Solved- Cerenia question. 6/1 Juggie pmps 268 vomited and not feeling well

DenaRox

DenaRox

Member Since 2021
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TLDR- Juggie has puked twice or more today. He’s not eating and doesn’t feel good. Can and should I give him my other cats cerenia and if so do I give him 1/2 pill like jack gets?

Hi guys,
It’s been a while since I last posted and oddly enough the last post was about him throwing up too. Since last post he had vet appointment and was a-ok and has been 100% perfect since. No upset tummy, no vomiting, healthy appetite etc.

Fast forward to today,
Daughter came home to huge amounts of vomit in her room. She thought it was our other cat as he has some tummy issues and is on meds for it. Pmps for Juggie was 268, fave him his 1.75U and his supper. He wouldn’t eat. Had to bribe him with a churu tube on top and he ate a bit more but not much. Then daughter caught him vomiting. She said it was same colour and consistency as vomit in her room just way less so now we believe it to be Juggie who is now not feeling well ( not eating and just kind of sleeping a lot).

I have cerenia for jack so should I be giving some to Juggie to help ease his nausea? Jacks prescription is for 1/2 a tablet once a day, would I give Juggie the same? It’s the 16 mg 4 tab box that we have.

anything else I should be doing to help my poor pukey boy?
 
Sorry to hear Juggie has not been well today. Was the last time he puked almost a couple of months back when you posted?

Wondering if he is having flares of pancreatitis? @tiffmaxee
A Primer On Pancreatitis

Yes, you can give him cerenia for the vomiting. I'm not sure of the dose... Do you also have ondansetron that you can give for nausea?
 
Bandit's Mom said:
Sorry to hear Juggie has not been well today. Was the last time he puked almost a couple of months back when you posted?

Wondering if he is having flares of pancreatitis? @tiffmaxee
A Primer On Pancreatitis

Yes, you can give him cerenia for the vomiting. I'm not sure of the dose... Do you also have ondansetron that you can give for nausea?
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Hi Bhooma
Yes the last time was last post a few months ago. All I have in the house is jacks cerenia
 
Re dosage: Veterinarians generally prescribe Cerenia for cats in a dosage of 1 mg per kilogram of the cat’s body weight, or about 0.45 to 0.5 mg per pound, administered once every 24 hours. This can vary based on the size of the cat and the severity of their symptoms....from cattime.com website
Have you checked for ketones?
 
Bron and Sheba (GA) said:
Re dosage: Veterinarians generally prescribe Cerenia for cats in a dosage of 1 mg per kilogram of the cat’s body weight, or about 0.45 to 0.5 mg per pound, administered once every 24 hours. This can vary based on the size of the cat and the severity of their symptoms....from cattime.com website
Have you checked for ketones?
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I genuinely have no idea, will have to figure it out, I’m horrid with numbers. I have not checked for keytones in a few days but it was nil last time.


@Bandit's Mom @Bron and Sheba (GA) @tiffmaxee
OMG I just did a +2 bg test and he is skyrocketing and at 328 with minimal food ate and nothing high carb (just normal ff pate and some tube and some purebites chicken topper). He ate some tube while I tested and is now back in his window bed curled up
 
The high BG may be because he is not feeling well. Is he dehydrated?
You should be safe giving 1/4 of a 16 mg cerenia tablet if he is 15 lb which is in the signature.
I would check for ketones again when he pees
 
Bron and Sheba (GA) said:
The high BG may be because he is not feeling well. Is he dehydrated?
You should be safe giving 1/4 of a 16 mg cerenia tablet.
I would check for ketones again when he pees
Click to expand...
Just to note, last time he was weighed on St Patrick’s day he was at 16 LBS. So just cut his pill into 4 and give home 1 piece. Sorry I suck at all things number related. I do put water in his pate but I was gone for a 9 days so he may be. Im not letting him out of my sight so I will stalk him and get a keytone reading next chance.
 
Bron and Sheba (GA) said:
I hope the cerenia improves things.
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Me too. I’m worried. It’s been about an hour since I got him to eat the pill. He just got up and is at water fountain drinking… first toe he’s really moved in like 4 hours. What else can I do for him? I’m reading all about pancreatitis and will call vet in am for sure
 
Get the vet to do a fPL snap ( in-house and tells you yes/no) or a fPL spec ( sent offsite and gives numbers ) for pancreatitis.
Keep trying to get him to eat and drink.
 
From the paper in this post: (2016) ISFM Consensus Guidelines: Diagnosis & Management of Feline Chronic Kidney Disease, page 232 table 9, the oral dose for Cerenia is 2 mg/kg of cat. If he's 7.3 kgs (16 lbs), he can get 14 mg of Cerenia. 1/4 of a 16 mg pill is way underdosing him. I made the same mistake with Neko. :( I would also talk to the vet about getting ondansetron. The two drugs target different nausea receptors and can be given together, though ondansetron is 0.5-1.0 mg/kg up 3-4 times day. That dose would mean 8 mg would be OK for Juggie. Note ondansetron is horribly expensive in Canada, you get the drug at a people pharmacy with a vet prescription. Make sure you get the generic.
 
Bron and Sheba (GA) said:
Get the vet to do a fPL snap ( in-house and tells you yes/no) or a fPL spec ( sent offsite and gives numbers ) for pancreatitis.
Keep trying to get him to eat and drink.
Click to expand...
Ok thank you. My vet has a full on site lab so they don’t need to send work away but I will definitely bring up those tests.
 
