CEN

CEN

Canine Epilepsy Network
 
It is currently Thu Nov 23, 2017 5:33 am

All times are UTC - 6 hours




Post new topic Reply to topic  [ 23 posts ]  Go to page Previous  1, 2
Author Message
 Post subject: Re: Add Zonisamide or increase Keppra dose?
PostPosted: Tue Mar 07, 2017 1:50 pm 
Offline

Joined: Thu Mar 04, 2010 10:52 am
Posts: 912
Have you tried Rxcut.com or Goodrx.com? We really got lucky. We have a small family run pharmacy that I've gotten it from for the last few years and they have their own discount program. If you can, see if there are any in your area. They're competing with the larger chains so they're doing what they can to stay competitive. Also, sometimes if you buy more it brings the cost down. I get 300 (500mg) tablets for about $120.00 They last about 2 months. The price just went up $20.00.
Some people get theirs from Canadian pharmacies but I don't know very much about them.
I hope this helps.

Lynne


Top
 Profile  
Reply with quote  
 Post subject: Re: Add Zonisamide or increase Keppra dose?
PostPosted: Tue Mar 14, 2017 12:06 am 
Offline

Joined: Sun Mar 13, 2016 11:46 pm
Posts: 59
Oh my, you and Archer have been through a lot. I am sorry to hear of Archer having troubles. I hope he gets back on track and starts feeling better soon.

CVS and Walgreens both take GoodRx coupons, but prices do vary depending where you are. A 90 day supply of generic Keppra where I am at CVS is over $300 WITH goodrx and $181 at Walgreens with goodrx and the pharmacies are within 5 miles of each other, some right next door on the next block.

Perhaps, try this: Google "pet prescription discount cards" for other options, and you could ask CVS or Walgreens if they take cards like this one:

http://iheartdogs.com/pet-rx-discount-cards/

I use CVS too and if I ask them to see if they can find it cheaper using other discount pet cards, they plug in some without me even having a card.

Did you try Diamondback Drugs?
DiamondbackDrugs- your vet can call them with a script, then DD calls you for payment. I usually receive orders within 3 days paying the $8 shipping, and I am on the east coast. They ship from west USA, I think Nevada. They will also give quote to either you or vet. However, I do not know what pharmaceuticals they have for the generic brand.
http://www.diamondbackdrugs.com/

Allivet.com?

Allivet.com has the generic - Levetiracetam - in 250mg up to 1000mg for $.23-$.64 per pill (depending on type: they list oral solution, then regular tablet, then the XR which is the extended release form) and some mg's cost less if you have to get 100 or more. Your vet can call in the prescription for you. I just don't know what pharmaceutical they have, but I am sure if you call them, they will have an answer. Here is this prices for it and it's free shipping for order over $49:
http://www.allivet.com/search.aspx?Sear ... etiracetam

I have used both Diamondback and Allivet for my Buttercup.

I hope Archer is better soon. Be sure to take care of you too. :)

-Light


Top
 Profile  
Reply with quote  
 Post subject: Re: Add Zonisamide or increase Keppra dose?
PostPosted: Wed Mar 15, 2017 7:59 am 
Offline

Joined: Mon Jun 29, 2015 1:26 pm
Posts: 23
Do you have a Costco in your city? That's where I get most of Baxter's drugs. Only the Potassium Bromide needs to go to a compounding pharmacy.


Top
 Profile  
Reply with quote  
 Post subject: Re: Add Zonisamide or increase Keppra dose?
PostPosted: Thu Mar 30, 2017 2:15 pm 
Offline

Joined: Fri Jul 08, 2016 4:49 pm
Posts: 14
Location: Des Moines, IA
I think we do have a Costco here, but I'm not a member. I'll have to look into it. I'm sure I know someone that has a membership :)

I did end up talking to my vet, who went through a different distributor and was actually able to get Lupin generic keppra. It was

The latest was a 9 minute seizure Saturday night, so he spent the night at the ER vet and was started on potassium bromide. That puts him at three meds (potassium bromide, keppra, zonisamide) plus three supplements (GABA, taurine, cholodin). I hope this is the right direction to take. When he started zonisamide in August, it gave us 7 months seizure free. Now that we've started on the PBr, I'm wondering if increasing the zonisamide would have been a better option? Hard to say... just hate the unpredictability of this disease... we are planning a vacation in July and I'm already worried sick about leaving him with my parents, because I don't know how they'd react to him seizing and there's no way to predict if he'll have one or not. But, selfishly, I want to go on vacation!

