05/18 J.D. PMPS 307 - Pepcid question

Yesterday's Condo

Last Night:
291 PMPS
312 +2
359 +3.5
373 +9.5

I stayed up with J.D. pretty late last night and wondered if I should give him some R. At +3.5 it would have coinsided with his Levemir nadir and he wasn't eating much. At 9.5 when he woke me up, I thought about it again, but again wasn't sure if he would eat. I did feed him at +9.5 and he ate a whole meal (I think about 1/4 can of FF), but I decided not to give R.

I added the fat back on his dose this morning, and the dose just looked so much bigger. Maybe the zero line is down further on these syringes. Anyway, I felt like I was giving him some insulin. Those 0.50 (just a little bit less) doses just seemed so small.

We went for a quick walk around 4:00am, and then I tried to catch a few winks, but also trying to keep one eye open in case I can catch him in the litter box, because I want to get a ketone test. At 5:45am, we went for a longer walk, and got back for test, shoot, feed. He ate all his 1st Breffis, and is a lot more active, and responsive to my calling him, and just seems to feel better. I am still waiting for a pee test.

I am hoping the increased dose helps him.

Re: 05/18 J.D. AMPS 419

J.D. came to me when I called him just fine, and ate his 2nd Breffis all up, and then went to his kitty bed and took a bath and is now laying in it. Just waiting for a pee sample..

Off to get ready for tbp..

Re: 05/18 J.D. AMPS 419

Sending scritches and cuddles for your beautiful boy.

Re: 05/18 J.D. AMPS 419

Come on down JD! It is amazing what a difference the fattening of the dose can make. Of course, we are at 4U so I wouldn't know about those small doses. :lol: Good luck on the great pee hunt. It is so good to hear that JD is feeling better. Have a wonderful day Dyana!

Re: 05/18 J.D. AMPS 419

I do not understand JD. maybe a little flare up?? need fluids? he got pain meds. just do not know Dyana

Re: 05/18 J.D. AMPS 419

Is it very difficult to get a pee sampling from JD? Ive found a 'easy way" to do it. I wait for the time when Rosy is almost ready to pee; how I know? She using go pee after having food. I immediately remove the hood from the litter box, add in a bit of new litter to cover the top layer. Rosy will go & pee since she'd love to be the first to use the box of "new" litter. Then I stick a small plate underneath her to take the sample... It's "easy"!

Re: 05/18 J.D. AMPS 419 - cypro question

Ketones - Negative YAY! He went this morning, after I logged off.

Still have crossed fingers and knocking on wood that he is feeling better today, and tonight when I get home.
For the past two days, he has seemed better in the morning, and more off at night.

Cyproheptadine Question: I kind of hate to give this to him, as it causes him to feel wobblely, I think, (the bottle says Causes Blurred Vision), but can he have it twice a day, if needed?

In the past, I was giving him bupe at night (which also causes him to feel wobblely), and cypro in the morning (so he would eat all day while I was away at work).

Re: 05/18 J.D. AMPS 419 - cypro question

We periodically use cyprohexadine for Zener, who often has bouts of poor to no appy. We do not give it without also giving him an anti-nausea drug. We made the mistake in January of giving a appy stimulant without an anti-nausea med. He ate very well for a few hours, then vomited up a huge amount of undigested food, then stopped eating all together. After about 5 days of syringe feeding, cerenia shots and reglan (for motility), he started eating on his own again.

Zener is routinely on ondansetron (anti-nausea), plus zantac for stomach acid & some sources say motility. We only give a tiny amount of cypro. I think our vet suggested giving him 1/2 to 1 pill up to twice a day, and he was miserable on that much. We learned here to only give him a sliver of the cypro (about 1/8 of a tablet) and that seems to kick start him in about an hour and he will eat around 4 ounces of food during that cycle. Cypro can make him a little lethargic, especially if we give too much.

Anne & Zener said:

We periodically use cyprohexadine for Zener, who often has bouts of poor to no appy. We do not give it without also giving him an anti-nausea drug. We made the mistake in January of giving a appy stimulant without an anti-nausea med. He ate very well for a few hours, then vomited up a huge amount of undigested food, then stopped eating all together. After about 5 days of syringe feeding, cerenia shots and reglan (for motility), he started eating on his own again.

