We are just going to try to cut back on the pred. That drug is used for his pemphigus (autoimmune disease). Right now he is at the dosage where if we cut back, it might make his pemphigus worse ( crusty, stuffed nose, outbreak of crust on ears, mouth, body, oozing sores, etc. ), but I am going to at least give it a try. The meds for Cushings might affect his liver disease. He is in such a delicate balance right now, we are afraid to do anything. His pemphigus is slightly acting up still (nose sores and crusty spots). Since his Cushings is drug induced and pred is the offending drug, we are sort of in a little trouble here. Any pred replacement will also affect his liver so we are stuck with it. Everything affects his liver!

The good news is that he still has quality of life, that's for sure!!!