CRF - Chronic Renal Failure:links and experiences with

mews2much · Mar 3, 2009

I am in Modesto and would love the cat but my husband said no.
My sister lives in Fresno.
I can ask my sister if she knows that pharmacy.
The vet offered me a cat yesterday also when I picked up Cocos fluids.
I plan on showing my sphynx at the Fresno cat show in may.
I thought you were going to try to keep the cat.
Do you any good vets in the Fresno area?
My sister is going to use my vet here in Modesto because she does not know any good ones in the Fresno area.
My vet is one of the best vets.

dusty's mom · Mar 3, 2009

I think my vet is good. He is Dr. Scott Liebau at Saddleback Veterinary Hospital in Clovis, 245 Bullard Ave. 559-298-1900. I hear he is the vet for the police canines. He explains everything thoroughly.

Hope this helps your sister.

I grew up in Modesto - Downey HS, MJC, CSU Stanislaus! Moved away in 1982.

If I could only get Ashley to be civil, I would keep her, but it seems so unfair to have her locked up in a room by herself.

I love to go to cat shows. Let me know the dates, and maybe I'll see you there.

mews2much · Mar 3, 2009

I will be showing her April 4/5 in Pleasanton first.
I have never shown a cat before.
My sister in Turlock when to Stan State also.
I will tell my sister about that vet.
I think the Fresno cat show is May 9th but i am not sure yet.
I have to be home by 11 at night to give Coco her bp meds.

pat · Mar 3, 2009

Originally Posted by Dusty's Mom

The ultrasound showed normal kidneys - no shrinkage, no stones, no cysts, nothing!

The urine culture was negative.

Vet recommends/prescribes calcitriol and B complex with iron

He has recommended a compounding pharmacy nearby. Does anyone know how expensive these items are?

He is also putting her on K/D Feline diet. Since she is addicted to Fancy Feast and Innova dry Evo, I don't know how well she will accept new food. Any suggestions with this?

Hi,

I paid about $100 a month, but I think that was for two cats on calcitriol. If you call the compounding pharmacy you will be using, I'm sure they can give you a price quote.

I do love how well calcitriol worked for my kitties.

Food - none of my kitties who have had crf would eat *any* of the prescription foods. I simply either used a dry that was lower in phos and a bit lower in protein (the link to the jmpeerson charts for dry and wet foods is in the sticky at the top of this thread, and so useful)..and I did this with my vet's knowledge - you would want to run it by your vet.

With Patrick, he was a FF junkie, and we just let him be. Some folks will use a phos binder to counter a non-prescription wet food, you may want to discuss that with your vet. Bottom line is, of course, no food, no cat..you have to feed them ultimately, what they will eat.

dusty's mom · Mar 3, 2009

Wow! That is high!

Yes Dusty is a FF junkie too. What do they put in it to make it so addictive? Mine prefers Chicken Gormet Feast, but will also eat beef. She isn't too crazy about fish, though she did drink tuna juice a few days ago, but wouldn't eat the tuna.

I'm only going to get one can of K/D because I'd be willing to bet she won't touch it, and I don't know how you get them to eat something they don't like.

Any suggestions would be welcome.

lovesmycats · Mar 3, 2009

Hi everyone! I wish that I wasn't posting in here, but I am. My kitty Hallie was diagnosed with CRF this past Saturday. Her labs were very high:

BUN: >130
Creatinine: 8.8
Phosphorus: 16.1

After 48 hours they didn't come down much, if at all:

BUN: >130
Creatinine: 7.2
Phosphorus: 10.1

She is getting 48 more hours of fluids. I am beating myself up for not taking her to the vet sooner. She would urinate outside of her litterbox and I just attributed it to her being older. She has been doing it for several years. What was I thinking?!?! She also starting meowing a lot lately and I just figured she wanted a lot of loving. I guess she was trying to tell us she didn't feel good. She is my first kitty and I don't like that she is going through this. I don't want her to suffer. I'm so heartbroken and wish I could go back and take her to the vet. Please send her prayers. I went to see her today and she was a little bit perkier, but not Hallie.

mews2much · Mar 3, 2009

I see some of the numbers are coming down.
Her numbers are still high though.
You can ge binders for the phos.

lovesmycats · Mar 3, 2009

They are going to do bloodwork Thursday morning to see what her labs are after 48 hours more of fluids. If they aren't down a lot do you think I should do another 48 hours? I wonder why they haven't given her any phosphorus binders.

mews2much · Mar 3, 2009

Are they giving her anything else?
There are a lot of other treatments.
You can always ask the vet about them.

lovesmycats · Mar 3, 2009

Not that I'm aware of. Just fluids. What other treatments are there?

mews2much · Mar 3, 2009

The treatments depends on the numbers.
Coco takes a lot of things.
She gets Miralax for constipation.
Norvasc for high bp.
She also is taking Azodyl, Aluminum Hydroxide and Famotidine.
My other crf cat got procrit shots and winstrol shots.
She also got vitamin b and she had blood transfusions.
It really depends on the cat.
Ask the vet if your cat can take anything else.

lovesmycats · Mar 3, 2009

I was thinking along the lines of getting her BUN, creatinine, and phosphorus down. Is this only done with fluids?

mews2much · Mar 3, 2009

No this is to lower the bun. http://www.vetoquinolusa.com/pages/pro_azodyl.html

pookie-poo · Mar 4, 2009

The IV fluids can often lower the BUN and Creatinine. It sometimes help to lower the phosphorus a bit, however, a Phosphorus of 16.1 is critical, and needs to be addressed immediately. You need to talk to your vet about putting her on a low phosphorus food, and adding phosphorus binders to it. Phosphorus binders will only work on the food that is ingested, to prevent the body from absorbing the phosphorus in the food. It doesn't do much for phosphorus that is already there. Phosphorus levels will decline once the body gets less phosphorus from the gut into the bloodstream. Here are some links about serum phosphorus levels, aluminum hydroxide gel phosphorus binders, the protocol for lowering serum phosphorus levels, and links to purchase Aluminum Hydroxide gel powder.

