- Joined
- Dec 11, 2022
- Messages
- 5
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- 2
Hello all,
Arron here, firstly thank you for taking your time to read my query, I’ll start off by saying I totally understand the use of both of the above medications simultaneously is a complete no no.
I’ll try to summarise my darling little boy’s situation, he’s a Siamese Apricot Point who goes by the name of Mia. (He has a feminine name I know haha). So he’s 17 and has had CKD and for a few years now and he is currently at the beginning of stage 3.
Me and my girlfriend do everything we can to care for him in the best way. He is a wonderful cat, so intelligent, full of energy with an amazing appetite, he’s on Royal Canine renal wet food, and we feed him little and often, roughly around 7-8 times a day adding plenty of additional water, as well as renal support additives such as Ipakatine once daily and so on and he doesn’t leave a morsel.
I’ll just add he has some sort of medication in almost every meal, he has Amodip to manage his high blood pressure, a small amount of Gabapentin in the morning and evening to manage potential dental pain, Ipakatine, Cystease, and ongoing Meloxicam these last few months. I know this sounds like a lot of things but he’s been on this cocktail for a long time, he has regular blood tests, check ups and since the introduction of all these things they have done absolute wonders for our boy.
He had some real trouble with his mouth about 1.5 years ago, he caught a terrible infection a while back and underwent a dental (in which he stopped breathing twice) to remove all his last remaining back teeth (there weren’t that many left) and he just has his fangs remaining.
Less than a year later (this year) we began to notice similar signs again of mouth issues but far worse, dribbling, choking on food sometimes, he looked very down and couldn’t stand having his mouth touched. We took him once again and the vet said he would greatly benefit by having his fangs removed, however, he did mention it may not make a difference so before anything is decided he must absolutely take a closer look via sedation, we were quite concerned about this op as it sounds brutal but it’s all about quality of life of course. He went for the op a few months ago and stopped breathing just under sedation, the vet decided there’s no way it would be safe to proceed with the op as he’s so unstable and the last thing he’d want to do is ‘kill him in action’, he took some samples for a biopsy.
The biopsy revealed he had two different types of bacterial infections, ulcers in his throat and also revealed he has Calicivirus, which of course is likely a huge contributing factor as to his ongoing mouth issues. I felt so terribly sorry for him and naturally very guilty. I wasn’t aware just how bad it was and how awful he must have felt. By the way I’ll just reveal what an incredible appetite he has, despite all of the above, he still never turned down a meal.
So a few months ago he went on a course of antibiotics, the results were astonishing! Brought him right back to us, sorted all his ulcers, the dribbling, mouth sensitivity and he went back to rubbing his little cheeks on everything!
Now I arrive at the present, so to manage the inflammation of his gums and overall well-being the vet suggested an ongoing meloxicam dosage every other day of 3.5kg/mg (going by the supplied weight measurement syringe). I of course did plenty of reading regarding the use of this drug with CKD and decided to give it a whirl after much deliberation and stressful pondering.
So I started off at a lower dosage of 2kg on the syringe measurement every other day and have been doing this since the end of October. I can’t possibly describe how incredible this drug has been for Mia, physically it’s like he’s reverted to 4 year old. His agility and movement are outstanding once again, he went from taking one step at a time on the stairs to sprinting up them. He has gone back to getting ‘the zoomies’ which he stopped doing for several years and now leaps on beds with ease. It also brought back his curiosity, improved his bowel movements (nice and solid). It has done wonders for his inflammation and he can wolf his food down freely, and he once again is so very curious. Truly it’s been one of the best decisions we have made. I understand there’s risks but as I have stated, it’s all about quality of life at this point.
One last bit of history before I finally move on to the question at hand, a couple of years ago Mia’s weight dropped to 2.3kg, he was very underweight, and has just got a diagnosis of CKD, when discovered he was at stage 2 (he has only moved one stage in the past 2 years) the vets were very concerned, saying it’s possibly cancer and all sorts of things. I was aware he was so disineresred in his food, and he had no other symptoms and I just believed he had so much more to give. At this time we completely changed his diet, switched to royal canine renal, constantly changing up the flavour every meal with their beef, chicken and fish flavours and he now weighs over 5kg. The vets we’re so impressed we manage to get him to gain so much weight especially with CKD, he’s maintained this weight for the past two years now.
