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Oncology update
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21 May 2009
6:44 pm

Vet Expert

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Today I took my Pitbull Kona to see Dr Meleo in Seattle.  Since Kona's tumor is a slow-growing sarcoma (leiomyosarcoma of the cecum) we decided to try metronomic chemotherapy .  Dr Meleo has been using a very low dose of CCNU rather than Cytoxan in her protocol, since so many dogs seem to develop bladder problems with long-term Cytoxan use.  This might benefit some tripawds (like Tazzie) who had to stop the protocol due to bladder infections. CCNU has the potential to affect liver enzymes but seems safe at low doses.

We also discussed lung mets and there is some new info on that front.  Pfizer will be releasing a new drug for mast cell tumors (tentatively named Palladia) that may help contol mets due to other tumor types.  This drug is a tyrosine kinase inhibitor, and some tumor types express this enzyme.  So the drug may help reduce the growth of the mets by inhibiting the enzyme.  It is an oral pill, not an injection but can still cause low white cell counts or digestive upset.  Right now only oncologists have access to it but the drug should debut in late 2009 and then other vets can use it.  Dr Meleo said it is similar to the human drug Gleevac but not as toxic to dogs.  Any of you who have dogs with lung mets might want to consider this regimen after discussing it with an oncologist. There is no proof yet that it will work for OSA but who knows?

The national AVMA convention will be held in Seattle this July.  I will be attending that and passing on any new info that might help our furry kids!

Pam and Tazzie

21 May 2009
7:41 pm
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That sounds like promising news for lots of folks.  Definitely something to file away for safe keeping.

Shanna & Spirit Trouble ~ Trouble gained her wings 3/16/2011, a 27 1/2 month cancer survivor, tail wagging. RIP sweetheart, you are my heart and soul.  Run free at Rainbow Bridge.
The November Five - Spirits Max, Cherry, Tika, Trouble & Nova. 11/2008 - 3/2013 An era ends as Queen Nova crossed the Bridge.

21 May 2009
7:44 pm
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Pam, you are a blessing.  

Thank you for that awesome information.  Tika has been having accidents in the house, but Tim and I have done some reading and discovered that it's not probably best that we've been giving her meds at night.  So we've switched to mornings and we take turns making sure she eats, gets water and meds and does her business.  

We had to give her a break on the piroxicam for right now, we are trying to let her whole system settle down.

All in all, she's doing great.  Things have just changed a bit, I always need to remember to take that into consideration.

Big hugs to Tazzie and Kona and a big bow to you!  Your personal experience along with your professional experience has helped me keep centered more than once.  

I will be looking forward to what you find out at the AVMA convention!  

Thank you!

Kim and Tika

Kim and Spirit Tika http://www.tika.....ogspot.com

22 May 2009
10:44 am
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Awesome information indeed! Thank you.

Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet

22 May 2009
10:47 am
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Thanks Pam, this is really promising news. Paws are crossed that the drug works for all of our kids with lung mets.

Please tell us though, what is the full name for CCNU? Hope that this works for Kona.

So glad to hear the AVMA conference is nearby, we can't wait to hear what you've learned. If you'd like to do an "Ask a Vet" live chat when you return, and talk about your findings, we think that would be sooo neat!

Hope you get to do some relaxing this weekend. Thanks again for all of your insight here!

Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet

22 May 2009
2:51 pm

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CCNU is also called lomustine.  At this low dose it will be have to be compounded for most dogs.  I am not going to give it to Tazzie because of her history of liver disease but we will see how it works for Kona!

Pam

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