6/7 Oberon AMPS 184, +4 181, +10 85, PMPS 67, +3 54 (off-topic thyroid med question)

Lisa & Oberon

Lisa & Oberon

Member Since 2020
yesterday: https://www.felinediabetes.com/FDMB...4-55-6-88-8-78-10-5-84-pmps-111-4-135.278314/

Slo-mo bounce?

Poor Ariel... I think the thyroid meds are upsetting her stomach. She vomited off and on all day yesterday and overnight. She clearly thought eating grass or hair or something would make her feel better, and she spent half the night by my head trying to eat my hair (ouch) and the other half throwing up canned cat food on my blanket. Skipping meds today and calling the vet to see what to do next. Anyone here have any experience with this?
 
Methimazole, ½ tab twice a day (5 mg tablets). Waiting to hear back from the vet. I've done the radiation thing before with two other cats and I'm cautious about it because it's all-or-nothing, and it unmasked kidney issues in one of them. With meds you can try to find a balance between thyroid and kidney management if necessary. Sounds like transdermal methimazole might have fewer GI effects, so maybe that's an option.
 
I’m sorry to hear Ariel is having a tough go. We did have a member here who I recall tried the transdermal for a little while but ended up doing the radiation, but she hasn’t been on in a while. @Goose had a cat who was on methimazole but I don’t recall whether his kitty had issues with vomiting.
 
Christie & Maverick said:
Darn it. With meds that can cause upset tummies it can often help to give with food. You may have done that, just thinking out loud.
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Didn't pay close attention; we tended to do it at times when she was back in the bedroom and I think she ate after that.

It also just occurred to me that we just started giving Dasuquin as well, for possible arthritis. (We wondered if that might be why she isn't always getting off the bed to get to the litter box.) About 11 days of methimazole, but we've only started being consistent with the Dasuquin in the past few days, and the vomiting has only been bad for about 2 days. Maybe that's the culprit instead?
 
Hmm. I wonder also, that might be the culprit instead of the Methimazole, except Ariel seems to be having vomiting off and on, where if I read correctly the Dasuquin may cause initial vomit when pilled. I guess the experiment might be to stop the Dasuquin and see if that resolves things? Hope the vet has some ideas as well. :)

ETA I have read some gastro upset with cats who have sensitive stomachs….
 
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Hmm. Yeah, I think the thing to do (with vet input, of course) will be to stop both until she's feeling better, then start one thing at a time. Probably the methimazole first, since she definitely needs thyroid treatment and the arthritis thing was just a "let's see if this helps" that we discussed before we even knew there was a thyroid issue. No need to give Dasuquin if she's been peeing on the bed because of thyroid problems.
 
I believe if I remember correctly Wendy gave Neko Dasuquin and she didn’t find it helped at all, but my memory isn’t as good as it used to be :). Yeah, seems that the thyroid issue trumps the possible arthritis. I was at my vet for a visit for the pup and saw a new product called Solensia which is an injectible arthritis medication for cats, might be worth asking your vet.
 
Lisa & Oberon said:
yesterday: https://www.felinediabetes.com/FDMB...4-55-6-88-8-78-10-5-84-pmps-111-4-135.278314/

Slo-mo bounce?

Poor Ariel... I think the thyroid meds are upsetting her stomach. She vomited off and on all day yesterday and overnight. She clearly thought eating grass or hair or something would make her feel better, and she spent half the night by my head trying to eat my hair (ouch) and the other half throwing up canned cat food on my blanket. Skipping meds today and calling the vet to see what to do next. Anyone here have any experience with this?
Click to expand...
Methimazole and felimazole are notorious for causing issues like this and also allergic reactions like itching, etc. Almost every vet starts the dose way too high and if she’s on 2.5 mg bid, that’s too high. Transdermal can work better but I found it can be a bit inconsistent and my cat’s ears got really gunky on the inside. Interestingly, because the dose was started way too high on her, it’s almost like it shocked her thyroid and after the next test and the subsequent ones, she was euthyroid.

