The powder prescription he was given is Epakitin, which is a nutritional supplement containing Lactose, Calcium carbonate, Chitosan, and Hydrolyzed soy protein. So is that a phosphate binder? I'm trying to read about it on the web, but I've had health problems this week myself and right now just can't focus on anything at all technical. The ol' brain just doesn't feel like it is functioning.
In spite of the fact that Purdy is back to having a medical problem, he is truly my miracle kitty. Two years ago his liver and kidney enzymes were both up so high that he was put on oral meds for both and had regular sub-q fluids. Still he deteriorated. He got down to 8.75 pounds from a high a few years previously of over 14 pounds. He had no energy and I thought I'd be having to put him down in a matter of a few months. He fought the meds and sub-q so bad that I gradually began skipping them more and more, basically giving up. And he seemed to get better, not worse. Then he ran off and stayed away for 8.5 days. He came back hungry but didn't really seem to suffer from being totally off his meds. I left him off his meds a few months longer, then took him for another blood test. And both his liver and kidney enzymes were MUCH better.
I asked my new vet for an explanation. She looked over his past blood test records and she, too, could not explain it. Even she thinks Purdy is a little miracle kitty.
Purdy continued to improve and he gained weight without being on meds or special diet, coming in at 13.4 pounds at the vet this week. He's so active it is like he thinks he is a kitten again, wrestling and playing tag with Sheba, chasing his tail and generally enjoying life.
So I'm sad to see that his liver and kidney enzymes are back up, though they aren't as bad as they were two years ago. It hasn't affected his behavior yet, so I'm hoping to find a system that will work for him.