? 2/23 Pudge Vet visit.. AMPS 140? +2 104 +3 80 +4 77 +5 83 +6 82

[kitten68]

2/22/26 Prev Thread Pudgles

..so, 2nd opinion vet doesnt think theres infection. least anymore. as in her opinion w infections they are acutely ill and instantly. but we can try more Zeniquin to see if it helps.. as it seemed to help him. reassess in two weeks (I noticed improvement w his potty habits while on it.. so? like going less and the amount was less..) also said 3 weeks was probably enough to see improvement.. from what she sees.. sigh.. but we can do more definitely.

she thinks maybe the hypertension caused injury.. and now at this point its chronic. 🫩 all this time.. just sigh. been trying to get him medical help.. we talked many things. she thinks we need a better binder.. she believes in binder! (@Suzanne & Darcy ..) suggests Epakitin.. more palatable. Can still use the aluminum hydroxide too. (?) but i didnt get it cause i want to see on Niacinimide.. will make decision tonite. he has needed this badly.

says not to maybe do oral B complex.. avoid stomach upset.. not as bioavailable. But of course still give right.. or?? made all the pills...

gave us 2 weeks Zenequin, and some HydraCare.. any opinions on HydraCare? She’d like him to be drinking his hydration more than fluids…. (?) but i know fluids important. I bought some.. 17 bucks.. in case we should use it?? got a script for Ondandestron!! yayyy

Hes not stabilized.. but if we can stabilize him.. would be good.. gives more time. But hes acting ok and walking better.. and we doing all the things. I feel.. relief in a way. Nice to talk to her.. its sounding more right to me.. like, kidneys were hurt w the hypertension.. so things weird and wonky maybe? Not gonna go typically how things do.. being really fast, etc. BUT he could have infection too.. maybe is big part of it? Cause kidney board said he probably has one.. so we start up an antibiotic tmw again. and the Internist mightve said this.. but his conclusion was poor.

anyway his eye has a hemorrhage in it.. its blood. hopefully dissipates.. but i recall hearing that before. clot maybe popped.. she says tho theres not much to be done; cause he didnt do well on Amlodipine.. helped his pressure, but other issues not great (tired, lethargic, also confused him, dose too high..) and now w the kidney things, those medicines can hurt the kidneys too. its like.. between a rock and a hard place haha… like he also has white coat syndrome. how do we get an accurate reading anyway? and mine at home have been slightly elevated.. but not bad?? i need to do more.. Opthamalogist still scheduled for tmw. thinking will go… but idk. its not urgent. hopefully it clears…. that why he cant see well..

things ran late so just happy he got his meds and some fluids leftover.. i struggle to do it all neatly and catch it all. ran out of fluids.. but trying best.. will get more tmw. he was cranky when got home. But he resting now.. just going to try and enjoy the day, whatever the now, w my cat.. im glad to have more of a handle on things. i just thank everyone so much.. we really thank you.

because of appt, halved dose.. numbers all right.. trying to think what to do tmw.. hm. another appt if we go..

 

[Wendy&Neko]

I've seen varying results on HydraCare. Some cats love it, some don't, but maybe worth trying. Oral fluids are good.

 

[Suzanne & Darcy]

suggests Epakitin.. more palatable. Can still use the aluminum hydroxide too

As someone once said to me on the Tanyackd group, Epakitin is a “pea shooter,”and Aluminum Hydroxide is “the big guns.” Epakitin just doesn’t have the same binding power that aluminum hydroxide does.

There’s nothing wrong with Epakitin (as long as Pudge’s calcium isn’t high or the Epakitin doesn’t make his calcium go high) — and I am actually using Epakitin in my kidney girl right now, but I only added it in to her regimen after finding that the aluminum hydroxide wasn’t lowering her phosphorus as low as I wanted it to be. I had it down to about 6, but I wanted it in the 4 range. She gets almost half a teaspoon of aluminum hydroxide binder every day. She actually gets 1/4 teaspoon aluminum hydroxide plus another 1/8 teaspoon aluminum hydroxide and, quite frankly, those are kind of rounded 1/4 teaspoon and rounded 1/8 teaspoon so she probably is getting a half teaspoon of AlOH binder daily. Then she also gets, in her first meal of the day, one scoop of Epakitin. Doing this, I have gotten her phosphorus down to 4.3, which I was absolutely thrilled about. However, she doesn’t give me as much of a hard time as your Pudgie does with you. So I really feel for you trying to get that into him! I do not think there would be any harm in trying a scoop of Epakitin in his food in the morning and a scoop again in the evening — at the same time you’re still trying to get as much of the aluminum hydroxide binder into him as you can with his meals by using capsules, but you’ll need to retest the phosphorus and see if that plan is working because you know every week that goes by and his phosphorus is high… that’s not good.

