Online course: the challenges of canine hyperadrenocorticism

The challenges of canine hyperadrenocorticism: diagnosis, treatment and monitoring of treatment.

Even though hyperadrenocorticism (HAC) is the most common endocrine disease in dogs, the diagnosis can be challenging as there is no test that it is 100% reliable. Furthermore, there are many different treatment options for HAC, with each treatment having it’s own advantages and disadvantages. The most popular treatment used by general practitioners is medical treatment with Trilostane. As up to 25% of dogs that are treated with Trilostane develop clinical signs of hypocortisolism in the first 2 years of treatment, close monitoring is very important.

The ACTH stimulation test has been recommended as the monitoring test of choice for dogs receiving Trilostane, but the test has never been validated for this purpose. Furthermore, synthetic ACTH can be expensive in some countries or has limited availability. Because of this, alternative methods of monitoring dogs receiving Trilostane have been investigated in the last years.

This course will help you to decide:

1) which test to choose for the diagnosis of HAC

2) how to differentiate between pituitary and adrenal dependent HAC (or can it be both?)

3) which treatment to advise to the owner

4) which monitoring test to choose for treatment with Trilostane

Furthermore, an interesting clinical case will be discussed.


The total course duration is minimal 3.5 hours and consists of different chapters. Each chapter contains a short video of a previously recorded lecture. Furthermore, you are stimulated to take practice tests and to work up the clinical case yourself before the answer is revealed in the case discussion. You also get interesting reading material and can print off your handouts. With questions for the teacher you can go to the online forum.

You will have access to all the video’s during a period of 6 weeks. After registration, you will have immediate access to the training and you can complete it at your own pace.


For Dutch speaking veterinarians: Wil je deze cursus heel graag volgen, maar schrikt het je af om het in het Engels te doen? Laat het ons weten! Indien minstens 15 personen deze cursus graag in het Nederlands willen volgen, dan zullen we hem ook in het Nederlands aanbieden!



Target group: Small animal veterinarians who work at an IVC Evidensia clinic or an external clinic

Level: Advanced

Date: Not applicable, this course is recorded and immediately available.

Course date:

  • Online course; immediately available and to be completed at your own pace.
  • Recorded lectures, practice quizzes, interesting literature, a clinical case and handouts.

Price: € 85.00 + VAT, after registration you have immediate access to the course.
It is not allowed to share your personal login with other veterinarians. If you work in a practice with multiple vets please see our group discounts.

Discount: 10% discount for IVC Evidensia-employees. Log in with your Evidensia-mailadres and find the discount code on Evi, the Dutch intranet under Support > Academy > Webinars > Webinar interne geneeskunde (Geert Paes).

Special group discount for multiple veterinarians from the same practice/clinic that wish to follow the same course:

  • 2 veterinarians from the same practice/clinic: 10% discount each
  • 3 veterinarians from the same practice/clinic : 20% discount each
  • 4 or more veterinarians from the same practice/clinic: 30% discount each

Special discount for interns: 30%

Please contact us at for the discount codes for groups or interns.

This course is recorded and immediately available.


excl. BTW (inclusief digitale hand-out)