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Author Topic: Ranger is having a relapse of his IC- kb2zct- Oct. 2006  (Read 1289 times)

galensgranny

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Ranger is having a relapse of his IC- kb2zct- Oct. 2006
« on: June 22, 2007, 12:13:50 PM »

[copied from old forum]

kb2zct
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 Posted: Fri 27 October 01:58 pm    Post subject: Ranger is having a relapse of his IC.     

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I caught Ranger urinating in Evan’s cuddle cup bed last night. This is on top of the accident on my bed on Monday evening.

Ranger has started to hide again. Right after the shots, Ranger was out with the rest of the family all the time. Now, more times than not he is hiding somewhere. I take this to be that he is not feeling all that well.

I’m also finding lots of small urine balls in the litter box. Again, that is a sign that his IC is bothering him again. I think I caught him trying to use Missy’s crate as a litter box.

I have a call in to the vet and am waiting for a reply.

Mark
 
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rubygirl1968
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 Posted: Fri 27 October 02:39 pm    Post subject:     

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Poor Ranger 

And poor you! It's got to be frustrating for you. 

Thomas was diagnosed with IC a long time ago but he never went out of the box, just quit going. After many, many, many trips to the vet and numerous blood and urine tests, the vet diagnosed him with IC.

*Knock on wood* He hasn't that problem lately, but the constipation is a constant battle.

I hope the vet can suggest something for you to try that will help Ranger feel better soon!

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Maria
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 Posted: Fri 27 October 05:55 pm    Post subject: Re: Ranger is having a relapse of his IC.     

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kb2zct wrote:
I caught Ranger urinating in Evan’s cuddle cup bed last night. This is on top of the accident on my bed on Monday evening.

Ranger has started to hide again. Right after the shots, Ranger was out with the rest of the family all the time. Now, more times than not he is hiding somewhere. I take this to be that he is not feeling all that well.

I’m also finding lots of small urine balls in the litter box. Again, that is a sign that his IC is bothering him again. I think I caught him trying to use Missy’s crate as a litter box.

I have a call in to the vet and am waiting for a reply.

Mark


Mark,
That's really terrible that poor Ranger isn't feeling well again. It must be painful for him to only be able to urinate just a little at a time. Exhausting, too.

I hope he feels better very soon.

Maria
 
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kb2zct
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 Posted: Fri 27 October 07:13 pm    Post subject:     

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Maria:

The vet office did not call me back. I will have to visit them tomorrow.

Mark
 
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kb2zct
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 Posted: Fri 27 October 07:14 pm    Post subject:     

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Stephanie:

Is Thomas on any type of treatment plan?

Mark
 
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rubygirl1968
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 Posted: Sat 28 October 08:25 am    Post subject:     

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I'm sorry the vet's office didn't call - hopefully today you can get some medicine for him.

No, Thomas isn't on a treatment plan. Luckily his flareups aren't as bad or as frequent as Rangers'.

I do what I can to make sure he gets more liquid in his diet and just cross my fingers alot. Luckily he likes warm water mixed in with the wet, so that helps.

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kb2zct
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 Posted: Sat 28 October 11:44 am    Post subject:     

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I stopped off at the vet's office. I was given another round of metacam to give to Ranger - four injections.

I'l give it to him as soon as I can find him. He is hiding right now.

I wonder if he and ranger are both playing hide and hide!

Mark
 
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kb2zct
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 Posted: Sat 28 October 03:36 pm    Post subject:     

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It is really amazing to see the difference in Ranger an hour after he received the metacam injection.

He is playful, inquisitive, and social. He was up on my lap purring contently. He was trying to help me pet Missy, too. He is taking a nap on my chair rather than napping under a bed or behind a couch.

I did not have the chance to talk to a vet today, so I do not know the frequency Ranger can receive the metacam. I still have to follow up on that.

Mark
 
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rubygirl1968
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 Posted: Sat 28 October 05:13 pm    Post subject:     

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Wow! It sure worked fast. I'm glad he's feeling better.

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Galensgranny
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 Posted: Sat 28 October 05:42 pm    Post subject:     

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kb2zct wrote:
It is really amazing to see the difference in Ranger an hour after he received the metacam injection.

He is playful, inquisitive, and social. He was up on my lap purring contently. He was trying to help me pet Missy, too. He is taking a nap on my chair rather than napping under a bed or behind a couch.

I did not have the chance to talk to a vet today, so I do not know the frequency Ranger can receive the metacam. I still have to follow up on that.

Mark


I am so glad that the metacam works, and quickly!

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galensgranny

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Re: Ranger is having a relapse of his IC- kb2zct- Oct. 2006
« Reply #1 on: June 22, 2007, 12:14:21 PM »

animalangel1
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 Posted: Sun 29 October 07:39 am    Post subject:     

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Geez Mark, that Metcam sure works fast!! That's a good thing. I'm glad Ranger is feeling a bit better and socializing. Or, at least, I'm glad he was.... I didn't catch up with this thread until today (it's Sunday) because I couldn't get on the forum... sorry. I hope all is still well. My heart breaks for your animals. It really does.

I wish all animals didn't get sick or have the health problems that we have.... why can't they just be well all the time (and this includes wild animals). So innocent.... I don't know why they have to suffer. It's just not fair.

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Maria
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 Posted: Sun 29 October 03:33 pm    Post subject:     

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kb2zct wrote:
It is really amazing to see the difference in Ranger an hour after he received the metacam injection.

He is playful, inquisitive, and social. He was up on my lap purring contently. He was trying to help me pet Missy, too. He is taking a nap on my chair rather than napping under a bed or behind a couch.

I did not have the chance to talk to a vet today, so I do not know the frequency Ranger can receive the metacam. I still have to follow up on that.

Mark


Wow, Mark. What a quick response.....excellent! I hope he continues to improve.

Maria
 
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kb2zct
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 Posted: Wed 08 November 09:44 am    Post subject:     

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It's going into the 11th day since Ranger was put on another course of Metacam. His last shot was on 10/31 - a full week ago.

So far, things are looking good. No accidents anywhere!

I'm still waiting to hear back from Dr Kate about the additional medicine to give to Evan. It is in come type of pet friendly chew tab. I asked about it yesterday after Missy's appointment.

Mark
 
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Maria
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 Posted: Wed 08 November 10:00 am    Post subject:     

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kb2zct wrote:
It's going into the 11th day since Ranger was put on another course of Metacam. His last shot was on 10/31 - a full week ago.

So far, things are looking good. No accidents anywhere!

I'm still waiting to hear back from Dr Kate about the additional medicine to give to Evan. It is in come type of pet friendly chew tab. I asked about it yesterday after Missy's appointment.

Mark


It sounds like it's working. What a relief for Ranger.....and for you not having to continuously clean up.

You're pretty lucky when it comes to them taking medication. My two have never met a "pet friendly" way of taking medication no matter what form it's in. I tried everything with both of them.

Maria
 
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kb2zct
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 Posted: Wed 08 November 10:50 am    Post subject:     

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Michelle:

Metacam is administered by injections. I always worry that I'll end up be arrested as a drug abuser when I have the empty syringes at home!

I do not know if Ranger will even take the "pet friendly chews". From my experience, the people who write the advertising do not really know what "pet friendly" is!

Mark
 
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animalangel1
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 Posted: Wed 08 November 10:52 am    Post subject:     

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This is good news.... I wonder if Ranger will like a chew med??? I'll bet he'd be happy to get rid of those injections though....

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kb2zct
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 Posted: Fri 10 November 05:40 pm    Post subject:     

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I stopped in at the vet’s office today to deliver newspapers for their kennel operation. I was able to talk to Dr Kate about Ranger and Evan

I have Ranger’s new medicine. It is “Restor A Flex Chew Tabs”. It is” Extra Strength Glucosamine Sulfate & Chrondroitin Sulfate with Manganese”. The normal use for this is to help with joint problems, but I think that the Chrondroitin is what helps with the bladder issue.

