REGLAN for anti nausea?

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Melissa&Paul-Kyle

Melissa&Paul-Kyle

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Am in need of anti nausea med for kitties getting over 7 days of stomach virus/not eating/liqui-poo/vomit.

Friend suggested reglan for oldest 2 that *want* to eat, but gag or vomit bile when they do, to cease nausea so they can start eating again. One is CRF, they are both 20 yrs +/-.

Anybody have experience using the reglan? Anything I should be concerned about? Any contraindications or conflicts with meds?

current treatments include:

pro-pectalin (pro-biotic)
kaolin-pectin (anti-diarrhea)
Albon (AB for stomach bug)
SubQ ringers (hydration)
subQ glucose (nutrients)
Nutri-cal (nutrition/calories)
Pet-Tinic (nutrients)

THANK YOU!!!
 
Have you taken anybody to the vet? Almost sounds like bad food, that they are all sick. I used Reglan with my diabetic when she had pancreatitis i am not sure about its effectiveness as nothing helped her.
You sure do have your hands full with 7 sick cats thats for sure. I used injectable Pepcid and Reglan. I think there are other ones that can be used as well such as Cerenia but I will let the others chime in on that. Good luck and I sure do hope they get better soon.

Terri
 
I used Reglan once with my civie, who is hypO-t. She is on thyroid support and vet said would be fine to give Reglan. Not sure how much it helped, or maybe it did because she did stop vomitting. I am never sure if it is coincidence or if it actually worked. Good luck with your crew!
ETA: Phoebe, the above mentioned civie, is also CRF but not on any of the things yours are.
 
Thank you, Terri and Jill.

It is good to know other CRF kittyies used the Reglan and were okay.

What were the doses you guys used?

There are 10 sick cats here, actually, and nobody has eaten (until last night) for 6 days- so can't be the food.

Took liquid fecals in and they could not see anything, but b/c poo is liquid with mucous and blood streaks, they are thinking giardia or coccidia and treating thusly.

First of the Albon was yesterday for most (2 threw up immediately) and last night I had 8 cats at dinner which was 1 teaspoon of FF Beef Feast, each, first time in 6 days they showed interest in food!

This AM, 8 came again, but 2 walked away, the other 6 ate about a tablespoon each. I did not have enough FF, so mixed with Friskies. Am on my way out for errands and to buy up all FF Beef Feast in Tri-county area. For sure they will want something different after I do that.

Of the 10, though, 2 still just can't make themselves eat, though they do try. Just too yucky feeling, so I am after the Reglan to help that, hopefully. Just wanted to make sure with others that it wouldn't make things worse.

Yes, hands full with 10 cats getting 6 treatments/meds a day....that is SIXTY things! I was 4 hours yesterday afternoon just getting started.

THANKS for your input, much appreciated
 
http://www.ehow.com/facts_5718256_side-effects-reglan-cats.html

Hi Melissa,

When my Gracie was very sick, back in the beginning of 2009, I gave Reglan to her for the vomiting and nausea. Well, she had a horrible reaction, and was running around like a nut. I called the one vet that used to come to my house, and she said that she refuses to give Reglan to cats any longer. It can cause severe side effects, as Gracie had, and I had to give some Benadryl to her (broke open a capsule and metered out the correct dose for Gracie) to get her to calm down.

I will never use Reglan again. It never really helped my cats with nausea or vomiting.

Can you call your vet, and ask what they recommend? Is there any chance that you can use a small amount of Pepcid A/C crushed up and put into a clear capsule, or maybe a bit of water?

Also, several sites I read, said that it is contra-indicated in use with cats with diabetes or on insulin:

Cats with a history of seizures, pheochromocytoma, heart failure, high blood pressure, diabetes, porphyria, liver and kidney problems, and low levels of enzymes shouldn’t take Reglan. This drug should also not be used to help pass gastrointestinal obstructions.


Read more: Treating Gastritis in Cats with Metoclopramide (Reglan) - VetInfo
This below is from a post in 2011 here on FDMB:

Just saw your post here and saw that you mentioned giving Reglan to your furbaby. I hope she is tolerating it well. I usually am more cautious on giving Reglan since my cat, Gracie, had a violent reaction to it, back in January of 2009. My vet will no longer prescribe it for cats. Gracie went bonkers and I had to call the vet right away, and she told me how much Benadryl to give her to counteract the horrible reaction she had, of getting very nervous and running all over like a chicken with her head chopped off.

