All antacids are alkaline, to offset the acidity in the stomach. The Problems with Pepcid: Using diet to manage nausea in your cat. Treatment for Kidney Disease in Cats Focuses on Slowing Deterioration. But please note: nausea in CKD is often ascribed to acid overproduction, but a study published in 2014 found this not to be the case. Consensus opinion on use of antacids in dogs and cats. Every kidney disease is a ladder of start, intermediary and last stage. Call the vet first! FDA News Release May 25, 2010. Use with caution in cats with cardiac disease, impaired liver or kidney function and only under the close supervision of a veterinarian. With more severe kidney disease, restricting acids are usually more of a problem, but that also is usually only a problem with more significant kidney dysfunction. As mentioned Pepcid also known as famotidine, Pepcid AC or Pepcid RPD is a histamine receptor blocker. Please enable JavaScript on your browser to best view this site. Healthy kidneys perform many important functions, most notably filtering the blood and making urine, so problems with kidney function can result in a variety of health problems for a cat. Certain drugs, including pain pills such as aspirin or ibuprofen (Advil® or Motrin®) Severe infections in the kidney from bacteria can cause sudden kidney failure. The reason why we give this to cats with kidney disease is that it helps to reduce some of the nausea that goes along with kidney disease. How It Works. Because we are led to believe they are completely safe, many cats are given antacids frequently, regularly, and have been on antacids long term to soothe upset tummies. The same is true in older cats due to altered physiology (water/fat/muscle mass changes due to age) that results in higher blood plasma concentrations. Usual Antacid Dosage for Cats. For example, a cat with acute kidney disease due to urinary tract obstruction or infection could make a full recovery from the kidney disease when appropriate treatment is given to relieve obstruction or infection. What's New in Feline Kidney Disease Treatment, tips for identifying the subtle signs of pain in cats, SDMA can catch changes when only 25 percent of kidney function is lost, How to Identify, Treat, and Prevent Dog Ear Infections, What Causes Dog Diarrhea and How to Treat It. Yet we all know that it’s important to be educated on serious conditions such as kidney disease in cats. Gastrointestinal Medications Imodium (loperamide) is safe for most dogs and cats to relieve diarrhea. CKD cats might have extra gastrin hanging around as their kidneys lose function (a hormone involved in the production of stomach acid). How are antacids making some cats sick? ‘Dem Bones, ‘Dem Bones, ‘Dem… Scary Bones, Whole Bone Alternatives: When and How to Use Them in a Raw Fed Cat’s Diet, A Prey Model Raw (PMR) / Whole Prey Feeding Guide, Cats, Carbs and Calories: An Obligate Carnivore’s Perspective, How much does it cost to feed my cat? CKD in cats is irreversible, so once diagnosed our aim is to slow down progression of the disease and reduce the symptoms to … If your cat doesn't eat, she could develop fatty liver disease, which is potentially fatal, which prolonged anorexia in a cat can be life-threatening. antacids have Antacids Are Out, Nausea Control Is In. It's also best to administer antacids along with food when treating elevated phosphorous levels in the blood. It prevents histamine receptors ... Famotidine (Generic) Tablets. There was no change in phosphorus levels in the healthy cats, but … Cats with hyperthyroid or renal insufficiency (chronic kidney disease) can experience actual acid over-production that requires management with antacids; with this use, antacids are treating a by-product of a disease requiring management. Although it affects all ages and breeds of cats, older cats and Persian or Himalayan cats are more likely than other cats to develop a kidney condition. In fact, studies show that 1 in 3 cats suffer from kidney disease, reports Dr. Celeste Clements.Cats can get kidney disease for any number of underlying reasons, and … Raw Feeding and Health-compromised (IBD, FIV+, etc.) Drugs in the Elderly with Chronic Kidney Disease, Nephrol Dial Transplant, 30(3):342-344 (2015). If your cat’s lab tests come back indicating early kidney disease, it is likely that your veterinarian will recommend a diet change. Omega-3s are proven to provide healing for kidney disease. Although no wonder cure for kidney disease and/or kidney failure, aluminum hydroxide is often prescribed by veterinarians to manage the condition in both aging cats and dogs. Tleyjeh IM et al 2013. The Association between Histamine 2 Receptor Antagonist Use and Clostridium difficile Infection: A Systematic Review and Meta-analysis. Chronic kidney disease (CKD) is a common problem in older cats and by the time it is detected, it is often quite advanced. The Problems with Pepcid: Healthy Supplements and Alternatives for Treating Nausea. Sometimes just stopping the cycle of nausea