5/16/22 CALI AMPS 454 +5 250, PMPS 224, +3 310

carlascalico

carlascalico

Member Since 2020
5/16/22. CALI AMPS 454
?dosing advice please. Reduced to 1.75U last PM
trying to review all determinants of AMPS [and rise last night combination of]
have pulled insulin for 2U but will await assist before shot [or shoot 1.75U if no one available in shot window 15-30 minutes]
TIA

gave 1.75U within shot window

edit: +2.75 357 1tsp LC
+5 250 1Tbsp LC
PMPS 224
+3 310 [rise in curve to form frown?]

https://felinediabetes.com/FDMB/thr...-74-2-160-5-5-306-bounce.263320/#post-2949986
 
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She is just bouncing. Stay with 1.75U. If you remember, she did the same thing (bounce to red) when she got lime at 2.25U and you reduced to 2U.
Give her 6-8 cycles on this dose before you call it a failed reduction.
 
Bandit's Mom said:
She is just bouncing. Stay with 1.75U. If you remember, she did the same thing (bounce to red) when she got lime at 2.25U and you reduced to 2U.
Give her 6-8 cycles on this dose before you call it a failed reduction.
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Bandit's Mom said:
She is just bouncing. Stay with 1.75U. If you remember, she did the same thing (bounce to red) when she got lime at 2.25U and you reduced to 2U.
Give her 6-8 cycles on this dose before you call it a failed reduction.
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Blessed to have you . Will hold the dose and take ? Off condo thread. :bighug:
 
Suzanne & Darcy said:
I'm sorry about Cali's bounce.
What is the .2 meloxicam for?
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Thanks. Coming down bit by bit today. Probably see red down to blue/green today & PM.
0.2ml meloxicam is for hip pain maintenance daily [instead of opioid bup…] due to injury or arthritis. Working to increase mobility to manage weight and BGs. Prescribed off label for cat [rx for dogs]. Showing early success.
 
carlascalico said:
Thanks. Coming down bit by bit today. Probably see red down to blue/green today & PM.
0.2ml meloxicam is for hip pain maintenance daily [instead of opioid bup…] due to injury or arthritis. Working to increase mobility to manage weight and BGs. Prescribed off label for cat [rx for dogs]. Showing early success.
Click to expand...
Okay. I was just wondering about that since Meloxicam is known to damage cat's kidneys. There are better options. Buprenorphine is actually one of the very best and safest pain relievers that can be given to a cat. For arthritis pain, Adequan injections and now the new injection (monthly) of Solensia is promising (although as with any new thing, I would proceed with caution.) There is a thread on this Board discussing Solensia. I was wondering if maybe Cali had CKD and was receiving low-dose meloxicam. That is very controversial (because of the potential kidney damage) in the U.S. but some vets do it and it is more commonly used for this purpose in Europe and Australia (maybe other places as well?)
 
Suzanne & Darcy said:
Okay. I was just wondering about that since Meloxicam is known to damage cat's kidneys. There are better options. Buprenorphine is actually one of the very best and safest pain relievers that can be given to a cat. For arthritis pain, Adequan injections and now the new injection (monthly) of Solensia is promising (although as with any new thing, I would proceed with caution.) There is a thread on this Board discussing Solensia. I was wondering if maybe Cali had CKD and was receiving low-dose meloxicam. That is very controversial (because of the potential kidney damage) in the U.S. but some vets do it and it is more commonly used for this purpose in Europe and Australia (maybe other places as well?)
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Good information on the meloxicam Suzanne. So far, Cali’s kidneys are OK but of course I want to manage proactively using my info research as well as discussions, advice, counsel and experience on this FDMB board. My Veterinarian of record who initially diagnosed Cali will also study, reach out to internists, contemplate before decision. He does prescribe meloxicam, primarily to dogs but occasionally off label to felines. He prescribed 1/2 quantity for a dog based on weight. Cali is 15 pounds, so he advised volume for Cali based on 7 Lb dog. Bhooma and I further discussed the benefits and she implored me to use fraction of what vet was recommending. I also worked with vets at Chewy and we calculated the 0.2ml maintenance daily. So far, excellent results [combined with the switch to Levemir insulin]. I also used BUP but very sparingly and 1/2 dose prescribed. She does need a daily maintenance pain assistance of some sort. I am familiar with ADEQUAN as it is the “horse” version of Previcox [for dogs]. Our large animal vet has prescribed that in pill form for my senior horses off label for years [1/2 dog dose daily since horse can’t metabolize whole tablet a dog takes]. Much to consider what is best for Cali and safest, using the smallest quantity required. Also will review Solensia. Thank you again for your valuable insight and cautions.:)
 
carlascalico said:
I am familiar with ADEQUAN as it is the “horse” version of Previcox [for dogs]. Our large animal vet has prescribed that in pill form for my senior horses off label for years [1/2 dog dose daily since horse can’t metabolize whole tablet a dog takes].
Click to expand...
Adequan is cats is administered as a subcutaneous injection once (or twice a week) for the first 4 weeks and then once a month. Some people have reported that it really helped with their cat's arthritis. You could check with your vet about it for Cali. Bupe is a painkiller while meloxicam is an anti-inflammatory.