I keep trying to remind myself that each and every one of those 7 months and 4 days seizure free was a blessing. I just worry that we'll never get back to that. He had 5 seizures in 6 hours on March 6, and then a 9 minute seizure March 25 (and probably a seizure during the day- I wasn't home, but found a large wet spot in his kennel consistent with a bunch of drool). And I just keep hearing that the more they seize, the more likely they are to seize again. Sigh......

_________________
Archer, Lab/Akita mix

First seizure: July 6, 2015
Last seizure: March 25, 2017

Current meds:
Potassium Bromide 1000mg 1x/day (started 3/28/17)
Keppra 1000mg 3x/day
Zonisamide 150mg 2x/day
Cholodin 1 tablet 2x/day
GABA 500mg 2x/day
Taurine 500mg 2x/day


Top
 Profile  
Reply with quote  
 Post subject: Re: Add Zonisamide or increase Keppra dose?
PostPosted: Mon Jul 10, 2017 8:40 pm 
Offline

Joined: Sat Sep 05, 2015 8:42 am
Posts: 3
Our dog, Nubb, 30# terrier mix, was doing pretty well on 625 mg leviteracitam 3 X day -which we've been getting in 250 mg tabs at Walmart with good rx coupon. 2 and 1/2 tabs per dose. He also is on 64.x mg Pb 4 x day. He had one seizure free stretch that was 60 days. Boy were we happy! We thought, heck lets get the 500 mg tabs and make life simpler/ save some $ by mixing one 500 mg tab and 1/2 of a 250 blue tab. The yellow 500 mg tabs are by Camber pharmaceuticals (per the image on Good Rx). Well, after 2 days on new regimen, Nubb had a grand mal seizure at 10:00 pm (never had one that early in evening before). Then had another very violent grand mal 2 days later in the middle of the day. We went back to the blue 250 mg tabs only for 2 weeks. No seizures.Ran out of those and started back up with the yellow and blue pill mixture. Last night.. a seizure. I'm suspicious of these new yellow pills. Should I report to the pharmacy? I looked and did not see any recalls on these. 250 of the yellow pills cost us 90 bucks with the coupon so we can't really afford to just throw them out. I have a feeling were not going to get any kind of resolution from Walmart or Camber though. We're going to try them out a few days more and see how it goes. The comments here in this thread about fillers and such is worrisome.

Grand mal seizures are treated (by us) with rectal liquid diazepam and an extra PB and 250 mg Keppra. Then I boost his Keppra by 125 mg for a night or 2. Its a good rescue regimen, but each dose of the diazepam costs us ~$20. Is that an expected price? We buy it from the vet in a vial and whatever the vial costs, I've priced it out that it is $20.00 per 3 ml dose.

We're also getting very sad that we will never be able to take a dog free vacation. Who is gonna want to take care of a dog who sometimes becomes a tasmanian devil besides us?

Comments, suggestions welcome.


Top
 Profile  
Reply with quote  
 Post subject: Re: Add Zonisamide or increase Keppra dose?
PostPosted: Mon Jul 10, 2017 8:40 pm 
Offline

Joined: Sat Sep 05, 2015 8:42 am
Posts: 3
Our dog, Nubb, 30# terrier mix, was doing pretty well on 625 mg leviteracitam 3 X day -which we've been getting in 250 mg tabs at Walmart with good rx coupon. 2 and 1/2 tabs per dose. He also is on 64.x mg Pb 4 x day. He had one seizure free stretch that was 60 days. Boy were we happy! We thought, heck lets get the 500 mg tabs and make life simpler/ save some $ by mixing one 500 mg tab and 1/2 of a 250 blue tab. The yellow 500 mg tabs are by Camber pharmaceuticals (per the image on Good Rx). Well, after 2 days on new regimen, Nubb had a grand mal seizure at 10:00 pm (never had one that early in evening before). Then had another very violent grand mal 2 days later in the middle of the day. We went back to the blue 250 mg tabs only for 2 weeks. No seizures.Ran out of those and started back up with the yellow and blue pill mixture. Last night.. a seizure. I'm suspicious of these new yellow pills. Should I report to the pharmacy? I looked and did not see any recalls on these. 250 of the yellow pills cost us 90 bucks with the coupon so we can't really afford to just throw them out. I have a feeling were not going to get any kind of resolution from Walmart or Camber though. We're going to try them out a few days more and see how it goes. The comments here in this thread about fillers and such is worrisome.

