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Subject:
From:
Sukie Crandall <[log in to unmask]>
Date:
Fri, 16 Nov 2007 14:49:25 -0500
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The easily used FHL Archives at
http://ferrethealth.org/archive/
is what you both need. For the bladder diverticulum search for
messages that contain Hilbert. (There might be some others w Hilly
or Billy-Bert.) Of course, also search for diverticulum in posts.

For the enlarged hearts you are seeking info on dilative
cardiomyopathy, also called hyperplastic cardiomyopathy. A compilation
of old posts can be found in the Files section of the FHL
http://pets.groups.yahoo.com/group/ferrethealth/
with more recent posts in the archives (addy earlier in this post)
such as:

http://ferrethealth.org/archive/FHL2433
>For ferrets with dilated cardiomyopathy a few things are recommended.
>An ACE inhibitor such as benazepril or enalapril (Enacard), a diuretic
>like furosemide (lasix), and a medication to increase the strength of
>the heart contraction such as Vetmedin (pimobendan) or Digoxin. As far
>as doses for ferrets with benazepril a dose of 0.25 mg to 0.5 mg/kg
>every other day to once a day. For furosemide a dose of 1 to 4 mg/kg 2
>to 3 times a day. For Vetmedin a dose of 0.2 to 0.3 mg/kg 2 times a
>day. It sounds like your little guy is getting too much of the
>benazepril. Pawing at the mouth is common with stomach ulcers,
>insulinomas and any thing else that causes nausea.
>
>Hope that helps,
>Jerry Murray, DVM

http://ferrethealth.org/archive/YPG1467
>There are 2 medications that can be used to help strengthen the
>contraction of the heart muscles. Digoxin and Pimobendan are the 2
>choices. Both of these drugs should be used along with other cardiac
>drugs such as an ACE inhibitors and furosemide (Lasix).

>Digoxin has some safety concerns. Digoxin toxicity is a real problem
>that can cause real side effects. Monitoring of blood levels of
>digoxin is often recommended to avoid toxicity problems. Pimobendan
>on the other hand is much safer than digoxin.

>Side effects are uncommon but can include: increased drinking,
>increased urination (PU/PD), vomiting, diarrhea, and inappetence.
>Higher doses can induce sinus tachycardia (fast heart rate), and
>ventricular arrhythmias. In an article on Pimobendan use in more than
>100 dogs (U of Georgia), found Pimobendan to be "virtually free of
>overt adverse effects in dogs..." One dog did develop mild diarrhea.
>Thus less than 1% developed mild diarrhea. That is a lot safer than
>digoxin!

>When Pimobendan becomes approved here in the US, it will be become
>the drug of choice to use with an ACE inhibitor and lasix for those
>moderate to severe dilated cardiomyopathy cases.
>Jerry Murray, DVM

>PS No, I do not work for the manufacturer (Boehringer Ingelheim),
>and No, I do not own stock in that company.


http://ferrethealth.org/archive/YPG1093
>Yes, Dr Williams did answer this question in digest 97. For dilated
>cardiomyopathy (the most common type of heart disease in ferrets)
>there are 3 medications that are recommended. 1) an ACE inhibitor
>(benazepril=Lotensin or enalapril=Enacard and Vasotec) with 2) a
>diuretic (furosemide=Lasix) and 3) a medication to help strengthen
>the muscle contraction of the heart (digoxin or the new drug
>pimobendan=Vetmedin).
>
>Pred should be avoided when possible because it can cause fluid
>retention and make the heart disease worse.
> 
>Hopefully that will help clear up the confusion,
>Jerry Murray, DVM

and more...

[Posted in FML 5793]


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