carlascalico said:
PMPS 224 3Tbsp LC 1.75 U LEVEMIR
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Coming down nicely. Another night off or an active bounce breaking cycle??!! Start with a +3?
 
Bandit's Mom said:
Adequan is cats is administered as a subcutaneous injection once (or twice a week) for the first 4 weeks and then once a month. Some people have reported that it really helped with their cat's arthritis. You could check with your vet about it for Cali. Bupe is a painkiller while meloxicam is an anti-inflammatory.

In human meds, Bupe more like Hydrocodone [opioid painkiller], Meloxicam more like Naproxen [anti-inflammatory]. One tricks the brain, the other reduces swelling in the joints? Always trade-offs but for me Naproxen far more effective in reducing inflammation in my old injured arthritic ankle, therefore reducing pain. I would barf with any opioid painkiller.


Coming down nicely. Another night off or an active bounce breaking cycle??!! Start with a +3?
Click to expand...

your counsel is like a soothing stress reliever :). I will start with a +3 and change our iPhone alarm tunes. My subconscious sometimes incorporates the current one into my dreams, humming along but not awakening. I dream I am testing with background music. LOL. Cali and DH snore!
 
Yikes. My reply to your above post appears as if you said “in human meds…”. See middle paragraph of above. :rolleyes::bookworm:
 
carlascalico said:
Yikes. My reply to your above post appears as if you said “in human meds…”. See middle paragraph of above. :rolleyes::bookworm:
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I missed the reply because it was embedded in mine :-)

carlascalico said:
I will start with a +3 and change our iPhone alarm tunes. My subconscious sometimes incorporates the current one into my dreams, humming along but not awakening. I dream I am testing with background music. LOL. Cali and DH snore!
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One trick is to keep the phone/alarm across the room - reduces the chances that you will turn it off and go back to sleep! :-)
 
PM+3 [310] 1Tbsp LC & treat water
Fed 2 Tbsp ck breast bits in AF training @+2
bit of nasal drip when on side for BG ear warm & test, no fever 92.7 [time of year temp changes]
 
carlascalico said:
Good information on the meloxicam Suzanne. So far, Cali’s kidneys are OK but of course I want to manage proactively using my info research as well as discussions, advice, counsel and experience on this FDMB board. My Veterinarian of record who initially diagnosed Cali will also study, reach out to internists, contemplate before decision. He does prescribe meloxicam, primarily to dogs but occasionally off label to felines. He prescribed 1/2 quantity for a dog based on weight. Cali is 15 pounds, so he advised volume for Cali based on 7 Lb dog. Bhooma and I further discussed the benefits and she implored me to use fraction of what vet was recommending. I also worked with vets at Chewy and we calculated the 0.2ml maintenance daily. So far, excellent results [combined with the switch to Levemir insulin]. I also used BUP but very sparingly and 1/2 dose prescribed. She does need a daily maintenance pain assistance of some sort. I am familiar with ADEQUAN as it is the “horse” version of Previcox [for dogs]. Our large animal vet has prescribed that in pill form for my senior horses off label for years [1/2 dog dose daily since horse can’t metabolize whole tablet a dog takes]. Much to consider what is best for Cali and safest, using the smallest quantity required. Also will review Solensia. Thank you again for your valuable insight and cautions.:)
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I can see that my concern about the Meloxicam is not appreciated. I am sorry if I upset you. I assure you that my intention was never to stress you out or to upset you in any way. My concern was only for Cali to not be harmed. There is a Black Box warning on using Meloxicam in cats, which states: Repeated use of meloxicam in cats has been associated with acute renal failure and death. Do not administer additional injectable or oral meloxicam to cats. See Contraindications, Warnings, and Precautions for detailed information. While I can see that you are well-informed, I could not be sure if you were aware of the potential for kidney damage. I would never want your kitty to be harmed. Perhaps you've already had this discussion. I also would not want her to be in pain and so I understand your willingness to try things to help her. That's why I wanted to mention some other options that seem to be working very well for other members on this Board.