Grand mal seizures are treated (by us) with rectal liquid diazepam and an extra PB and 250 mg Keppra. Then I boost his Keppra by 125 mg for a night or 2. Its a good rescue regimen, but each dose of the diazepam costs us ~$20. Is that an expected price? We buy it from the vet in a vial and whatever the vial costs, I've priced it out that it is $20.00 per 3 ml dose.

We're also getting very sad that we will never be able to take a dog free vacation. Who is gonna want to take care of a dog who sometimes becomes a tasmanian devil besides us?

Comments, suggestions welcome.


Top
 Profile  
Reply with quote  
 Post subject: Re: Add Zonisamide or increase Keppra dose?
PostPosted: Thu Sep 28, 2017 2:32 pm 
Offline

Joined: Sun Sep 18, 2016 12:55 pm
Posts: 1
Hi all...new to this forum...Mylo my 2 yo Cavalier, was diagnosed with IE at the age of 1 in August of 2016. He had had 3 unexplained times when we came home to find him in his kennel with his tummy wet and his bed damp. This was unusual, as he had never had an accident in his kennel before. These incidents happened in June of 2016, and nothing else was noted...until August 28, when he had a grand mal seizure in his kennel at night when he also wet himself. Seizure lasted less than a minute. Took him to vet immediately and was referred to neurologist, who diagnosed it as idiopathic epilepsy and put him on pheno at a low dose. Had no more seizures until April of 2017, when he had 3 between April and July...so pheno was increased. On September 4, and again on September 25, he had grand mal seizures with a lot of intense vocalizing. Took him longer to come out of those last 2. Vet consulted neurologist, who has now added Zonisamide twice a day. Vet was going to put him on Zonisamide alone, but neurologist said to keep him on both. When I asked why they didn't just increase the pheno, vet said she was afraid it would begin to cause side effects. Haven't picked up the prescription yet, and am very nervous about adding a fairly new med, not to mention it is more pricey than pheno...Excellent breeder claims there is no genetic evidence in any of her bloodlines, and he doesn't have evidence of SM or EFS, and heart is perfect. Any other Cavalier owners out there whose pup has IE and is on pheno and Zonisamide? Is it working? Are there side effects from the Zonisamide I will notice?


Top
 Profile  
Reply with quote  
 Post subject: Re: Add Zonisamide or increase Keppra dose?
PostPosted: Wed Nov 01, 2017 2:16 am 
Offline

Joined: Sun Mar 13, 2016 11:46 pm
Posts: 59
This is for MooBear:

My dog was on both zonisamide and phenobarbital and did well on it. She went 4 months seizure free after we added zonisamide, her longest time without any seizure activity and those months were like nothing was wrong with her. It was an amazing time. The side effects were easy to see, for the most part, increased hunger and sedation that I recall. Those side effects were minimal and totally went away after she was used to the medicine (a couple months). My dog was on zonisamide from mid disease to the end of her life. It was one medicine we never had to increase, and never took her off of because it was effective for her.

We got our zonisamide at wallmart without a coupon or discount for under 19 dollars a month (100mg pills, 60 count) Try goodrx for a coupon. They have really good coupons. If you are having trouble finding the best price, as your vet or dog's neuro to help you price the medication. My dogs doctors were more than happy to help.

My dog had a rare encephalitis, Necrotizing meningoencephalitis, or otherwise known as Pug dog encephalitis, an incurable and terminal disease- she passed away this July and endured the disease 17.5 months. It helped her, I feel live longer (most die from PDE/NME within weeks to months) and so what I am saying is, if it helped her with her awful disease, it may be helpful to your dog. When we put her on it, the doctor told us it is said to work well with dogs with idiopathic epilepsy, and side effects were minimal, and usually a well tolerated drug and works well with phenobarbital. They told me it was metabolized by the liver but didn't require no blood test for levels. My dog was on 100mg 2x a day and we never increased that once. I was really impressed it worked well with my dog's condition, and thankful. Let us know how your dog is doing.


Top
 Profile  
Reply with quote  
Display posts from previous:  Sort by  
Post new topic Reply to topic  [ 23 posts ]  Go to page Previous  1, 2

All times are UTC - 6 hours


Who is online

Users browsing this forum: No registered users and 2 guests


You cannot post new topics in this forum
You cannot reply to topics in this forum
You cannot edit your posts in this forum
You cannot delete your posts in this forum

Search for:
Jump to:  
Powered by phpBB © 2000, 2002, 2005, 2007 phpBB Group
Template made by TBF Photoshop Forum