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13 year old male cat. Recently DX with Idiopathic Cystitus. He is on 5mg Amityriptiline every other day. Works good but has issues when under stress. Thoughts?

13 yr old male cat...has had constipation and on fiber RX food for years. Just had Obstipation. Now on Lactolose and Cisapride daily. We are tweaking meds with vet to get him pooping daily. He is going now but not regularly like before. SUGGESTIONS AND IDEAS WELCOMED.