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Mirataz For Cats With Kidney Disease

How Can I Get My Cat To Drink More Water

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The first step is: Make fresh water available at all times. Giving your cat good quality water can turn to an effort-wasted if it isnt replenished daily. Refreshing their water daily encourages them to drink it. Many owners find their cats are finicky drinkers and prefer certain types of bowls, and even prefer to drink in certain locations. Some cats prefer to drink moving water from a pet water fountain bowl or a dripping kitchen faucet. Offering wet food in your cats diet can help provide a source of hydration. More Creative ways to encourage your cat to drink more water. Sometimes, despite effort and creativity, cats still dont drink enough water on their own.

What Is Mirtazapine Used For In Cats

Although Mirtazapine is used as an anti-depressant in humans, it has different functions in cats. Vets most commonly use Mirtazapine to treat vomiting, nausea, and appetite loss in cats. In some cases, vets prescribe Mirtazapine to treat behavioral problems.Mirtazapine should start to work for your cat within one to two days.

How Is Mirtazapine Given To Cats

Mirtazapine is administered to cats orally in a tablet form with or without food. If you are giving your feline friend the tablet during mealtime and you have multiple pets, make sure to supervise, so the right cat eats the tablet. For orally disintegrating tablets, ensure that your hands are dry before handling the medication.

We know that sometimes it can be difficult to give oral medication to your feline companion, here is a useful video from iCatCare.org on how to give oral tablets to your feline companion:

Mirataz is absorbed through the skin and has to be applied topically in the pinna of your cats ear, switching between the left and right ears. You must wear gloves when applying the ointment to avoid exposure to the medication in your skin. Wash your hands after use. The treated animal should not be in contact with family members or other pets for 2 hours after the application of miratraz.

Here is a useful video on how to apply miratraz to your cats ear and more precautions about this medication:

Mirtazapine or mirataz should not be used in cats that are allergic to it. Discuss with your veterinarian any allergic reactions your cat had to medications.

The safety of these drugs is not proven in pregnant and lactating cats.

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Entice Your Kitty With Fresh Smells

Cats have a very strong sense of smell. If your cat wont eat her kibble, try introducing a new, strong-smelling food and who knows? She just may find the new food too irresistible. Wet foods are a good starting point. More specifically, you will want to throw in tuna, sardines, chicken, beef, or meat broth. You could for example mix these with your cats dry kibble.

Several Changes On The Bloodwork Suggest Kidney Failure:

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  • Increased blood urea nitrogen and creatinine levels: BUN and creatinine are waste products that normal-functioning kidneys easily eliminate.
  • Reduced potassium
  • Elevated phosphorus
  • Anemia

A relatively new blood test that measures a substance called SDMA helps to diagnose kidney failure even earlier than can be done with routine bloodwork.

On a urinalysis, dilute urine would suggest kidney failure, especially if the bloodwork shows elevated BUN and creatinine. Protein may also be present in the urine.

Because hypertension can cause kidney failure, a veterinarian may also take a cats blood pressure to help confirm a kidney failure diagnosis.

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What Is Mirtazapine For Cats

What makes mirtazapine special in veterinary medicine is one of the side effects: weight gain. To better understand this, lets have a quick look at how mirtazapine acts in the feline body:

The nervous system coordinates and controls the bodys activity and functions. Neurons are the primary cell on the nervous system, and they are responsible for transmitting information through the body.

Neurotransmitters are one of the components of the nervous system, and they allow messages from neurons to pass from one cell to another cell in the nervous system. When neurotransmitters arrive at a cell , they have to bind to receptors. These receptors will determine if the information will continue to pass through the body, or it will inhibit the signal from advancing.

Mirtazapine is an antagonist of various receptors in the central nervous system . Antagonist means that it acts as a blocker of the receptors activity, so the receptor does not have the opportunity to allow any messages to continue.

The effect of how mirtazapine induces an increase in appetite has not yet been clarified. A theory is that it is thanks to its antagonist properties in 5HT2c and histamine H1 receptors, which are related to loss of appetite. Mirtazapine for cats and humans also has an antiemetic influence , and it is probably due to an antagonist effect on the 5-HT3 receptor linked to vomiting.

Provide A Varied Diet

You’ve probably lost your appetite after eating the same meal over and over again. Like humans, cats also get sick of the same food eventually. In these cases, you’re going to want to cycle between different cat food for your pet every couple of weeks. It may take some time for you to find out what type of food your cat enjoys eating. But when you do, it should be easy to provide a more varied diet, which might be what’s needed to get your cat to eat.

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How Can A Cat Use An Inhaler

Some of the most effective feline asthma medications, like Flovent and Proventil, get right into the lungs because they are inhaled. But how can a cat use an inhaler?! Many of our customers think thats impossible. until they hear about the AeroKat.

The AeroKat Feline Aerosol Chamber makes it easy to deliver inhaled medication to your cat. This amazing invention combines a mask and respiration counter into a convenient device that works with a standard Metered Dose Inhaler of your cats prescription medicine.

