The Reglan can have an adverse effect in cats so monitor the behavior carefully. Owners have reported their cats acting 'crazy' while on this.
"Because metoclopramide produces a transient increase in plasma aldosterone, certain patients, especially those with cirrhosis or congestive heart failure, may be at risk of developing fluid retention and volume overload. If these side effects occur at any time during metoclopramide therapy, the drug should be discontinued."
I'm not familiar with all of the meds you are giving your cat. My advice is keep up on your research with different drug interactions because vets don't know everything, they are not pharmacists. Keep in mind cats react differently than humans to medication, often times being more sensitive. It is a balancing act with heart and kidneys, one I am trying to learn myself.
I've seen raw food diets help cats out where kibble didn't.
Sending good thoughts your way to you and tember....
Annette's email got all gobbley gook, so I edited it for her. If you
reply to it, please reply to the group so she can see the responses.
If you reply to the individual it'll come back to me.
Carol and Snowball and the gang
--- In feline-heart@ yahoogroups. com, annette burton <meaniebie@. ..>
Sent: Friday, September 26, 2008 9:29:02 PM
Subject: [crf-info] update on tember
after a long day, tember is home. and i am truly confused. she is
not feeling well at all. she is taking reglan 3x daily, diltiazem
7.5 mg every 8 hrs, ranatidine 2xdaily, subq's 50mls every other
day, epogen as usual 2x week, alum hydrox, low protein, low sodium
renal food, k/d kibble, any food she may need to eat
she has been diagnosed with asymetric LV hypertrophy with mod.
interventricular septal? LV papillary muscluar hypertrophy and
borderline-mild LV frewall hypertrophy. mild LA enlargement, with no
evidence of echogenic smoke or thrombus formation. the diltiazem
should in theory give us benefit of both vasodilation and cardiac
.. she says"I would be more conservative than the owner has been in
the past with her subq fluid admin., as in the face of feline crf
alone, not to mention crf with cardiac disease, giving a daily
replacement volume is excessive". tember is not acting well, she
wants to hide some. she would not eat for me, and she is drinking a
lot, but acting pretty punk. I gave her the regaln, and it seems
like she feels better after about an hour. what can I expect from
these things, and how should I give them? are there any links to
teach me what should be given apart from the alum. hydrox.? She
seemed pretty good today at the clinic. I fed her some with the
syringe. One scary thing- when I was leaving the clinic, I noticed
some blood tinged urine on the pad she was laying on. the vet then
did a cysto, and she noted blood of 4+. no bacteria showed, but she
is culturing it. she is worried about what antibiotic we need to
use. she doesn't want to give one to tember yet, for fear of
innappetance. is waiting for culture. she did say that sometimes
cats can have stress cisto blood in urine? I just don't know how I
am going to balance this. She is purring right now, but an hour ago,
she was hiding. It is kind of funny now, but when I brought her
home, I had my son watch her until I ran for her prescription. when
I got home, he was looking for her. I looked every where, and asked
him if the door had been opened to outside, and he said "yes just
for a minute, (smoker), and I didn't see her go out". but he had
been looking for her. I went crazy, running around the neighbor
yards. He did too, ran all around the block. I was crying, and
praying, "My baby, etc, etc,etc- you can imagine. Finally, in sheer
desperation, I opened the cabinet door under the bathroom sink, and
there she sat! How she did it, I don't know. He said that the last
time he saw her, she was sitting on the bathtub. like I said, it is
kind of funny NOW...
Any advice, I will be thankful for. I just don't know if I can do
this. the doc last night made it sound like she was on deaths door,
and was ready for the worst. today, the other doc said she did not
have severe heart disease, but it is going to be a challenge,
balancing the fluid situation. I am so worried that she will get
dehydrated, or something. any suggestions or thoughts,
Annette and tember (still hanging in
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