05/12 Eddie AMPS 320 (in clinic)

Jodey&Eddie&Blue

Jodey&Eddie&Blue

Very Active Member
Hello

Here is yesterday, including PM +8 possible mistake I made giving Mirtazapine instead of Cabergoline:

https://felinediabetes.com/FDMB/threads/05-11-eddie-amps-358-7-362-pmps-340-8-212.289885/

I brought Eddie into clinic at yesterday's PM +8.5. Vet AM + 3 says he is being "fractious" and striking out at them. They've given him some Buprenorphine. Going to keep in to monitor. He ate some food, though.

I wrote "I had not slept well after [the night before, etc.] and when I got up to test @+8, I went to give Eddie Cabergoline (1.1ML) as I usually do at this time and I'm not sure if I made a mistake and gave him Mirataz!!!!! He usually gets .1ml of that if he going to get it. Now I'm freaking out..."

I took him to clinic at recommendation of vet and they called animal poison control because he did get 1.1ML Mirtazapine, that would be really serious.

So, vet just called to say he was "fractious" and they are surprised as they've never seen his that way. They were trying to give him one of his medication by syringe and he struck out at them. They are not sure if this is Mirtazapine OD symptoms or "something else" but will hold him there and continue to monitor.

I just don't know what to say. I feel horrible. I feel horrible that I may have made a mistake like this and I feel horrible that Eddie is striking out, something he has never done. This worries me.
 
Mirataz comes out of a tube and you put it in their ear. Cabergoline is liquid. Not sure how that could get mixed up, though I do understand being so tired/stressed that you can't remember what you did.:bighug::bighug: The good news is that there is a well known antidote to mirtazapine, which is ciproheptadine. You aren't the first person here to give too much mirtazapine.

The being fractious, is more worrying. You did say earlier in the evening he was quite grumpy. I hope the vets can figure out why.
 
Wendy&Neko said:
Mirataz comes out of a tube and you put it in their ear. Cabergoline is liquid. Not sure how that could get mixed up, though I do understand being so tired/stressed that you can't remember what you did.:bighug::bighug: The good news is that there is a well known antidote to mirtazapine, which is ciproheptadine. You aren't the first person here to give too much mirtazapine.

The being fractious, is more worrying. You did say earlier in the evening he was quite grumpy. I hope the vets can figure out why.
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I have liquid Mirtazapine from the vet. It was a case of both bottles side by each. Currently, Eddie is under observation for any symptoms. They are prepared to administer the ciproheptadine. I just called the clinic and while the vet is not available at the moment, the message relayed to me is that he is basically stable.

In addition to my being concerned for my mistake (must be more alert!), it's Eddie's "fractiousness". He's always grumbled and even growled but never struck out at anyone.

I'm worried that while it might well be about the fact he's been poked, prodded, squeezed, intubated and transported, that it also might be about acromegaly. I wonder if they will suggest a CT scan.
 
Heather82372 said:
Mirtazapine also comes in tablet form and compounded liquid form in flavors like tuna. I gave one of my cats tablets until I realized I could get it transdermal for the ear.
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The transdermal for the ear gives Eddie small sores. The point here is not giving him Mirtazapine liquid. He takes it just fine. The point is that I may have given him Mirtazapine by mistake and given it at the same does as the Cabergoline, which is far, far, far too much for a cat.
 
Ok, here's the update. I just spoke with the vet who advises that Eddie no longer seems fractious and seems more stable. She also said she had given him some butorphenol this morning but not too much as they didn't want any masking of symptoms. She cautioned, however, that the pet poison control advises that the symptoms of Mirtazapine OD can last 24-48 hours so once again, erring on the side of caution and he's there overnight.
 
I hope you can get some solid sleep tonight. :bighug::bighug:

I wonder if he's just tired of being at the vet, combined with recent pancreatitis. I wouldn't think a CT scan would be in order, especially since that requires anaesthesia. I'd save that for the dental. I've been wondering if he's teeth are bothering him, leading to discomfort and grumpiness.
 
Wendy&Neko said:
I hope you can get some solid sleep tonight. :bighug::bighug:

I wonder if he's just tired of being at the vet, combined with recent pancreatitis. I wouldn't think a CT scan would be in order, especially since that requires anaesthesia. I'd save that for the dental. I've been wondering if he's teeth are bothering him, leading to discomfort and grumpiness.
Click to expand...

I'm quite sure he's tired of being at the vet. I also wonder if his grumpiness is a function of a pancreatitis-dental dyad. At least, he is eating again, there. I may get a chance to see him later as I need to drop off his medications (Thyroxine, etc). I wasn't expecting him to be overnight but I can appreciate the vet's caution.

I'll post again. This has been so stressful, lasting over a week.
 
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