ACTH Stim Test Questionnaire "*" indicates required fields Owner Name* First Last Patient's Name*What size trilostane ( Vetoryl ) capsule(s) does your dog receive? 5 10 30 60 120 How many times per day?OnceTwiceWhat time did your dog get the capsule this morning?What time is it now?Was the trilostane given with food this morning?YesNoI don't knowWhen your dog was diagnosed with Cushing's, how much was he/she drinking compared to 1 year prior to diagnosis?LessAbout the sameA little moreA lot moreNot sureHow much is your dog drinking now, compared to when he/she first started taking Vetoryl/trilostane?MoreAbout the sameA little lessA lot lessNot sureHow much is your dog urinating now, compared to when he/she first started taking Vetoryl/trilostane?MoreAbout the sameA little lessA lot lessNot sureHas your dog had any urinary accidents/leakage within the past month?NoYes, but less than beforeYes, same as beforeYes, more than beforeNot sureHow active is your dog compared to when he/she started taking Vetoryl/trilostane?Less activeAbout the sameA little more activeBack to normalNot sureRate your dog's appetite change since the beginning of treatment.IncreasedAbout the sameA little lessA lot lessNot sureRate your dog's panting since the beginning of treatment.IncreasedAbout the sameA little lessA lot lessNot sureHow does your dog's haircoat look?Thinner/More bald spotsAbout the sameGetting more hairNormalNot sureOverall, how do you think your dog is doing in terms of the clinical signs of Cushing's?WorseAbout the sameA little betterNormalNot sureHas your dog had any vomiting/diarrhea/trembling/other signs of illness since your last visit? If yes, please provide details including what clinical signs were present, when it happened, how long it lasted and if you gave any medications.CommentsCAPTCHAPhoneThis field is for validation purposes and should be left unchanged. Δ
