This is one of the really good things about the Internet - finding others who're going through what you are.
Yes, 0.25 ml is halfway between 0.2 and 0.3
My current vet insists there are guidelines she has to follow and the pulse dosing is not a part of that. She said that she can't prescribe every other week dosing schedule. I live in northeastern PA where they only allow for every other day dosing or twice a week dosing.
Thank you @Larry and Kitties
I wonder if it's time for a consult with an internal medicine vet or an oncologist that will be more up to date on treatments and dosing. You absolutely do NOT have to lock Smoky up in your bedroom after giving a dose. Just make sure you scoop the litter box frequently, especially the pee. And change out the litter often too. You should wear gloves when handling the medication. The formula for larger doses given less frequently (or pulse dosing), is based on the cat size. My two cats were larger and getting 6 mg a dose. But you do have to be careful that kitty is not getting too large a dose. There should be follow up blood tests to make sure his blood counts are still stable when on the chemo.
Some cats live up to an extra four years after starting chlorambucil. That's a pretty good slow down in my books.
Yes, it would be.
I'm still trying to decide on whether I can go the route of chlorambucil and frequent blood testing and the higher financial costs for that. Smoky is only about 7.5 lbs right now. He has two enlarged kidneys and multiple nodules on his intestinal wall is what I think the vet called them. Unfortunately, I don't have the means to consult with a specialist. I have been considering having him put to sleep.
Yes it is "safe". However, an oncologist should give the dosing.
I never separated Mario form my other cats
I totally get it. You might need more than a month if small cell. They respond slowly but once they do they feel much better.
Smoky is also too weak to have a biopsy done and I don't have the means to get one done anyway.
His vet told me they were pre-filled syringes so I asked about dosage. The vet never bothered to show me how to measure on the syringe. She just said the syringes were individual doses. I gave him the entire syringe full of bupe three nights in a row, each one of them is enough for 4 to 5 doses. I could have killed my kitty was my first thought.
the pharmacist told me to wait 5 days from Monday to give bupe again. I'm such a terrible cat mommy, could have really hurt him or worse.
You've had a lot of stressful things on your mind, Lisa. Mistakes happen, especially when we're dealing with a lot but he survived this. Was he extra slow and dopey when he was given that much bupe? I hope you can get more bupe to replace what you've used and I'd fault your vet for not explaining clearly. When I had bupe for Teasel's cystitis pain the syringe was clearly marked with a black line to show one dose. They weren't prefilled, though - I had a small amount of bupe in a separate bottle.I did a really dumb thing with his pain meds.
The pharmacist was kind enough to put water in a 1 mL syringe and showed me how to dose for each day from the same syringe. I am so mad at myself and the vet for not making sure I knew what I was doing first.
Depended on the cat. Theo needed less than Neko. Theo needed 1 mg, Neko 2 mg. But I would run dosing and medicines by my vet first.
That sounds like a good idea to me. My vet will be against me buying anything OTC for him. She just wants me to get everything through her clinic. Also, the cerenia is $25 for two tablets. The dose is 1/4 tab given as needed. The Pepcid AC sounds more cost effective to use.
Smoky had vomited for two days after the dose of chlorambucil. I gave him cerenia which seemed to help a little bit.
