Cerenia Dosing

cocoanlace

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I've been giving my kitty Cerenia as needed. That means when he acts nauseous, licking his lips and swallowing, or is vomiting, I give it then, which risks his vomiting it up. I am wondering if I should give him his dose every morning as a preventative. Is that what some of you do? My cat's digestive system is impaired; vomiting is a symptom. But he doesn't vomit every day. That said, I think he is often nauseous but doesn't vomit. Thanks for your input.
 

kittenmittens84

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What did your vet say about dosing when they prescribed it? Definitely talk to them about it, cerenia can be used longer term but you need to make sure the dosage is appropriate. There’s also a chance that another drug may be better for your cat to use daily, depending on what’s causing his digestive problems (low dose prednisolone is commonly used for cats with IBD since it’s an anti-inflammatory so it can actually help reduce GI upset by treating the cause of the symptoms)
 
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cocoanlace

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Vet didn't actually discuss with me. The prescription says 6.0 mg once daily. That's all. I have been giving it sparingly because when my cat was hospitalized, they gave Cerenia injections which make him anorexic. We discussed prednisolone but vet is concerned about suppressing his immune system. He does not have IBD. Thanks for your input.
 

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It's really important to discuss with the vet about your cat's health concerns and be on the same page regarding treatment. Feel free to seek out a second opinion or ask your vet to consult with other vets on your cat's health concern. What impairment of the digestive system does your cat have?

6 mg is a lot for a cat. Are you splitting one pill in a little less than half? Cerenia is only available as a 16 mg pill.
 
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cocoanlace

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Cerenia comes in 24 mg tablets too, and he gets 1/4 tab per the vet. I often split that dose in half since that works.
He has a non-functioning, atrophied gallbladder. Surgery resized his distended common bile duct, removing 6 cups of bile, and it was attached to his intestines. I belive his spincter of oddi may not function properly as bile pools in the common bile duct which increases in size. The pathologist also believes the CBD is mostly fibrous tissue that has been stretched out with very little muscle remaining . Before surgery, he had constant vomiting because all of this bile ducts were filled and were pushing against his stomach. Post-surgery, we are all navigating in the dark. His vet seems to be floundering. My cat has seen several vets, and all of them say, I've never seen anything like this. He also gets transdermal Gabapentin to keep him comfortable and Mirataz as needed. Thank you for your input.
 
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cocoanlace

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I am not uncomfortable with giving Cerenia to my cat daily as long as it's a minimal amount and there are no adverse reactions that we know about. He is 13 and I am trying to keep him comfortable as we don't know how long his surgical restructuring will work. I do not want him nauseous or vomiting every day of his remaining life although nobody knew how has life post-surgery would be.. I have also read a few articles on the internet, but my purpose in posting this question was to find out what the members doing successfully. Sometimes that's the best stuff, over and above what articles, experts, and even a vet might feel. Thanks bunches.
 
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LTS3

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An internal medicine vet may be helpful if you haven't already seen one yet. I know my internal medicine vet and his colleagues do courtesy consults for other vets. Might worth getting another opinion. I can PM you the link. VIN.com is another resource your vet may have. Its a vet only forum where vets from all over the world can learn from each other and get thoughts on complicated cases they may never have seen before.
 
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cocoanlace

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Thanks. My cat's vet is an internist at Horizon Veterinary Specialists, Ventura California.
 
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cocoanlace

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Just to close out this conversation for any other cat lovers who might search for cerenia dosing in the future, I finally heard back from my vet's office after waiting 5 days and leaving a message twice.. The answer is it is fine to give my cat cerenia daily. He is prescribed 1/4 of a 24 mg tablet. The vet added that originally the FDA said this off label dog medicine should be given five days only with two days off. But studies after that original statement show that there are no adverse reactions in dogs or cats when given daily, even long-term. I am still going to give it sparingly and not give it to my cat on days when he has no nausea or vomiting. Thank you.
 
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