I see that Bhooma likes Naproxen (Aleve is one brand here in the U.S.) I take it too sometimes, when I am sore and my back hurts. But I am not a cat, and I do not have a cat's body that really do not process NSAIDS well at all without damage to the kidneys. Although I have been warned by human physicians about over use of NSAIDs as well (potential for kidney damage.) I don't take it daily, so I try not to worry about that I like to take things like Curcumin, Ginger, Boswellia, etc. as "natural" anti-inflammatories. I do wish all the very very best for Cali and for you. My apologies if you were annoyed or upset by my caution. Again, I just want your sweet kitty to be well. I know you love her more than anything and are trying to make very well-informed choices. I did not mean to imply that you were not.
 
Suzanne & Darcy said:
I can see that my concern about the Meloxicam is not appreciated. I am sorry if I upset you. I assure you that my intention was never to stress you out or to upset you in any way. My concern was only for Cali to not be harmed. There is a Black Box warning on using Meloxicam in cats, which states: Repeated use of meloxicam in cats has been associated with acute renal failure and death. Do not administer additional injectable or oral meloxicam to cats. See Contraindications, Warnings, and Precautions for detailed information. While I can see that you are well-informed, I could not be sure if you were aware of the potential for kidney damage. I would never want your kitty to be harmed. Perhaps you've already had this discussion. I also would not want her to be in pain and so I understand your willingness to try things to help her. That's why I wanted to mention some other options that seem to be working very well for other members on this Board.

I see that Bhooma likes Naproxen (Aleve is one brand here in the U.S.) I take it too sometimes, when I am sore and my back hurts. But I am not a cat, and I do not have a cat's body that really do not process NSAIDS well at all without damage to the kidneys. Although I have been warned by human physicians about over use of NSAIDs as well (potential for kidney damage.) I don't take it daily, so I try not to worry about that I like to take things like Curcumin, Ginger, Boswellia, etc. as "natural" anti-inflammatories. I do wish all the very very best for Cali and for you. My apologies if you were annoyed or upset by my caution. Again, I just want your sweet kitty to be well. I know you love her more than anything and are trying to make very well-informed choices. I did not mean to imply that you were not.
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Hi Suzanne, I don't think your warnings over Meloxicam were upsetting at all! :bighug: There is indeed a black box warning in the US and meloxicam can lead to kidney issues - especially when vets mistakenly prescribe dog strength to cats - which is what Cali's vet did as well. Fortunately Carla posted here and we were able to warn her of the dosage.

Btw, the Naproxen bit is Carla's message mistakenly embedded in my reply. I don't use Naproxen/Aleve. The most common NSAID in India is paracetamol (known as acetominophen in the US) and ibuprofen :)
 
That’s such a relief. I thought that the dose seemed small @carlascalico, but I was just wanting to make sure (especially since I didn’t know Cali’s weight.). I was just afraid that I had upset Carla. I know that Laura’s Gremlin (Australia) did really well on low dose meloxicam for years with CKD. I am so glad that Cali’s dose is low.

As for me, I have Ibuprofen, Acetaminophen and Naproxen in my human medicine cabinet, oh… aspirin too…. but I try to take them very rarely.

We’re all good!
 
Suzanne & Darcy said:
I know that Laura’s Gremlin (Australia) did really well on low dose meloxicam for years with CKD.
Click to expand...
I did a lot of research on Meloxicam because of the kidney scare and also the black box warning. Found a few cats here who did very well on it (completely changed their quality of life) with no issues on the kidney front. It really helped Budge a lot. Even Bron's Sheba was on it for a couple of years.
 
Bandit's Mom said:
I did a lot of research on Meloxicam because of the kidney scare and also the black box warning. Found a few cats here who did very well on it (completely changed their quality of life) with no issues on the kidney front. It really helped Budge a lot. Even Bron's Sheba was on it for a couple of years.
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Yes. I’m a little afraid of it, but I think it’s dose dependent, as you say. I’m so glad to know it’s helped Budge. I remember you said she was doing a lot of limping, and I was going to write and ask you about her. Do y’all have Solensia in India yet? I am looking into it (only for the future, my cats don’t need it now) but it’s new and so I am cautious.
 
Suzanne & Darcy said:
Do y’all have Solensia in India yet? I am looking into it (only for the future, my cats don’t need it now) but it’s new and so I am cautious
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It's only available in the US and EU. I tried Cartrophen (we don't have Adequan) and it made no difference. Someone on Tanya's CKD group posted on Budge's condo there that Solensia did not help his cat at all. ECID, I guess!
 
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