Mixed news here.
Since Elvis was doing so much better this morning and, in keeping with what I told the clinic I was going to do, I gave him 1/2 of a Vetmedin with breakfast. That's the mixed news.
Today was a day where I had a lot of cleaning to do here in the den (we're having company coming in for the weekend), and there was a lot of sound and fury going on. And Elvis was spooky. **sigh** Not good timing for my cleaning, but there wasn't an option. So, tonight at dinner, I skipped the Vetmedin. I increased his Lasix to 1 CC and gave him 1/2 a cough tablet rather than 1/4.
I spoke with Dr. Walthall this morning, and she let me know that there is another heart medicine available which, unbeknownst to her, was recommended BEFORE trying what he's on. Since there is so much of the medicine and since I opened and halved two bottles, I told her I felt like we should try tweaking his dosage. She agreed to that, and I told her I would call the clinic back Friday morning to let them know how things were going. At the time, I was going to try 1/2 pill in the morning and in the evening.
So that's where my dilemma comes in. Because he became so spooky this afternoon, and because I don't know whether it was the external stimulus or the medication, I've decided to discontinue the Vetmedin until Thursday evening. At that point, if things are going well, I'll give him 1/2 pill with dinner and see how things are Friday morning before I call the clinic.
I'll increase his Lasix to 1 CC during the morning feeding and try .75 CC with dinner. Cough tablet at night, and as needed during the day.
I'm not 100% happy with this, but I don't think it's fair to make a decision about the medication until the clanging and banging is done around here. Obviously, if his physical situation changes, the vet gets a call and two opened bottles of Vetmedin or not, he will go on the new medication.
So that's where I am. I'll probably post a quickie update tomorrow night and something on Thursday, but I suspect much will wait until Friday.