Because of the side effects with methimazole and that it is not a cure so eventually the dose will need to go up, when my Tobey was just diagnosed with hyperT last Nov, we went straight to I131. We never started any meds because his tT4 and fT4 levels were not terribly high and the vets could palpate the tumor; he had very little clinical symptoms at that time. My recommendation is that you join the groups.io Feline Thyroid Management Group. I’m on there with Tobey and I’ve learned so much from them. There is a mixture of cats that are hyperT and taking meds and others, like Tobey, who are hypothyroid and are being managed for that.

They might suggest you stop the meds for a little bit and then start over at a lower dose but I'd encourage you to post there and ask.
 
Christie & Maverick said:
remember correctly Wendy gave Neko Dasuquin and she didn’t find it helped at all, but my memory isn’t as good as it used to be
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That was probably around 2014 Christie! I'd be surprised if you remembered. I never did give Dasuquin, though did try Cosequin with a civvie. Neko got Recovery SA, a Canadian made product that also has MSM. It had worked for a previous civvie, but not so much with Neko. Her arthritis was much worse.
 
Wendy&Neko said:
That was probably around 2014 Christie! I'd be surprised if you remembered. I never did give Dasuquin, though did try Cosequin with a civvie. Neko got Recovery SA, a Canadian made product that also has MSM. It had worked for a previous civvie, but not so much with Neko. Her arthritis was much worse.
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Big shrug :). Must have been thinking of someone else! I had a civvie long ago who had arthritis, but there wasn’t much available back then. Making note of the Recovery SA, I may need to look into that for my aging boys ;)
 
Marje and Gracie said:
Methimazole and felimazole are notorious for causing issues like this and also allergic reactions like itching, etc. Almost every vet starts the dose way too high and if she’s on 2.5 mg bid, that’s too high. Transdermal can work better but I found it can be a bit inconsistent and my cat’s ears got really gunky on the inside. Interestingly, because the dose was started way too high on her, it’s almost like it shocked her thyroid and after the next test and the subsequent ones, she was euthyroid.

Because of the side effects with methimazole and that it is not a cure so eventually the dose will need to go up, when my Tobey was just diagnosed with hyperT last Nov, we went straight to I131. We never started any meds because his tT4 and fT4 levels were not terribly high and the vets could palpate the tumor; he had very little clinical symptoms at that time. My recommendation is that you join the groups.io Feline Thyroid Management Group. I’m on there with Tobey and I’ve learned so much from them. There is a mixture of cats that are hyperT and taking meds and others, like Tobey, who are hypothyroid and are being managed for that.

They might suggest you stop the meds for a little bit and then start over at a lower dose but I'd encourage you to post there and ask.
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Thanks! I'll definitely check out the thyroid group. Ariel's T4 was 7.1 (normal 0.8-4.0), but I don't have a feel for what that means yet.
 
Lisa & Oberon said:
Thanks! I'll definitely check out the thyroid group. Ariel's T4 was 7.1 (normal 0.8-4.0), but I don't have a feel for what that means yet.
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It’s definitely high but not as high as some I’ve seen. I hope we see you in the group…lots of experience and they really helped me with Tobey’s hypothyroidism after I131. It was clear to the vet who did it that he was hypoT so she did start him in levothyroxine but once his tT4 was normal, she refused to do anything further even though he was still clearly clinically hypoT and his TSH was very high. Thankfully, my regular vet was happy to listen to that group’s suggestion and we started him on T3 as well and he’s doing fantastic now.
 
Marje and Gracie said:
It’s definitely high but not as high as some I’ve seen. I hope we see you in the group…lots of experience and they really helped me with Tobey’s hypothyroidism after I131. It was clear to the vet who did it that he was hypoT so she did start him in levothyroxine but once his tT4 was normal, she refused to do anything further even though he was still clearly clinically hypoT and his TSH was very high. Thankfully, my regular vet was happy to listen to that group’s suggestion and we started him on T3 as well and he’s doing fantastic now.
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Thanks; I set up an account and I'm waiting for moderator approval for the group.
 
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