Should I treat my cat (diabetic in remission) with prednisolone + neomicine cream and Zylkene

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MaSha

MaSha

Member Since 2016
Hi,

a little (positive) feedback.
Our cat is still insulin-free almost a year after switching to meet-based diet (about 90% raw). Thank you again for your support and advice!!!

My hubby took our cat (10 year old castrated male) to see a vet, after a two-day diarrhea, ear scratching and spots on his belly. Otherwise he was his usual self, playful, asking for food etc.

The vet has concluded that all the symptoms are reaction to flee bites. He treated our cat against flees and he gave my hubby the following therapy:

1. Cortizeme cream ( prednisolone: 1 000 mg + neomicine: 500 UI + sodium hydroxymethylsulfinate: 1 000 mg): to put on his ears and belly to calm down the allergic reaction.

Should I use it? When he was injected with a corticosteorid (by mistake!) when he was diabetic it wreaked havoc in his system and almost killed him. Is the cream safer? I'm afraid he will lick his belly as he has been suffering from "over-grooming" ever since he was diabetic and his belly was shaven.
Is this cream a localized treatment or could it influence his whole body?

2. Zylkene ( Maltodextrin, Casein (tryptic hydrolysate from bovine milk), magnesium stearate)
The vet gave this to calm down his "over-grooming" behavior.
As I said ever since his belly was shaven he started licking it and basically never stopped.
The vet mentioned anxiolytic effect of this medication, but I worry that it may influence negatively the balance we created that led to the reversal of diabetes.

Had I been in the vet's office I'd share my concerns and ask some additional questions.
anyway, I don't want to put our cat's health at risk because of fleas! But I also do not want to make him suffer needlessly by not administering meds that can help him.

Thank you in advance for your replies!
 
I would be very wary of the cream! My kitty was in remission and doing great until I used Tresaderm (an ear drop containing a steroid) to treat a bad ear infection. He was fine the first day after I started it--I tested his glucose levels--but his blood sugar spiked on the second or third day. We're now struggling just to get him regulated again, let alone to get him into remission. He used to be on steroids a lot because of food allergies; if he has problems again, I'm not sure what I'll do, but I will explore a lot of other options before I consider them. Ear drops are supposed to be a localized medication, but that's not how it played out for us.

I don't know about the Zylkene, but isn't maltodextrin a sugar? I think it has a very high glycemic index. I'd be reluctant to use it, too. Would the vet consider some kind of anti-anxiety prescription medication for the short term?
 
My experience is that topical prednisone (cream) has little effect on BG compared with other topicals with a more potent steroid like that in Tresederm (dexamethasone) I have also used the less potent steroid triamcinolone on two of my diabetic cats with little if any change in BG/insulin needs. The triamcinolone cream was prescribed for me and my vet said it was OK for my cat.
 
Squeakycats said:
I would be very wary of the cream! My kitty was in remission and doing great until I used Tresaderm (an ear drop containing a steroid) to treat a bad ear infection. He was fine the first day after I started it--I tested his glucose levels--but his blood sugar spiked on the second or third day. We're now struggling just to get him regulated again, let alone to get him into remission. He used to be on steroids a lot because of food allergies; if he has problems again, I'm not sure what I'll do, but I will explore a lot of other options before I consider them. Ear drops are supposed to be a localized medication, but that's not how it played out for us.

I don't know about the Zylkene, but isn't maltodextrin a sugar? I think it has a very high glycemic index. I'd be reluctant to use it, too. Would the vet consider some kind of anti-anxiety prescription medication for the short term?
Click to expand...

Thank you so much!
I'm sorry to hear about your kitty and I hope that you will be able to regulate him and get him into remission.
I'm definitely going to try to avoid using these meds.
I've done some more research after I posted my question and you're so right about the Zylkene. It elevates the sugar levels. Diabetic cats do not tolerate it well.

I will try to find some natural remedies suitable for cats!
 
Larry and Kitties said:
My experience is that topical prednisone (cream) has little effect on BG compared with other topicals with a more potent steroid like that in Tresederm (dexamethasone) I have also used the less potent steroid triamcinolone on two of my diabetic cats with little if any change in BG/insulin needs. The triamcinolone cream was prescribed for me and my vet said it was OK for my cat.
Click to expand...

Thank you for your reply! I guess I'll wait and see if any remedies I find can help my cat before I use the cream. Hopefully it will resolve once the flees are gone.
 
You might try something like Chlor Trimeton....it's an antihistamine that's safe for diabetics

It could help with the itching and help dry out the scabs

The most important thing will be to make sure to keep fleas off of him. A flea comb is a worthwhile investment too so if you find any, you can treat sooner rather than later.
 
This is going to sound ridiculous, but would he let you gently rub a cold pack over the irritated skin (like you're petting him)? My husband had a horrible (fortunately short-lived) case of hives once, and the only thing that stopped the itching was putting cool things on his skin.

An antihistamine is a great idea--I've used Chlor-Trimetron (chlorpheniramine) and Zyrtec (certirizine) in cats with seasonal allergies before, with no adverse effects (you have to figure out the right dosing).

I'll bet your little guy will start feeling better soon, with the flea situation under control!
 
I have 2 cents:)
I also had a cat who got steroid induced diabetes and now in remission.
I also had my boys and I sell tons of Canna Pet at my grooming salon --
It is for many many ailments and the worst that will happen is nothing which from feedback from clients isn't what has occurred. We have had great success personally and in business..... might be worth a try and it is ok to give with other meds.
https://canna-pet.com
 
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