We’re going to try using this for six weeks. I have a tablet that I have to split into four (it’s scored) and administer ¼ of a tablet twice a day.

I tried to give this directly to Ranger, but he would not eat it. I mixed it into his wet food and he ate it. Dr Kate said that I could also mix it into his dry food, too.

We’re going to see how this works. The metacam injections seem to be wearing off now – as we had a small accident yesterday. Based on the results so far, the metacam seems to provide relief for about 10-14 days before it wears off.

We also have one other medicine on the horizon to use. Annatriptline (sp). It is an antidepressant drug which has been used with success in people and cats with IC. The biochemists do not understand how this drug interacts with the pain mechanism associated with IC, but it does show improvements. Hopefully, with some combination of these three medicines, we can get Ranger to a happy state.

Mark
 
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Maria
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 Posted: Fri 10 November 06:37 pm    Post subject:     

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Mark,

Is Ranger's problem chronic? IOW, will he have to always be on some kind of medication? Or are you (and the vet) hoping that some of these medications will cure him? Are there any serious side effects to Metacam? I'm sorry if you've already addressed these questions previously, but I can't quite recall.

I'll pray that these 3 combinations work for him.

Maria
 
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kb2zct
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 Posted: Fri 10 November 06:53 pm    Post subject:     

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Hi Maria:

Yes, Ranger's condition is chronic. I can expect him to have flare-ups all of his life. The best we can do is to manage the situation, try to prevent flare-ups, and to minimize the effects of flare-ups.

We discussed Ranger’s significantly improved quality of life immediately following his metacam injections. That is the best confirmation of his IC, other then inserting a camera into his bladder (which is something we do not want to do).

Metacam is often used as a postoperative pain medicine for cats. Metacam is a non-steroidal anti-inflammatory. As with all similar meds, it can be dangerous, even fatal, if incorrectly administered to cats. It is hard on a cat’s liver and it can cause kidney failure, usually in older cats - hence the desire to not use it more than once a month. We’ve been using the injected version, as it is the only approved version for cats; there is a pill version approved for dogs.

So, we’re giving the Restor A a try. It may take a few days / weeks for it to develop its full effectiveness, but, I hope and pray that we can come up with some effective treatment plan using a combination of all three.

Restor A sounds as if it is a daily preventative medicine. Metacam can be used to address flare-ups as the happen, which, I hope, would be less frequent with Restor A on board. I do not know how the annatriptline (sp) fits into the overall treatment plan. As there is no defined treatment, we’re working based on current research on the condition to develop a treatment plan for him.

Mark
 
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Maria
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 Posted: Fri 10 November 07:09 pm    Post subject:     

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Mark,

Thanks for the explanation. Now it's clear in my mind - you explained it very well. Ranger seems to do well when he's on the Metacam. However, I hope working with the other two medications will prevent flare-ups.

Maria
 
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Re: Ranger is having a relapse of his IC- kb2zct- Oct. 2006
« Reply #2 on: June 22, 2007, 12:15:00 PM »

kb2zct
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 Posted: Sun 12 November 10:20 pm    Post subject:     

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It looks as if I will have another struggle to get Ranger to take his new medicine.

I've been crushing the pill into his food, since he will not eat the "pet friendly" chew by itself. He seems to be able to sniff out the medicine in his wet food and skips it.

Now, with this said, everyone in the household seems to be a little off their wet food the past day and a half. I'm sure the cats will get together in a conference and blame the puppy.

Mark
 
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animalangel1
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 Posted: Mon 13 November 12:16 pm    Post subject:     

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Quote:
Now, with this said, everyone in the household seems to be a little off their wet food the past day and a half. I'm sure the cats will get together in a conference and blame the puppy. 


Sounds like a darned good excuse to me!!!!! Sure, blame the new kid! hehehehe

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kb2zct
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 Posted: Tue 14 November 12:31 pm    Post subject:     

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It’s proving to be somewhat difficult to get Ranger to take his new medicine.

I’ve been crushing the medicine and mixing it into his wet food. I give him ¼ of a tab of the medicine twice a day. The whole tab would be too big for me to swallow, so a quarter tab is still too big for him to swallow.

I think there is some type of smell or taste that Ranger does not like. It almost looks as if he is eating around the medicine (although I do try to mix it into the food thoroughly). However, it could simply be the “We do not want to eat wet food now” thing that is going on with the younger cats (Little Bit, Ranger, Dusty and Pippin). Heck, Pippin goes to his plate and the first thing he does is to “burry” it

I can see myself going to the vet again and asking if they could compound this into a liquid for Ranger. I can try to sprinkle the crushed tab over Ranger’s dry food. If he suddenly turns his nose up to the dry food, I know the problem is the medicine.

And, an interesting development….. Sue, the owner of the pet food store, has asked me if I would be interested in being a speaker at some “classes” (meetings, seminars?) that she is interested in putting together on pet feeding, care, dealing with diseases, etc. Apparently, I am an “expert” on several things like CRF, Hyper-T, IC and a few others. I immediately volunteered Margaret for the job! I’m sure she would not mind driving up to Plattsburgh to give an hour-long talk or so.

For what it is worth, I said that I would live to share what I know, but that I am in no way an expert on anything. I just want to understand as much as I can so I can take the best care of my little ones. But, with that being said, being able to share what I have learned will be a help to others who are facing things like this.

Mark
 
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Galensgranny
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 Posted: Wed 15 November 02:41 am    Post subject:     

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Quote:
Sue, the owner of the pet food store, has asked me if I would be interested in being a speaker at some “classes” (meetings, seminars?) that she is interested in putting together on pet feeding, care, dealing with diseases, etc. Apparently, I am an “expert” on several things like CRF, Hyper-T, IC and a few others. I immediately volunteered Margaret for the job! I’m sure she would not mind driving up to Plattsburgh to give an hour-long talk or so. 


 Thanks, Mark, but I will have to decline. A 13 or so hour drive one way is a bit too long. Hmmm, unless there are really big bucks going along with the offer. 

That is an honor that you were asked. Are you going to do it? You might confine your talks at first to mainly CRF, Urinary infections and problems, Hyper-T, stressing the signs and symptoms at first, which are subtle until the cat is in bad shape. So many people put things off for a long time, until the cat is in crisis, so you could help educate people on NOT waiting if something doesn't seem right with a cat. And so many people consider a cat urinating out of the litter box a "bad" cat with a behavior problem, so you can certainly set them straight on that erroneous belief. Even some vets tell people that, before the vets bother to do blood work, a urinalyisis and an ultra sound.

Oh, and of course you can mention this forum where people can post to get advice on their particular situation.  Just tell them to go to wvcats.com and click on the link to "forum".

Then for the future talks, you can ask for input on this forum for anything you are unsure of.

Hey, if you want to do a short write up on IC, I can put it on my website on my Diseases Cats can Get Page. I have a lot lacking on that page as I am still building it. You can still do that write up on Cardiomyopathy you mentioned doing a long time ago also. These are not to be overly long, full detailed articles. Mostly the signs, symptoms with some details, and then links to quality articles with the full long details.

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kb2zct
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 Posted: Wed 15 November 08:06 am    Post subject:     

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Margaret:

I will be quite honored to write up some info on all the various diseases my kitties have had, as well as info on introductions of a puppy to cats.

Yes, I said I would help Sue. Anything that can be shared with other guardians is good. If it will help us to have healthier kitties, it is a good thing. All I will do is to share my experiences - but that will help.

Mark
 
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kb2zct
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 Posted: Thu 16 November 07:50 am    Post subject:     

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Good news - Ranger is eating his Restor A!

