Can Apocaps treat my dog's insulinoma if surgery isn't possible?

There are basically two type of treatments, generally speaking, which are often complementary. Medical therapy involves stabilizing blood glucose through diet and drugs and surgery is on other hand essential to definitively diagnose, stage, and treat dogs with insulinoma.

Hello and welcome to Petco Pet Education Center, formerly Petcoach. I'm sorry that Bella has this cancer, but glad that she is still eating and happy. Depending on the type of cancer, steroid may or may not help, I would discuss with your vet about a steroid vs. an NSAID. The two cannot be given at the same time so you will have to pick one or the other. Gabapentin is good for pain as well, so continue this and ask your vet if you can increase this dose. CBD oil is controversial for sure, but the biggest issue is that the amount of drug in each 'pill'/'capsule' is highly variable, so sometimes there will be no drug and sometimes far too much. If Bella isn't responding well to it, then I would suggest stopping it. Ulcerated skin will be painful, but gauge her quality of life based on if she is eating, walking, wagging her tail, happy otherwise, you know her best. Best of luck with Bella, I hope she feels happy for a long time!

Hello. Without the bloodwork, I can not address her overall condition to say whether surgery is appropriate or not. I would highly recommend that x-rays of her lungs be done to see if there is any evidence that the mass on her liver has metastasized to her lungs. If this has happened, then I would not put her through surgery. An ultrasound of her abdomen would also be very useful in looking at the liver, gall bladder & kidneys, & would give much more information about what is going on. In the meantime, I would start her on insulin to try & regulate the elevated blood sugar. Talk to your vet to see what the next best steps for Layla are. Thanks for contacting Petco Pet Education Center, formerly Petcoach.

Thanks for using Petco Pet Education Center, formerly Petcoach! While in theory anti-inflammatory medications can help to reduce the blood vessels feeding the tumor, this is only when combined with a chemotherapeutic agent such as cyclophosphamide given in a metronomic fashion. However, we have not found this to result in a better outcome in patients with metastasis (spread of the tumor). While those herbs are unlikely to be harmful, they unlikely to help. You can always however try the herbs and focus on her quality of life at this time. I would encourage you to seek a consultation with a veterinary oncologist that can review the case in detail and make recommendations. Good luck!

Thanks for using Petco Pet Education Center, formerly Petcoach! That is certainly possible and recommended. Age is not necessarily a contraindication to surgery if they are being careful with the anesthesia. Keep in mind that most dogs that develop mammary tumors are older and have surgery and do fine. Best of luck!

Hello and thank you for contacting Petco Pet Education Center, formerly Petcoach. Apoquel is a mediation that reduces skin inflammation and excessive skin itchiness. It is considered as a very safe medication with few side effects. Apoquel does not have any effect on dog's appetite. If Rocco's appetite is down, he should be checked for fever, infection, abdominal pain, liver and kidney diseases. Please, get in touch with your local vets to clarify what is Rocco's main problem and to make diagnostic and treatment plan for him.

Hi, thanks for using Petco Pet Education Center, formerly Petcoach! Poor Roxy! It is possible she is having a flare up of pancreatitis, but she is 9 years old so we need to be mindful of other things as well. She could be painful in her neck or back or have a different metabolic condition (liver, kidney problem or diabetes). I think starting the omerprazole as prescribed by your Vet is fine. For my patients with pancreatitis I do a low fat diet for life. If she is not eating and still acting abnormal when your Vet opens I would have her seen. Pancreatitis makes them nauseous and is painful. I treat with pain medications, antibiotics and antinausea medications. The omeprazole is just an antacid and will not help much for the nausea and pain. I hope this helps and I wish Roxy a speedy recovery!