Pantoprazole and Dexilant

[Shiloh & Rhonda (GA)]

Can either of these be used in cats?

@Critter Mom , @BJM , @Wendy&Neko @Larry and Kitties

 

[Critter Mom]

Haven't a scooby, Rhonda.

Here's some information on veterinary use of Pantoprazole:

Veterinary Specialists of Rochester - The Anorexic Cat (no dosage guidance).

 

[BJM]

Google is wonderful. I typed "pantoprazole in cats" and got a bunch of listings.
The answer is yes, it can be used in cats. Your vet should advise on the dose.

Here's one result from the Merck Veterinary Manual, a 'bible' for vets.

If the issue is excess stomach acid, many of us use 1/4 of a Pepcid AC (nothing else in it) about 20 minutes before feeding.

 

[Shiloh & Rhonda (GA)]

I googled too. Just wanted the experience of the board. I have almost a full bottle that I want to send to someone that can't get the Pepcid.

 

[Critter Mom]

Just saw a source that Dexilant is not used in dogs.

 

[Critter Mom]

IDEXX article on pancreatitis mentions pantoprazole:

Antacid Therapy - H2-receptor antagonists (ranitidine or famotidine) or proton-pump inhibitors (pantoprazole) are not routinely recommended but should be considered if thereis concern for gastrointestinal ulceration.

Sorry - no dosing advice again.

 

[Critter Mom]

Just had a gander at BJ's Merck manual - dosage info as follows for

Proton pump inhibitors (eg, omeprazole 0.5–1 mg/kg/day, PO, or pantoprazole 0.5–1 mg/kg/day, IV) offer more complete inhibition of gastric acid secretion and are therefore useful for more severe ulcers. Prophylactic use of H2 blockers and proton pump inhibitors to prevent GI ulceration is controversial but may be considered in animals receiving NSAIDs or that have other risk factors.

[Emphasis mine.]

Trouble is it's IV admin. (Same was mentioned in another article I've just read.)

 

[Shiloh & Rhonda (GA)]

And the dosage, .5 to 1 mg/kg per day. At a guess, for a six pound cat, we would talking about 1/6 to 1/12 of a 40 mg tablet. SIGH.....

 

[BJM]

PO means by mouth, so omeprazole 0.5–1 mg/kg/day, PO.

What about Pepcid AC?

 

[Critter Mom]

Sigh indeed ...

 

[Shiloh & Rhonda (GA)]

BJ, the person I was going to give it to can't afford the Pepcid.

 

[BJM]

There should be a generic version of it available - famotidine.

 

[Shiloh & Rhonda (GA)]

Just now thought about the kg rather than lbs. We would be talking about splitting a fairly small pill into 12 pieces.

 

[Critter Mom]

Maybe put a crumb into a bit of water and syringe feed?

 

[Critter Mom]

I give my Saoirse generic famotidine. 1/4 of a 10mg tablet for a 4.5kg body weight.

 

[BJM]

What you could do is put it into a soft food, mix incredibly well, and use an oral syringe to measure the dose.
Ex. take 0.6 mL of food, dissolve in tablet, pull up 0.05 mL of mix to dose.

 

[Shiloh & Rhonda (GA)]

BJ, your math skills amaze me!

 

[BJM]

And when I looked at it, I'd made an error (corrected now).

0.05 * 12 = 0.6

(Not 0.5 which is what I had originally, always double check the math!)

 

[Shiloh & Rhonda (GA)]

So, I'm testing my math skills. I have a syringe that has mL markings. If you were to mix a pill with 6mL of food, mix very well, then draw up .5 mL, would that be the same?

 

[BJM]

Yes. 6 / 12 = 0.5