The last three or so meals, Ranger has finished up the plate of his food into which I had mixed his medicine. That is good news, as I though I might have to ask the pharmacy to make up a compound for me.

And, even more good news, when I alerted the pharmacy to the potential need to do this, they told me that they could handle it for me.

Mark
 
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Galensgranny
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 Posted: Thu 16 November 08:25 am    Post subject:     

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kb2zct wrote:
Good news - Ranger is eating his Restor A!

The last three or so meals, Ranger has finished up the plate of his food into which I had mixed his medicine. That is good news, as I though I might have to ask the pharmacy to make up a compound for me.

And, even more good news, when I alerted the pharmacy to the potential need to do this, they told me that they could handle it for me.

Mark


Yay!

So Ranger is a hard to pill cat? I can't remember what you said in the past.

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kb2zct
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 Posted: Thu 16 November 08:38 am    Post subject:     

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Margaret:

I can pill Ranger for "normal" sized pills. We've done quite a bit of that with all the antibiotics he has taken over the past few months.

The Restor A tabs I have to give him are huge. It is a supplement, so humans take it too. The “tab” is so big that I would have to chew it. It is almost the size of a teaspoon and about ¼ inch deep. I have to give ranger ¼ of the tab. The tab is bigger than the opening of his throat! (well, not really, but you get my idea – it is simply too big to “pill”).

So, we’re in the “crush it into his food” mode. At first, he was not doing all that well eating it. Now, he is doing much better.

I may ask the pharmacist if he can make up all the various “potions” in color coded dispensers. Evan gets 1 ml of the potassium binder and ½ ml of the tapazole. I don’t want to mix that up! And, just to make things more complicated, if I ever have to go to a liquid Restor-A formula for Ranger, I want to make sure he is getting his medicine and not Evan’s!!!!!!!!

And, just to mention it, there have been no accidents in the past week!!!!! Ranger’s behavior, that is, not hiding, staying out with the family in the main room, have been better. I don’t know if it due to the “entertainment value” of watching a puppy for a high place, but it is a good sign. I would assume that, if Ranger was feeling bad, having Gracie around would encourage him to hide more, not less.

Mark
 
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kb2zct
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 Posted: Sat 18 November 12:23 pm    Post subject:     

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Well, Mr. Ranger had his first accident of the week yesterday. As usual, I discover the accident when climbing into bed!

But, this has been his only accident this week. I think the new medicine must be helping some.

Dr Kate said it would take several weeks for the new medicine to be fully effective.

Mark
 
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kb2zct
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 Posted: Thu 30 November 07:28 am    Post subject:     

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I thought I would try to catch you guys up on Ranger’s IC.

In the thread on Ranger’s emergency vet visit at the beginning of Thanksgiving week, Dr Kate said that we were going to do weekly shots of metacam for a 4 week period. I gave him the first shot on Tuesday evening.

Again, within an hour or so of the shot, he is much happier. As soon as the shot takes effect, he spends more time downstairs with the rest of the cats.

Tuesday and Wednesday nights he spent some time on my bed – and this is even with 2 other cats in there with me (not to mention the puppy in the crate at the side of the bed, too). When I’m sitting on the couch, he climbs into my lap. I was able to use that time last night to give him a good combing.

When he is feeling well, he will look right into my eyes and communicate messages of peace, contentment, happiness and trust. It simply breaks my heart when the meds wear off and we cannot give him another shot because of the danger to his kidneys and liver.

So, I’m watching him carefully now to see how long the Tuesday evening is effective. He is so happy when after the shots. I do not think the Restor-A is having an effect right now, but Dr Kate said that it would take several weeks for it to work (if it would work at all).

The clinic I use does not have the equipment to visually examine Ranger’s bladder (via a fiber optic camera inserted through……) or to administer the “Pepto” drug. So, if we have to do either of these things, I will have to take the little boy someplace else.

These are the times I wish the clinic was not so darn busy. The have hired a new vet (he was the one who put Missy to sleep). They now have 7 vets working there – and they are still going full speed. There office looks like mine in the middle of tax season! (translation – givin’ da Gov’ment all alda beans I are counted).

Mark
 
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Re: Ranger is having a relapse of his IC- kb2zct- Oct. 2006
« Reply #3 on: June 22, 2007, 12:15:30 PM »

animalangel1
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 Posted: Thu 30 November 09:12 am    Post subject:     

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That must be a pretty good sized practice (and building) then if they have 7 vets on staff now....all the veterinary places I can possibly even think of around here are one-vet practices.

Do you know how far you would have to go to get Ranger the "pepto" shots or to find someone who could examine his bladder? Just wondering.....

I'm glad he's feeling better with the Metcam though it's too bad about the side effects. I hope Dr. Kate or somebody finds something he can have more often that won't hurt him. He's such a good kitty.

I know what you mean about how he looks into your eyes....Peaches and Milo do that to me too. I feel so "priviledged" to see what they are telling me about how they feel..... I imagine you do too with Ranger. It's wonderful, isn't it? (Though I'm sure Rangers messages to you are much more "powerful" given that he is ill and mine are not.)

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Maria
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 Posted: Fri 01 December 04:16 pm    Post subject:     

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Mark,

Thank goodness, Ranger got the meds he needed and is feeling better. It's too bad the office is so busy - that's incredible.

When I went to the other vet, sometimes Jeremy would be there for hours. I had to leave him there. The last time he was there for 6 hours, had a bm all over the back office, and so they said they "gave him a bath." However, he came home smelling like feces, soaking wet and extremely upset. That was at the same time the vet decided not to treat him for the EG anymore. I never went back.

It sounds like those vets are good! In that way you're really lucky.

I hope Ranger continues to improve.

Maria
 
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kb2zct
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 Posted: Sat 02 December 06:46 am    Post subject:     

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Maria:

As busy as the practice is now, I can remember what a nightmare it was for everyone when they only had three vets. Now, with the extra help, I think I get more quality time with the vets when I have to take one of the little ones for an appointment or an emergency.

Now, one or two of the vets only work part time – evenings and Saturdays. A major drug company has a research facility in the little town where I live (the company, with its manufacturing plant, is the county’s biggest employer). The vets work during the days at the research facility and help out a nights and weekends. One of the vets is a specialist on rats – which has help out the local people who have rats as pets.

Several local one-person practices have closed over the past 5-6 years. It is too hard for one person, or even two people to run a practice around here anymore. When you consider that we depend on our vets for emergency care off hours, the one or two persons practices have the principles working 24 hours a day. That is not a lot of fun.

So, it looks as if the trend of vet medicine is coming to the North Country: fewer, but larger practices. I don’t know if I mentioned but the practice still serves farms. Two of the vets basically spend all day going to farms to treat cows and other livestock.

Mark
 
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kb2zct
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 Posted: Sat 02 December 06:49 am    Post subject:     

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Guys:

Just a short note to let you know that Ranger’s new treatment plan seems to be working.

He is spending quite a bit more time downstairs with the rest of the family. That is a good indicator that the pain associated with his IC is down.

Let’s just pray that this plan gets the IC in remission and that the metacam does not cause any liver or kidney problems.

Mark
 
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animalangel1
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 Posted: Sat 02 December 02:24 pm    Post subject:     

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Quote:
Let’s just pray that this plan gets the IC in remission and that the metacam does not cause any liver or kidney problems. 


Ok...You got mine!!!!                                         

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Galensgranny
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 Posted: Sun 03 December 01:48 am    Post subject:     

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kb2zct wrote:
Guys:

Just a short note to let you know that Ranger’s new treatment plan seems to be working.

He is spending quite a bit more time downstairs with the rest of the family. That is a good indicator that the pain associated with his IC is down.

Let’s just pray that this plan gets the IC in remission and that the metacam does not cause any liver or kidney problems.

