Cardiomyopathy Archives

More on Kaos …

I’ve been trying to get a good photo of Kaos’ stomach but the pictures don’t really show how huge and taut the poor thing’s belly is.
I was worried about the diuretics not working as I could see she wasn’t piddling much after I gave her the Flusapex or when she had her You Gui Wan formula so I spoke to Kamila and she said I could try giving her a bit more than 1/8th ml a day.  I did that for about a week but there was no visible difference.
The next stop was to the vet and she said I could increase the Flusapex to 0.75ml twice a day for a couple of days but if she didn’t piddle excessively as a result, to go back to giving her 0.5ml.
Unfortunately she didn’t and she started to look like she swallowed a beach ball, she was so big.  It was especially distressing to watch her trying to walk — her back legs kept slipping out to the sides as she lugged herself around.
I remembered seeing an article by Ron Hines, DVM, where he talked about giving ferrets Spirolactone if their diuretics stopped working ….

Spirolactone (Aldactone)
When the maximum dose of furosemide diuretic (0.5-1.5mg/ pound every 8-12 hrs ) is not sufficient to eliminate fluid buildup in the tummy (ascites) and lungs (pulmonary edema) of your pet, another diuretic, such as spirolactone, can be added to the medications your pet receives. The usual spirolactone dose is 0.5-1.0mg/pound body wt. given twice a day (1-2mg/lb/day). You need to be patient – it takes 2-4 days for the full effect of the drug to be reached. Spirolactone can increase the toxicity and effect of digoxin so your pet’s digitoxin dose may need to be lowered. It can also cause an increase in serum potassium, which can be dangerous. To monitor potassium, a blood sample should be taken and measured for serum electrolytes and kidney function on the 3rd or 4th day, the 7th day and periodically there after.


I printed the article out and went back to the vet to see if we could put Kaos on Spirolactone.  She agreed, so they made up the medicine and I started her on it yesterday (Saturday, January 5).
I woke up at 4am to the sound of someone eating very enthusiastically and when I turned on the light, I saw it was Kaos.  Front paws and head in the bowl, stuffing her little face with great gusto :-)
It’s the first time I’ve seen her eating so well for a week or so and I am very encouraged by that sign.
The article says it’ll take up to 4 days to see the full effect of the drug so I’ll let you know how it all goes.
Fingers crossed it’s a positive outcome!

Update on Kaos

It’s been almost a week since Kaos has been on her latest formula and although she seems quite bright, her stomach is still swollen and looks like it’s full of fluid :-(

The You Gui Wan formula has arrived!

I got the formula on Monday and, according to the instructions, I am to give it to Kaos every other day for a week, before making it once a day.  I also have to give her the Xue Fu Zhu Yu Tang formula daily so that there’s a balance.

Here’s what Kamila said the formula is for ….

How do you get your ferret to eat a banana?

No, it’s not a trick question :-)

Kaos is on double dose of her diuretic and, as we all know, diuretics leach potassium out of one’s system. That leads to all kinds of symptoms like diarrhea, which she has, lack of appetite (which she appears to have, since she doesn’t seem to be eating much these days) and weakness (which I haven’t noticed yet).

I know bananas are a good source of potassium, so I got one and sliced a little bit up, mushed it up and tried to get her to eat it. She looked at me as if I had 3 heads.

The Ongoing Saga about Kaos 

I took her to the vet today as her stomach was beginning to look swollen and my vet confirmed that it was filled with fluid once again.

I’ve been told to double her diuretic dose till Monday, and then cut back.  However if Kaos’ stomach doesn’t go down then I can keep her on that higher dose indefinitely.

On a positive note, my vet was very pleased at how good Kaos was looking and I told her I thought it was because of the TCM formula.

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