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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Vet
Satisfied Customers: 32745
Experience:  University of California at Davis graduate veterinarian with 45 years of experience.
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I have a dog that has abdominal ascites, he is taking

Customer Question

I have a dog that has abdominal ascites, he is taking spironolactone but it is proving ineffective. I think he would do better with some furosemide, would you be able to write me a prescription?
Submitted: 1 year ago.
Category: Vet
Customer: replied 1 year ago.
Expert:  Dr. Michael Salkin replied 1 year ago.
I'm sorry that your question wasn't answered in a timely manner and I regret to have to tell you that we're not allowed to prescribe through this venue. Our legislative bodies don't consider this conversation to be a proper pet-vet-client relationship. Spironolactone may be used in patients with congestive heart failure who don't adequately respond to furosemide and ACE inhibitors (enalapril, e.g.), who develop hypokalemia (low serum potassium level), and are unwilling or unable to supplement with exogenous potassium sources. Spironolactone may also be effective in treating ascites due to a poorly functioning liver unable to produce enough albumin. I agree that furosemide should be prescribed either alone or in conjunction with spironolactone. Please ask Alfie's vet to do so particularly in light of his poor response to spironolactone alone.