We have been giving our dog both epakitin and azodyl for renal failure. We also gave her a reduced protien diet.
Her appetitie is good but she seems to be losing weight.
I am not worried about the cost of these drugs which in Canada is not cheap but more that there may be something else that would work better.
Botth drugs are made by the same company and just that worries me that giving both of them may just be a marketing scam, sigh.
Any ideas around a better treatment plan?
There are several substitutes for Epakitin. These include: aluminum hydroxide, calcium acetate, Sevelamer hydrochloride (Renagel), and Lanthanum Carbonate (Fosrenol). Since there are many effective choices for phosphate binders the best one for your dog is the one that she does best with, and is affordable. Aluminum hydroxide and Calcium Acetate are fairly inexpensive. Renagel and Fosrenol are more expensive. All should be dosed and prescribed by your vet.
Substitutes for Azodyl: (These are all available over the counter) You will need two or more different supplements as substitutes for Azodyl. The first is a good probiotic supplement containing: E. thermophilus, Lactobacillus acidophilus, and Bifidus longum, and the prebiotic FOS, and the second supplement is: ground psyllium husks. Another addition is ground whole flax seed. The omega 3 fatty acids in the flax seed aid the kidneys (and many other organs in the body) and the lignans in the flax seed are an excellent source of therapeutic fiber (as is psyllium). Please purchase a human product online or in a health food store. Dosing for these is flexible and is approximately a full human dose and frequency as listed on the labels for a dog approximately 50 to 100 pounds.
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