Group 1: Dogs not on prednisone before RT (5 fractions or fewer); n = 7 dogs. |
Prednisone (approximately 0.5 mg/kg PO) before each day's RT |
No prednisone |
|
No prednisone |
Group 2: Dogs not on prednisone before RT (6 fractions or greater); n = 0 dogs |
Prednisone (approximately 0.5 mg/kg) before each day's RT |
Decrease dose by 50% (ie, give approximately 0.25 mg/kg/d) for 1 week |
If neurologically stable or improved, give prednisone (approximately 0.25 mg/kg) q48h for 3 doses, then stop |
|
Group 3: Dogs on prednisone for ≤1 month before starting RT; n = 9 dogs |
Continue prednisone during RT (by end of RT, try to be at approximately 0.5 mg/kg/d) |
Decrease prednisone dose by 50% (to approximately 0.25 mg/kg/d) |
If neurologically stable/improved, give prednisone (approximately 0.25 mg/kg) q48h for 3 doses, then stop |
|
Group 4: Dogs on prednisone for >1 month before starting RT; n = 3 dogs |
Continue prednisone during RT (by end of RT, try to be at approximately 0.5 mg/kg/d) |
Decrease prednisone dose by 50% (to approximately 0.25 mg/kg/d) |
Decrease prednisone dose by another 50% (approximately 0.125 mg/kg/d) |
If neurologically stable/improved, give prednisone (approximately 0.125 mg/kg) q48h for 3 doses, then stop |