 

[kitten68]

As someone once said to me on the Tanyackd group, Epakitin is a “pea shooter,”and Aluminum Hydroxide is “the big guns.” Epakitin just doesn’t have the same binding power that aluminum hydroxide does.

There’s nothing wrong with Epakitin (as long as Pudge’s calcium isn’t high or the Epakitin doesn’t make his calcium go high) — and I am actually using Epakitin in my kidney girl right now, but I only added it in to her regimen after finding that the aluminum hydroxide wasn’t lowering her phosphorus as low as I wanted it to be. I had it down to about 6, but I wanted it in the 4 range. She gets almost half a teaspoon of aluminum hydroxide binder every day. She actually gets 1/4 teaspoon aluminum hydroxide plus another 1/8 teaspoon aluminum hydroxide and, quite frankly, those are kind of rounded 1/4 teaspoon and rounded 1/8 teaspoon so she probably is getting a half teaspoon of AlOH binder daily. Then she also gets, in her first meal of the day, one scoop of Epakitin. Doing this, I have gotten her phosphorus down to 4.3, which I was absolutely thrilled about. However, she doesn’t give me as much of a hard time as your Pudgie does with you. So I really feel for you trying to get that into him! I do not think there would be any harm in trying a scoop of Epakitin in his food in the morning and a scoop again in the evening — at the same time you’re still trying to get as much of the aluminum hydroxide binder into him as you can with his meals by using capsules, but you’ll need to retest the phosphorus and see if that plan is working because you know every week that goes by and his phosphorus is high… that’s not good.

The kidney forum suggested trying Niacinimide.. i was thinking to try this. He gets some once or twice a day.. there was a concern about blood sugar.. but thats apparently in high amounts. Im more or less defeated tho rn.. idk what to do. How much longer we fight.. i feel like giving up. If i could do over, i’d get the fluids down and handle the phosphorus.. find someone who really knew about this instead of wasting time w fools. Maybe just need a better handlr on medicine schedule.. like every 6 w Ondansetron? but i tried juggling it all at once. I tried.. things just went quickly. I have an antibiotic.. but halfways feel its pointless. Thing is.. hes acting ok more than not. But when he feels bad, my soul hurts. And he has to be on medicine to get thru the day now.. I really dk.

 

[kitten68]

As someone once said to me on the Tanyackd group, Epakitin is a “pea shooter,”and Aluminum Hydroxide is “the big guns.” Epakitin just doesn’t have the same binding power that aluminum hydroxide does.

There’s nothing wrong with Epakitin (as long as Pudge’s calcium isn’t high or the Epakitin doesn’t make his calcium go high) — and I am actually using Epakitin in my kidney girl right now, but I only added it in to her regimen after finding that the aluminum hydroxide wasn’t lowering her phosphorus as low as I wanted it to be. I had it down to about 6, but I wanted it in the 4 range. She gets almost half a teaspoon of aluminum hydroxide binder every day. She actually gets 1/4 teaspoon aluminum hydroxide plus another 1/8 teaspoon aluminum hydroxide and, quite frankly, those are kind of rounded 1/4 teaspoon and rounded 1/8 teaspoon so she probably is getting a half teaspoon of AlOH binder daily. Then she also gets, in her first meal of the day, one scoop of Epakitin. Doing this, I have gotten her phosphorus down to 4.3, which I was absolutely thrilled about. However, she doesn’t give me as much of a hard time as your Pudgie does with you. So I really feel for you trying to get that into him! I do not think there would be any harm in trying a scoop of Epakitin in his food in the morning and a scoop again in the evening — at the same time you’re still trying to get as much of the aluminum hydroxide binder into him as you can with his meals by using capsules, but you’ll need to retest the phosphorus and see if that plan is working because you know every week that goes by and his phosphorus is high… that’s not good.

Thats why i held off on it.. to see. He can taste it.. changes the consistency.. he dont like it. And pilling wont be fun.. I have to do sometimes and id rather not unless absolutely necessary.. Should start the B complex right?

 

[Suzanne & Darcy]

Thing is.. hes acting ok more than not.

See. You are helping him. Don’t give up. You can definitely try the Niacinamide. I used it too. I bought the Now kind that was mentioned on the tanya group. Lisa and Storm mentioned it. You can start with 25 mg and go up from there. I used it too, but only in addition to the aluminum.

 

[Suzanne & Darcy]

Have you ever looked into the other phosphorus binders that come in tablet form that can be crushed or put in a treat?

• Sevelamer (carbonate or hydrochloride) — non-calcium, non–aluminum binder. Often available as tablets; tablets can sometimes be crushed and hidden in a small pill pocket, meat paste, or syringe-fed gel. Requires veterinary prescription.
• Lanthanum carbonate — effective binder, available as chewable tablets or crushed powder. Tablets may be easier to hide in a small amount of tasty wet food, meat, or a pill pocket. Prescription required.

Tanya’s website talks about these as well.