Terrier with airway disease

Re: Terrier with airway disease

David Hopper — Fri, 02 May 2014 15:02:01 GMT

Not sure why, but I have often found Bisolvon powder useful in these cases especially in old dogs. I usually try this before I bring out the big guns like nebulizers and inhalers. It's certainly cheaper and more owner compliant.

Re: Terrier with airway disease

kathryne hodgson — Thu, 01 May 2014 14:12:59 GMT

Martin.

Sorry to re-instate this thread, but I saw you mentioned using beclametasone inhaler instead of flixotide. I would like to try this fo a dog with chronic bronchitis due to the massive cost difference. Do you know of any reason why we use flixotide perferentially, or is it just myth and because its the one in the SA formulary?

Many thanks,

Re: Terrier with airway disease

shanley barber — Wed, 01 Feb 2012 09:03:49 GMT

[quote user="Mark Rowland"]

?checked for lungworm

[/quote]

I treated twice with panacur 1 mth apart, 7 days.

Re: BAL report, there was a 'mixed neutrophilic and eosinophilic' inflammation. I haven't start preds at all yet, as I'm worried about an infection. If the C & S comes back negative, I will start them, but am worried about starting them before this!

Thank you for your comments!

Re: Terrier with airway disease

Andrew Kent — Tue, 31 Jan 2012 18:32:37 GMT

What exactly did the BAL say? Which of the mentioned cell types predominated. If it is supportive of an eosinophilia bronchopneumopathy then steroids would be indicated. My approach to these is to use oral prednisolone initially and then transition to inhaled if the response is good. Andy

Re: Terrier with airway disease

Martin Atkinson — Tue, 31 Jan 2012 17:49:02 GMT

Perform a Cardiopet NTproBNP to rule in/out cardiac disease. Beclametasone inhalers are much cheaper than Flixotide. Inhaled steroids safer than preds especially if there is the risk of secondary infection.

Re: Terrier with airway disease

Mark Rowland — Tue, 31 Jan 2012 14:50:45 GMT

?checked for lungworm

Re: Terrier with airway disease

Richard Carter — Tue, 31 Jan 2012 13:46:42 GMT

Would have thought bronchiectasis at this age already makes px fairly guarded. Any panacur / advocate as trial Rx? If true eosinophilic pneumonia a dose of steroid will give a very good response quickly so if antibiotics not improving cough, do trial rx of both for 1 week and re-assess xray? pulmonary fibrosis also DD in this breed.

Bisolvin and nebuliser can help if muco-ciliary escalator failing. Check for open fires, owners smoking, air fresheners - ie air quality / humidity esp where dog sleeps.

Tend to stick to prednisolone as flixitide quite expensive if used every day.

If no response on above consider cardiac causes?