Can my dog with Cushing's disease live comfortably without Vetoryl?

Hello. For the most part, Vetoryl is used to control the symptoms of Cushing's by controlling the production of glucocorticoids. Overproduction of glucocorticoids is responsible for the symptoms of excessive drinking & urination but does nothing for the actual tumor growing on his pituitary gland. If Izzy's symptoms are manageable & tolerable then medication is not necessary. This would be your choice. But if his symptoms do get worse, at least consider once a day dosing. Most dogs do very well on twice daily dosing, but once a day can help in many pets. Thanks for using Petco Pet Education Center, formerly Petcoach.

Vetoryl (trilostane) is the best medication for managing Cushing's disease, but I'm sorry to hear that Lacy has not been tolerating it well. I have anecdotally heard of some vets using a variety of supplements for managing Cushing's disease signs, but these supplements will not ultimately decrease the cortisol production by the adrenal glands and generally seem ineffective. I don't know how long Lacy was receiving Vetoryl, but some dogs can initially become lethargic, vomit, have diarrhea, or a decreased appetite. Fortunately, these signs typically resolve after a few days to a few weeks on the medication. It may be worth discussing a temporary dose adjustment with Lacy's vet to see if she tolerates a lower dose better before gradually increasing to her 30mg dose. Some dogs also benefit from supportive measures (anti nausea medications, bland diets, etc.) in the first few days to weeks of treatment. I hope this helps and that all goes well!

I would not expect the signs you are describing to be secondary to the Vetoryl and I would not recommend stopping the medication without talking to your veterinarian first. Unfortunately there are not many safe alternative treatments for Cushing’s disease. I would be concerned that Boots might be showing signs of pain or potentially neurologic disease. It would be a good idea to have your vet examine him and to discuss these concerns.

Generally yes. Always make sure to discuss any concerns with your veterinarian regarding procedures or medications. Your veterinarian is an excellent resource for information and can help guide you in the decision making process. I hope this helps and please feel free to post any additional questions.

Hello and thank you for contacting Petco Pet Education Center, formerly Petcoach. I will strongly discourage you from giving Sophia Trilostan without knowing for sure that she has Cushing disease. She may have, for example ascites, diabetes or internal organ enlargement, which makes the belly look potted. In that case, giving Trilostan can lead to a life-threatening hypoadrenal crisis. Please, take your dog to your local vets to confirm the diagnosis and then start the treatment, if necessary.

Normally the answer is no. However, with COVID, some states are relaxing their laws surrounded a valid client patient relationship. I recommend to reach out to a local veterinary clinic. They will be most familiar with the situation in your state and what, if any, options you have. I hope this helps.

Yes, that is true. The FDA says the medication should not be used in dog's with liver disease. That being said, elevated liver numbers (depending on how high they are) may not indicate liver disease, and it may be ok for Oscar to have Vetoryl. I would speak to his vet about your concerns.