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Old 05-11-2009, 02:58 PM
gpgscott's Avatar
gpgscott gpgscott is offline
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Default Re: What's better lysodren or trilostane

The full adrenal panel requires a stim.

This is also refered to as ACTH, or 'stim'

The reason for this is that you are testing the resting state of hormones and also how the pituitary is controlling those hormones. The stim is an injection of a synthetic hormone that the pituitary releases to control the production of hormones.

So you take a sample of blood, label it, then inject the stim agent (usually cortrosyn), wait an hour and take another draw. The results will be notated as pre, and post stim.

I thnk your Dr. is taking a measured approach by telling you she is unfamiliar with some of these tests but also urging you to see a specialist.

Hoping you find this useful.

Old 05-11-2009, 03:40 PM
stardeb55 stardeb55 is offline
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Default Re: What's better lysodren or trilostane

The following link will give the information about the full adrenal panel. You want to look at the one that is $135. Your vet can ship directly to UTK which is what you want. Do not let them ship samples to the lab they use for routine testing as all that lab will do is forward them to UTK, & add on their charges for sample handling. Also, by going to the local lab, you are running a greater risk that something can happen to the samples during transport.


The drops are still an anti-fungal & the same applies as to what I said previously, you DO NOT want to do any further diagnostic testing in the presence of an active infection. It will not do Pep any harm to wait until his ear infection has cleared up.

Thanks for posting the units for the low dose. In the States,we are most familiar with seeing this report in units of ug/dl, so I have made the conversion (divide by 27.59), which gives you the following results:

Baseline: 9.1
4 hour: 2.5
8 hour: 5.3

This numbers do appear to be consistent with Cushing's, but you can't determine what type. I still believe that the full adrenal panel would be in Pep's best interest, & with your vet's admitted lack of experience, a referral to an IMS would definitely be a good thing.

Old 05-11-2009, 03:51 PM
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Wylie's Mom Wylie's Mom is offline
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Default Re: What's better lysodren or trilostane

Hi Teresa,

Doing the UTK panel is a great decision! I wish I had done it sooner.

In addition to what Debbie has posted, please be aware that the prices listed are only the costs that UT would charge your vet, additional charges would include your vet drawing the blood, injection, prep & shipment – for example, my vet would have charged me about $300+ total (not just $135) for the “Adrenal Panel – ACTH Stim”.

Your vet will have to follow specific instructions to collect & prepare sample. Here are the instructions for your vet (there is a phone number listed if they have questions):

This is the submission form (for your vet):


Last edited by Wylie's Mom; 05-11-2009 at 03:55 PM. Reason: fix link - UTK keeps fiddling with their site!!!
Old 05-12-2009, 04:52 AM
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PepsMom PepsMom is offline
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Default Re: What's better lysodren or trilostane

Thank you Scott, Debbie and Susy. I will wait until Peppie's ear infection is cleared up and then contact the specialist to have the full adrenal panel run. Thank you for the clarification. My Vet made it seem like it is the same test that they do. I hope the specialist will do as I ask and send it to UTK. Debbie, I live in Michigan and those test results I listed came from Michigan State. I wonder why they are different? Also, thanks for the conversion numbers. It will help when I do more research.

Thank you all again, so very much. I never knew this would be such an up hill battle. I guess I thought I would be be given more concrete direction from the Vets. If it wasn't for your help I don't know what I would have done.

Teresa and her beloved Pep.
Old 05-12-2009, 05:15 AM
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Harley PoMMom Harley PoMMom is offline
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Location: York, PA.
Posts: 66
Default Re: What's better lysodren or trilostane

Hi Teresa and her beloved Pep,

from Teresa: I guess I thought I would be be given more concrete direction from the Vets.
I, first, took all the paperwork into my vet and asked them point-blank if they thought they were capable of performing this test for UTK, with out any errors, and they told me yes.

When my vet. did the prep work for the full adrenal panel on Harley, it was their FIRST time to do such a test(they actually do the drawing, spinning, freezing), I copied all the info. the forum told me that I needed to have and gave it to my vet.

They (vet/forum) did a wonderful job and I got Harley's results back within 2 weeks. It usually takes 10-14 days to get your results back from the UTK.

I just wanted to share that with you, even tho my vet wasn't experienced in doing this test, she made extra sure she did this test right. Hopefull this makes you feel better, alittle?

Last edited by Harley PoMMom; 05-12-2009 at 08:05 AM.
Old 05-12-2009, 07:25 AM
stardeb55 stardeb55 is offline
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Posts: 62
Default Re: What's better lysodren or trilostane

Teresa, there are a few labs who do report in different units in the US compared to the most common units used, that's why we always ask for the reporting units for any labwork that you post. To give you an example, the UTK panel results wil be in ng/ml, so to take those results to ug/dl, you will have to divide by 10.


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