I posted a little while back about my cat Binky who developed FHS back in October 2013 and wanted to give an update on what has worked/not worked in terms of medications. Just to recap, Binky has constant muscle spasms/twitching and excessive grooming due to the spasms. She first started on Fluoxetine (Prozac) with a 0.6ml dose (liquid) once a day. She did well on this for the first month or so but her symptoms came back. She was then given (in addition to the Prozac), Prednisolone with a 5mg dose twice a day. This combination also worked but again after a few weeks her symptoms came back. I tried to switch the liquid dose of Prozac to the transdermal gel applying it in her ear but this was not absorbing well and her symptoms got really bad again so I then switched the Prozac to a pill which just so your aware costs the most money as it has to be compounded to the specific dosage. Seeing that the Prozac was not working so well she was introduced another medicine called Gabapentin with a 25mg does twice a day. I decided to wean her off the Prednisolone as it was not doing anything for her and started giving her the Gabapentin along with the Prozac. This combination of meds seemed to work great and I was so excited to see her back to herself but this was short lived once again. A month later the symptoms came back and the veterinarian wants to introduce another medicine Phenobarbital on top of the Prozac and Gabapentin I am worried this will be too much medication for my poor girl she would require 2 pills every morning and 3 every night – how the heck is that even going to be possible? It’s hard enough just trying to give her the pills I give her now every morning and night. I have to disguise the pills in food and treats but it’s now become a real problem and she is fighting me when I’m trying to get them all in her mouth to swallow and I try petting her first and do my best to make it the least stressful but if I don’t try closing her mouth when I get the pills in, they will fall out the sides of her mouth and stick to the sides of her fur when they fall and then it’s even harder to get them back in her mouth. I can’t believe this is going to be my life for the rest of my girls life every single day but I love her with all my heart and will do my best that’s all I can do. I’ve decided to increase her dosage of Prozac to 1 ½ pills once a day and 1 ½ of the Gabapentin pills twice a day which is so far keeping her symptoms at bay for now. I will see how this goes and if her symptoms come back again I will have to decide on whether to add the Phenobarbital or maybe try just giving her this and eliminating one of the others. I don’t know anymore – I trust the vet as he has a lot of experience (did my research) but really 3 meds for a cat how am I going to afford this all every month I don’t know.