RE: [feline-heart] Diltiazem
what about using something other than diltiazem that won't have such a neg
impact on his stomach? Is that a possibility?
Linda and Pum
From: J. Z. [mailto:filmgeek55@...]
Sent: Friday, October 20, 2000 6:12 AM
Subject: [feline-heart] Diltiazem
Oliver (age 14-1/2, HCM with congestive heart failure) has been on Diltiazem
since 11/99, and his echocardiogram in August showed NO disease progression.
However, one caveat about Diltiazem: Some cats have had adverse reactions
to it. Oliver started out on 60 mg/day, and it knocked him out so badly we
thought his time was up. Early last December, he hadn't eaten anything for
48 hours nor drunk water for 24, nor even MOVED, and we were sure he was
dying. We made the appointment for euthanasia. The morning of his
"scheduled execution", I decided not to give him the diltiazem -- after all,
why put him through this medication he hates, when it's his last day on
When my husband arrived home at 3:30, Ollie bounded out of the cat condo (4'
above the ground), trotted into the kitchen, then proceeded to devour a jar
of baby food and a half can of cat food.
He came THAT CLOSE.
The diltiazem really upsets his stomach. We cut his dose down to 30mg, and
that seemed to be better. However, he hates pills, so we have it compounded
in tuna water. Diltiazem has to be done as a suspension, not a solution, so
the resulting liquid is very thick. He still hates it. For a while, he was
puking it up nightly, so we cut it down to 15mg. Now we're settled at 20,
and he's doing well.
Just something to keep in mind.
In other news about Ollie: The vet put him on 50mg/day Antirobe Aquadrops,
which he says is a very effective antibiotic for dental/mouth problems.
(Ollie's appetite has been very bad for almost a week.) He also said I
should feed him Science Diet a/d, which is a high-fat, high protein food
they often use with cachectic (wasting) patients. After one dose, Ollie
started eating a bit better. Day 2 he ate a 1/2 can of a/d in the morning,
and not much the rest of the day. Today, he ate a little tuna fish, and
nothing else. So I don't know what's going on. His bloodwork is OK --
thyroid is fine, kidney numbers are unchanged since August, white blood cell
count (which was high) is even a bit lower than August. So the loss of
appetite is still a mystery.
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- Can this be given in food, or is it "time released" (can't be
chewed)? Phil is new on this, and so far, I'm "pilling" her. Also,
she has very loose stools (for the first time in her 15 years). Is
this a side effect of this drug?
Kathleen and Phillip