already been 36 hours of no Sotalol and not much has improved but I did pick up some Cerenia fron the vets this afternoon. I am to give him half of a 16 mg tab once daily. Hope it helps, in the meantime I don't realy want to give him anything else except that and his insulin.
I haven't posted in a couple of days. Uncle's numbers have been out of control and he's not feeling well.
His cardiologist had recommended that I double the Sotalol dose on Friday , because his ECG results showed only a little improvement in the arrhythmia. So I did that for a couple of doses and 24 hours later he didn't want to eat and had a bout of diarrhea. He has had a terrible appetite since. I think it is nausea because he will look interested, take a few bites, run away and hide in the closet.
I spoke with my vet first thing this morning, she relayed the info to the cardiologist and he said:
"These are HIGHLY unusual and unexpected side effects. But, is it impossible? Of course not.
Let’s STOP the medication for 24 hours, then resume at 1 mg/kg PO q12h for several days, see how he is doing, and then we can try to go to 1.5 mg/kg PO q12h (assuming this is liquid compounded). We absolutely can start any/all necessary GI meds (Cerenia and Metronidazole) to help recover the appetite faster.
I suspect this is unrelated, but would rather default to a side effect than another problem. Please let me know if you have any questions!"
It's already been 36 hours of no Sotalol and not much has improved but I did pick up some Cerenia fron the vets this afternoon. I am to give him half of a 16 mg tab once daily. Hope it helps, in the meantime I don't realy want to give him anything else except that and his insulin.
