Originally Posted by maewkaew
I haven't done Epogen but I have injected various other meds, insulin, vitamins, fluids in cats. Just follow your vet's instructions/ demonstration. Speaking generally I was taught the syringe goes in at an angle about 45 degrees and the hole in the syringe should face up . If it is for a subcutaneous injection you pull up some skin and inject into the tent. but make sure it does not poke out the other side! usually with small needles you wont get any bleeding but if she has a clotting problem this is something you need to pay particular attention to. You could hold a cotton to the site and keep holding firmly until it clots.
Ask your vet if there is ANYthing you do not understand about injection site, technique, handling the medicine, drawing it up (like do you or dont you inject air into the vial before drawing up the medicine? Normally they tell you to do this as a matter of course, to even the air pressure. but I know with Lantus insulin which is another rDNA thing that also must not be shaken, dropped, etc., it turns out that injecting the air into the vial makes it go bad faster. I have no idea if the same is true of Epo, i just mean that is one thing to check out from people who are using it. like maybe go on the Yahoo groups, the Feline CRF Support group and ask there to get some more perspectives )
As far as Epogen i have not used it, I have had cats with CRF but not recently. When I get to that point with one of my cats again I will have to do plenty of research. My older cat is getting kind of borderline
2furgirls, what do you mean by a cat that passed a rigorous checklist for Epogen?
Good luck mews2much, your kitty is lucky to have you.
Not every CRF cat is a candidate for Epogen, in fact, in some cases, depending on the cat, Epo may precipitate a horrific decline, that requires euthanization within 24-28 hours of giving it. THIS is just one worst case scenario, and let no one - vet or not - tell you otherwise.
Interesting that there is no "official" list of contraindications for Epogen use in a cat. There are just blogs out there.
Contraindications of course, are rife with Epogen use. One example, well known in kidney humans (and cats), is uncontrolled hypertension. That means it can stroke. Does the cat parent then, want to monitor their cat's BP... did your vet assess the CRF's cat initial BP before selling Epo? There is what I compiled, a dirty dozen on a "Do I give Epo to THIS cat?" which are almost never tested for. Not for nothing are Human Recombinant DNA drugs referred to as Frankendrugs.
Even asking your vet to assess the CRF cat most conservatively, there are vet practices that will cuddle your pretty kitty with an eye on his or her bottom line.
Some of "goto" places with info for helping CRF kitties IMHO have become "say-so" arms of the epogen lobbies, as they starrry-eyed insist Epo is a wonder drug, there is nothing that can go wrong, as a CRF cat is going to die anyway.
I can't have enough praise for a cat parent who will consider going the Epo route, as it says so much for the spirit of the person who is willing to go that far. You have your hearts and pocket books wide open, just make sure your eyes are the same, I would recommend an objective knowledgeable best friend with some med training go along to the vet visits.
PS A very sick cat's parents who ask too many of the hard questions run the risk of having to go for a second, thrid, fourth opinion. All $$$ Don't think they don't know this.