Thanks for that link tracis, there are a couple of people there I can mail I think :)
She also got the first of a round of three injections while Brie got her second injection. It was actually good to get them both done as now I know it is Rosie and not the vet who is responsible for her screaming! Brie only wriggled a little when she got her injection, Rosie I think almost brought the ceiling down. And then scurried into Jon's arms and glared at the vet while eating a special poo she'd dropped!
I've had some reassurance from another GL member on frequent injections so I'm a lot more relaxed now :)
Rosie has put on weight recently, from her normal and what I call healthy weight of 2lb 12-13oz (when not troubled by cysts) to a hefty 3lb+.
She seems to be laying around asleep more often than usual though she is still just as excited about veggie and floor time as ever. Food has not changed, the girls get about a cup of veg a day each, unlimited hay and 1/8th of a cup of Cavy Cuisine.
She seems a little more grumpy but not in the same way she is when her ovarian cysts are being troublesome. It's more like she's just sleepy and as she gets a bit narky when she's tired she's a bit of a gentle grump at the moment. She is not displaying heat problems that I can see, no rumbling or swaying or mounting etc, and her nipples look fine.
I had to give her infacol the first time in a long time the other day for gas, and I am wondering if all this is linked to her being a heart pig?
Could it be that she is needing a higher dose of one of her meds? She gets 1.25mg of Fortekor (Lotensin) twice a day (half of a 2.5mg tablet) and she gets 0.5ml of Furosemide (Lasix) twice a day.
- I GAVE, dammit!
The only thing you have to watch for is that the weight isn't from fluid. Generally you can tell, because they feel bony around the shoulders but round in the belly.
If she's quieter, then I wouldn't increase the lotensin. She should really be more lively. You might see how she does if you reduce the dose ever so slightly to 1mg twice daily.
I'm not sure how many mgs are in your dose of 0.5ml of lasix. Does she have fluid on her lungs (or elsewhere) shown on xray?
She's been on her meds steadily for almost a year now with absolutely splendid results which is why I was hesitant at first to think it this recent change might be down to her meds, but I can't think what else it would be and it seems wise to at least try and rule it out first. I'm wondering whether she has either gained weight naturally (she has just turned 2 years old last month) and the medicine is no longer adequate, or what really.
The lasix is at a concentration of 40mg/5ml - so that's 4mg in the 0.5ml that she gets twice daily. She was initially on 0.75ml twice daily to be reduced as far as possible in due time. 0.5ml is the lowest she could manage without adverse symptoms. I'm trying to remember but I think when we tried lowering it she became fatigued, a loss of energy.
I shall try lowering the lotensin dose to 1mg, it's a little tricky with those tablets but I'm sure we can come up with a reliable way! Do you think increasing the lasix temporarily would be a good idea to see if it makes a difference?
- I GAVE, dammit!
Ah, sorry - I didn't realize she'd been on the meds so long. If she's gained weight since starting, then her dosage needs to be increased accordingly.She's been on her meds steadily for almost a year now with absolutely splendid results
If there was no fluid seen on xray, why was the lasix prescribed? I do have some pigs who hoot badly without lasix - but there pigs are rare. I don't like to have pigs on lasix longer than necessary, even there are one or two who must be on it for life.
However, it is also true that some pigs seem to do poorly without lasix and lose weight - even if no fluid is seen on xray. I have a pig like that here that I have to keep on a minimum dose of lasix (which is 2mg/ml twice daily per kg).
So much of the dosing of heart meds is really trial and error.
Based on what you've said I would NOT decrease the lotensin, but actually increase it according to her weight gain. I'd try and leave the lasix as is for a while. If the lotensin is doing its job, you can generally do with less lasix. Also, note that some pigs do much better with Vetmedin (Pimobendan) added in to their other heart meds.
I'll leave the lasix as it is if for now then but if we get her better again I'll try decreasing it slowly again to check if she is still dependent on it.
Is the recommended dose for lotensin 1mg per kg? She's around 1.4kg now compared to 1.2kg before, a small difference in the dose but pretty significant for such a small animal I would guess.
With regard to whether her weight gain could be fluid, I'm struggling to tell. With any of the other girls it would be easy but Rosie has always been pear shaped, she holds all her weigh around her stomach and rear end and I can usually always feel her shoulders pretty easily. If it is fluid, is there a way to a) tell without an x-ray/ultrasound, b) treat her for this?
I do think, just from seeing her and holding her every day, that she is at an uncomfortable weight now. She doesn't seem happy.
Apologies for all the questions Mum, I would have asked the vet we saw today with another pig but he wouldn't have had a clue!
- I GAVE, dammit!
All you can do is play around and see what works for you. It does sound as if you're very in tune with what works for her, so I would gently tinker with the doses and see if you can work something out. And remember to consider Pimobendan while you're doing this (I don't use it, but I would definitely consider it if warranted).
She weighs between 2.6/2.8 lbs and gets 1ml Lotinsen twice a day. She also gets 0.3125 ml Lasix once a day and 1/4 of a 1.25mg Vetmedin twice a day.
It is hard when trying to figure out what dosages are best at any given time. Good luck.
- Let Sleeping Pigs Lie
Pimobendan (Vetmedin) use in heart disease/Cardiac drugs
I think I am going to make an appointment with our far away cavy savvy vet and take Rosie to see him. I would like her to be examined thoroughly and I want to try out Vetmedin to see if it helps her. I think it might be what she needs and it is worth a try. I can get him to prescribe it far more easily than the local vets. I also hope he will be able to tell us what her weight gain is comprised of, fluid or not.
Hopefully he can help us sort out how to measure out the Fortekor more accurately as well. I think in the meantime I will give her a little simethicone now and then as she is occasionally making noises and I don't want her to get filled with gas again.
Thank you for all the information, I feel much more sure of myself going to see good vet when I am primed with all this information, which I can print out for good measure.
Rosie had a poo this evening when out for her meds (could have been a special poo, she just drops them onto Jon and expects him to pass them to her) which had an air bubble in it.
It was so weird, an air bubble making up one end of the poo, the bubble was all filmy like and it could be pushed but didn't burst. It went down after a while.
Her next (special) poo was fine, she did fart a bit when the first bubbly one came out.
So I'm thinking it was gas, I gave her some simethicone to help out with that.
I was just wondering how normal that was and if it indicated a serious gas problem as opposed to a more normal one?
She's just under 3lb now by half an ounce, still too heavy by a fair amount but better at least. She's still going to the good vet, I was just interested if this weird bubble poo was significant.
I'd just keep an eye on her.