dragondawg,

I am so very sorry for your great loss.

Killian is a 10 year old GSD presenting with liver disease for three years now. His liver is not in good enough shape to add more drugs. The last test (and we will not test again) told us that his liver is getting progressively worse (we know that).

Pred is keeping the pv just at bay at an every other day dosage.

We don't use an acid blocker. At the dosage he takes, we have no evidence of ulceration. At higher doses, he gets bloody stools, but we don't go that high anymore.

At this point, we are not doing anything but cutting back (a very little) on the pred. If more symptoms of Cushings show up, we will have to rethink the protocol. The problem is the condition of his liver, that limits us on what to use.

Thanks for all the info. I will pass it on to his vet.