"MDJ" <midunjen@[EMAIL PROTECTED]
> wrote in message
news:9755b399-5c82-419b-a14d-3eb459f4a006@[EMAIL PROTECTED]
> On Jun 18, 10:14 am, "Phil P." <p...@[EMAIL PROTECTED]
> wrote:
> > "MDJ" <midun...@[EMAIL PROTECTED]
> wrote in message
>
> <snipped>
> >
> > If the crystals are struvite (magnesium ammonium phosphate) That's
> > incorrect. DL-methionine- an amino acid supplement- can be used to
acidify
> > the urine and dissolve struvite. However, you should not feed your
cat
a
> > highly acidified diet while giving him a DL-methionine supplement
because
> > the added acidification can lead to metabolic acidosis and hemolytic
anemia.
> > DL-methionine should only be used under the *strict supervision* of a
vet
> > and as a last resort. Its sold under the brand name Methio-Form,
Methio-Tabs
> > ((Vet-A-Mix).
> >
>
> I've had this kitty to three vets over the course of 4 days; one on
> Sunday (b/c he was open and kitty was acting strange) where they did
> the urinalysis, my regular vet on Monday, where she was concerned
> about him potentially getting blocked and they do not have 24 hour
> supervision, and then to a 24-hour care vet so he could be monitored
> at all times. I am pretty sure they said struvite crystals as the SD
> food is supposed to help dissolve those, but it's difficult to get him
> to eat it. I might try to mix it with something else.
One of the most common side effects of meloxicam in cats is loss of
appetite. Try mixing the SD into a slurry with warm water- it will make
the
food more tasty and more aromatic and will also increase his water
consumption and urine volume- which is the single most im****tant thing you
can do. Higher urine volume will reduce the concentration of crystalline
particles in the urine and make them easier to eliminate. It will also
make
him urine more frequently which will eliminate tiny crystalline particles
before they accrete or aggregate into crystals or uroliths.
>
> > You might also want to get a second opinion on giving him Metacam
daily
PO.
> > Oral dosing of Metacam is infamous for causing acute renal failure in
cats.
> > Metacam is only licensed for cats as a *one time*, IM dose after
surgery
for
> > this very reason.
> >
>
> The Metacam was given to him I believe four times at the vet, and they
> gave me two doses for the next two days and that's all. I hope that
> isn't excessive! They did test his kidney values before administering
> anything, and since he's quite young I'm guessing they thought it was
> okay. I will call my regular vet, who has not seen him since all this
> treatment, and get her opinion on the regemine. He is also on sub-q
> fluids so hopefully this will help his kidneys handle these
> medications.
If you can't get your hands on Plumb's Veterinary Drug Handbook or
Blackwell's 5-minute Veterinary Consult, Google "meloxicam and cats".
You'll find pages and pages of horror stories as well as serious warnings
on
vet sites. Other common side effects of meloxicam are vomiting or
diarrhea,
stomach ulceration, loss of kidney function, and inappropriate bleeding.
>
> > You can also help increase urine acidity by feeding him a
low-carbohydrate,
> > meat or fish-based food. Sulfur-containing amino acids,
phospholipids,
and
> > phosphoproteins found in higher quantities in meat acidify the urine,
> > whereas organic acids, which come primarily from plant material, have
an
> > alkalinizing effect on urine. Fancy Feast makes some of the lowest
> > carbohydrate diets on the market: some contain less than 1%. Not many
cats
> > can resist Fancy Feast.
> >
> > But my best advice is find another vet ASAP- one who is better
educated
in
> > feline physiology before your present vet kills your cat.
> >
> > Best of luck,
> >
> > Phil
>
> The vet at the 24-hour facility said that they do deal with this quite
> frequently and that this is their protocol.
I wonder how many of their patients went into renal failure from meloxocam
that they blamed on urinary tract obstructions- which also produces a
pathophysiologic state equivalent to oliguric acute renal failure.
Incidentally, he is being
> overseen by two vets at this particular facility and they all said
> very similar things.
Vets in the same practice usually don't contradict each other even if one
is
inept.
They did say that they could give him a
> medication that would increase his appetite and since he's only eaten
> a small amount of this so-im****tant food, I am going to inquire about
> this today.
Cyprohepadine (a/k/a Periactin) and Mirtazapine have an
appetite-stimulating
effect in cats- I think Mirtazapine works better and is more consistant.
Cypro doesn't work in all cats.
> Incidentally, what is your experience with this condition?
Been through it a few times.
Best of luck,
Phil
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