Right, thank you so much for everyone who’s got through that hefty slog of a read, the reason I went into such great detail is to hopefully provide some useful info to some other cat owners! Apologies if any of it is incoherent, or contains some dodgy grammar. I’ve awkwardly typed it all on my phone.
Mia is currently doing wonderfully, his energy levels and zest and appetite are superb, he’s always purring and is wonderfully affectionate but there is once again the mouth issue. Recently I noticed another few signs an infection is returning, likely due to Calicivirus. I asked the vet if he could go on another course of antibiotics to nip it in the bud and avoid another ulcer episode, he said it’s best avoided currently to prevent Mia developing a resistance but suggested trying some other things first and if they don’t work we can resort to antibiotics.
So the vet said we could try Mia on prednidale, meaning coming off the Meloxicam which has been so wonderful for him. He required a free day ‘flush out’ period before beginning the prednidale, now his mouth issues currently aren’t bad at all. I assumed I’d just be given some antibiotics. Anyway I have the prednidale, yet I am yet to begin with these. The choice is, longterm meloxicam, or longterm prednidale if they work wonders, of course I’m not sure how he’ll do on prednidale, he already has an insatiable appetite, if it gets boosted he’ll
think of nothing else! Then again I can keep him on meloxicam, up that dosage a tad as I am still under the suggested doasage and then if his mouth issues get worse I can resort to the antibiotics also, buying more time before having to use them to prevent resistance. So here’s the question!
What’s easier on the kidneys? Meloxicam or Prednidale?
Lastly, I very much trust my vet, he has helped Mia time and time again as well as performing his dental surgeries with wonderful results. I guess I’m just asking these questions as I’m really not sure what choice to make this time.
Thank you to everyone who read all of that, we adore Mia so very much, we never leave him alone for more than 2.5 hours and base all of our decisions around him and do so with zero resentment, he brings us so much happiness and I want to make the time he has left as happy and comfortable as possible.
Apologies, rather than outright ask a question that may have no genuine answer as to what medication would be friendlier on his kidneys, I should also ask, does anyone have experience with giving a cat with CKD prednidale? As there’s so little info on this situation out there on the net, where as there’s a heck of a lot of discussion and info regarding Meloxicam and CKD.
Arron here, firstly thank you for taking your time to read my query, I’ll start off by saying I totally understand the use of both of the above medications simultaneously is a complete no no.
I’ll try to summarise my darling little boy’s situation, he’s a Siamese Apricot Point who goes by the name of Mia. (He has a feminine name I know haha). So he’s 17 and has had CKD and for a few years now and he is currently at the beginning of stage 3.
Me and my girlfriend do everything we can to care for him in the best way. He is a wonderful cat, so intelligent, full of energy with an amazing appetite, he’s on Royal Canine renal wet food, and we feed him little and often, roughly around 7-8 times a day adding plenty of additional water, as well as renal support additives such as Ipakatine once daily and so on and he doesn’t leave a morsel.
I’ll just add he has some sort of medication in almost every meal, he has Amodip to manage his high blood pressure, a small amount of Gabapentin in the morning and evening to manage potential dental pain, Ipakatine, Cystease, and ongoing Meloxicam these last few months. I know this sounds like a lot of things but he’s been on this cocktail for a long time, he has regular blood tests, check ups and since the introduction of all these things they have done absolute wonders for our boy.
He had some real trouble with his mouth about 1.5 years ago, he caught a terrible infection a while back and underwent a dental (in which he stopped breathing twice) to remove all his last remaining back teeth (there weren’t that many left) and he just has his fangs remaining.
Less than a year later (this year) we began to notice similar signs again of mouth issues but far worse, dribbling, choking on food sometimes, he looked very down and couldn’t stand having his mouth touched. We took him once again and the vet said he would greatly benefit by having his fangs removed, however, he did mention it may not make a difference so before anything is decided he must absolutely take a closer look via sedation, we were quite concerned about this op as it sounds brutal but it’s all about quality of life of course. He went for the op a few months ago and stopped breathing just under sedation, the vet decided there’s no way it would be safe to proceed with the op as he’s so unstable and the last thing he’d want to do is ‘kill him in action’, he took some samples for a biopsy.
