? 2/8 Theodore question on medication

NadineTheodore

NadineTheodore

Active Member
Hello,

So as an update Theodore does have some mild asthma and we were advised to put him on AEROKAT, twice daily for two weeks then one daily for two weeks then on an as needed basis.

Regarding protein in urine, they suggested diet change to deal with it so something that's kidney friendly. It may require me making him some food or looking at Tanya's CKD site for ideas.

The internalist also advised my vet to that we should look at benazepril 5mg for Theodore and checking his blood (kidneys) to ensure medication isn't causing kidney damage along with rechecking if it resolves protein in urine. Has anyone been their little one on this?

@Wendy&Neko
@tiffmaxee
 
NadineTheodore said:
Hello,

So as an update Theodore does have some mild asthma and we were advised to put him on AEROKAT, twice daily for two weeks then one daily for two weeks then on an as needed basis.

Regarding protein in urine, they suggested diet change to deal with it so something that's kidney friendly. It may require me making him some food or looking at Tanya's CKD site for ideas.

The internalist also advised my vet to that we should look at benazepril 5mg for Theodore and checking his blood (kidneys) to ensure medication isn't causing kidney damage along with rechecking if it resolves protein in urine. Has anyone been their little one on this?

@Wendy&Neko
@tiffmaxee
Click to expand...
Im curious, what inhaler are you using? Is it flovent or albuterol? Albuterol is a rescue inhaler that really shouldnt be given on a regular basis. And Flovent is a maintenance inhaler that should be given consistently (not as needed)
 
The link to your last post here: https://felinediabetes.com/FDMB/threads/theodore-insulin-advice-2-5-amps-90-9-522.286394/
I was trying to go back see what the previous discussion was on proteinuria. Did the vet ever do a urine protein/creatinine ratio (UPCR) test? And if so, what were the results?

The steps are first to confirm proteinuria (requires 3 UPCR tests to be run two weeks apart), then diagnosis of the cause of it, then based on that, you decide on medication. Note, there are things not related to kidneys that can cause proteinuria. Has he had his blood pressure tested yet? More information on this page: http://www.felinecrf.org/proteinuria.htm

My Neko was on benazapril. You do have to watch that it doesn't make the creatinine worse. Fortunately it did not for Neko. The form they push in Canada is Fortekor, which is supposed to be a tasty chewable. I've never seen a cat like it, maybe tasty for dogs. I had to pill it. Telmisartan is a new drug used for proteinuria.

I have you a link to a list previously that had diabetic/CKD friendly foods.
 
Wendy&Neko said:
The link to your last post here: https://felinediabetes.com/FDMB/threads/theodore-insulin-advice-2-5-amps-90-9-522.286394/
I was trying to go back see what the previous discussion was on proteinuria. Did the vet ever do a urine protein/creatinine ratio (UPCR) test? And if so, what were the results?

The steps are first to confirm proteinuria (requires 3 UPCR tests to be run two weeks apart), then diagnosis of the cause of it, then based on that, you decide on medication. Note, there are things not related to kidneys that can cause proteinuria. Has he had his blood pressure tested yet? More information on this page: http://www.felinecrf.org/proteinuria.htm

My Neko was on benazapril. You do have to watch that it doesn't make the creatinine worse. Fortunately it did not for Neko. The form they push in Canada is Fortekor, which is supposed to be a tasty chewable. I've never seen a cat like it, maybe tasty for dogs. I had to pill it. Telmisartan is a new drug used for proteinuria.

I have you a link to a list previously that had diabetic/CKD friendly foods.
Click to expand...
@Wendy&Neko Hi Wendy,

1) We had one urine protein/creatinine ratio done and result was 5 - nobody suggested more of them (not internalist or regular vet, reg vet is taking internalists lead on this)
2) His blood pressure was tested, June = 140 (DKA episode), 190 at the internalists BUT it was a 45 minute drive and he was there for like 4 hours, I am not sure at what point they checked his blood pressure but the drive alone would have been a lot for him plus barking large dogs in waiting room. We had blood pressure checked this Monday and she took it several times, average was 160.

Do you think realistically a food change will make a huge change in the protein in urine?
 
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160 for a BP would be within the acceptable for "white coat" syndrome, or vet stress. Neko once tested over 210 after a very stressful vet visit, but was around 140 at the dental vet with Feliway's going.

The UCPR should be run more than once, especially for that high. Neko once peed on the table as they were trying to get urine for a UCPR :rolleyes: so they scooped up some of that urine and it tested over 8. 0.03 at her next test. On Tanya's site, some blood in the urine (which can happen during cysto) will make it read artificially high. You don't want to medicate based on just one such test, especially since the meds can make the kidney numbers worse.
 
I had a cat with CKD and proteinuria (not diabetic) on Benazapril (Fortekor). It is supposed to be a better choice than other ACE inhibitors that are excreted through the kidneys; Benazapril is excreted through the liver. As Wendy said, for some cats it can temporarily increase creatinine values so monitoring the values at least in the beginning is recommended. I was able to hide the pill in the canned food and/or pill pockets.
 
Wendy&Neko said:
160 for a BP would be within the acceptable for "white coat" syndrome, or vet stress. Neko once tested over 210 after a very stressful vet visit, but was around 140 at the dental vet with Feliway's going.

The UCPR should be run more than once, especially for that high. Neko once peed on the table as they were trying to get urine for a UCPR :rolleyes: so they scooped up some of that urine and it tested over 8. 0.03 at her next test. On Tanya's site, some blood in the urine (which can happen during cysto) will make it read artificially high. You don't want to medicate based on just one such test, especially since the meds can make the kidney numbers worse.
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Thank you! This is great information. I will have them test him again. Does it have to be done via cysto (so it doesn't alter results) or can I catch some when he goes and bring it in?
 
Christie & Maverick said:
I had a cat with CKD and proteinuria (not diabetic) on Benazapril (Fortekor). It is supposed to be a better choice than other ACE inhibitors that are excreted through the kidneys; Benazapril is excreted through the liver. As Wendy said, for some cats it can temporarily increase creatinine values so monitoring the values at least in the beginning is recommended. I was able to hide the pill in the canned food and/or pill pockets.
Click to expand...
Yes my vet mentioned monitoring is and testing the kidney values after 10 days of use.
 
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