Hope your little girl is doing better now.

Jean and Charcoal (GA)

http://www.harpsie.com/pancreatitis.htm
Anti Nausea Medications
You may be offered Reglan, which is available by prescription only. This medication works by regulating stomach contractions, and therefore is helpful for nausea caused by a lack of motility in the stomach; but since Reglan can cross the blood/brain barrier, it also acts on the brain to control feelings of nausea, which can be helpful to cats with pancreatitis.

Reglan comes in 10 and 5mg tablets or a liquid, and must be given 20-30 minutes before eating. It may have various side effects, including constipation, hyperactivity and agitation or drowsiness; very occasionally, twitching may be seen. Reglan also lowers the seizure threshold, so should not be given to cats prone to seizures.

If you are giving Reglan at the same time as Pepcid AC, you should separate the dosing by at least two hours, since Reglan may bind with the Pepcid AC and thereby reduce its effectiveness.

Veterinary Partner has more information on Reglan.
Pet Place also has some information.
 
When my Arthur had his teeth pulled and would not eat anything else I offered him baby food, thats what the vet told me to do. Stage 2 Gerber baby food. They make like Chicken and Chicken Gravy, Beef and Beef Gravy. You might get a couple jars of that and perhaps try it for the two who are still sick to their stomach.
Best to you and I hope those babies get better soon.

Terri
 
thank you guys for your replies and experience.

I am SO hesitant to give this med, but am also very worried that these 2 have not eaten real food in a weeks time.

I had intended to give half the dose the vet reccomended IF I give it....ergh...

Thanks for the idea of baby food- tried it...no interest. Also tried KFC, Wendys, McD's, FF, dog food, cat food, yogurt, cheese, home made chicken, beef, turkey, kibble in hot water, kibble dry....you name it...I have tried it. Nothing doing.

Just these 2- the 2 oldest and sickest...I am shooting glucose subQ right now and syringing nutrical...something's gotta give soon.

Thanks again for your suggestions and replies.
 
I would be so concerned about liver failure. My tuxedo stopped eating for two days, throwing up, etc he was almost 14. I had to have him PTS. I don`t know what to tell you to do. I know you are doing the very best you can. I would be beside my self as I am sure you are. Maybe someone else will come along to give better advice. Karrie of Karrie and Maverick who sometimes posts on the Lantus board is an expert in assist feeding if you might need to PM her and get some advice. Her kitty Maverick(GA) also stopped eating and she had to assist feed him.
Might want to shoot her a PM.

Terri
 
Thanks Terri. I appreciate the concern. It is nice to know others are out there caring about my kids!

I am syringe feeding the worst of them- mix of nutri cal, probiotic paste and Pet-tinic a few times a day....they are also getting glucose subQ.

I have also been watching for gums that are too pale or yellowing of ears, eyes, gums...not that it is 100% indicator, but hoping it will tip me off if needed.

The worst one of all is looking a bit more interactive today,Timothy...the second worst one, SuzeAnne now looks worse. grrrr.

I got the reglan, but am now afraid to use it.

The others, though punky and looking exhausted are now asking for food -THANK GOD!- and I have not seen a single puke for over 24 hrs now THANK GOD again.

The liqui-poo remains ever present, but I feel as if we have gained an inch with the appetites.

Thank you again for your concern and suggestions. It is very helpful and appreciated.
 
Hi Melissa

Are your cats vaccinated? Have you have bloodwork done on any of them? If you fed all of your cats the same thing, and they are now all sick, you can call the food company to see if they will pay for a workup. A bad meal can set off a long vomiting/diarrhea stretch such as your cats have had. If they all eat the same thing, I'd be on the phone to the food company and very indignant over it. They might pay for hospitalization, etc. and will test the food to see if there's a toxin or other contaminant.