The AeroKat comes with two sizes of masks that are designed to fit any breed or size of cat. Place the mask over you cats mouth, make sure you have a good seal, activate the puffer, then use the convenient Flow-Vu Indicator to count your cats inhalations of the medication.

Mirtazapine For Cats: Side Effects Dosage And Natural Alternatives

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One of your responsibilities as a cat owner is to make sure your cat follows a balanced diet. But what happens when your cat refuses to eat?In some cases, you may have the healthiest food prepared for your feline friend. However, this won’t do your cat any good if your cat doesn’t eat it in the first place. If you’ve noticed a change in your cat’s appetite, one solution might be to give your cat an appetite stimulant, such as mirtazapine. If you’d like to learn more about mirtazapine for cats, and some natural alternatives, read on below.

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Management Of Feline Chronic Kidney Disease Transcript

25 June 2020

283kb PDF

Transcript of a presentation on the management of feline chronic kidney disease produced by RCVS Knowledge for BSAVA Congress 2020, presented by:- Sarah Caney BVSc PhD DSAM MRCVS, RCVS specialist in feline medicine, and- Paul Pollard MVB CertAVP PG Dip Vet Ed FHEA MRCVS, First opinion practitioner, responsible for student learning on first opinion rotation at the Royal Veterinary College in Camden.

Your download should start automatically. If not .

How Will My Veterinarian Determine The Degree Kidney Failure In My Cat

Your veterinarian will use the IRIS staging system. IRIS staging is based on serum creatinine levels, with sub-staging based on the presence of protein in the urine and measuring your cats blood pressure. By using this staging, your veterinarian has a better idea on how to proceed with treatment, monitor progress, and to estimate your pets prognosis.

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Feeding Cats With Chronic Kidney Disease: Customizing The Nutritional Management Plan

Upon receiving a BS and DVM from Michigan State University, Dr. Churchill completed a small animal internship in medicine and surgery at the University of Georgia, followed by combined residencies and a PhD program in small animal internal medicine and clinical nutrition at University of Minnesota. Her graduate work was capped with the development of a small animal clinical nutrition service at the UMN Veterinary Medical Center. Five years later, she developed a model to make it financially self-sustaining.

She is passionate about all aspects of small animal clinical nutrition, including maintaining wellness and preventive care, obesity prevention and treatment, the nutrition needs of geriatric patients, nutritional management of kidney diseases, and critical care nutrition. She served on the task force to develop the AAHA guidelines for weight management. She serves as president-elect of the Pet Nutrition Alliance and on the educational tools committee of PNA working to develop a go-to website for credible nutritional information for veterinary practice teams and consumers. Dr. Churchill also serves on the Board of the Association for Pet Obesity Prevention.

How Does Crf Affect My Cat

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Because the kidneys perform a variety of different functions, the clinical signs of renal failure can be somewhat variable. The most common changes seen are weight loss, poor hair quality, halitosis , variable appetite which may be associated with mouth ulcers, lethargy, and depression. Less common signs include increased drinking or urinating, vomiting, diarrhea, and anemia.

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Mirataz 2% Dosage And Administration

Administer topically by applying a 3.8 cm ribbon of ointment on the inner pinna of the cats ear once daily for 14 days .

Wear disposable gloves when applying Mirataz. Dispose of used gloves after each application.

Alternate the daily application of Mirataz between the left and right inner pinna of the ears. Do not administer into the external ear canal. If desired, the inner pinna of the cats ear may be cleaned by wiping with a dry tissue or cloth immediately prior to the next scheduled dose. If a dose is missed, apply Mirataz the following day and resume daily dosing.

To demonstrate the method of administering the dose, the veterinarian or trained personnel at the clinic should apply the first dose in the presence of the owner.

This ruler measures 3.8 cm. Use this ruler to measure the 3.8 cm ribbon of ointment to be applied.

To apply Mirataz:

Step 1: Wear disposable gloves. Twist cap on tube counterclockwise to open.

Step 2: Apply even pressure on tube and squeeze a 3.8 cm line of ointment onto your gloved finger using the measured line on the carton or on this package insert.

Step 3: Using your gloved finger, gently rub ribbon of ointment on inside pinna of the cats ear spreading it evenly over the surface. Dispose of used gloves after each application. If contact with your skin occurs wash thoroughly with soap and water.

What Are The Clinical Signs Of Kidney Failure

Excessive thirst and urination are among the most recognizable symptoms of kidney failure in cats.

Even when the kidneys are failing enough to cause clinical signs, kidney failure may not be the obvious diagnosis. Kidney failures clinical signs are non-specific, meaning that they dont indicate a particular disease.

The clinical signs gradually worsen as kidney failure progresses.

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Semintra For Controlling High Blood Pressure In Cats

Kidney disease and hyperthyroidism are the two most common causes of high blood pressure in cats. Certain heart diseases can also cause high blood pressure in cats. Sometimes, no underlying cause is identified. When left untreated, high blood pressure can damage your cats eyes, kidneys, heart, and brain and central nervous system.

Semintra is the first, and so far only, FDA-approved drug to control high blood pressure in cats. The active ingredient in Semintra is telmisartan and it lowers blood pressure by relaxing blood vessels.