Mark


I'm glad it seems to be working. I hope it actually IS working and that Ranger will be well soon.

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rubygirl1968
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 Posted: Sun 03 December 11:24 am    Post subject:     

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I do hope that this is working. I'll say a prayer for Ranger. Poor guy

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kb2zct
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 Posted: Mon 04 December 07:29 am    Post subject:     

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When I take Evan in for his blood test tomorrow, I will have good news to give Dr Kate about Ranger! No accidents and, more importantly, his behavior is much better. He is staying down with the rest of the kitties and not hiding upstairs all the time.

So, that is very good news indeed.

I will also ask for a script to get the Restor-A compounded by the local pharmacy. Ranger. Right now, I am crushing the pill and mixing it into Ranger’s food. However, Ranger will eat “around” the crushed pill. If I mix the pill in “too good” Ranger simply will not eat the food at all.

My kitties are certainly putting several future vets and pharmacists though college!

And, I do hope that we can get ahead of the curve with the weekly shots of metacam. If we can get things settled down, the Restor A may be able to maintain things so we do not have to resort to the shots.

Mark
 
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animalangel1
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 Posted: Mon 04 December 11:10 am    Post subject:     

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That is fantastic news Mark! I'm so glad that Ranger is doing so well and I'll bet Dr. Kate will be very happy too.

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Maria
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 Posted: Mon 04 December 02:52 pm    Post subject:     

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Mark,

I'm so glad Ranger is doing better. It sure is a roller coaster ride with him. I wish you could find an easier way to give him his pills. Have you tried those pill poppers or pushers? I did this for a while with Jeremy, but now he actually lets me put the pills into the back of his throat without too much fuss - as long as his treats are waiting for him within smelling distance. I let him smell the treats and then he watches me put the treats down about 2 inches away from his nose. Now he knows not to go after the treats, so he settles in and bites the bullet (errrrr swallows the pill).

I hope Ranger keeps improving.....and remains stable for a while......a long while.

Maria
 
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Re: Ranger is having a relapse of his IC- kb2zct- Oct. 2006
« Reply #4 on: June 22, 2007, 12:15:57 PM »

kb2zct
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 Posted: Mon 04 December 03:07 pm    Post subject:     

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Maria:

The "pill" I have to give Ranger is huge. It is much too big to give to Ranger.

As it is, I have to mix up almost 1/4 teaspoon of ground "pill" to his food. That is hard to do without him noticing it.

If the pharmacy can come up with a better, liquid vehicle, I will be all for it.

Mark
 
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kb2zct
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 Posted: Tue 05 December 09:22 pm    Post subject:     

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Dr Kate is going to contact the pharmacy and get Ranger's Restor-A compounded into a fish flavored liquid.

She was very happy wen I told her that Ranger is doing good.

Mark
 
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kb2zct
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 Posted: Mon 11 December 09:32 pm    Post subject:     

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Ranger continues to improve with the weekly metacam injections.

Tonight, he was using the box with the cat attract litter in it. Of course, I had to check things out - to see if he is able to output a noticeable amount of urine. And, for the first time in forever, he did. It was no way nearly as much as the other cats do, but I could see a little patch of wet litter.

This is a major accomplishment! He is able to hold a little more urine in his bladder, which means that the irritation must be going away!

Mark
 
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animalangel1
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 Posted: Tue 12 December 06:17 pm    Post subject:     

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kb2zct
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 Posted: Wed 13 December 10:59 am    Post subject:     

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Guys:

I was able to talk to Dr. Kate for a few minutes last night while I was getting an extra bag of fluids from the vet (in the event the shipment I ordered from over the internet for Evan is delayed).

We’ve scheduled a blood panel for Ranger for 1/2/07. Dr Kate wants to verify that his liver / kidney functions are still normal after giving the metacam injections.

She has been conducting some research and has a few other options for Ranger, in the event we need it. There is an injectable medicine that we can use – it has a very long sounding name that reminded me of my organic chemistry class in college. Basically, it is the same chemical compound that is missing from the bladders of cats with IC. The injected medicine is “deposited” on the bladder wall.

She also found another drug that can be used. It is an anti-depressant. Again, folks do not know why these work on IC, but it does. She said that the infusion, directly into the bladder, of the “pepto” type medicine would be the last resort, as it is the most invasive of the options we have.

She is still trying to get additional info on the long term use of metacam. I know for now, it is working pretty well, but I am very worried about the side effects.

Mark
 
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Galensgranny
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 Posted: Wed 13 December 11:46 am    Post subject:     

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I am so glad Ranger is doing well!

Quote:
This is a major accomplishment! He is able to hold a little more urine in his bladder, which means that the irritation must be going away! 


That's how I'd interpret that.

It's great that your vet is researching about more that can be done. Some antidepressants wind up also having antihistamine properties, so if the inflammation in the bladder is due to some sort of histamine response, the antidepressant will help. I don't think all antidepressants have that antihistamine property.

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kb2zct
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 Posted: Thu 14 December 09:26 am    Post subject:     

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Just a quick Ranger update…..

I picked up Ranger’s new prescription at the pharmacy last night. Administering it now will be VERY EASY. Ranger absolutely loved it when I put it on his food this morning. The pharmacy takes a mixture of tuna and tuna water, salmon and salmon water, and herring and herring water, and combine it with the medicine. I mean, if I were a cat, I would go crazy over something like that.

Ranger did give me a bit of a scare last night. While I was giving Evan his fluids, Ranger can into the room and used Evan’s litter box. Again, there was a small but noticeable wet patch in the litter. Five minutes later he was using one of the hallway litter boxes (the one with the Cat Attract litter). When I saw that, I was worried that the cramping might have been starting up again. It took a while, but Ranger put out another small but noticeable patch of urine.

Based on this, I would take it that while his condition is improving, he still has some way to go. I hope the liquid glucosimine (sp) and conjointon (sp) will do better than the crushed solid version.

The next major test will be to see how he does after the final metacam shot. His last shot is scheduled for next Tuesday.

Mark
 
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animalangel1
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 Posted: Thu 14 December 09:44 am    Post subject:     

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Poor Ranger.... I am glad that he is finally able to urinate here and there (in the boxes no less!) but I can understand entirely your fear of the side effects of the metcam. I hope Dr. Kate's idea for other ways to treat this will help Ranger with the cramping (which I'm certain cannot be any fun at all) and help him urinate more easily.... without the side effects. That poor kitty....

Your pharmacy did a GREAT JOB fixing up that prescription for Ranger.... I wonder if my pharmasist would be as accomodating (he's not a "people person" kind of guy and is not very friendly....I can't figure out why he picked a profession where he has to deal with people....)

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rubygirl1968
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 Posted: Sat 16 December 01:39 pm    Post subject:     

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I'm glad Ranger likes his new meds and I hope that the New Year brings some long-lasting relief for him!

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kb2zct
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 Posted: Sat 16 December 08:15 pm    Post subject:     

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Based on Ranger’s behavior over the past few days, I think he has finally started to feel better. The change in behavior is very noticeable.

He is spending quite a bit of time in my lap now. That was something he used to do. However, when the IC started up in July, he stopped.

His behavior has sown a very dramatic change, particularly with Pippin. Ranger now will stand up to Pippin, where until a week or two ago, he would not. Right now, they are doing some mutual grooming on my chair (like it is mine anymore!). Ranger actually initiated the grooming by jumping up on the chair even though Pippin was in it.

That is the good news – I read some potentially bad news in the Yahoo Feline-CRF forum yesterday. The forum had a discussion of metacam. Several posters claimed that metacam prescriptions caused the CRF in their cats. Some of the posters claimed that their cats had only received one dosage of metacam before the CRF started.