Reglan isn't the best anti-emetic for cats because it doesn't last long and doesn't hit the cause of the vomiting as well (it does do this in dogs and humans). Really it's better as a constant drip IV. Some cats get a goofy reaction like Jean's Gracie, my cat Earl had this happen too -- he wandered around the house yowling for a few hours. It isn't toxic, it just gives a weird reaction in some cats. Cerenia is a better anti-emetic for cats, and is quickly becoming the anti-emetic of choice.

Can I ask who told you to give SQ dextrose? What is the concentration?
 
Thanks Larry and Jess for your replies. I appreciate your time, thanks.

Jess, subQ glucose is Equi-Phar Electrolyte with Dextrose. I was advised to give 2ml per cat in need per day. My 3 oldest (20yr+) and sickest are getting it. I do not know the strength but I am pretty sure it is this: http://www.drugs.com/vet/equi-phar-elec ... trose.html

I don't have the bottle, it was dispensed by the vet tech in a fluid bag to draw from as needed. I pull my LR's, then pull 2ml of the glucose and give subQ.

The cats are all vaccinated when they come in. We do not do yearlys.

The cats have blood and mucous in the liqui-poo. I took fecals in but they showed nothing. I was told that liqui-poo is hard to detect thngs in. ? They are treating as if it is coccidia or giardia due to bloody mucous liqui-poo and length of time and number of cats effected.

They do all eat the same thing, however it has been over a week since their regular food was consumed.

Do you still think food may be to blame? How do I go about asking the company? I considered returning all my current Friskies canned and going to another store to re-stock from a different lot...

They are just now- after 7 days- starting to eat bits of Fancy Feast Beef Feast I am offering. ( I have offered EVERYTHING!!!, FF Beef Feast is what they chose)

We have been through o much for so long, frankly I hadn't really thought much about their regular food- just trying to get them to eat ANYTHING besides the nutri cal and pet tinic I have been syringing in them.

Thanks again for your reply.
 
yes, I could open the link....it is dated from 4 years ago, though, and only 2 people mentioned friskies.

I really don't think it is the food.

When the cats stoppd eating, I gave the leftovers -LOTS of it, to the dogs...both droolers are fine to date.

The cats are still sick but have not eaten Friskies in a week....how could it be the food?

Thanks for your reply.
 
Melissa&Paul-Kyle said:
Jess, subQ glucose is Equi-Phar Electrolyte with Dextrose. I was advised to give 2ml per cat in need per day. My 3 oldest (20yr+) and sickest are getting it. I do not know the strength but I am pretty sure it is this: http://www.drugs.com/vet/equi-phar-elec ... trose.html
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Well that is a low concentration, so it's probably going to be fine. I assume your vet must do this a lot without incident (hopefully).

The cats are all vaccinated when they come in. We do not do yearlys.
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They are vaccinated once in their lives?

The cats have blood and mucous in the liqui-poo. I took fecals in but they showed nothing. I was told that liqui-poo is hard to detect thngs in. ? They are treating as if it is coccidia or giardia due to bloody mucous liqui-poo and length of time and number of cats effected.
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What are you giving them? Albon and Panacur? Do they go outside?

They do all eat the same thing, however it has been over a week since their regular food was consumed.
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It's pretty easy to have a long run of illness from one bad meal. Ask anyone who's had E. coli! You get diarrhea, blow out all of your "good" gut bacteria, your immune system may take days to beat back the infection, all the while you have more diarrhea, etc.

I think it's more strange if your indoor cats all suddenly got a parasite at the exact same time, and had the exact same reaction. Some animals handle parasites better than others, and anyway it would likely have taken a bit of time for each cat to catch it from another.

Do you still think food may be to blame? How do I go about asking the company? I considered returning all my current Friskies canned and going to another store to re-stock from a different lot...
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There must be a number on the can or the website. Heck yeah I'd call them--your cats all ate the food and started vomiting and having blowout diarrhea that same night. I'd get them to pay for hospitalization, esp. for the old ones and those who aren't eating so that they can get rehydrated and IV treatments. You need them at least to pay for bloodwork on these cats -- you want to make sure the kidneys and liver are ok.
 
Hey Jess, yes- Albon. No Panecur.

The list of stuff I am giving them is in the first post in this thread.

