inhaler treatment chronic bronchitis

Re: inhaler treatment chronic bronchitis

Martin Atkinson — Wed, 15 Apr 2015 11:30:51 GMT

[quote user="Thomas Johnson"]

I was in that lecture too, and that was the point that stuck in my mind as well.

[/quote]Pity, we could have met up if we'd known - trouble is you'd have been looking out for a tortoise!

I always think that if you gain one thing from any lecture it was worthwhile. I went to the whole 'budget' stream on Sunday and although 99% was teaching granny to suck eggs I reckon I averaged 1 new point or 'I forgot that' moment per session so it justified the extortionate fee for the day. (Actually it only cost me £45 - there are some good things about getting old)!

Re: inhaler treatment chronic bronchitis

Suzanne Kelly — Wed, 15 Apr 2015 01:21:31 GMT

Becotide 250ug 2 puffs BID and Ventolin 2 puffs BID 5 breaths of each is my recipe. Ventolin seems to help?

Re: inhaler treatment chronic bronchitis

Thomas Johnson — Tue, 14 Apr 2015 18:57:23 GMT

[quote user="Martin Atkinson"]

[quote user="Bob Russell"]Only seem to use bronchodilators in acute respiratory cats![/quote]That's because they are genuine asthmatics.

Incidentally, just to prove that you can learn something new about things you always took for granted, at a lecture at BSAVA congress on Sunday in the treatment on a budget stream, the speaker told us to be wary about assuming that if a dog with a cough responds to frusemide it doesn't prove it had CHF as frusemide is a bronchodilator and may just be acting in that way on a respiratory disease.

[/quote]

I was in that lecture too, and that was the point that stuck in my mind as well.

Re: inhaler treatment chronic bronchitis

Martin Atkinson — Tue, 14 Apr 2015 18:17:10 GMT

[quote user="Bob Russell"]Only seem to use bronchodilators in acute respiratory cats![/quote]That's because they are genuine asthmatics.

Re: inhaler treatment chronic bronchitis

Bob Russell — Tue, 14 Apr 2015 17:28:18 GMT

My elderly staffie has bouts of chronic coughing that responds brilliantly to steroids by inhaler. It is 'Willow cheese time' twice daily until it settles. Always followed by a piece of cheese.

The best I can get is five decent breaths. She considers that quite enough!

Only seem to use bronchodilators in acute respiratory cats!

Re: inhaler treatment chronic bronchitis

Thomas Johnson — Tue, 14 Apr 2015 15:05:03 GMT

[quote user="ilanit"]

Thanks, much appreciated. I think I need to buy a newer version of BSAVA formulary!

How many breaths do you normaly count per actuation?

What about Albuterol? Only to use in acute situations?

[/quote]

I usually tell owners to let them breathe through the spacer for a minute, rather than telling them to count breaths. I haven't used bronchodilators, but my understanding is that they're mainly for acute situations, as in human asthmatics.

Re: inhaler treatment chronic bronchitis

ilanit — Tue, 14 Apr 2015 09:44:51 GMT

Thank you

Re: inhaler treatment chronic bronchitis

Fenella — Tue, 14 Apr 2015 09:41:49 GMT

The second page of this little guide is helpful too.

https://www.trudellmed.com/sites/trudellmed.com/files/pdf/animalhealth/dawg_dosingsheetEN.pdf

Re: inhaler treatment chronic bronchitis

Hannah Wynne Richards — Tue, 14 Apr 2015 08:43:28 GMT

Agree with Thomas

Wynne

Re: inhaler treatment chronic bronchitis

ilanit — Tue, 14 Apr 2015 08:38:16 GMT

Thanks, much appreciated. I think I need to buy a newer version of BSAVA formulary!

How many breaths do you normaly count per actuation?

What about Albuterol? Only to use in acute situations?

Re: inhaler treatment chronic bronchitis

Thomas Johnson — Tue, 14 Apr 2015 08:23:31 GMT

[quote user="ilanit"]

I have a dog with chronic bronchitis and thracheal collapse.

I would like to try treatment with inhaler.

Does anybody know where I can find a reference with advised dosing regime. I can't find it anywhere in my books or even formulary. Only which drugs to use, but not how much to give (how many puffs/breaths)

Thanks in advance

[/quote]

BSAVA formulary gives a fluticasone dose of 125-500mcg per dog every 12-24 hours. I would start at 250mcg bid and then adjust dose if necessary based on response.