? Need some help please

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Noah & me said:
No emoji for this so I'm sticking my tongue out at the tech. Good for you and great for Pepper.
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Here you go!!
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I'm sure the ProZinc will be a better fit for Pepper!! Good luck!!
 
FurBabiesMama said:
I would think so as well. 1u is the 'normal' starting dose. Of course, I would rather see someone start too low than too high.. at least the vet has enough sense not to say to start her at 2 or 2.5. :eek:
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I knew it was too good to be true. I just picked up Peppers prescription for Prozinc. She wrote to start her at 2 units.:banghead: If it wasn't for all of you guiding me through this, I would have just gave her what she wrote. Pepper and I thank you!!:)
 
Peppersmom72 said:
its not what every one suggested. She prescribed her metoclopramide.
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(sigh)

I initially had the same issue with our vets. Actually I think Saoirse was the first cat at the practice to be treated with ondansetron. (I kept on the case till I got an Rx for it and it made the world of difference to her!)

Metoclopramide taken for a day or so can help resolve nausea associated with constipation because it can help normalise gut motility. Indeed, in such a situation Cerenia and ondansetron are fairly useless while the cat remains backed up. However, for nausea related to other issues metoclopramide is of little or no help (and it isn't suitable for longer term use because it can have nasty - potentially permanent - adverse effects on the nervous system).

From the IDEXX Pancreatitis Treatment Guidelines:
When present, vomiting should be controlled; and if absent, treatment with an antiemetic should still be considered to treat nausea. There are several antiemetics available. Metoclopramide (Reglan®) is a popular antiemetic in cats and is still used by many practitioners. However, metoclopramide is a dopamine antagonist and inhibits vomiting by blocking the central nervous system (CNS) dopamine receptors in the chemoreceptor trigger zone (CRTZ). It is probably not a very good antiemetic in cats because they are reported to have few CNS dopamine receptors in the CRTZ. Dolasetron (Anzemet®) and ondansetron (Zofran®) act on the serotonin 5-HT3 receptors in the CRTZ and are very effective in cats. Lastly, although maropitant citrate (Cerenia®) is only labeled for use in dogs, it has become a popular and effective antiemetic for use in cats and acts on the neurokinin (NK) receptors in the vomiting center and can be used at 1/2 of the dog dose.
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If Pepper doesn't show sufficient improvement soon on the metoclopramide perhaps use the IDEXX paper as a basis for discussions with your vet about alternative anti-emetic/anti-nausea treatments.

ETA:

Also, it might help if you keep brief notes about Pepper's clinical signs in a daily journal. It's a great way to provide the vet with evidence of a treatment's effectiveness - or lack thereof.


Mogs
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I'm by no means complaining about Peppers vicious appetite today. But, now I'm second guessing myself if an insulin switch is truly in her best interest. (I haven't started her on Prozinc yet because I have to order it). I just took her BG and it is 191 at +4, she's not even at her lowest point yet. I'm wondering how much of the 191 is food related, and if in fact she is lower. She is eating every 1-2 hours. She acts like she just can't get enough food.
 
Critter Mom said:
If Pepper doesn't show sufficient improvement soon on the metoclopramide perhaps use the IDEXX paper as a basis for discussions with your vet about alternative anti-emetic/anti-nausea treatments.
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I second that! Give what the vet suggests a try, and then come back with "more data" if it isn't working well enough.

Critter Mom said:
Also, it might help if you keep brief notes about Pepper's clinical signs in a daily journal. It's a great way to provide the vet with evidence of a treatment's effectiveness - or lack thereof.
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Another great suggestion. I've regularly done that with my cats, and it helps the vets a lot to have properly documented symptoms -- they're not often that lucky.
 
I feel like sabotage is taking place in my household. (By no means on purpose). Pepper usually eats 1/2 can of FF at 6,10, 2, 6 and 10. She was so hungry yesterday, that instead of giving her the usual half can at those times he was only giving her 1/4 of a can at 8, 10, 12, 2, and 4. I fed her a 1/2 can at 6 and 10. I feel like he was starving her. I told him if she is hungry in between her meal times that he needs to feed her. I didn't think he was going to cut down the rest of her food at meal times as well. Uh, I guess I need to write it down for him.o_O
 
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