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Author Topic: Peanut and her tilty head - Goodbye little Peanut 5/7/08  (Read 2535 times)
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« on: February 08, 2008, 11:02:47 AM »

Noticed a couple days ago that Peanut had a head tilt.  Otherwise acting fine... eating, playing, boggling, peeing everywhere...  The next day I thought it had gone away... it was just that slight.  Yesterday I realized it was definitely a tilt, and it is effecting her balance (though still eating, playing, boggling, and peeing everywhere). 

She has an appointment for Monday... the vet is out til then.

Question:  Should I see about starting her up on anything such as prednisone in the meantime, or will she be fine to wait until Monday?

Thanks a ton. 

Last note... I believe Peanut will be two in March.
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« Reply #1 on: February 08, 2008, 01:02:21 PM »

If you have baytril and/or prednisone at home, I'd go ahead and start her on it. Head tilts from inner ear infections can go downhill in a matter of hours. It certainly won't hurt her if it turns out it's not the right treatment. Be sure to keep your appointment, even if you see some improvement.
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« Reply #2 on: February 08, 2008, 04:17:18 PM »

I agree... starting antibiotics as soon as possible is also important!  To keep it from worsening.  The pred will help to bring down any inflammation, but if it is due to an ear infection you want to nip that in the bud.  Ear infections can take weeks of antibiotic treatment even when you catch it promptly.

I would start on a low end dose of the pred, and a higher end dose of the baytril.
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« Reply #3 on: February 08, 2008, 05:00:28 PM »

Thanks, guys!

Talked to the vet since Peanut seems to be getting a little worse... starting her on smz-tmp and metacam tonight... wants to try a non-steroidal first.
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« Reply #4 on: February 08, 2008, 10:07:19 PM »

Pred, which is in the corticosteroid family, works much better for head tilts than metacam.  If you check out Rat Guide they recommend that for such things as tilts associated with ear infections and the like.

Ear infection link about pred
http://ratguide.com/health/auricle_ear/otitis_media_otitis_interna_labyrinthitis.php

Pred link
http://ratguide.com/meds/endocrine_hormones/prednisone_prednisolone.php


If you've already started her on metacam, I beleive you'll want to wait 24hours in between dose of metacam given and 1st pred dose as they have interactions and can cause problems.

Hope Peanut is feeling better soon!
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« Reply #5 on: February 09, 2008, 12:23:13 AM »

When my Norbu got an ear infection my vet tried an NSAID first. I regret not going straight to the Prednisone as it didn't do anything for him and caused him to have a worse permanent tilt in the end. If you have Pred I'd do that -- it's best to start with the big guns with these things. Undecided
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« Reply #6 on: February 09, 2008, 02:49:54 AM »

Eek... I wonder why they want to go with an NSAID first?

Thanks, guys!
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« Reply #7 on: February 11, 2008, 12:46:11 PM »

How's Peanut doing?
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« Reply #8 on: February 11, 2008, 02:32:40 PM »

Beat me to it, Jen!

Just got back from the vet with Peanut.  The smz-tmp and metacam are not working, and her balance is getting worse.  She also has a squinty eye.

The vet said her ears look fine... everything looks/sounds fine... we trimmed her bottom teeth... and we're starting her on baytril and pred instead of the metacam and smz!

Here's to hoping it's not a pituitary tumor!!
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« Reply #9 on: February 11, 2008, 03:03:51 PM »

Poor Peanut!  Hope she feels better on the baytril and pred.

OOpsie, wrong rat LOL  Yellow Cute Laugh
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« Reply #10 on: February 11, 2008, 04:11:56 PM »

You will know soon enough.  Poor Peanut.
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« Reply #11 on: February 11, 2008, 05:16:00 PM »

I'm worried it very well may be a tumor or lesion considering her ears were clear. 

Waiting to hear back from the vet.  She thought I had 15mg/5mL pred and gave me a .2cc once a day dose... but I've really got the 5mg/5mL pred.  Oops Smiley

I think Peanut actually spat out the baytril on me.. lol... at least .1 of it! She got another .1 since it didn't make it in.
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« Reply #12 on: February 11, 2008, 07:22:04 PM »

Peanut is supposed to get .6cc of pred.  Cheesy  That's a LOT of pred!
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« Reply #13 on: February 11, 2008, 08:05:34 PM »

Peanut is supposed to get .6cc of pred.  Cheesy  That's a LOT of pred!

Is that once a day or twice a day?

Sounds like she is ranging on the high end of the spectrum if the pred is 5mg/5ml.  Thats the kind of pred I use and Beans was the only one we had on a high dosage at one point due to lung problems.