Semintra is an oral solution that you give either directly into your cats mouth or on top of a small amount of food. Dont mix the solution into the food. Initially, you give the drug twice a day for 14 days and then once a day. To prevent giving an incorrect dose, only use the special dosing syringe provided in the package. The dosing syringe fits into the bottle opening and has clear marks for measuring the dose.

Your veterinarian should check your cats blood pressure regularly after starting Semintra and adjust the dose as needed to keep his blood pressure at the best level. Veterinarians should monitor cats with kidney disease early in treatment for potential worsening of their kidney values. When starting treatment, veterinarians should monitor all cats for anemia and a decreased appetite resulting in weight loss. Other common side effects of Semintra include vomiting, diarrhea, and a decreased activity level.

Creating Brighter Futures For Cats With Chronic Kidney Disease

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Katie Burns

Cats with chronic kidney disease can now live longer, better lives than ever before.

Its been a very exciting time over the last decade or so in that weve really enhanced our abilities to diagnose and detect chronic kidney disease, said Dr. Shelly L. Vaden, a professor of internal medicine at North Carolina State University College of Veterinary Medicine. Weve also made many improvements in medical management.

Dr. Vaden was speaking during the New Therapeutic Approaches to Chronic Care Symposium at the AVMA Virtual Convention 2020 this past August. Another convention presentation focused on RenalTech, a new tool from Antech Diagnostics that uses artificial intelligence to predict which cats will develop chronic kidney disease in the next two years.

During an October 2020 webinar from Morris Animal Foundation, Dr. Jessica Quimby, an associate professor of small animal internal medicine at The Ohio State University College of Veterinary Medicine, spoke about trying to develop a deeper understanding of CKD in cats while still improving on practical aspects of treatment.

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How Long Can A Cat Go Without Eating

Like people, cats can go longer without food than water. Cats can survive for about two weeks without eating but only three days without drinking. The longer your cat goes without proper nutrition, however, the weaker they become, so it’s important to contact your vet if you suspect they haven’t eaten in a day or more.

Chronic Kidney Disease In Cats Part 2

In the second part of this two-part series, Vanessa Bourne MVB CertAVP PGCertVetEd FHEA MRCVS, Royal Veterinary College, continues her exploration of how to increase longevity, improve the client-practice bond and increase revenue by employing optimal monitoring and treatment options for chronic kidney disease in cats

Prognosis and managementChronic kidney disease is a very common finding in mature cats, potentially affecting over 30% of cats over 10 years of age. CKD is a generally slowly progressive disorder, caused by chronic tubulointerstitial nephritis and interstitial fibrosis in most cases. Patients can survive with reduced renal function for many years. Identification of complications and co-morbidities can allow for earlier interventions, improving quality of life and longevity. It therefore makes good business sense for clinicians to become familiar with the optimal monitoring and treatment options.

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Allergic Rhinitis In Cats

When there is a clear, watery discharge accompanied by sneezing, it typically means your cat has inhaled an environmental allergen. Also known as atopy, the condition is most likely inherited and causes increased sensitivity to common allergens, such as certain grasses, trees, weeds, molds, insect bites, and dust mites.

Prognosis For Cats With Ckd

Mirataz for Cats
  • The prognosis for cats with CKD depends on the severity of disease, which can be related to their IRIS staging. IRIS stage of CKD based on serum creatinine at the time of diagnosis is strongly predictive of survival in cats with naturally occurring CKD. Cats diagnosed in the early stages of disease have been shown in multiple studies to survive for much longer than animals initially diagnosed with CKD at a later stage of disease. There are several additional parameters associated with a worse prognosis. These are:

  • Documented progression of CKD

  • The level of hyperphosphataemia

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Your Cats Weight Loss Could Be Caused By A Variety Of Issues

A change in your cats appetite and unintended weight loss doesnt always have a simple answer. It could be from nondisease-related stress, like a change in where they eat.1 It could be a reaction to psychological stress, like the disappearance of another pet.2 Or it could be the beginning of a serious disease, like hyperthyroidism, chronic kidney disease, or inflammatory bowel disease.3-5

Prolonged inadequate nutrition may be more detrimental to your cat than the underlying cause of their weight loss.

Do not use Mirataz in cats with a known hypersensitivity to mirtazapine or any of the excipients or in cats treated with monoamine oxidase inhibitors . For additional important safety information and product label .

How Is The Disease Diagnosed

Renal disease is usually diagnosed by looking at the level of two biochemical byproducts in the bloodstream, blood urea nitrogen and creatinine, in conjunction with the urine specific gravity . Microalbuminuria is another indicator of CRF. Tests to measure the blood levels of other substances such as proteins, potassium, phosphorus, and calcium, as well as the red and white blood cell counts are important in order to determine the extent of kidney failure and the best course of treatment.

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Advanced Ckd: When Feeding Needs An Assist

Assuring hydration and food intake is one of the most important components of nutritional management of cats with CKD. The goal when recommending a specific food and dose is to maintain stable, healthy body weight. Monitoring kidney function, hydration, body weight, BCS, and MCS is key to catching any decline quickly. If cats are unable to maintain weight on their own, intervention is essential.

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