Had to "cave" and put Nicki back on Prednisolone

I caved and called the vet clinic yesterday afternoon, then stopped by on the way home to pick up more Prednisolone for Nicki. I've tried every combination of the AmazaPet and Respo-K (from PetAlive.com) I can think of (given together, separately, "x" number of times a day....) without any good results at all, so I have to let it go. Unfortunate, since I just ordered (and received) 3 bottles of the AmazaPet. And also ordered one more product to try, already shipped and on the way. ::Sigh:: I'll keep it to have on hand when it gets here, but there goes another $60 USD. Yikes.

Anyway, I have to treat Nicki; he's been having an asthma attack every one to two days for at least a month. Twice a day on rare occasion. Not as prolonged as in the past, so perhaps the remedies were having some effect, though obviously not enough.


But Pred? Ugh. I looked at the dosage instructions--same as the dose he was given last time, 0.5 ml twice a day, which is 5 mg twice a day for a total of 10 mg. That's a HUMAN ADULT dose. Yet the vets insisted that Nicki's dose was too low in the winter to lower his immune system, thus leading to the bad viral infection? Yeah, right. Maybe it's not a high enough dose to lower the immune system of a HUMAN, but no one ever will convince me that 10 mg a day for a 13-pound CAT is okay.

I gave him a dose of 0.25 ml (2.5 mg) yesterday evening, 0.2 ml (2.0 mg) this morning, and will try that for a couple of days. If he's doing well with no coughing, I'll go down to 0.1 ml (1 mg) twice a day, then decrease to 0.1 ml (1 mg) once a day, then every other day. I have my fingers crossed, as I'm really concerned that his virus will flare up again and we'll start an endless cycle of antibiotics.

Meanwhile, I've been busy reading up on feline asthma, the AeroKat inhaler, etc. And I have a suggestion from The Conscious Cat re: litter, which luckily, our local PetValu actually carries. (Whether it works for the boys is another matter!)

Admittedly, my head hurts from information overload.


I feel like I'm harming him either way: Untreated asthma could kill him, but long-term Prednisolone use will open up a huge can of worms (health issues). Mind you, I know all about the short and long-terms side effects of Pred use at a "normal" dose, but don't know if there are better results with a super-low dose.

Depending on how often Nicki needs a dose to keep him stable, the AeroKat, while far more expensive up front, might be the better option--if I could get him accustomed to it. (I've read some good info on how to do that, watched a video as well.)

Nicki goes for his regular anal gland expression in mid-May; I'll discuss all this with his vet then.

In the meantime, I need some Acetaminophen for my pounding headache. :-P

Comments

SuziQCat said…
It's a hard call sometimes to helping our furry babies. Asthma isn't something i've had a lot of experience with, but it sounds like you are doing your research. I'm sure my vet gets tired of hearing me say, "I saw on the internet..." but I often feel like they are just doing when they've always done, and don't have time to look for a solution outside the medicine box. Best of luck!
John Bellen said…
I think you are right to try Nicki on a lower dose. Vets seem to be pretty rigid in their prescriptions; I think they fear being blamed for consequences if they experiment. I don't think Nicki can be harmed by being given a smaller dose for a while.

As for the medicine you had just ordered, why don't you try re-selling it to someone on the Cat Blogosphere? Surely there is someone who could use it. Knock $10 off the price you paid and it'll be a bargain for whoever wants it. Unused, still-sealed bottles or packages will be safe.
ANGEL ABBYGRACE said…
Kim I think you are right about the dosing. Connie is working with diabetic cats and I remember the vet telling her to start at too high of a dosage of insulin. I thought to myself IF that had been a "regular" unknowing person, like myself, the cat would have had an attack of having too much insulin. So, start low and go up if you need to. I sometimes wonder what college vets went to, not all of them but some give really bad advise and medical treatment.
good for you for taking the start low and go slow approach! Hopefully he will get down to the lowest possible dose and continue to do well..
Cody is on Prednisolone a number of times a year for his allergies. According to our vet, cats tolerate it quite well. I hate putting him on it too but there is no other choice except a SUPER EXPENSIVE allergy (shot I believe), that can make him throw up. Cody takes the same small dose twice a day, then he is tapered off. He usually is on it once every 3 to 4 months for about 10 days. Good luck!
Laurie said…
Hey Cuz.. are you sure he hasn't developed an allergy to something?
Just wondering... with the construction etc that you've done over the last year (windows etc) maybe something was disturbed that has set off allergies?
Some dogs & cats do suffer allergies and there are more holistic and or homeopathic remedies... sorry if you've already been down that road.
hugs and healing light
la
Saku said…
Poor Nicki and poor you too! I hope he tolerates the meds and the asthma eases off as summer arrives (maybe he's allergic to the pollen?)

I agree with Bellen, perhaps you can re-sell the product. Surely someone else has need of it too.

meowmeowmans said…
Poor Nicki. And poor you, Kim. We know you don't make these decision lightly, and that no matter what, you will always do what is best for Nicki. Purrs and prayers for wisdom, and the ability to figure it all out. Hugs.
Random Felines said…
sorry the alternatives don't seem to be working. we agree though - start with a small dose and see if that works.
Anonymous said…
Poor Nicki!! We're sending him headbutts, and hugs to you. His allergies are more than seasonal aren't they? Poor guy!
Anonymous said…
Oh poor kitty! It's so hard to have our four legged friends not feeling well. We will so helpless.
I hope that what you are trying works. Very stressful.
Hugs,
xo Catherine