? Pepcid ac...

Status
Not open for further replies.

Jeanne & Dottie

Member Since 2016
Ok, it's beginning to look like Dottie may have some nausea that isn't due to low body fluid. I know folks here prefer Pepcid AC...what's the preferred dosage for a small cat? Dottie is 9.68 pounds at the moment. I've never had to use the stuff before.
 
If stomach acid is the cause, the Pepcid AC may help.
Give it about 20 minutes before feeding to let it start working before the food is presented.
 
Ok, it's beginning to look like Dottie may have some nausea that isn't due to low body fluid. I know folks here prefer Pepcid AC...what's the preferred dosage for a small cat? Dottie is 9.68 pounds at the moment. I've never had to use the stuff before.
Have your tried the ordanestrom? It has been working very well for Rico-
I know many use pepcid as well.... I just don't think it is acid with Rico. at so,e point we may be using both???
 
How is it given, just popped down the throat?

Yep, the one time I've used it I just opened his mouth and dropped it down his throat. May want to follow that up with some water. Slowly give him tiny sips of water in the corner of his mouth with a syringe, to help make sure that pill isn't disintegrating in his esophagus and burning it.
 
Yep, the one time I've used it I just opened his mouth and dropped it down his throat. May want to follow that up with some water. Slowly give him tiny sips of water in the corner of his mouth with a syringe, to help make sure that pill isn't disintegrating in his esophagus and burning it.
This is exactly how I give it to Hannah. She doesn't like it when I pry her mouth open and do this, especially the water part. But as far as I know, this is the only successful way to administer Pepcid to a kitty.
 
Hi Jeanne,

I'm really sorry to hear that Dottie's feeling nauseated. I feel for the pair of you - BIG TIME!!!

With chronic pancreatitis nausea management is an ongoing big issue. I've found the following resources extremely helpful in learning about nausea in cats and how to manage it.

Nausea Symptoms and Treatments (from Tanya's Site)

IDEXX Pancreatitis Treatment Guidelines (further info on nausea treatments)

www.felineconstipation.org (advice on maintaining healthy GI environment and good gut motility)

What are Dottie's BG numbers like at the moment? I find that when Saoirse is out of regulation her GI transit time can double from 24 to 48 hours. Also, does Dottie have any neuropathy symptoms. IIRC I think that may also be a pointer to slower GI transit times.

Is Dottie pooping OK? @Meya14 just gave me some extremely helpful advice about constipation-related nausea, viz: it tends not to be very responsive to the better anti-nausea treatments but metoclopramide (branded version is Reglan) can get things moving again (and it has a limited anti-nausea effect). Metoclopramide is a bit of a nasty drug in terms of highly undesirable side effects (lowers seizure threshold and has some potentially irreversible effects, e.g. tardive dyskinesia) but very brief treatment can be beneficial in some cases. Here's a link to the advice she posted for me on Saoirse's current thread:

http://www.felinediabetes.com/FDMB/...sted-at-the-moment.153064/page-3#post-1614375

If constipation is a concern, also check out ranitidine at the Tanya's Site link above to see whether it would be a suitable and safe med for Dottie. It's an acid blocker like famotidine (Pepcid AC) but it can improve gut motility. Tablets are tiny so dose prep's a bit of a pain and it has to be given twice a day but it might be a better fit if there's a motility issue.

Sending heartfelt prayers for Dottie to feel better very, very soon and sending a GI-NORMOUS hug for her utterly devoted momma bean.

iu



Mogs
.
 
Last edited:
Dottie's pooping fine. Part of her nausea is due to not drinking much..and I can remedy that with fluid. But she's had chronic stomatitis, in the past, and I'm wondering if there's still a bit of that lingering. Either that or she's slow in healing because of her diabetes..Or it could just be the stress of getting endless ear pokes and my insisting that she eat by stuffing her like a goose. No syringe, only a finger full of food at a time, with lots of pets in between. But Dottie has always been very sensitive..she stresses out very easily.

She lived with intense stress for years..all our kitties have..first a house fire next door, (the house burned down in less than an hour!)....and our house was caught up in some of the fallout from that...we had to evacuate our home, throwing the cats in crates and passing them from person to person outside...they were stored in our van while the fire department put out the fire....then heavy equipment to remove the burnt out house...lots of noise...and THEN, after everything became quiet, the State decided to tear apart the bridge overpass only 60 yards from our house...HUGE equipment making noise from dawn to late evening for that...and THEN, we have a river dike behind our house, and the bank of that dike was planted with trees...so the state came in with HEAVY EQUIPMENT AGAIN..and tore out the trees because they were causing issues with the solidarity of the dike.

All this in the space of two and a half years. Our house's floors and walls shook constantly from the rumble of heavy traffic during all good weather. It was like living in an active earthquake zone. Dust and dirt, and from the burnt out house when it was torn down..mold and that awful burnt house smell. And when it rained, the smell was terrible from next door..strangers walking up and down in front of our living room window..which is only 20 feet from the road. People banging on the door because they needed permission to go through the yard...heck I was a mess. Our cats took a real hit.

