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Considering/doing metronomic therapy or other compounded drugs? Please read and ask this question....
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New Haven, CT
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10 February 2013 - 9:41 am
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I'm addicted to research (it's actually my day job).  I spent hours yesterday reading up on pharmacies where we may get Jackson's metronomics from and it's clear there's a wide range in prices, services, shipping, and various 'certifications' these labs get.  To top it off: "...97% of the more than 10,000 Web sites analyzed continue to operate out of compliance with US pharmacy laws."  http://www.nabp.....-online/  Where you get your pup's drugs matter - and that includes trying a new flavored drug.  Yikes. 

Before this post gets too long, here's a simple thing you can do.  Next time you're at your vet office or onco office, ask them where they get there drugs from and report back here. Can you also provide the URL for it?

I know some fellow Tripawders have used:

RoadRunner Pharmacy. http://www.road.....rmacy.com/

Diamondback Drugs. http://www.diam.....drugs.com/

Jackson's vet uses Wedgewood. http://www.wedg.....petrx.com/

ACL tear in right hind leg 12/5/12 and scheduled ACL repair surgery 12/21/12. Pre-op xrays revealed osteosarcoma. Amputation 12/28/12.  Chemo (carboplatin) started Jan 10, 2013 and ended on April 5, for a total of 5 doses. He handled carbo like a champ!  No side effects.  We started metronomic therapy at his third chemo and have been also doing some holistic treatments.  He's a lively, playful 10 year old huskie-boarder collie and a very proud member of the Winter Warriors!  Our love. Our funny little guy!

Fort Wayne, IN
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10 February 2013 - 10:56 am
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I will add this to my list of questions for Libby's appt on Thursday.  Thank you!

Liberty (Libby) was diagnosed with OSA on 1-22-13.  Right front amputation on 1-31-13. No IV Chemo. Metronomic Therapy started 2-19-13 along with supplements and some home cooking. Lungs clear until 1-06-14.  She's still her happy, hoppy, bossy self.  Living the dog life to the fullest and a proud Winter Warrior. :) RIP my Libby 4-21-03 to 3-19-14

Here and Now

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10 February 2013 - 2:49 pm
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fetchon3 said
Where you get your pup's drugs matter...

That's for sure! And it's why we always recommend shopping only at Vet-VIPPS accredited online pharmacies. More information about the NABP accreditation for veterinary pharmacies can be found in the Tripawds Nutrition blog :

http://nutritio.....petcarerx/

http://nutritio.....certified/

New York, NY
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10 February 2013 - 3:07 pm
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Jim,

 

Michelle and I were wondering are metronomics recommended for furbabies who dont have lung mets? I was always under the impression that it was only for animals who showed lung mets, but after everything I've read here I'm not so sure.  Just wondering if I should ask Jill's oncologist about them?

 

Jill is a 9-year-old tuxedo kitty. She was diagnosed with Osteosarcoma in June 2012 on her toe in her right hind leg. Her leg was amputated on 12/12/12 and she completed four rounds of chemo (2 of Carbo, 2 of Doxy) in April 2013. "Like" Jill's facebook page: https://www.facebook.com/JillTheTripawdCancerFightingKitty?ref=hl Proud member of the WINTER WARRIORS!!!! Her blog can be read at http://jillsjou.....ipawds.com. xoxo

Here and Now

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10 February 2013 - 5:54 pm
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rica55 said
..wondering if I should ask Jill's oncologist about them?

That would be best. We're not vets and only know from our experience with Jerry, who went on metronomics after we discovered his mets. But we have heard of docs prescribing metronomics before the presentation of metastasis, since they are used to achieve a state of "stable disease" keeping any micromets that are likely there from growing larger.

The Rainbow Bridge

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11 February 2013 - 8:57 am
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fetchon3 said
I'm addicted to research (it's actually my day job).  I spent hours yesterday reading up on pharmacies where we may get Jackson's metronomics from and it's clear there's a wide range in prices, services, shipping, and various 'certifications' these labs get.

Thank you so much for bringing this up. We plan on doing some kind of follow-up blog post about ensuring the safety of where we get our animal's drugs, so stay tuned for that. But meanwhile of course if anyone has more suggestions about precautions and research they have done while looking for pharmaceutical drugs for their dogs and cats, we would certainly love to hear about it here. Thanks!

 

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11 February 2013 - 10:56 am
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While I dont have advice on different places to order the mediciation (we are getting everything from our vet or from Target) I can say that they do Metronomics on dogs that dont have lung mets. Polly didnt have cancer anywhere other than her leg (which we amputated) and my oncologist wanted to do IV chemo. For a few reasons we declined and she mentioned Metronomics. We chose to go that route and so far Polly has been doing great!

 

I'd ask your oncologist or vet, but from what research i've done and what i've been told this is pretty effective treatment!

