My latest adventures with pilling

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jldnvjld

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Back on the 11th I'd posted that Junga's now getting glucosamine and Tramadol for newly-diagnosed arthritis, and that I was having trouble with pilling him.

Well, after several episodes of foaming mouth (tramadol tastes TERRIBLE), a number of pilling failures (pill ends up soggy on the carpet) and one upset-tummy day, here's what I've worked out:

1. at least for Junga, Tramadol apparently can cause stomach upset/nausea. It's better if he gets the pill after he's eaten nearly a tablespoon of food. Since he's not a terribly enthusiastic eater these days, that's a bit tough, but that's what I'm trying for. No food, no pill.

2. pill pockets aren't great for really vile-tasting medicine. Once he accidently bit a pill in its pocket, the pill pocket gambit was over, completely. Yes, I was using 1/4 a pill pocket per dose.

3 a. With much googling, I've discovered two ways to get the pill into him without the bad-taste trauma. Method one is to put the pill in a ball of peanut butter and stuff the ball into the back of his throat. I can't use the pill gun because the peanut butter sticks to the gun. Refrigerating the peanut butter helps it stick to my fingers a little less. The peanut butter is effective enough that even those times where I think he's bit the pill he doesn't appear to taste the bitterness.

3 b. I'm currently using this method for the Tramadol: half of a (I believe 50 mg pill) just barely fits in a size-4 gelatin capsule. That's the second-smallest size made; the bigger the number, the smaller the size: 00, 0, 1, 2, 3, 4, 5. I got the capsules from a local compounding pharmacy: .88 for 20 of them. I think that price is probably fairly high, but I can live with it. I cram the half-pill in the capsule, being careful not to get pill powder on my hands, rub the capsule in butter, stick it in the pill gun, and away we go. So far Junga shows no signs of tasting anything bad. After I've pilled him, I do my darndest to get him to eat something.

So, for now, it's capsules. I just thought I'd share in case anybody else is struggling with cat pilling. Here are some of the more helpful information links I found.

http://www.felinecrf.org/medicating_your_cat.htm
http://partnersah.vet.cornell.edu/pet/f ... or_capsule
http://www.vasg.org/long_term_cat_meds_ ... ration.htm

I can't really tell how much the tramadol helps; he's still limping, but I *think* he walks faster. I think I have to assume the arthritis hurts and that the tramadol helps.

J.
 
jldnvjld said:
Once he accidently bit a pill in its pocket, the pill pocket gambit was over, completely. Yes, I was using 1/4 a pill pocket per dose.

Good for you for only using part of a PP....bummer that he bit down on it.

For others reading this...it is important to NOT use a whole PP. Just use enough to cover the pill because the bigger the PP, the more apt they will be to bite down on it.

I cram the half-pill in the capsule, being careful not to get pill powder on my hands, rub the capsule in butter, stick it in the pill gun, and away we go. So far Junga shows no signs of tasting anything bad. After I've pilled him, I do my darndest to get him to eat something.

You have probably stumbled onto my Pilling Cats and Dogs - Erosive Esophagitis webpage at catinfor.org but for those who have not, it is a MUST that they either eat something immediately after pilling (even when coated with butter)...or...if they won't eat, then you need to use a 1 cc syringe and administer at least 4 cc of water or a flavored water like tuna juice - 3/4 - 1 cc at a time.

Please also note that capsules are worse than tablets for slow transit time to the stomach. See the article mentioned above for the study showing that to be true.


I am curious....do these three links talk about 'chasing' the pills/capsules with food or water?

This is a huge pet peeve of mine....the fact that my colleagues allow their clients to 'dry' pill their cats and dogs. Makes me crazy....
 
Is this med available in any other form? Transdermal or liquid with tuna or chicken flavor?

Maggie's heart med was very bitter and we struggled with a pill. Transdermal meds rubbed on her ear were a life saver. I think it may be less precise dosing, but it was alot better than stressing her out or finding pills under the edge of the rug. The biggest drawback is the extra cost for a compounded drug.
 
Lisa dvm said:
[quote="jldnvjld"] I cram the half-pill in the capsule, being careful not to get pill powder on my hands, rub the capsule in butter, stick it in the pill gun, and away we go. So far Junga shows no signs of tasting anything bad. After I've pilled him, I do my darndest to get him to eat something.[/quote]

You have probably stumbled onto my Pilling Cats and Dogs - Erosive Esophagitis webpage at catinfor.org but for those who have not, it is a MUST that they either eat something immediately after pilling (even when coated with butter)...or...if they won't eat, then you need to use a 1 cc syringe and administer at least 4 cc of water or a flavored water like tuna juice - 3/4 - 1 cc at a time.

Please also note that capsules are worse than tablets for slow transit time to the stomach. See the article mentioned above for the study showing that to be true.

[quote="jldnvjld"]
[url=http://www.felinecrf.org/medicating_your_cat.htm]http://www.felinecrf.org/medicating_your_cat.htm[/url]
[url=http://partnersah.vet.cornell.edu/Cat-Pilling]http://partnersah.vet.cornell.edu/Cat-Pilling[/url]
[url=http://www.vasg.org/long_term_cat_meds_administration.htm]http://www.vasg.org/long_term_cat_meds_ ... ration.htm[/url]
[/quote]

I am curious....do these three links talk about 'chasing' the pills/capsules with food or water?[/quote]

The Cornell videos do specifically talk about 'chasers':
[url=http://partnersah.vet.cornell.edu/pet/fhc/pill_or_capsule]http://partnersah.vet.cornell.edu/pet/f ... or_capsule[/url]

I had the link wrong in my original post; I'll fix it.
 
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