4/27, Falafel - AMPS 153 +3 106 +6 154 +9.5 161 PMPS 174 +2 184 +4 153 - increase?

Previous condo: https://www.felinediabetes.com/FDMB/threads/4-26-falafel-amps-134-2-116-4-126-pmps-156.289285/

At PMPS, I gave Falafel Cerenia and then she vomited. Not sure exactly when, I found the vomit at +1 but I didn’t hear her so not sure how much of the Cerenia dissolved.

I think this was my fault, I usually do PMPS, let her eat, wait 15 mins for more grazing, and then give Cerenia. Today I rushed.

Question - she is on 12.5 mg of Zeniquin, we have quite a few doses of the course left. Can I skip today’s dose or will it ruin everything? I’m worried the Cerenia didn’t get a chance to take effect and came out in her vomit (which was brown liquid - undigested food). Zeniquin does make her vomit. So thinking maybe best to try again tomorrow rather than retraumatize her.

Thoughts?

 

At what point in the time in relation to food and Cerenia do you normally give the Zeniquin?

What is her dose of Cerenia and how much does she weigh? Just wondering if you can give it again.

 

1. Zeniquin - I give it at PM+2 usually, and wait 15-30 minutes after her last graze. Sometimes I give it at PM +1 depending on if she ate really well and had at least 30 mins to digest first.
2. Cerenia - 4mg at PMPS and she weighs 8.7lbs as of today.

 

According to table 9 in this post: (2016) ISFM Consensus Guidelines: Diagnosis & Management of Feline Chronic Kidney Disease
you can give 2mg/kg or about 1 mg/lb of cat. If she had 4 mg, it'd be OK to give her another 4 mg of Cerenia now, then wait and give the Zeniquin later.

 

Thank you! I gave another 4mg Cerenia at PM+3. Just waiting for PM+4 to give the Zeniquin.

Since it has been 6 cycles since her 50s on 4/24, and now that I have digital calipers, I think tomorrow we can try 0.3U instead of increasing all the way up to 0.5U?

@Wendy&Neko @Bandit's Mom @Angela & Cleo

 

Or 0.375, split the difference? In the old days, we called it either a fat 0.25 units or skinny 0.5. That was before calipers.

 

Oooh good idea. I’ll try it!

I won’t be home to monitor much tomorrow, I can get up to AM +3 but I think my sister can get AM +6 before she has to leave. Cat sitter is doing PMPS, I’ll be back at PM+5 to resume. But Monday PMPS cycle I can stay up to see the effects.

 

Calipers makes it so much easier to have a petsitter (or other) do the dosing!