Not everyone is getting everything right now....only the sickest 3 are getting fluids/glucose, then the most prolific squirters are getting the kaolin-pectin....EVERYONE is getting the Albon, most are getting the pro-pectalin....the ones not eating are getting the nutri-cal, but most everyone is or was getting the pet tinic.

I can't remember the rest right now! LOL! I have a chart to keep track of it all, meals and poos included.

I am not so sure it is as sudden as I thought...I have had alot of time the last week to think about this, especially in the last few days when we switched from thinking some kind of flu bug to this is a serious gut illness....I *think*, not sure, but I think now, looking back, this may have been in the making for about a month or so.

What I thought was misc grass induced throw up in the clumping litter, I am now recognizing as the liqui-poo I am watching happen....I would not know if I hadn't been in there watching daily now. It is just a long mass of crumbles instead of a clump....It was not frequent...I thought one of the cats was just coughing up grass.

Looking back, again, some appetites were "off" here and there, but nobody stopped eating until last week.

Anyway, long story short, I am starting to see back that this may have been brewing for 3-4 weeks...not positive, but possible.

Yes, they go outside, but are limited to the outdoor cat enclosure, 1200 sq ft. The enclosure is surrounded by the dogs 1/2 acre fenced in, so not much gets near the cats enclosure with the dog running about day/night (they have free access through doggie door). It also has a fenced lid.

The cats have a "cat room" they live in and have access to the outdoor enclosure. The dogs could have brought something back from the dog park, even though I take extreme precautions, I could have brought something back from one of the shelters I volunteer at, someone else could have brought it in my house, I could have picked it up a grocery....I don't know...

Racking my brain about it all and have concluded that I doubt I can trace it down, but need to focus on prevention from here out. I am looking into treating the cat enclosure and the dogs 1/2 acre with diatomaceous earth....not sure what else...

Will look into some supplements to boost cats immunity, too...really, just trying to get them eating and keep them alive right this minute...hard to focus too much on next week, but trying.

Thanks.
 
Melissa,

A few weeks ago, I was on the verge of putting Ketchie to sleep, due to her having had some vomiting, and because she had stopped eating. She also had a totally stuffed up nose, and the first vet that saw her, is the wife of the second vet I took her to, only 3 days later. The first vet, gave Ketchie Baytril, for the URI, and some fluids the day I had her in to see her. She lost some weight, over the weekend, and I could not get anything into her, and was using the tube stuff to add some calories, but with her, I also had to watch that anything I would give her, would not start her up vomiting again.

So, on the following Monday, I took her to the other vet (he is at a different animal hospital than his wife), and he checked her out well, and he said she is very old, and that he really didn't have much to offer me. He said "Well, decision making time." And then, I suddenly remembered I had the bottle in my pocket with Cyproheptadine, and another bottle with Mirtazapine with me. I whipped them out, and said, "Wait, do you think if we gave her one of these, that she might start eating on her own again?"

He said it was worth a try, so he gave her a quarter of the Mirtazapine, and I brought her home. She ate the rest of the day, and did not vomit. The next day she did not eat as much, but she still ate some. That drug is amazing, although, it did have some side effects, like making her go around and talk more, and she was not able to settle down the first or second day on it.

Can you get any of that to try? Mirtazapine you can get from a regular pharmacy, if you can get your vet to call it in. It is pretty expensive, but you only give a quarter of a pill, every 3 days. You may only need to give it once, to kick start their appetite. I think it was about 4 dollars or so per pill, but like I said, you only need a few, and maybe that would help? Read up on side effects too, though.

Ketchie is going on 17, so she is pretty old and frail. I am glad I chose not to let her go that day, and had the meds with me, as it has given her more time, and a better quality of life with me these last couple of weeks.

Take care! I know what you are going through, though. Back in 1999, I had nine cats here sick like yours at the same time, and I thought I was going whacky, and hardly got any sleep.

Oh, have the cats been treated with Flagyl? I had to give that to my son's cat when I brought him here in January this year. His poo was all mushy and smelled really rank. He had been adopted in October by my son's wife, and I ended up taking him. Long story that I posted about here. He also had gotten into my dil's plants that were poisonous. But, to get the Flagyl into him, I used little clear capsules that someone gave to me a long time ago, and I crushed up the pill, and got it into him, that way, without him foaming at the mouth.
 
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