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<?xml-stylesheet type="text/xsl" href="https://www.vetsurgeon.org/utility/feedstylesheets/rss.xsl" media="screen"?><rss version="2.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:slash="http://purl.org/rss/1.0/modules/slash/" xmlns:wfw="http://wellformedweb.org/CommentAPI/"><channel><title>PLN treatment</title><link>https://www.vetsurgeon.org/f/clinical-questions/29847/pln-treatment</link><description> I have a 9yo FN Bichon Frise with IRIS stage III/IV, pre-hypertensive (BP 155mmHg), proteinuric (UPC 3, inactive sediment, checked on a number of occasions) CKD. 
 Clinically stable, eating renal food well. The only other issue is moderate periodontal</description><dc:language>en-US</dc:language><generator>Telligent Community 10</generator><item><title>RE: PLN treatment</title><link>https://www.vetsurgeon.org/thread/230728?ContentTypeID=1</link><pubDate>Thu, 10 Jun 2021 10:39:51 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:65a69215-a951-42e3-b9fc-cb44ea5b9168</guid><dc:creator>Sarah Keir</dc:creator><description>&lt;p&gt;Have you considered renal biopsy?&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: PLN treatment</title><link>https://www.vetsurgeon.org/thread/230590?ContentTypeID=1</link><pubDate>Fri, 04 Jun 2021 14:35:32 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:b521e012-b24e-4b53-b9f0-d6767f05bab5</guid><dc:creator>Anthony Dennison</dc:creator><description>&lt;p&gt;Although the dog is proteinuric, how are the total protein levels on blood results? That will probably influence the level of treatment required.&amp;nbsp;&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: PLN treatment</title><link>https://www.vetsurgeon.org/thread/230462?ContentTypeID=1</link><pubDate>Sun, 23 May 2021 20:38:22 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:5db8fe2a-2f9d-4cf9-b927-a2f25ee9f738</guid><dc:creator>Stephen Courtney</dc:creator><description>&lt;p&gt;I doubt that moderate periodontal disease plays a massive role in this case&lt;/p&gt;
&lt;p&gt;the major issue is the renal disease.&amp;nbsp;&lt;/p&gt;
&lt;p&gt;Dogs don&amp;#39;t tend to do well with these situations - I tend to find I&amp;#39;m lucky to get 12 months - so I too would be reluctant to do the dentistry&lt;/p&gt;
&lt;p&gt;sometimes you just can&amp;#39;t win, but probably best to be guided by the clients wishes&lt;/p&gt;
&lt;p&gt;As the animal isn&amp;#39;t hypertensive yet, I would be reluctant to add amlodipine yet , but it doesn&amp;#39;t do much harm as it can only lower BP to a certain level regardless of dose &amp;nbsp;and doesn&amp;#39;t result in hypotension so might be worth considering especially if the BP is creeping up&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: PLN treatment</title><link>https://www.vetsurgeon.org/thread/230445?ContentTypeID=1</link><pubDate>Thu, 20 May 2021 15:38:40 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:b4dc0927-51a2-41e0-959f-ccded0abf9a2</guid><dc:creator>Helena Rymaszewska </dc:creator><description>&lt;p&gt;amlodipine ?&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item></channel></rss>