Diagnostic & Surgical Arthroscopy allows for direct visualization of the joint's interior. In many cases, abnormalities not readily visible radiographically (upon x-ray) or ultrasonographically will be apparent through an arthroscope. Once isolated, certain lesions (such as meniscal tears, bone chips or subchondral cysts) can be debrided under arthroscopic guidance. "Cleaning up" the joint in this fashion may help to reestablish the horse's soundness. Diagnostic/ surgical arthroscopy requires general anesthesia, however, and therefore must be performed within a hospital environment. Cost for the procedure varies depending on the type and location of lesion(s).
5mg a day was too much and he was having bad side effects, extreme lethargy, he stopped eating,and drinking and his diarrhea actually got worse. Half a pill ever other day was not enough his stool was normal the first day then back to diarrhea the second. Half a pill mg a day seems to be the formula that works for him. He tolerates it well,and his stool remains normal. Mischief is much more active and healthy now,and is actually gaining weight. I am very pleased. Like I said I think it saved his life. Also the drug is very inexpensive $10 bucks a month
After approximately 10-14 days at this dose, re-examine the dog and conduct a 4-6 hour post-dosing ACTH stimulation test and serum biochemical tests (with particular attention to electrolytes, and renal and hepatic function). If physical examination is acceptable, take action according to Table 1.
Owners should be instructed to stop therapy and contact their veterinarian immediately in the event of adverse reactions such as vomiting, diarrhea, lethargy, poor/reduced appetite, weakness, collapse or any other unusual developments. If these clinical signs are observed, conduct an ACTH stimulation test and serum biochemical tests (with particular attention to electrolytes, and renal and hepatic function