AND to top it off, we had a young kitty, Peekaboo, who disliked Dottie, (jealous)..and made it her business to hunt her at every opportunity. In spite of all our efforts, Dottie would occasionally get bushwhacked, so I became her guardian angel, fending off the other cat. Peekaboo is gone, now..passed away..but I suspect that Dottie, as a result of all this, has a whopping case of PTSD, just like a human would if placed in the middle of a battle zone. She's only had peace in the last year..but her body is still on Red Alert, and I think this is part of what drove her into diabetes.

But things are looking up. :p I have good news on the big D...for the past couple of days, I've only been giving a drop of insulin instead of her .5 u. I actually can't shoot at times, because... Her numbers have been steadily going down! Right now she's never above 185 after eating, with her fasting numbers in the 80 to 101 range with a dip below that on occasion. And each day it seems to get a teeeeny bit better. Because her mouth has been sore, she hasn't tried to snitch the dry that Gizmo was eating..and now I have Young Again out..so there's no carbs to muddle up her system. She's only been getting FF diluted with a bit of water and a little pumpkin, so this is improving her numbers drastically.

I haven't been earpoking as much, and that seems to help her stress level. I just worry that I haven't been catching a possible nausea issue..either stomatitis or just plain reflux from anxiety. I had believed her gaping was due to pain in the back of her mouth and throat...and it occurred to me yesterday that IF she was actually nauseated..I was dismissing the possibility and passing it off as mouth pain.

I picked up the Pepcid, and will give it to her before her evening meal...our wake times are skewed. I'll let you know if it helps.

Oh yeah, addendum. In addition to all of the above..Dottie had severe stomatitis and tooth resorption. Now that is gone, as well as the noise and flack from the fire and construction...so her life is suddenly nice and peaceful, except for the ear poking, injections, and not being able to hold food in her mouth long enough to swallow.
 
Last edited:
She lived with intense stress for years ...

Boy, do I feel for all of you going through that dreadful period. I've been through a similar, seemingly never-ending series of awful events since my accident including months of slow demolition of the building adjacent to my business premises - months and months of loud noises and sudden bangs that shook the building to its foundations. It felt like the jeep hitting the vehicle I was in over and over and over again. There were days when I had to sit down and physically grip the seat to stop myself from running out of the place in floods of panicked tears. Going through stuff like that really makes the world look a very, very different place and it really can leave a mark. Wouldn't surprise me if Dottie has some form of complex PTSD after going through all of that. And the kitty thug, too! (Lúnasa's a bit of a thug toward other cats so I have some idea of what Peekaboo might have been like.) Poor Dottie. :bighug:

I'm really pleased for you both that Dottie's doing so great with her BG regulation! :cat:

How are you keeping yourself, Jeanne?


Mogs
.
 
So sorry for everything you and Dottie have been through! Wow! I can't believe all that.
Let us know how the Pepcid goes. I have also used ranitidine but it's a much bigger pain to dose correctly.
 
Sorry to be so late in answering this.... I'm hanging in there, Mogs.. Things are going quite well, as far as Dottie's diabetes is concerned.. Her BG numbers are dropping daily. But my pain level is going up, so I'm a tad slower in getting things done.

Since I have a lull with her, I'm now attempting to dig out from weeks and weeks of neglected tasks, and trying to catch up on sleep. My sleep patterns have been shot to Hades...even during the best of times I get only 4 or 5 hours a night, but for the past two months? Pfft! I still have both eyes in the same socket from trying to sleep two or three hours a night. I read somewhere that while a lot of people think that we can catch up on lost hours...it isn't true. Sleep lost, is sleep lost..and repairing a body can take considerable time.

Anyway, I sure hope things are looking up for you, Saoirse & Lusana!
 
Sleep lost, is sleep lost..and repairing a body can take considerable time.
You never said truer, Jeanne. I've had disordered sleep for over 9 years now and I can't get over how much the sleep loss has accelerated the ageing process.

It saddens me to hear that your pain levels are increasing and also that you have similar difficulties to myself when it comes to sleep. Wouldn't wish it on anyone. :bighug:

I am pleased, however, to hear that Dottie's BG levels have improved so much (anti-jinx, anti-jinx). I hope that this will help you to breathe just a smidgin deeper and also that what sleep you manage to get will be some bit restorative for having something be a little less of a worry. Maybe that little bit less tension might help just a small bit with the pain levels. Chronic pain is exhausting; I really do feel for you, Jeanne. :bighug:

Saoirse, Lúnasa and myself are muddling through as best we can. I'm not getting it perfect; just doing the best I can (wish it wasn't such a lacklustre best ...)


Mogs
.
 
Status
Not open for further replies.
Back
Top