The biopsy revealed he had two different types of bacterial infections, ulcers in his throat and also revealed he has Calicivirus, which of course is likely a huge contributing factor as to his ongoing mouth issues. I felt so terribly sorry for him and naturally very guilty. I wasn’t aware just how bad it was and how awful he must have felt. By the way I’ll just reveal what an incredible appetite he has, despite all of the above, he still never turned down a meal.
So a few months ago he went on a course of antibiotics, the results were astonishing! Brought him right back to us, sorted all his ulcers, the dribbling, mouth sensitivity and he went back to rubbing his little cheeks on everything!
Now I arrive at the present, so to manage the inflammation of his gums and overall well-being the vet suggested an ongoing meloxicam dosage every other day of 3.5kg/mg (going by the supplied weight measurement syringe). I of course did plenty of reading regarding the use of this drug with CKD and decided to give it a whirl after much deliberation and stressful pondering.
So I started off at a lower dosage of 2kg on the syringe measurement every other day and have been doing this since the end of October. I can’t possibly describe how incredible this drug has been for Mia, physically it’s like he’s reverted to 4 year old. His agility and movement are outstanding once again, he went from taking one step at a time on the stairs to sprinting up them. He has gone back to getting ‘the zoomies’ which he stopped doing for several years and now leaps on beds with ease. It also brought back his curiosity, improved his bowel movements (nice and solid). It has done wonders for his inflammation and he can wolf his food down freely, and he once again is so very curious. Truly it’s been one of the best decisions we have made. I understand there’s risks but as I have stated, it’s all about quality of life at this point.
One last bit of history before I finally move on to the question at hand, a couple of years ago Mia’s weight dropped to 2.3kg, he was very underweight, and has just got a diagnosis of CKD, when discovered he was at stage 2 (he has only moved one stage in the past 2 years) the vets were very concerned, saying it’s possibly cancer and all sorts of things. I was aware he was so disineresred in his food, and he had no other symptoms and I just believed he had so much more to give. At this time we completely changed his diet, switched to royal canine renal, constantly changing up the flavour every meal with their beef, chicken and fish flavours and he now weighs over 5kg. The vets we’re so impressed we manage to get him to gain so much weight especially with CKD, he’s maintained this weight for the past two years now.
Right, thank you so much for everyone who’s got through that hefty slog of a read, the reason I went into such great detail is to hopefully provide some useful info to some other cat owners! Apologies if any of it is incoherent, or contains some dodgy grammar. I’ve awkwardly typed it all on my phone.
Mia is currently doing wonderfully, his energy levels and zest and appetite are superb, he’s always purring and is wonderfully affectionate but there is once again the mouth issue. Recently I noticed another few signs an infection is returning, likely due to Calicivirus. I asked the vet if he could go on another course of antibiotics to nip it in the bud and avoid another ulcer episode, he said it’s best avoided currently to prevent Mia developing a resistance but suggested trying some other things first and if they don’t work we can resort to antibiotics.
So the vet said we could try Mia on prednidale, meaning coming off the Meloxicam which has been so wonderful for him. He required a free day ‘flush out’ period before beginning the prednidale, now his mouth issues currently aren’t bad at all. I assumed I’d just be given some antibiotics. Anyway I have the prednidale, yet I am yet to begin with these. The choice is, longterm meloxicam, or longterm prednidale if they work wonders, of course I’m not sure how he’ll do on prednidale, he already has an insatiable appetite, if it gets boosted he’ll
think of nothing else! Then again I can keep him on meloxicam, up that dosage a tad as I am still under the suggested doasage and then if his mouth issues get worse I can resort to the antibiotics also, buying more time before having to use them to prevent resistance. So here’s the question!
What’s easier on the kidneys? Meloxicam or Prednidale?
Lastly, I very much trust my vet, he has helped Mia time and time again as well as performing his dental surgeries with wonderful results. I guess I’m just asking these questions as I’m really not sure what choice to make this time.
Thank you to everyone who read all of that, we adore Mia so very much, we never leave him alone for more than 2.5 hours and base all of our decisions around him and do so with zero resentment, he brings us so much happiness and I want to make the time he has left as happy and comfortable as possible.
Apologies, rather than outright ask a question that may have no genuine answer as to what medication would be friendlier on his kidneys, I should also ask, does anyone have experience with giving a cat with CKD prednidale? As there’s so little info on this situation out there on the net, where as there’s a heck of a lot of discussion and info regarding Meloxicam and CKD.
