How would you treat hypercalcaemia and hyperphosphataemia in a dog with CRF?

RE: How would you treat hypercalcaemia and hyperphosphataemia in a dog with CRF

Laurence Webb — Sun, 17 Sep 2023 17:43:32 GMT

Thank you Kate. That seems like an easy thng to try in the first instance!

RE: How would you treat hypercalcaemia and hyperphosphataemia in a dog with CRF

Kate Richardson — Sat, 16 Sep 2023 09:57:13 GMT

You can get Aluminium Hydroxide from Bova in a liquid form

RE: How would you treat hypercalcaemia and hyperphosphataemia in a dog with CRF

Andrew Kent — Sat, 16 Sep 2023 08:28:26 GMT

Trying to manage the phosphate will be much more rewarding I think (and would be surprised if the ionised calcium wasn’t normal or only very very mildly elevated).

occasionally we manage calcium but then have to think a bit more about whether there are additional mechanisms at play and it’s become more complex as many of the oral bisphosphonates have left the market.

so would definitely start with the phosphate.

Andy

RE: How would you treat hypercalcaemia and hyperphosphataemia in a dog with CRF

Laurence Webb — Fri, 15 Sep 2023 18:28:56 GMT

Thanks Andy. If ionised calcium is high would you treat it (preds, bisphosphomate) in its own right or just look to get the phosphorus in better control?

I will have a chat about diet options.

RE: How would you treat hypercalcaemia and hyperphosphataemia in a dog with CRF

Andrew Kent — Fri, 15 Sep 2023 15:32:57 GMT

Hi Laurence

sorry for the slow reply.

there are other phosphate binders available (such as lanthanum) although they can be pricey and have limitations of dosing. However - my experience is that they are often less effective in the face of an unrestricted diet so would be inclined to focus on that aspect further. If they have tried all commercial renal diet options would they consider seeing a nutritionist and getting a home cooked diet formulated?

the calcium is mild and I suspect if you ran an ionised calcium it may well be normal (might be worth doing that for reassurance).

Andy