Only reason I ask is that once or twice a day for the 0.6 cc pred, because I can see once a day at that dosage, twice a day is HIGH for that dosage.  Also personally, if it is once a day, splitting that dosage into giving her 0.3 cc twice a day would be a VERY good idea.  Pred is like antibiotics in that you want to keep them at the same levels of the meds in their bodies for a length of time.  Dosing a rat once a day with ANY kind of medication is not the best of ideas because they have such high metabolism that its out of their system in a few hours.
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« Reply #14 on: February 11, 2008, 08:33:19 PM »

from ratguide.com

if oral solution of 1mg/1 mL then give 0.25ml to 1 mL/lb 4

I would put her on the lower dose of pred SID and a very high dose of baytril for the inner ear infection.  Inner ear infections often cannot be seen/smelt because it is soo deep.   Peanut doesn't seem to have the symptoms that say PT, but its still the same, pred (doesn't have to be a super high dose like yours) and abs.
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« Reply #15 on: February 11, 2008, 10:18:27 PM »

Jen- once daily

So a higher dose of baytril once daily and possibly split the pred into two .3cc portions?

Usually the vet prescribes twice a day for abs and steroids, so I'm not sure why the change now!

Any tips on seeing if Peanut is drinking enough?  She doesn't seem dehydrated (did the skin test thing), but I haven't seen her at the water buddy.  I can't rely on the levels, because she somehow keeps letting the bottle leak and soak the blanket in the carrier!  She must be leaning against it or something
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« Reply #16 on: February 12, 2008, 07:41:28 AM »

Jen- once daily

So a higher dose of baytril once daily and possibly split the pred into two .3cc portions?

Usually the vet prescribes twice a day for abs and steroids, so I'm not sure why the change now!

Any tips on seeing if Peanut is drinking enough?  She doesn't seem dehydrated (did the skin test thing), but I haven't seen her at the water buddy.  I can't rely on the levels, because she somehow keeps letting the bottle leak and soak the blanket in the carrier!  She must be leaning against it or something


Try a non-tippable bowl? 
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« Reply #17 on: February 12, 2008, 03:46:51 PM »

News! I caught the stinker drinking this morning Smiley  Again, she soaked the blanket... and I don't know how... I just heard her drinking this morning before I turned on the lights to get out of bed.

I don't think there is any improvement today.

Regarding meds and doses and timing... my vet has always prescribed baytril and pred to be given twice a day except for this case.  Perhaps there's a reason??  Maybe she wants to hit whatever it is hard with the once a day doses??
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« Reply #18 on: February 14, 2008, 10:32:34 AM »

I think Peanut is getting worse.

I cannot tell if it's her balance or if she's having trouble with her front and/or back legs.

She isn't using her hands to eat.  She's pushing her head on the ground most of the time when she's walking about.  She's falling over more... and seems to have a hard time righting herself.

She's still the hyper Peanut I know and love, but she is having a hard time.

The vet thinks these new problems indicate more toward the neurological side.

Any advice or anything I can do for my girly?
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« Reply #19 on: February 14, 2008, 10:43:20 AM »

I just looked at the pituitary tumor section on ratguide.  Peanut is doing the thing the first rat example is doing... shoveling her babyfood around with her face when trying to eat it.  She made a huge mess last night while trying to eat her medicated babyfood.

Here's the link to see the video of that rat: http://ratguide.com/health/figures/pituitary_tumor_figure_1.php

I am probably going to try to get a video of Peanut after I get home from lab this afternoon.
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« Reply #20 on: February 14, 2008, 12:33:13 PM »

Awe, I am so sorry ratlets. ((hugs))
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« Reply #21 on: February 14, 2008, 01:14:44 PM »

I'm so sorry about Peanut. Sad I forget the name of the medication that lilspaz used on her girl with PT - dex? Maybe you can switch to that and hopefully there will be a difference? *hugs*
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« Reply #22 on: February 14, 2008, 04:40:24 PM »

dexamethasone is the drug lilspaz normally uses.  I think it is a form of pred, not sure exactly
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« Reply #23 on: February 14, 2008, 06:10:23 PM »

Hey Ratlets,

Aww I am sorry to hear about Peanut.  That was my Maya who was in that sad video.  I wonder if I cried in that particular one?

It definitely sounds like PT/neuro involvement. Sad

Your gal is on pred right now?  I use dexamethasone which is a similar steroid but longer duration, and faster acting.  But pred will do the trick too. 

It sounds like she is advancing quickly. ((hugs))
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