Trilostane treatment in dogs with pituitary-dependent hyperadreno-corticism
Braddock, J.A., Church, D.B., Robertson, I.D.ORCID: 0000-0002-4255-4752 and Watson, A.D.J.
(2003)
Trilostane treatment in dogs with pituitary-dependent hyperadreno-corticism.
Australian Veterinary Journal, 81
(10).
pp. 600-607.
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Abstract
Objective
To evaluate the efficacy of trilostane in treating dogs with pituitary-dependent hyperadrenocorticism.
Design
Prospective clinical trial using client-owned dogs with pituitary-dependent hyperadrenocorticism treated at University Veterinary Centre, Sydney from September 1999 to July 2001.
Procedure
Thirty dogs with pituitary-dependent hyperadrenocorticism treated with trilostane, a competitive inhibitor β-HSD, were monitored at days 10, 30 and 90 then 3-monthly by clinical examination, tetracosactrin stimulation testing, urinary corticoid:creatinine ratio measurement and by client questionnaire.
Results
Twenty-nine of 30 dogs were successfully treated with trilostane (median dose 16.7 mg/kg; range 5.3 to 50 mg/kg, administered once daily); one responded favourably but died of unrelated disease before full control was achieved.
Conclusion
Trilostane administration controlled pituitary-dependent hyperadrenocorticism in these dogs. It was safe, effective and free of side-effects at the doses used. Most dogs were initially quite sensitive to the drug for 10 to 30 days, then required higher doses until a prolonged phase of stable dose requirements occurred. Urinary corticoid:creatinine ratio was useful in assessing duration of drug effect. Some dogs treated for more than 2 years required reduction or temporary cessation of drug because of iatrogenic hypoadrenocorticism.
Item Type: | Journal Article |
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Murdoch Affiliation(s): | School of Veterinary and Biomedical Sciences |
Publisher: | Wiley-Blackwell |
URI: | http://researchrepository.murdoch.edu.au/id/eprint/16654 |
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