Pancreatitis healed? Next Steps?

Bowie

Member Since 2026
Bowie was diagnosed with diabetes about a month ago. After a bad reaction to Bexacat and multiple trips to the emergency room, the additional diagnosis of pancreatitis was added. He struggled for three weeks to eat regularly and was on Cerenia, Bupenorperine, Mirataz and Zofran during this time. We tried multiple foods and hand feeding and used all the suggestions here to keep him going in conjunction with the vets directions. He hasn’t puked or had diarrhea in five days and we hope his pancreatitis is under control. Also, his appetite has come back strong and we have been able to up his dose of Lantus and are in the middle of the waiting period to see its effect. His numbers have been high this past week but his nadir dropped below 100, once around 130, and once in to the low 200s from highs of 350-400.

The vet recommended stopping the bup and the Cerenia at the same time. We are hesitant to make too many changes at once because we want to eliminate the guess work if the fit hits the shan of what was and wasn’t working. We have tried that before and ran in to regression of his pancreatitis leading to a sleep deprivation and a stressed out family.

So we are considering just stopping the Cerenia and continuing the bup every 15 hours instead of every 8 along with Zofran ever 12 hours and Mirataz once a day.

Any experience with their cat’s pancreatitis getting better and transitioning off those meds that help with that? Any set backs with dropping those meds too fast or too soon?

Bowie and we thank you for the help.
 
Here is your prior post for continuity
Bowie - newly diagnosed with Pancreatitis

So glad Bowie is feeling better. It’s very stressful to go through all of this.
Your instincts are good to stop one thing at a time to make sure what support he still needs.

Do you have a spreadsheet set up so we can see the glucose numbers so someone can help with dose advice?

I’m very glad he’s feeling much better and eating well 🥰
 
Pancreatitis is common in diabetic cats. It just happens with seemingly no trigger of any kind. It used to be thought that high fat food was a trigger but that has been debunked. You just have to treat it when it occurs. If your cat seems to be better (eating, back to normal behavior, etc) you just stop one medicine at a time. Good appetite? Stop the mirtazapine and see if your cat continues to eat well. No lip smacking? Stop Cerenia. No facial grimace or hunched posture? Stop bupe. A symptom comes back? Add the med back in.

Most diabetics get over pancreatitis in a few days at home. Leroy used to get over it quickly but is currently stuck in a 3 week+ episode :blackeye: He gets bloodwork every week for his kidney issues and I have the vet do a fPLI test too. He's only getting twice daily odansetron now. He might not actually need it but I'm afraid to stop and have him fall apart :nailbiting: He's got multiple issues going on so don't use our experience as a guide.

Info - A Primer On Pancreatitis
 
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