From what I was able to ascertain, most of the problems happened when metacam was prescribed for arthritis. That would indicate that the cats were already older and possibly prone to CRF, due to the cat’s age. Dosage is also very important, as the difference between a therapeutic dose and a dangerous dose is very small.

Now, I understand why Dr Kate wants to do a full blood panel for Ranger.

I hope that the metacam usage was only temporary and that the other medicine is doing most of the work.

Mark

PS: Ranger and Pippin and now taking a nap together on the chair.

PPS: I just read the most recent post from Yahoo Feline-CRF group. Seems that Ranger's metacam parescription was only about 1/2 of the weekly dosage that is used off lable for arthritic cats. So, it sounds as if Dr Kate was being very careful.
 
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Re: Ranger is having a relapse of his IC- kb2zct- Oct. 2006
« Reply #5 on: June 22, 2007, 12:16:26 PM »

animalangel1
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 Posted: Sun 17 December 10:24 am    Post subject:     

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I hope the other medicines that Ranger is on is what is helping him too and that the Metcam can be stopped. How scary for you......

I'm glad that Ranger and Pipping are getting along so well. You must be quite relieved to see Ranger acting so "normal" again.... great news.

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Galensgranny
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 Posted: Wed 20 December 11:37 pm    Post subject:     

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I am so glad Ranger is doing better. His behavior says a lot.

It's hard to know for sure why a cat developed CRF, but maybe the Metacam was related somehow to some of the cats on the CRF forum. The FVRCP vaccine has also been implicated by some as a cause, since one of those parts is grown in kidney cells and that could then make a cat's body react against his own kidney cells, the theory goes. I do wonder if maybe that was why Galen developed CRF when he was only 6.

Quote:
That would indicate that the cats were already older and possibly prone to CRF, due to the cat’s age.


That would be the case, for some of the cats.

Quote:
I picked up Ranger’s new prescription at the pharmacy last night. Administering it now will be VERY EASY. Ranger absolutely loved it when I put it on his food this morning. 


That is wonderful! It that still the case?

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kb2zct
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 Posted: Thu 21 December 09:56 am    Post subject:     

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Quote:
Quote:
I picked up Ranger’s new prescription at the pharmacy last night. Administering it now will be VERY EASY. Ranger absolutely loved it when I put it on his food this morning.


That is wonderful! It that still the case?


Margaret:

Ranger loves the tripple fish base into which his medicine is mixed. It is almost a treat!

I should see if Dusty likes it. If so, I wonder if I can get her to eat some wet food by mixing the base into the food.

Mark
 
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Maria
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 Posted: Sat 23 December 10:17 pm    Post subject:     

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Mark,

I'm glad Ranger is doing better and that giving him the meds is easier. I'm sorry to hear about the concern with metacam. Just like humans, there are so many side-effects to seemingly very good and helpful medications.

I hope this is not the case with metacam.

I'll pray that Ranger continues to improve.

Maria
 
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valpofan98
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 Posted: Wed 27 December 09:35 am    Post subject:     

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kb2zct wrote:
Based on Ranger’s behavior over the past few days, I think he has finally started to feel better. The change in behavior is very noticeable....He is spending quite a bit of time in my lap now. That was something he used to do. However, when the IC started up in July, he stopped.


Mark,

I am very happy for you and Ranger! When Clay is not feeling well, he becomes antisocial. And, when he starts feeling better, he starts purring again, sleeping next to me and walking up on my chest in the morning. I know how wonderful it is to see our cats back out in the world after not doing well for awhile. So, congrats and hope you have a healthy new year! =)

With the medications, I have learned through my own health problems and the health problems of my cats that there is always a benefit and a drawback to every medication. For me and my cats, the drawbacks are worth getting the condition under control.

Hope you had a great holiday season!
Kirsten

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kb2zct
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 Posted: Fri 29 December 11:00 pm    Post subject:     

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This is starting to sound like a broken record, but Ranger is having ANOTHER relapse of his IC.

It has been 10 days since his last metacam injection. We’re scheduled to go in for blood work on the 2nd, but I’m going to call the office in the morning and see if I can bring him in tomorrow.

Rangers spend over 10 minutes in the litter box this evening. He finally produced some urine. Earlier in the day, I caught him on my bed. I think he was trying to use the bed for a litter box. He also tried to go in the wood box a few minutes ago.

If giving a simple metacam injection once a week was all that was needed, I would do that forever. But, the drug is simply so dangerous that I worry about giving it – and that is why, at the vet’s recommendation, we’re having all of the blood testing next week.

I think we’re going to have to try one of the anti-depressant drugs now.

Mark
 
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Galensgranny
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 Posted: Sat 30 December 08:40 am    Post subject:     

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Quote:
I think we’re going to have to try one of the anti-depressant drugs now.


That would be safer than the metacam long term.

I am sorry Ranger is having a relapse.

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kb2zct
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 Posted: Sat 30 December 10:44 am    Post subject:     

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Ranger has been admitted to the vet hospital. More info on the thread of that name in this forum section.

Mark
 
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kb2zct
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 Posted: Tue 09 January 08:02 am    Post subject: Ranger update - food and medicine     

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Ranger’s Prescription Food:

Ranger’s prescription food order came in last night. The Vet’s office called me and I picked it up on my way to “Puppy Kindergarten Class”.

One tiny bit of good news – the price was not all that bad. We’re trying Royal Canin “SO” prescription food. The price for a case from the vet’s office was only $28 (and some loose change). The price from the internet, before shipping, was $28 per case. So, buying from the vet’s office will save money. While $28 per case is expensive, considering a case of Wellness costs only $21 or so, it is much better than I feared. Let’s not forget, if the food helps, I can save real money on the vet bills!!!!!

I’ve been able to get Ranger to eat some of the CD food by A) mixing it with some Friskies wet, B) mixing the tuna flavor “feeding aid” into the mix, and C) putting Ranger in his own room when I feed him. This worked with the “SO” mix this morning, too.

I’m going to gradually reduce the amount of Friskies and increase the “SO” in the mix. This way, I can make sure he is getting more of the prescription food.

I think I will also have to stop leaving the leftover wet food out for the cats to eat. Eventually, Ranger will notice the leftover wet food and will finish it. I want to encourage him to eat the SO by not giving him any other choice.

A few other news items regarding Ranger….

This morning I gave Ranger his weekly metacam injection. I have three more injections to give him, once a week on Tuesday. While I normally give him the injection in the evening, I did it this morning because Ranger had an accident on some of my clothing on Sunday afternoon. There have been no other problems since that accident on Sunday.

Ranger has started to react “badly” when I give him his metacam shots. The metacam shots are done sub-q (much like Evan’s fluids). This worries me a bit, because I will soon have to start giving him IM (intramuscular) shots of his new medicine. I don’t remember if the shots are once a week or once a month. If Ranger reacts poorly to simple sub-q shots, the IM shots may be a real challenge. It’s just another bridge to cross, and I’ll worry about that when I get there.

I have not had much of a problem giving Ranger his antibiotic pill. I think we’re using amoxicillin this time around. This pill is much easier to give than Baytril, due to Baytril’s large pill size.

So, all in all, things are much better this week than last. Let’s hope that the catheter helped whatever issue Ranger had last week and that the new prescription food works its magic on him.

Mark
 
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kb2zct
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 Posted: Tue 09 January 08:09 am    Post subject:     

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Guys:

I don't know if I mentioned this or not....

In one of my discussions with Dr Kate, she told me that using annitriptiline (sp) (the anti-depressant) would be one of her last options. She is concerned that the difference between the therapeutic dosage and the poisoning dosage is very small.

She considers the annitriptiline (sp) to be more dangerous than metacam.