Zener is routinely on ondansetron (anti-nausea), plus zantac for stomach acid & some sources say motility. We only give a tiny amount of cypro. I think our vet suggested giving him 1/2 to 1 pill up to twice a day, and he was miserable on that much. We learned here to only give him a sliver of the cypro (about 1/8 of a tablet) and that seems to kick start him in about an hour and he will eat around 4 ounces of food during that cycle. Cypro can make him a little lethargic, especially if we give too much.

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Thanks Anne.

J.D. has been on the anti-nausea Ondansetron since March 20th when he tested possitive for cronic pancreatitis 7.4.
He was down to 6.5 on April 16th.

I stopped giving bupe for a while from May 4th through May 16th, but for the past two nights I gave him some.

I also tried halving his Ondansetron dose from 1/2 4mg pill twice a day to 1/4 twice a day, and just started up again with the 1/2 pill two nights ago, since he seemed a little out of it.

J.D. also is getting Pepcid around midnight every night. I missed two doses, and he threw up bile around 4:00am, each time. So, I guess he'll get Pepcid every night, for a long time.

What I don't understand yet, is that he is feeling a lot better in the mornings, then he is in the evenings.
I wonder if it's because he gets the Pepcid at midnight.... I am not home at noon, to give him a second dose.
And, I don't know if 1/4 Pepcid twice a day is too much, anyway. Does anyone know?

Anyway, he ate his 1st Dinner, and we went for a little walk this evening. Hopefully, he'll keep feeling better.
Come on J.D., I love you and I want you to feel good. cat_pet_icon

The usual dose of Pepsid is 2.5 mg (1/4 of a 10 mg tablet) twice a day.

Do you think I should try to give him 1/4 Pepcid at AMPS and 1/4 at PMPS?

I can wake up and give it to him at +11 or so in the mornings, but I often don't get home from work until +12, so PMPS is the best I can do in the evenings.

I think I'll try that, and see if it helps even out his good mornings and not so good evenings.
Oh, more pills J.D. :roll:

I always gave Bear Man his Pepcid at morning and evening shot times. (1/4 tablet twice daily).

Oh, J.D. come on, please feel better for your mama bean. Dyana, I read all that above, and I give you credit to be able to juggle all the things you just did, and it sounds like J.D. is doing a little better. I'm just going to be starting the bupe. for Daphne, and I'm already getting nervous.

You are such a good bean, even taking J.D. for walks when it looks like you didn't even get any sleep.
I hope you can have a good weekend and some sleep.

I would say that Zener will respond to much less than 1/8 of a cypro (4mg), it really is just a sliver or a crumb from cutting the tablets.
Liz

Anne & Zener said:

I would say that Zener will respond to much less than 1/8 of a cypro (4mg), it really is just a sliver or a crumb from cutting the tablets.
Liz

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I just tried to split the pill. I got halves, and then I tried for 8ths and only got maybe 6ths. I gave J.D. a 6th. I guess it takes practice to make 8ths. It would be even harder with Mirtz.
What do you do with the slivers, just put them back in the pill bottle? I ask because I am giving so many pills, right now there are some unknown pill slivers in the bowl of the pill splitter, so I don't use them. If you have a bottle of pill slivers (8ths), how do you get them out, without spilling them everywhere?

I am going to try giving J.D. Pepcid twice a day. I can do +11 in the morning, and at PMPS.
BUT, isn't there a fear of a Pepcid getting stuck in the esophogus sp? I do use pill pockets.
I've been giving him the Pepcid at midnightish, and feeding him afterwards to wash it down.
At PMPS, he will be fed, but I can't feed him in the mornings at +11.

You can chase it with a syringe of water.

Sorry that JD doesnt have an appy. It is worrying to have them not eating as much. Hope he gets better soon.
Ususlly I give water after pill to avoid it got stuck inside the esophogus.

Dyana said:

I just tried to split the pill. I got halves, and then I tried for 8ths and only got maybe 6ths. I gave J.D. a 6th. I guess it takes practice to make 8ths. It would be even harder with Mirtz.
What do you do with the slivers, just put them back in the pill bottle? I ask because I am giving so many pills, right now there are some unknown pill slivers in the bowl of the pill splitter, so I don't use them. If you have a bottle of pill slivers (8ths), how do you get them out, without spilling them everywhere?

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We have another shorter and bigger container with a screw-on lid for the cypro pieces. I pour the pieces out into a little bowl and pick out one to give him. I don't worry about an exact dosage since a piece about this size of this . will get him to eat. It usually takes about an hour to kick in and we can tell it's the cypro because he will come and meow very loudly.
Liz