The Rainbow Bridge

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11 February 2013 - 11:39 am
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I can say that they do Metronomics on dogs that dont have lung mets.

Thank you for sharing this!

We just expanded on Jackson's Mom's pawesome topic about safety in buying from online pet pharmacies:

"Before You Buy Pet Meds, Read These Tips."

Stay tuned for more blog posts about this important topic, and keep us posted on where your vets are getting their drugs. Thanks!

It's better to hop on three legs than to limp on four.™
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New York, NY
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11 February 2013 - 1:52 pm
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Hi,

 

Just got off the phone with the pharmacy at the hospital where Jill goes for her chemo.  They basically told me they order from all different places, depends on the drug.  It's a big hospital with a huge in house pharmacy, so I guess maybe that makes a difference?

 

I put in a call to Jill's regular vet, should have a different answer from them :)

Jill is a 9-year-old tuxedo kitty. She was diagnosed with Osteosarcoma in June 2012 on her toe in her right hind leg. Her leg was amputated on 12/12/12 and she completed four rounds of chemo (2 of Carbo, 2 of Doxy) in April 2013. "Like" Jill's facebook page: https://www.facebook.com/JillTheTripawdCancerFightingKitty?ref=hl Proud member of the WINTER WARRIORS!!!! Her blog can be read at http://jillsjou.....ipawds.com. xoxo

New Haven, CT
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11 February 2013 - 2:21 pm
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Thanks, Erica.  How about asking them just where they get their metronomic drugs from?  I have to imagine that'll shrink the list they have to go through.  If not, ask if they use: Roadrunner, Diamondback Drugs, or Wedgewood (the three I know of, for now).

Thanks, Polly.  Where does her metronomic drug come from?  Target?  If not Target and you get it from your vet, my response is the same as Erica's: ask your vet where the oral-chemo drug comes from.

***Both of your responses will really help!***

ACL tear in right hind leg 12/5/12 and scheduled ACL repair surgery 12/21/12. Pre-op xrays revealed osteosarcoma. Amputation 12/28/12.  Chemo (carboplatin) started Jan 10, 2013 and ended on April 5, for a total of 5 doses. He handled carbo like a champ!  No side effects.  We started metronomic therapy at his third chemo and have been also doing some holistic treatments.  He's a lively, playful 10 year old huskie-boarder collie and a very proud member of the Winter Warriors!  Our love. Our funny little guy!

Milwaukee, WI
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11 February 2013 - 8:16 pm
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Harley was on chlorambucil for a few months and I had it compounded at Pet Apothecary in Bayside, WI (a suburb of Milwaukee).  Here is their link  http://www.peta.....ecary.com/  

As far as I know they also do mail order.  I was referred there by Harley's oncologist. 

Harley is an 8 year old Golden Retriever. Amp surgery for an infiltrative lipoma canceled due to two masses in chest. A rescue, he found his forever home on 3/18/07 and left for his eternal home on 1/09/13. His story and medical history are at http://myharley.....pawds.com/

Milwaukee, WI
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11 February 2013 - 8:31 pm
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rica55 said
Jim,

Michelle and I were wondering are metronomics recommended for furbabies who dont have lung mets? I was always under the impression that it was only for animals who showed lung mets, but after everything I've read here I'm not so sure.  Just wondering if I should ask Jill's oncologist about them?

Harley's case is a little odd.  He was not a Tripawd, nor did he have osteosarcoma.  Two lung masses were found just prior to his scheduled amputation so the surgery was aborted.  It was initially assumed that the lung masses were metastsis from his leg tumor but that was never really proven.  Because the lung tumors were growing slowly, they approved surgery to debulk to improve his quality of life  (this was the 3rd debulking) and the pathologist's findings stated the tumor was a benign infiltrative lipoma.  One of the lung tumors was biopsied (FNA) and it was confirmed cancer.  Harley was on a metronomic protocol (chlorambucil).  Maybe a good question for the "Ask a Vet" section

Harley is an 8 year old Golden Retriever. Amp surgery for an infiltrative lipoma canceled due to two masses in chest. A rescue, he found his forever home on 3/18/07 and left for his eternal home on 1/09/13. His story and medical history are at http://myharley.....pawds.com/

New Haven, CT
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13 February 2013 - 11:39 am
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Thanks, Kathyl.  This is exactly the kind of information we're seeking here.

ACL tear in right hind leg 12/5/12 and scheduled ACL repair surgery 12/21/12. Pre-op xrays revealed osteosarcoma. Amputation 12/28/12.  Chemo (carboplatin) started Jan 10, 2013 and ended on April 5, for a total of 5 doses. He handled carbo like a champ!  No side effects.  We started metronomic therapy at his third chemo and have been also doing some holistic treatments.  He's a lively, playful 10 year old huskie-boarder collie and a very proud member of the Winter Warriors!  Our love. Our funny little guy!

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