Wendy&Neko said:
From the paper in this post: (2016) ISFM Consensus Guidelines: Diagnosis & Management of Feline Chronic Kidney Disease, page 232 table 9, the oral dose for Cerenia is 2 mg/kg of cat. If he's 7.3 kgs (16 lbs), he can get 14 mg of Cerenia. 1/4 of a 16 mg pill is way underdosing him. I made the same mistake with Neko. :( I would also talk to the vet about getting ondansetron. The two drugs target different nausea receptors and can be given together, though ondansetron is 0.5-1.0 mg/kg up 3-4 times day. That dose would mean 8 mg would be OK for Juggie. Note ondansetron is horribly expensive in Canada, you get the drug at a people pharmacy with a vet prescription. Make sure you get the generic.
Click to expand...
I’ve already given the 1/4 tab so would I give more or too late now?
 
So it’s been about an hour since I gave him more, he has been at the drinking fountain a few times and ate a churu tube but is still refusing actual food. I took his +5 and he is down to 268 so that’s good but He just threw up again
 
Bandit's Mom said:
An empty stomach could also be leading to acidity which can also cause vomiting. What did the vomit look like?
Is there any other food that he will eat? Were you able to test for ketones?

@Bron and Sheba (GA)
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. That’s the thing, normally jug is a food addict and will eat anything and everything. The only thing he likes more than tubes is bad kibble. I even tried giving him his dr elseys kibble I save for “treats” and no go even though normally he begs for it. . His vomit this time It was like watered down churu tube and no he has not gone to bathroom to pee, just poop.
 
Is he licking his lips when offered food? That's a sign of nausea. Is there any HC food that he will eat? At this point some food is better than no food.
 
Bandit's Mom said:
Is he licking his lips when offered food? That's a sign of nausea. Is there any HC food that he will eat? At this point some food is better than no food.
Click to expand...
Ok gave him a tablespoon of hc food. He did eat a bit or at least picked gravy off. He only licked his lips as he walked away from bowl once done eating the gravy. Now he’s just lying on his window bed again… where he’s been pretty much 98% of the time for the past 7 hours
 
I’m just seeing this now. Max’s first sign of pancreatitis was picky eating until he just refused food. I used ondansetron at first and under dosed him so he needed an appetite stimulant to eat. Coincidentally I was dosing based upon my other cat. Once he got the correct dose it worked. The same is true for cerenia. It can take a day or two for the nausea medication to help I have found. If possible try another food to avoid food aversions.
 
It sounds like it could be pancreatitis. My Taz had it for about 3 months. He would just start getting over it and less than a week later, it would flare up again. It was awful. Taz weighed 17 pounds and they had us give him 1/2 of a cerenia pill daily.
 
update:
I did finally catch him urinating, negative keytones. His numbers are still high today amps was 256 and +4 is 290. He is eating and drinking a lot better (almost normal amounts) and of his own will, purring and moving about the house in a more regular pattern and so far no vomiting, last vomit was 10 hours ago. I would say he seems like 85% back to normal (his bg is too high and appetite isn’t 100% back)

We made a vet appointment. tomorrow afternoon was earliest spot.

What should I expect/ask them to do at this appointment?
- fPL snap or spec
-


@tiffmaxee @Bron and Sheba (GA) @Bandit's Mom
 
Good to hear he is feeling better and eating okay and hasn't vomited. And no ketones. :-) Maybe it was a stomach upset or a pancreatitis flare.

Bron and Elise are better equipped to suggest which test to go with (Spec or Snap). You want to ask your vet for a prescription for his for ondansetron and cerenia. Not sure if he will need pain meds also.
 
I’d go with SpecfPL but only if symptoms persist. If gone the results will likely be negative. The SNAP doesn’t give you a number. It just says positive or negative so if in the gray area will read negative.
 
tiffmaxee said:
I’d go with SpecfPL but only if symptoms persist. If gone the results will likely be negative. The SNAP doesn’t give you a number. It just says positive or negative so if in the gray area will read negative.
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Ok well he’s pretty much back to normal now. What would you suggest I make sure they know or make sure they check? Anything else?
 
Since he’s back to normal I would probably not keep the appointment. Tge tests for pancreatitis will be negative most likely. If you do go tell them what happened and how you treated him. You might want to get more cerenia just in case.
 
tiffmaxee said:
Since he’s back to normal I would probably not keep the appointment. Tge tests for pancreatitis will be negative most likely. If you do go tell them what happened and how you treated him. You might want to get more cerenia just in case.
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I actually just talked to the vet tech and she said I should monitor and then cancel in am of not needed. She said same reasons. I think I will do that and when cancelling mention the cerenia
 
Bandit's Mom said:
And the ondansetron.
Click to expand...

sorry for late reply/update

They refused to write a prescription for Juggie without us rebooking an appointment as they need evidence of needing it. I wasn’t going to pay an appointment fee for no reason as he was already better so I did a sneaky switch lol I talked to vet and got an extended prescription for his brother Jack so I can have cerenia on hand. The ondansetron will have to wait until/if he gets sick again.

Juggie has been 100% good ever since. Not sure what upset his tummy but it’s gone now. Thanks again for helping me through his pukey adventure.
 
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