Mark
 
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Re: Ranger is having a relapse of his IC- kb2zct- Oct. 2006
« Reply #6 on: June 22, 2007, 12:16:53 PM »

Maria
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 Posted: Tue 09 January 08:14 am    Post subject:     

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Mark,

You're sure going through the fire with Ranger now. It doesn't sound good that he isn't taking the sub-q injections well. I agree that the IM meds will be much more difficult. Sub-q doesn't usually hurt - but when we're not feeling well, just that little "pinch" of the needle can feel pretty bad. I hope he will get used to it.

It sounds like you have the meals under control now. You're very organized. 

I'll keep saying my prayers for him.

Maria
 
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animalangel1
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 Posted: Tue 09 January 10:18 am    Post subject:     

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It does sound like you have the food issues under control Mark. That's half the battle, huh?

I do hope that Ranger will take the IM shots better than you are anticipating. I'm sorry that he's not taking the sub-Q so well right now. He must not be feeling well and it's hard getting stuck all the time too (I can't imagine how Evan is dealing with it). Poor kitty's. You are trying so hard and doing so well..... I'm sure they (Evan and Ranger) appreciate all you are doing for them, even if it is not pleasant at times. I'm sure they understand.

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kb2zct
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 Posted: Tue 09 January 11:16 am    Post subject:     

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Quote:
It sounds like you have the meals under control now. You're very organized


Maria:

I don’t think I am as highly organized as I am downright desperate.

I do not want Ranger to have to go through another session at the vet’s with a catheter installed. It cannot be comfortable at all – with a tube sticking in on one side connected to a collection bag and a E-coller around his neck!

Several years ago, while I was doing my hospital clinic time for my CFR rating, a highly intoxicated teenage girl was dropped off at the hospital entrance by her party “friends”. I guess things like this are common occurrences. In any event, the girl was rally “out of it”. The installation of the catheter brought her back to consciousness very quickly. In fact, the screaming, yelling and pleading to “not do that to me” was heard all across the ED department.

While I know the catheter had to be installed, as it was a true emergency, I want to do anything I can to prevent this. If this means Ranger has to eat nasty tasting food, I’ll get him to eat the food.

Mark
 
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kb2zct
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 Posted: Wed 10 January 11:53 am    Post subject:     

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Well, Ranger’s feeding situation is not going as well as I had hoped.

Late on Monday, I picked up the new Royal Canin “SO” prescription food.

Ranger did reasonably well with it on Tuesday morning. Last night and this morning, he did not want to have anything to do with the new food.

For whatever reason, Ranger only wants to eat the prescription food once the can is first opened. If I refrigerate and re-heat the food, he does not want it. He did the same with the “CD” food.

I’ve been locking him up in a safe room with the food during feeding time. He is not too happy with this turn of events, and I can’t blame him. The other kitties are unhappy that there is no free feeding dry food out, too.

If I can get over this hurdle, I think things will be pretty good. Both Ranger and Dusty could loose some weight. The weight for Little Bit and Pippin is fine. Evan is on his own feeding plan (usually on my bed, which he does not leave except for potty breaks) and he is doing fine. Not having free feeding should help these two to slim down some.

Mark
 
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kb2zct
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 Posted: Wed 10 January 12:04 pm    Post subject:     

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One bit of good news – Ranger produced a urine “squirt” last night.

Every time I see Ranger in the box, I watch to see how things are “coming out”. Usually, he produces very little urine.

Last night, he was in the room while I was giving fluids to Evan. Ranger went into the box and produced a little urine. The then dug a hole to China and made a more solid deposit. A few minutes after this, he was back in the box again. By this time, I was a bit worried, thinking that he was having difficulties urinating. However, when I looked into the box, I could clearly see a “line” of urine. This means that he was able to void with a bit of force or push from his bladder. He also voided enough to be noticeable on the litter.

I think it is good news.

Mark
 
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Galensgranny
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 Posted: Wed 10 January 03:26 pm    Post subject:     

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Yes, that is very good news! I hope there is only good news from now on.

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kb2zct
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 Posted: Wed 10 January 08:55 pm    Post subject:     

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So, the SO urinary tract prescription food does not seem to be working all that well. Ranger has not eaten any of it for the past three meals.

So, I went into town and picked up a few cans of Purina Pro Plan Urinary Tract Health food. I’ll see if he will even eat any of it. If he does eat it for more than one meal, I will talk to Dr Kate about it and see if it is really any good.

He was doing better on the CD food than he is doing on the SO food.

I also picked up a small bag of the dry Purina Pro Plan Urinary Tract Health food. I’m not sure is he will eat that, either.

Mark
 
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 Posted: Thu 11 January 06:15 am    Post subject:     

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Poor Ranger - I'm glad he's able to urinate, even if just a little. I hope the Purina goes over with him better. Thomas didn't like the CD either, but he would eat the Eukanuba rx food. Hill's just isn't real popular with anyone at my house.

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kb2zct
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 Posted: Thu 11 January 07:39 am    Post subject:     

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Well, the Purina Pro Plan Uninary Health food, both wet and dry, are flops at the house.

Ranger would not touch the wet this morning. I'll see is any of the dry I put out is eaten by the time I get home. Dusty, who only eats dry, turned her nose up on it.

I may be time to talk to the vet again.

Mark
 
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Maria
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 Posted: Thu 11 January 12:22 pm    Post subject:     

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Mark,

Poor Ranger.......and poor you! It seems like every day there is both good news and bad news. At least there is some good news in the fact that he can urinate with less effort. Hopefully this will continue to improve. I hope you're able to find some food that is on his diet and that he will eat. And enjoy!

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Re: Ranger is having a relapse of his IC- kb2zct- Oct. 2006
« Reply #7 on: June 22, 2007, 12:17:26 PM »

animalangel1
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 Posted: Thu 11 January 03:08 pm    Post subject:     

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Gee Mark..... it seems to me there was yet another brand of prescription food you might be able to try - oh, yes, it's IVD. It's better than the Hill's stuff..... I tried it with my dogs and they liked it... and they must have cat food.....

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rubygirl1968
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 Posted: Fri 12 January 06:00 am    Post subject:     

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Thomas liked the Eukanuba rx wet, but I didn't buy the dry. When he got off the S/D I bought that Wysong Uretic and he ate that.

Doesn't Wysong make a prescription diet? I can't remember - but that's nothing new. lol

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Galensgranny
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 Posted: Fri 12 January 03:02 pm    Post subject:     

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kb2zct wrote:
Well, the Purina Pro Plan Uninary Health food, both wet and dry, are flops at the house.

Ranger would not touch the wet this morning. I'll see is any of the dry I put out is eaten by the time I get home. Dusty, who only eats dry, turned her nose up on it.

I may be time to talk to the vet again.

Mark


Maybe if you slowly mix some in with what they are used to, they will accept it.

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kb2zct
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 Posted: Fri 12 January 03:57 pm    Post subject:     

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Hi Margaret:

Right now, Im woring on a mixture of 1/3 prescription food and 2/3 regulare food.

Still not having much luck.

Mark
 
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Galensgranny
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 Posted: Sat 13 January 01:03 am    Post subject:     

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kb2zct wrote:
Hi Margaret:

Right now, Im woring on a mixture of 1/3 prescription food and 2/3 regulare food.

Still not having much luck.

Mark


Try less of the prescription and more regular for a few days.

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kb2zct
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 Posted: Tue 16 January 11:26 am    Post subject:     

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Ranger’s new feeding program continues to go poorly. He is not all that interested in the prescription food.

I took his weight last night. He was down to 14 lbs, 13.5oz. This is down from 15lbs when he was admitted to the hospital just before New Year’s Eve.

Now, granted, Ranger needed to loose a little weight. I think he should be closer to 12 lbs and not the bulked out 15 lbs that he was. However, I’m concerned that the weight loss is too much and too fast. This is beyond my concern about Ranger not getting enough of the prescription “stuff” from the food.

