scott@vtx-cpd.com

Replying to Sarah Noponen 15/05/2023 - 00:11

Hey.

I agree, thyronorm does tend to be the go-to drug now. Do you find it difficult to convince owners to go for radioactive iodine treatment? Do you find the cost and length of hospitalisation varies a lot?

Scott 🙂

Replying to Rosanna Vaughan 11/05/2023 - 14:51

Rosanna,

I am really pleased to hear you are enjoying the course so far!

1) Basically an allergic type reaction! This is an example of a non-dose-dependent, idiosyncratic drug reaction; this type of reaction to methimazole and propylthiouracil is uncommon. Drug reactions, or “allergies,” can manifest as cutaneous lesions (facial erythema), haematologic abnormalities (neutropenia and thrombocytopenia), or liver disease (cholangiohepatitis). All of the abnormalities in this patient could be attributed to an idiosyncratic reaction to methimazole. Therapy requires discontinuation of the drug because the reaction is non-dose-dependent, or “allergic.” There is a good picture in this article:

https://www.cliniciansbrief.com/article/pruritus-hyperthyroid-cat

2) The post radioactive iodine therapy renal issue is similar to that of other therapies. It is thought that these cats have pre-existing renal disease that is ‘unmasked’.

3) Yes, you would orally supplement with thyroid supplementation just as you would with dogs.

Hope that helps! Great questions!

Scott 🙂

Replying to Magda Upton 10/05/2023 - 14:09

Hey Magda.

The FDA thing is interesting. It does seem that many drugs get approval without loads of evidence behind them. I get the feeling they just need to be relatively confident the drug is safe. The FDA stuff is not something I am so familar with either.

In other news… Sybil is a very strong name!

Scott 🙂

Replying to Rosanna Vaughan 03/05/2023 - 10:48

Hello Rosanna!

Lovely to have you here. Thank you so much for joining the course and supporting vtx.

I really hope the course helps to get you back to work with confidence!

Please let me know if you have any questions.

Scott 🙂

Replying to Liz Bode 03/05/2023 - 21:28

Thank you so much Liz.

Really helpful!

Scott 🙂

Replying to Anya W. 03/05/2023 - 21:43

Hello Anya!

Lovely to have you on the course. I hope you are enjoying it so far! Very excited to hear you are doing a rotating internship. What are your plans after that? Would you consider a residency?

Let me know if you have any questions at any time.

Scott 🙂

Replying to Sarah Noponen 25/04/2023 - 19:30

Thanks, Sarah.

I agree, I think a lot of clients like to see how things go with the medication first!

Many of them do very well and improve without the need for lots more testing.

What medication do you reach for first in your hyperthyroid cats?

Scott 🙂

Replying to Ornella R. 26/04/2023 - 13:35

Hey Ornella!

Sorry about the delay. I would be confident in this case. The single dose of dexamethasone is not likely to have had a significant impact in this case. If the case was not so cut and dry I might consider an ACTH again in 7 days. However in this case I would be confident with the diagnosis.

Scott 🙂