CRF Supply Page: http://members.verizon.net/~vze2r6qt...es/compare.htm

Phosphorus Binder Page: http://members.verizon.net/~vze2r6qt...es/binders.htm This page has Dr. Nagode's protocol for phosphorus control, with dosages of ALOH powder. He is a Calcitriol and Veterinary renal failure researcher at Ohio State University. He recommends treating elevated phosphorus when ever it gets above 6.

I purchase my Aluminum Hydroxide gel powder from Thriving Pets.com http://www.thrivingpets.com/products...mStockId=749C2

Once you get her serum phosphorus under control, you should become familiar with Calcitriol as a treatment. Cleo has done amazingly well since starting it about 6 years ago, Pat & Alix has used it with a couple of her cats with good results, and so have several other members. Here's a link to the Calcitriol page. Calcitriol only works when the serum phosphorus is 6 or below. http://members.verizon.net/~vze2r6qt...iol/index.html My vet did a telephone consult with Dr. Nagode, when I learned about Calcitiol, and wanted to try it for Cleo. She was so impressed with his data and protocol, that she not only put Cleo on Calcitriol, she also put her own CRF cat , Buddy, on it!

pat · Mar 4, 2009

Originally Posted by Pookie-poo

The IV fluids can often lower the BUN and Creatinine. It sometimes help to lower the phosphorus a bit, however, a Phosphorus of 16.1 is critical, and needs to be addressed immediately. You need to talk to your vet about putting her on a low phosphorus food, and adding phosphorus binders to it. Phosphorus binders will only work on the food that is ingested, to prevent the body from absorbing the phosphorus in the food. It doesn't do much for phosphorus that is already there. Phosphorus levels will decline once the body gets less phosphorus from the gut into the bloodstream. Here are some links about serum phosphorus levels, aluminum hydroxide gel phosphorus binders, the protocol for lowering serum phosphorus levels, and links to purchase Aluminum Hydroxide gel powder.

CRF Supply Page: http://members.verizon.net/~vze2r6qt...es/compare.htm

Phosphorus Binder Page: http://members.verizon.net/~vze2r6qt...es/binders.htm This page has Dr. Nagode's protocol for phosphorus control, with dosages of ALOH powder. He is a Calcitriol and Veterinary renal failure researcher at Ohio State University. He recommends treating elevated phosphorus when ever it gets above 6.

I purchase my Aluminum Hydroxide gel powder from Thriving Pets.com http://www.thrivingpets.com/products...mStockId=749C2

Once you get her serum phosphorus under control, you should become familiar with Calcitriol as a treatment. Cleo has done amazingly well since starting it about 6 years ago, Pat & Alix has used it with a couple of her cats with good results, and so have several other members. Here's a link to the Calcitriol page. Calcitriol only works when the serum phosphorus is 6 or below. http://members.verizon.net/~vze2r6qt...iol/index.html My vet did a telephone consult with Dr. Nagode, when I learned about Calcitiol, and wanted to try it for Cleo. She was so impressed with his data and protocol, that she not only put Cleo on Calcitriol, she also put her own CRF cat , Buddy, on it!

**Great post**

lovesmycats · Mar 4, 2009

Thanks mews2much and Pookie-poo. I'm so thankful there are knowledgable people on here that are willing to help others that are going through the same thing.

I went to see Hallie this afternoon and she seemed better, but still not herself. When my parents talked to the Dr. monday she told them that if she wasn't better Thursday that she suggested Hallie be PTS. I've read that you should at least give your kitty 2 weeks. Bring them home and give them subqs. What do you all think? I don't want her to suffer, but I don't want to give up her on which I definitely won't do. If her labs aren't dropped significantly should I still bring her home and do subqs even though she has now had 4 days of fluids? Thanks everyone!

mews2much · Mar 4, 2009

You need to give her more time.
If I had listened to a vet when Coco was 9.5 I would not have her now.
They thought she had diabetes and said to have her pts.
She had severe anemia then also and all kinds of problems.
She could not even walk then.
She is now 17 and it was fia she had then.
Give your cat more time.
Her gluclose was 329 then.
Have you asked the vet about the other treatments?

lovesmycats · Mar 4, 2009

The vet wanted her to be PTS and she thought she had diabetes?!?! That doesn't sound right. I'm so glad that CoCo has done good. I'm definitely giving my girl time. I haven't asked about any other treatments. She basically said if they don't go down then she suggested her be pts. Should I see another vet?

mews2much · Mar 4, 2009

Coco does not have diabetes and never did.
They thought she had it.
It was the er vet that said to have her pts not the reg vet.
They did say get a 2nd opinion.
There was one test my vet did that the er did not and that was the problem.
I would see if there is a vet that will try other treatments.
Coco at the time was 4 pounds and was very bad.
She could not even stand then and almost got a blood transfusion.
She stayed in th er 2 days then my vet for one week.
It was right after 9/11 2001 and they put flag bandannas on all the cats there.

lovesmycats · Mar 5, 2009

Hallie's bloodwork this morning is BUN 110 and Creatinine 5.5.

The Dr. suggested keeping her hospitalized so potentially the values will go down more.

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