Last night, in desperation, Ranger did eat some of the Purina Pro Urinary Dry. I’m going to open another can of Purina CD tonight and see if he will eat that. If not, it’s back to the drawing board with the vet’s

Mark
 
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Maria
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 Posted: Tue 16 January 12:10 pm    Post subject:     

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Mark,

I'm sorry to hear that Ranger isn't eating his food. I hope that he will be able to slowly tolerate the food - then maybe learn to like it at least a little. I know with Molly and Jeremy sometimes I have to keep putting out a new food before they will begin eating it. I just got some Evo dry for them. At first they wouldn't touch it, but I kept putting it out because they had eaten it in the past. It took about 2 weeks of putting it out every day (along with the California Natural which they prefer above all else).

Well! this past weekend they BOTH began eating more of the Evo than the CN. I can't figure these feline minds out!

Good luck, Mark. It has to be very frustrating, but I'm hoping Ranger will come around.

Maria
 
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kb2zct
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 Posted: Wed 17 January 09:08 am    Post subject:     

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Guys:

Well, on top of the problem of getting Ranger to eat his food, it looks as if the IC is flaring up again.

In the past week, Ranger has twice gone on some of my clothes. Last night, he tried to go in Gracie’s crate and on my bed. Eventually, he went in the litter box – but it was only a small amount.

I’m going to give the vet a call again. I have to follow up on the food as well as the new injectible medicine for him: Adequan.

I will also have to check and see if there is a medical alternative to the prescription food. He is not eating the prescription food – and that is starting to worry me.

Mark
 
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Maria
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 Posted: Wed 17 January 09:15 am    Post subject:     

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Mark,

This certainly isn't good news. To be honest, I don't know how you keep your sanity. Poor Ranger. It has to be so frustrating - not to mention uncomfortable for him, so constantly.

I'm praying for you.....and of course for Ranger.

Maria
 
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 Posted: Wed 17 January 09:51 am    Post subject:     

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Oh no! I pray things will get better.

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Re: Ranger is having a relapse of his IC- kb2zct- Oct. 2006
« Reply #8 on: June 22, 2007, 12:17:59 PM »

animalangel1
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 Posted: Wed 17 January 11:09 am    Post subject:     

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I will say some prayers for you and for Ranger too.... poor little fellow. I hope this all gets under some serious control for him soon....

I was just reading yesterday in that book of Dr. Dodmans (The Cat Who Cried for Help) about IC. I was in the chapter just after the one the book is titled from...something about claws..... hm.... I'm at work now and don't have the book handy but I think it said how he treated IC.

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Last edited by animalangel1 on Wed 17 January 05:36 pm; edited 1 time in total
 
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kb2zct
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 Posted: Wed 17 January 11:23 am    Post subject:     

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Michelle:

I did not remember that he said anything about IC in his book. I'll try to find my copy tonight. Could you also look and see what he said.

I take it that you have power again and that all is well.

Mark
 
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animalangel1
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 Posted: Wed 17 January 05:35 pm    Post subject:     

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Ok Mark.... I was in the wrong chapter..... go to page 116 about 2/3 the way down the page and there in the paragraph Dr. Dodman starts with "Another subset of nonresponders may suffer from a newly recognized condition called interstitial cystitis." It's in the chapter entitled "The Writing on the Wall" about inappropriate urination and defecation issues. It's only one paragraph and it says that Elavil is the recommended therapy for IC.

There are only a few lines there but it might be of some assistance. Hope it helps.

Yes, power is on thankfully, and all is well.

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kb2zct
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 Posted: Wed 17 January 07:20 pm    Post subject:     

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Hi Michelle:

Thanks for looking the stuff up.

As it was, Ranger and I were back at the vet’s office for another emergency visit. When I talked to Dr Kate, she was so concerned that Ranger could have been developing another obstruction, that she had me bring him for an examination.

The good news is that there is no obstruction.

So, as a result of this, Dr Kate has decided to prescribe Amitryptiline. That is another name for Elavil.

Now, the pill will be somewhat difficult to administer. It’s not that it is hard to pill Ranger, but the pill is very small, it must be cut in half, and when it is cut in half, it falls apart.

Since it is a human medicine, the pharmacy could compound it for me. Before I go there, I’m going to see if I can get him to eat the crushed pill if I mix it up with a little wet food. If not, it’s back to them.

I think we’re going off of the prescription food, since Ranger’s urine PH was not too bad.

So, we’ll give this a try for a few weeks and see how things go. I hope there is improvement.

I may have to follow up on Ranger’s heart murmur. There is a cardiac warning about this drug, so I will keep a close watch on him.

Mark
 
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Galensgranny
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 Posted: Thu 18 January 07:53 am    Post subject:     

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I am glad no blockage was forming! 

I hope the Amitryptiline helps. If you have any of those Pill Pockets, pinch off a little to use as "glue" to hold the tiny "trypts" pieces together if they crumple, and have Ranger just swallow that as a pill.

Quote:
I think we’re going off of the prescription food, since Ranger’s urine PH was not too bad. 


That will make things easier, since Ranger won't eat the prescription food!

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kb2zct
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 Posted: Thu 18 January 08:11 am    Post subject:     

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Hi Margaret:

I forgot that I had pill pockets. I’ll give them a try tonight.

I’m also very glad that there is no blockage. Five days with a catheter could not have been comfortable. I also read that catheters can increase the chance of additional blockages in the future – the damage caused by the insertion of the catheter can cause additional problems. The little guy does not need any more problems than he already has.

Regarding the prescription food – I’m glad he is off of it. Dr Kate was not too pleased by the weight loss – more than a quarter pound in less than three weeks. While I want Ranger (and Dusty) to loose some weight, I want it to be controlled.

On a more profound note, what is the use of prescription food if Ranger’s urine PH is OK and there are no crystals in it?

I will be going into town this evening to pick up the kitty’s prescription refills. I’ll ask them about the empty gel caps and the possibility of getting the medicine compounded.

Mark
 
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 Posted: Thu 18 January 11:15 am    Post subject:     

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Geez Mark, if it's not one thing, it's another, huh? You must be going crazy between Ranger and Evan..... I'm glad Ranger did not have an obstruction though and that his ph levels are good... that is very good news. I sure hope the Amitryptiline will work for Ranger. I didn't mind looking it up for you. I had only managed to read through two and a half chapters on Monday so I didn't have to look very far to find Dr. Dodmans IC info. Glad I could help.

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kb2zct
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 Posted: Thu 18 January 01:05 pm    Post subject:     

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Success! I managed to give Ranger his new medicine this afternoon.

I was able to cut split the pill in half without making it shatter or fall apart. Once I had a usable pill, giving it to Ranger was not a problem.

I ended up giving the pill to Ranger by the “pilling” method. I tried using a pill pocket, but he turned his nose up on it.

I’ll still see if I can get any empty gel caps from the pharmacy – so when a pill is broken into small bits, I will be able to still give it to him.

Now, all I have do is to wait for results!

Mark
 
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kb2zct
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 Posted: Fri 19 January 10:33 am    Post subject:     

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Guys:

Right now, Ranger is a very mellow kitty. The amitriptyline had a small but noticeable effect. The most important thing for me right now is that Ranger is not hiding. When he is hiding, I know he is in pain. When he is simply napping out with the other kitties, I know he is not as uncomfortable.

I’ve managed to get three doses of the amitriptyline into him. It’s taken 6 doses worth of pills to make that happen, though.

It’s not that Ranger is a difficult kitty to pill; normally he takes his pills without a fight or much of a fuss (especially when I use the pill gun). My problem is with the pill. Ranger’s dosage is ½ a pill, twice a day. Of course, this means that I have to cut the pull (I use a pill cutter). When I cut the pill, it has a tendency to fracture into small pieces.

