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  1. LelaCat

    Liver Disease, Cholestasis Cat

    Awesome news!! So happy to hear! I know there is still more to figure out, but at least his liver enzymes are coming down. Lela is doing a little better as the Gabapentin wears off. She is still stumbling sometimes, but it is waaay better than yesterday.
  2. LelaCat

    Liver Disease, Cholestasis Cat

    They did not send any laxative meds home. They did give more instructions for the Miralax. Although, she has to eat the mixture I make for that to work. She ate it tonight, thank goodness. They prescribed Gabapentin 50mg/mL--0.25mL, so that would be 12.5mg, if I did the math right. She only...
  3. LelaCat

    Liver Disease, Cholestasis Cat

    😢My heart hurts for both of our kitties. I understand how you feel. It is awful beyond words. I wonder if my husband and I made/are making the right decisions and if there is anything else we could do better. I feel so sad for Lela even though death is a natural part of life. It is so hard to...
  4. LelaCat

    Liver Disease, Cholestasis Cat

    Lela isn't doing that well. I'm still hoping she will improve some, but her condition seems to be worsening. She isn't wanting to eat as much or as regularly as before, even with the appetite stimulant and nausea meds. She still likes to lay on her window sill and rotate nap areas and she is...
  5. LelaCat

    Liver Disease, Cholestasis Cat

    Gotcha. You have a lot of medical knowledge...so trust your judgment. If it wasn't increasing that much without the Chlorambucil, you could at least take a break from it and recheck labs to see how the liver values are affected. I read there are some latent effects even after stopping, so you...
  6. LelaCat

    Liver Disease, Cholestasis Cat

    Go with your gut. And the second opinion sounds like a good idea. There are multiple medications that can treat these diseases. There has to be another avenue to pursue. We stopped cold turkey, no taper. Our vet recommended 2x per week after that but we decided not to give it anymore bc it was...
  7. LelaCat

    Liver Disease, Cholestasis Cat

    I am so, so sorry about Chaz's appointment. It is so difficult when their affect is not matching the labs. You are doing everything you can for him. :vibes: :hearthrob: Did the vet mention anything about altering the medication dosages? Or changing to cyclosporine or another immune...
  8. LelaCat

    Liver Disease, Cholestasis Cat

    I took her in this morning for her blood pressure check. Lela was very bright and alert at the appt. They checked her BP 3 times and the systolic ranged from 156-170. The vet said she spoke to the specialist vet yesterday and they said they wouldn't treat her BP unless it was over 180. She also...
  9. LelaCat

    Liver Disease, Cholestasis Cat

    So happy to hear Chaz is doing so well! Keeping my finger crossed for excellent lab results and continued improvements! And kudos to you for sticking up for your Kitty's wellness and insisting on those antibiotics. I feel like the vets see our pets as a decision tree or flowchart without...
  10. LelaCat

    Liver Disease, Cholestasis Cat

    Thank you so, so much. I really appreciate your genuine concern and helpfulness!! :hugs: She ate a little earlier and is using the bathroom normally. I feel like she's getting a little better as time passes but she has been more restless during the day and a little better at night, for whatever...
  11. LelaCat

    Liver Disease, Cholestasis Cat

    Thank you for the reassurance. I'm feeling super stressed. I sure hope she improves over the next few days. She does seem slightly better than when she first came home. She isn't walking wobbly but still seems oddly spaced out at times. She will sit by her water bowl and her head will drift down...
  12. LelaCat

    Liver Disease, Cholestasis Cat

    Not like small circles, but pacing around the house. I forgot to add earlier that her liver labs came down more...was 944 now in 500s. Her sodium and potassium were low, but the vet didn't say anything about it needing intervention. Still waiting for her to call so I can ask specifically. I...
  13. LelaCat

    Liver Disease, Cholestasis Cat

    How is Chaz doing with the Chlorambucil? Lela had IV fluids at the local vet on Monday and Tuesday this week. When she came home on Monday, she drank a lot of water. She hadn't eaten much while at the vet, but she ate pretty good overnight. Tuesday when she came home, she was wobbly/drunk...
  14. LelaCat

    Liver Disease, Cholestasis Cat

    Sweet kitty. Keeping you and Chaz in my thoughts. 🙏 Yes, the side effects were worse the 2nd week she was on the Chlorambucil. It seems like it compounded the longer she was on it. It is mostly excreted through urine and feces, so your hunch seems likely. I wonder if Lela's kidneys issues are...
  15. LelaCat

    Liver Disease, Cholestasis Cat

    How is Chaz doing with the Chlorambucil? Lela is still eating well but is urinating more than before. We decided to do fluids at our local vet. We will drop her off on Monday for IV fluids and they will call us when she is ready to go home. Hoping this helps her kidneys a bit. We are still...
  16. LelaCat

    Liver Disease, Cholestasis Cat

    Thank you for checking! 🥰 The two weeks of Chlorambucil were hard on her. She lost weight even though she didn't have any more to lose. She was very lethargic and not wanting to eat. The labs just came back yesterday evening. Her AST liver enzymes came down from 2200 to 944. The vet attributes...
  17. LelaCat

    Liver Disease, Cholestasis Cat

    I don't. Just the 1 cat. I would double check with the vet, but I read that you don't have to use separate water bowls. Not sure about the litter box though.
  18. LelaCat

    Liver Disease, Cholestasis Cat

    My cat is has been taking Chlorambucil for almost 2 weeks now. She takes a compounded Marshmallow flavored liquid 0.1mg(10mg/mL) Chlorambucil every 72 hours. It was about $85 from Stokes Pharmacy. She had been having nausea and some vomiting prior to starting the Chlorambucil. The vet prescribed...
  19. LelaCat

    Liver Disease, Cholestasis Cat

    I recently started using the Just Answer App/website for immediate vet advice. It does require a monthly fee($29, I think), but I have found it very helpful to have immediate advice. My vet specialist's office takes at least 24 hours but more like 48 or 72 hours to answer my emailed/telephoned...
  20. LelaCat

    Liver Disease, Cholestasis Cat

    Good to hear first hand that cats can have IBD with constipation and no diarrhea. Gives me hope that Lelas condition will improve with this treatment. Sending good vibes and healing strength to sweet Chaz. :vibes::hearthrob::hearthrob: Lela won't take pills either. I've had to do all liquids...
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