5mg a day was too much and he was having bad side effects, extreme lethargy, he stopped eating,and drinking and his diarrhea actually got worse. Half a pill ever other day was not enough his stool was normal the first day then back to diarrhea the second. Half a pill mg a day seems to be the formula that works for him. He tolerates it well,and his stool remains normal. Mischief is much more active and healthy now,and is actually gaining weight. I am very pleased. Like I said I think it saved his life. Also the drug is very inexpensive $10 bucks a month
Diagnosing Cushing’s syndrome can be difficult. Routine laboratory tests including a complete blood cell count, biochemistry panel and urinalysis are important to rule out other disease such as diabetes, which may cause similar clinical signs. A series of specialized confirmatory tests are then warranted to measure the response of the adrenal gland to the administration of hormones (ACTH stimulation test, low or high dose dexamethasone suppression test). These are blood tests but they take several hours (sometimes all day) and are necessary to make a diagnosis. In some dogs, results of these confirmatory tests are ambiguous and require abdominal ultrasound, or further imaging (MRI or CT scan) to identify whether a tumor can be seen directly in the adrenal glands or in the pituitary gland (brain).
In some cases there may be a short delay in the transmission of this information to the brain. For example, when a person rides on a merry-go-round or spins quickly around in circles, the fluid in the canals develop momentum and though the body stops spinning, the fluid in the semicircular canals may continue to move. This causes vertigo, or a sensation of spinning, and may cause the person to fall or stumble. It also may be associated with vomiting. While kids try to provoke these are symptoms in play, they can be debilitating for an adult.