I talked the compounding pharmacy, and they gave me a supply of the smallest gel caps on hand. I can put the pill “parts” into the gel cap and pill using the cap. Of course, the gel cap is quite a bit larger than the pill, which will make pilling more difficult.

The pharmacist was amazed that the vet is using amitriptyline. He is going to research it on line to try to understand how it works on cats. He is also going to see if it can be compounded, which could make administering it easier. Ranger really likes his Restor-A in his tuna flavored liquid. If we can do the same for the amitriptyline, things could be good. There would also be another benefit of having a pre-measured dose: the therapeutic level of amitriptyline and the toxic dose are not all that far apart (I don’t know what the exact levels are, but I do know that Dr. Kate has been very careful to use the lowest possible dose of metacam to help Ranger with the pain). Having something pre-measured would prevent an accidental overdose.

With the use of amitriptyline, Ranger will now have to have frequent liver function tests. At least he does not fight it as much as Evan does. Anytime I have to bring Ranger into the vet’s office, they tell me that he is a very good cat to work with, as well as being quite stunning in appearance (must be the white and blue eyed thing).

And, for what it is worth, I tried using pill pockets and mixing the medicine into Ranger’s food. He’s quite good in noticing that the pill pocket / food was doctored with medicine, so he would not eat either.

Now, let’s just all pray that the medicine helps him and gets his condition under some control.

The next step would be to add adequan injections to the medical mix. Beyond that, I think the only other step is to go off to a veterinary school or internal specialist for some tests, possibly including die contrast x-rays, or bladder surgery and biopsies to see if there is anything else that can be done.

Mark
 
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 Posted: Fri 19 January 04:06 pm    Post subject:     

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Well, from what I can see - so far anyway, it looks like "good news" since Ranger is out napping among the rest of the crew. I agree that premeasured doses of the amitriptyline would be the prefered method too - I hope the pharmacy can help you with that. I can only wish you all the luck in the world Mark. You certainly have a lot on your plate right now with Ranger and Evan. You haven't mentioned Evan's issues lately - is he stable in his condition for now?

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Re: Ranger is having a relapse of his IC- kb2zct- Oct. 2006
« Reply #9 on: June 22, 2007, 12:18:42 PM »

Galensgranny
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 Posted: Fri 19 January 07:33 pm    Post subject:     

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Mark, what I did with a pill that got crumbled is to use a small pinch of the Pill Pocket dough to press the crumbled pill bits into. Then I had the cat swallow that as the pill. Not trying to get the cat to eat it like a treat. You can try that with Ranger. It sort of would be like using the gel caps, but smaller and tastier. A "soft pill" in essense.

Quote:
The pharmacist was amazed that the vet is using amitriptyline.


Amitriptyline/Elavil has been used in cats for IC for many years. Did you read this:

http://www.marvistavet.com/html/body_amitriptyline.html

http://www.cfa.org/articles/health/urinary-tract.html
by Susan Little DVM, Diplomate ABVP (Feline Practice)
Updated: June 2001:

"In severe, recurrent cases, a drug called amitriptyline (Elavil®) may be prescribed by the veterinarian. This drug is used to decrease the pain associated with episodes of cystitis and to decrease the inflammation in the bladder lining. Side effects, such as sleepiness, retention of urine, bladder stone formation, weight gain, and reduced grooming, may be seen in some patients. However, amitriptyline has been prescribed for cats for many years and the overall incidence of side effects appears to be small and the degree is usually mild. Most cats tolerate the medication well. "

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kb2zct
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 Posted: Fri 19 January 07:45 pm    Post subject:     

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Hi Margaret:

Yes, I had read the articles. The pharmicist, however, had not.

I should print out the articles and take them in to him tomorrow, when I go to pick up the prescription refills for Evan and Ranger.

Mark
 
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kb2zct
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 Posted: Fri 19 January 09:08 pm    Post subject:     

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Quote:
Mark, what I did with a pill that got crumbled is to use a small pinch of the Pill Pocket dough to press the crumbled pill bits into. Then I had the cat swallow that as the pill. Not trying to get the cat to eat it like a treat. You can try that with Ranger. It sort of would be like using the gel caps, but smaller and tastier. A "soft pill" in essense.


Hi Margaret:

This is a good idea. I did not understand it the first time through.

Mark
 
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kb2zct
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 Posted: Fri 19 January 09:10 pm    Post subject:     

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Quote:
You haven't mentioned Evan's issues lately - is he stable in his condition for now?


Michelle:

No news is good news. Evan's condition is stable right now.

He is sleeping quite a bit - most of the time on one of the pillows of my bed.

Mark
 
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 Posted: Sat 20 January 08:00 am    Post subject:     

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Thanks Mark. That's what I was thinking (that no news is good news) but when I logged on today I saw your new post about him so I'll go over there and check it out - it doesn't sound good by the title.

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Maria
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 Posted: Sat 20 January 01:50 pm    Post subject:     

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Mark,

I'm sorry Ranger isn't doing better by this point. However, as Michelle said, all things considered, I think the balance is more toward the positive. It has to be hard for him, all these medications and discomfort, even though you're doing everything you can to help him. I really hope things begin to improve with him.

I'm always amazed when I hear about anyone using pill pockets. When I tried them for Jeremy, initially I gave both Molly and Jeremy one without any medication in either pocket. They both looked at it, sniffed it and walked away. I left it there for the afternoon, but they totally ignored it. They ate around it when I fed them, so I finally gave up. Oh - I did try giving Jeremy another one the following day with a pill in it, but he did the same thing. After trying many ways to pill Jeremy, I've discovered just opening his mouth and putting it in the back works the best - followed by some water. However, it took me a long time not to get nervous doing it. Now I'm able to just do it - and he seems to tolerate it a lot better. I always take the treats out - let him smell them, then put them within his reach so he knows they are waiting for him. This seems to work well too. Of course, Jeremy would do anything for a treat!

Hopefully Ranger will improve in the next week.

Maria
 
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kb2zct
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 Posted: Sat 20 January 02:21 pm    Post subject:     

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Maria:

Pill Pockets are a great idea. However, my guys wised up to their use.

For Ranger, it is simply easier to give to pill him. However, if we can work up a compounded verision of his new medicine, I'll switch. Pilling is traumatic in itself, and stress plays a major part in Ranger's condition. The less stress he has, the better he will be.

Mark
 
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Galensgranny
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 Posted: Sun 21 January 11:18 am    Post subject:     

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Maria, I got pill pockets, hoping my difficult to pill cats would like them. But, alas, it turned out that only my easiest to pill cat Simon would gooble them up, then want more!

But, we have to cut his Clomicalm pills into quarters, and sometimes there is a crumbling mishap, so using a pinch of the Pill Pocket as "glue" to put all the broken bits together works well.

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kb2zct
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 Posted: Mon 22 January 08:43 am    Post subject:     

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I stopped off at the vet’s office on Saturday morning, delivering newspapers for their kennel. While I was there, the office manager told me to bring back all of the unused “SO” food (22 our of 24 cans) for a credit on my account.

That was nice of them.

Also, I’m getting better at giving Ranger his amitriptyline pill. It must taste really foul, so I can only give it to him with the pill gun. If I simply put it in his mouth, he spits it out and “foams”.

I still have to follow up with Dave at the pharmacy and see if he can compound it for me.

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Galensgranny
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Joined: 11 Nov 2005
Posts: 2274
Location: West Virginia, previously NYC, MA and AL
 Posted: Mon 22 January 02:20 pm    Post subject:     

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That was great that they took back the unused SO!

Cut pills do wind up letting a lot of the bitter taste exposed.

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Margaret, a/k/a Galensgranny
 
 
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