Cabergoline before SRT?

Discussion in 'Acromegaly / IAA / Cushings Cats' started by Suzan & Bowdoin, Apr 10, 2019.

  1. Suzan & Bowdoin

    Suzan & Bowdoin New Member

    Joined:
    Dec 6, 2018
    I'm still trying to figure out what treatment options we are pursuing but are leaning towards SRT. I need to make some more phone calls. Would it make sense to start cabergoline in the meantime if my vet is on board? I don't think that Bowdoin is feeling great, he's sleeping in his potty pad box (which did solve the inappropriate urination issue), always hungry and thirsty and I think he's developing neuropathy in his hind legs. I hate to see him like this and just want him to feel better. :(

    Bowdoin is unregulated at this point with 9.5u Lantus 2x. day. Do they need to be regulated before treatment?
     
  2. Wendy&Neko

    Wendy&Neko Senior Member Moderator

    Joined:
    Feb 28, 2012
    Depends on how it will be before SRT. You do have to taper off of cabergoline. @Bronx's dad Paul did cabergoline for. Short while before SRT.
     
  3. Suzan & Bowdoin

    Suzan & Bowdoin New Member

    Joined:
    Dec 6, 2018
    Waiting for some call backs so I'll see how long it would be before we get SRT if that's what we ultimately choose.
     
  4. Bronx's dad (GA)

    Bronx's dad (GA) Well-Known Member

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    Nov 30, 2016
    Yes, I weened Bronx off Cabergoline starting about 10 days before the SRT. However he was not on Cabergoline very long at all before that. It was done as a precaution and recommended by the RVC.
     
  5. Suzan & Bowdoin

    Suzan & Bowdoin New Member

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    Dec 6, 2018
    Thanks Paul. It looks like Bronx had SRT at ASC in Yonkers? I spoke to them yesterday and Dr. Lewis at Red Bank today. I guess I should start a new post with questions about deciding where to go but it looks like we can get in to either place fairly quickly so the Cabergoline wouldn't make much sense then.
     
  6. Bronx's dad (GA)

    Bronx's dad (GA) Well-Known Member

    Joined:
    Nov 30, 2016
    Hi Suzan. Bronx went to Red Bank. I waited until Dr Lewis got the new machine in May of 2017 and we started on day 1 of their new machine. I did visit Yonkers and got a quote of $12-13K for their cyberknife which is more precise than SRT. I decided on SRT which was about $7K with 5-day boarding. It has almost been 2 years now and Bronx has gone from 37u to 7u of insulin but it took the whole 2 yrs to get there as you can see on his SS.
     
    Last edited: May 11, 2019
  7. Suzan & Bowdoin

    Suzan & Bowdoin New Member

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    Dec 6, 2018
    I'm a little confused. The person I spoke to at ACS/Yonkers said they had a Trilogy machine. That's regular SRT, not CyberKnife isn't it? I wonder if they changed.
     
  8. Bronx's dad (GA)

    Bronx's dad (GA) Well-Known Member

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    Nov 30, 2016
    No idea? @Wendy&Neko may know
     
  9. Wendy&Neko

    Wendy&Neko Senior Member Moderator

    Joined:
    Feb 28, 2012
    Sorry, not up to date with what is at Yonkers. I have only heard of one cat go there due to cost. Most places are willing to answer questions if you call. Let us know if you find anything new.
     
  10. JanetNJ

    JanetNJ Well-Known Member

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    Jun 8, 2016
    did you have the srt done? where did you go?
     
  11. JeffJ

    JeffJ Well-Known Member

    Joined:
    Jul 7, 2016
    Different cats respond differently to SRT. With Leo, you can see the results chart in the third tab of his spreadsheet "SRT Summary".

    The most surprising deal with his Acro was the super fast ramp to 18 units/dose.
    Leo's SRT summary 05-11-2019.JPG
     
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  12. Suzan & Bowdoin

    Suzan & Bowdoin New Member

    Joined:
    Dec 6, 2018
    With my disability, I couldn't make any of the further away options happen logistically. We have an appointment with Angell Memorial in Boston on Thursday for a consult but I don't know if we're too late. They could start treatment the following Monday.
     
    JeffJ likes this.

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