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Author Topic: New Hyperthyroid diagnosis  (Read 13498 times)
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NedF
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« Reply #120 on: August 10, 2020, 04:50:48 AM »

So happy she is doing better!
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"It seems that some creatures have the capacity to fill spaces you never knew were empty."  - Jean-Luc Picard
alek0
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« Reply #121 on: August 10, 2020, 05:31:03 PM »

Great news that she is doing well!
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GKit
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« Reply #122 on: August 11, 2020, 06:45:46 PM »

Yay for Mabel’s weight gain! I’m glad she’s doing better.
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rbauer
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« Reply #123 on: August 12, 2020, 12:18:35 PM »

Thank you for all of the help and support with Mabel.  There is one thing going on I have a question about.  She has another tooth issue that interferes with eating unless I give her buprenorphine. Oral surgery can’t see her till mid September, so she’s been on buprenorphine twice a day since July 2nd and still needs to be on it.  Is it safe and okay to use it this long?  If I don’t give her the medicine she only eats about 1/4 of her daily wet food ration because it hurts her so much to chew.  Just worried if 10weeks will be too long on it.
« Last Edit: August 12, 2020, 12:51:24 PM by rbauer » Logged
NedF
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« Reply #124 on: August 12, 2020, 04:14:57 PM »

I gave it to Thunder for years with no problems. I would check with your vet about tapering the dose when it's time to stop giving it. It is an opioid and you don't want to have withdrawal problems.

https://www.thehappycatsite.com/buprenex-for-cats/
« Last Edit: August 12, 2020, 04:18:39 PM by NedF » Logged

"It seems that some creatures have the capacity to fill spaces you never knew were empty."  - Jean-Luc Picard
rbauer
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« Reply #125 on: August 12, 2020, 04:35:40 PM »

I think the vet said go to once a day for 3 days before discontinuing, but that soundEd awfully short after what will be 10 weeks and more if teeth are extracted.  Thanks for the very informative link. 
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rbauer
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« Reply #126 on: August 15, 2020, 09:22:41 AM »

Just got an email from the dental surgeon saying that buprenorphine dependence has not been observed in animals.  That’s very reassuring.  So she can stay on this awhile for sure then.  I also noticed that Mabel is recently climbing up on dining room chairs and furniture again like when she was younger.  She hasn’t done that in years. Maybe it is helping with some arthritis along with the bad tooth.
« Last Edit: August 15, 2020, 12:09:41 PM by rbauer » Logged
NedF
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« Reply #127 on: August 15, 2020, 04:27:29 PM »

Yes, Thunder was more active when on it. I could tell she felt so much better.
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"It seems that some creatures have the capacity to fill spaces you never knew were empty."  - Jean-Luc Picard
rbauer
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« Reply #128 on: December 31, 2020, 08:10:24 AM »

It has been some time since I posted.  Mabel eventually got off the buprenorphine and is doing okay.  She has had so many teeth removed over the years that there are only little incisors left at this point.  I will take her to get her thyroid levels rechecked again soon.  They were talking about reducing her felimazole last time as long as the T4 levels are still good. 
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lesliek
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« Reply #129 on: December 31, 2020, 02:14:14 PM »

 Glad to hear Mabel is doing well  Smiley
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NedF
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« Reply #130 on: December 31, 2020, 05:04:36 PM »

I'm happy to hear she is doing better!
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"It seems that some creatures have the capacity to fill spaces you never knew were empty."  - Jean-Luc Picard
Mandycat
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« Reply #131 on: December 31, 2020, 07:19:58 PM »

Glad that Mabel is doing well.  I am not sure why they vets would say that they might reduce the felimazole "if the T4 is still good".  If the T4 is good, you want to keep the dose of Felimazole the same.  The dose should only be decreased if the T4 is too low, and only be increased if the T4 is too high.  If the T4 is stable and within the ideal range when you test, leave the dose as it is.  Otherwise, you are just looking to create a problem by messing with the dose.
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rbauer
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« Reply #132 on: January 03, 2021, 01:12:58 PM »

Thank you Mandycat.  I won’t let them change it then unless they say it is too low.  The one good thing that I noticed since starting the medicine in July/August was that she stopped vomiting overnight. That was a mysterious problem for a long time, and now it doesn’t happen anymore. Low appetite towards her canned food is still an issue without once weekly mirataz, but her blood labs and ultrasound is good.  She will eat moistened dry food, deli turkey and treats just fine though, so I was thinking maybe she just hates the peas in her canned diet- like a kid that hates vegetables.  Smiley
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alek0
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« Reply #133 on: January 03, 2021, 05:41:31 PM »

Not sure how would that work for a cat with completely different health problem, but I've had a lot more success with cyproheptadine as appetite stimulant compared to mirtazipine for a cat with kidney problem. It requires a daily dose but since Mitzie needs other meds daily it is not a big deal, pieces of pills can be placed in a gelatine capsule which solves the problem of bad taste and you can give all meds in one go. I like the fact that her appetite is uniform and there are no mood side effects like with meowzipine, and we monitor her liver values on regular blood tests anyway since she had liver problems in the past and she is on SAMe and ursodeoxycholic acid since that happened. So far so good, no big issues, and she has been on cyproheptadine for years (20 year old kitty, dealing with kidney issues for last 5 years).

How is Mabel's arthritis after going off the pain meds? And is it worth trying CBDs for a cat with arthritis?
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rbauer
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« Reply #134 on: January 05, 2021, 07:25:29 PM »

Glad to hear that cyproheptidine is working out good for you and Mitzie.  I remember awhile back she also had a tooth extraction and was on some pain medicine as well.  Mabel was very active and playful while on the buprenorphine for several months but has slowed down and become more cautious since discontinuing it.  I have little flights of stairs set up near my bed and the sofa to help her get up on things and reduce jumping down. I can’t know for sure but she might have some discomfort.  I was growing frustrated arguing with the vet and the dental school to keep getting buprenorphine refilled and they kept threatening to cut her off.  They would say it’s an opioid. And I would say, yes, so what? It’s working well for her teeth and arthritis issues and it doesn’t affect cats the same way as people so she can safely stay on it indefinitely probably. And then they would say well it’s a controlled substance.  She can’t stay on it indefinitely. And then we would have a conversation about gabapentin.  Gabapentin triggered pancreatitis in Mabel every time we ever used it for more than about a week.  I would have to explain that for some reason once it starts to build up in her system her pancreas gets inflamed, she stops eating and screams if she tries.  We would then have to go to the emergency room and get expensive ultrasounds, iv fluids, Cerenia, odesetron, and buprenorphine!  So that’s how the conversation kept going.  I am interested in learning more about safe use of CBD oil in cats.  I would probably have to find a vet that uses it routinely in practice and is familiar with all of the nuances rather than just order it off the Internet and try it out.   The meowzipine has been kind of fun- Mabel is very vocal on it and talks back to me.  It’s almost like we are having a conversation sometimes. I ask her questions and she answers or she comes and gets me and tells me things. I have no idea what she’s saying but she is definitely talking in her language.  
« Last Edit: January 05, 2021, 07:39:15 PM by rbauer » Logged
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