and inappetence for a couple of days is enough to turn the tide when your cat is feeling poorly. Common antacids include Pepcid AC, Maalox, Amphojel, AlternaGel, and milk of magnesia. Additionally, we don't actually know if there are any beneficial effects to decreasing BUN in feline chronic kidney disease. Antifreeze (radiator fluid, ethylene glycol) 2. Kidney Disease Dogs and cats, like people, have two kidneys which: • Filter out waste products from the blood and excrete them in urine • Regulate water and electrolyte balance in the body • Produce various hormones • Help control red blood cell production What causes kidney disease? Perils and pitfalls of long-term effects of proton pump inhibitors, Expert Rev Clin Pharmacol, Jul: 6(4):443-51 (2013). Marcuard SP et al 1994. There are two types of kidney failure in cats. With IBD or GI upset of unknown origin, using antacids for nausea or problems with stomach acid pukes is simply masking a symptom rather than treating the problem. Most of the time, cats with kidney disease benefit more from centrally acting anti-nausea medications, so talk with your veterinarian about these types of medications. Cats with hyperthyroid or renal insufficiency (chronic kidney disease) can experience actual acid over-production that requires management with antacids; with this use, antacids are treating a by-product of a disease requiring management. of Avatar, a cat who ultimately succumbed to his kidney failure. Side effects. There are two primary classes of acid suppressing medications: The H2 blockers like Pepcid are not the worst offenders when it comes to acid suppression, and all of the H2 blockers are available over-the-counter (at pharmacies without a prescription). It is used in veterinary medicine for patients suffering from high phosphorous levels and low calcium levels, such as those encountered with kidney disease and some endocrine diseases. Why two are better than one! Ulcer Medications – histamine H2 antagonists. It happens in cats of all ages and is usually the result of: Poisons, which are the most common cause of acute renal failure. Adverse effects of proton pump inhibitors: should we worry about long term exposure? Effect of antacid and H2 receptor antagonists on the intestinal absorption of folic acid, J Lab Clin Med Oct: 112(4):458-63 (1988). Acute renal disease develops over the course of days and usually has a single cause, such as antifreeze poisoning or a kidney infection. What are the side effects of Pepcid? Most savvy cat owners know that their feline needs to eat a high-quality diet rich in protein, but what about cats with kidney disease? Antacids and PPI. If this is a problem in your cat, ask your veterinarian about a new drug called Semintra™, which can help normalize blood pressure in cats that aren’t responding well to Amlodipine. PennState-Hershey, Milton S. Hershey Medical Center. Histamine is a key component in the allergic reaction, causing inflammation and swelling. It's also best to administer antacids along with food when treating elevated phosphorous levels in the blood. Over time, chronic kidney disease can lead to kidney failure, forcing someone to undergo regular dialysis and possibly a kidney transplant, according to the U.S. National Institutes of Health. Usual Antacid Dosage for Cats The old tests, BUN and creatinine, don't show any changes until 70 to 80 percent of kidney function is lost. Start by … And we may unintentionally and unknowingly be contributing to our kitties’ illness. Among the many different kidney diseases that may affect cats, CKD is the most common. Melamine to Frankenprey: A Documented Journey. Keep these four things in mind as you transition your cat to raw. Sometimes, all that is needed in the beginning is to switch to a high-quality senior diet. TUMS is an antacid and calcium supplement. Feline kidney disease stages . Some commercial cat food tends to be high in phosphorus, which is not a good food to feed cats with kidney disease. 3 (Feb 1994). Many vets view IBD as a disease that requires symptom management – but, while IBD cannot be cured, using a minimally processed diet, addressing gut dysbiosis (with probiotics, often no antibiotics needed), and by employing anti-inflammatory regimens (often including plant-based digestive enzymes), intestines and other organs impacted by inflammation can heal. If you enjoyed this article or found it informative, please “Like” it, “Share” it, “Tweet” it, or zip me an email and let me know about it! Cheungpastiporn W et al 2015. It is generally not used as an antacid. In Part 2 we discuss using diet as an alternative to antacid medications for managing kitty’s nausea and vomiting. It is important to follow your veterinarian’s recommendations if she suggests starting annual bloodwork to check for signs of hidden feline kidney disease. If your cat has signs of any of these diseases, you should take him or her to the vet to get a prescription for the right dose of antacid. Omeprazole & Kidney Disease! Arthritis is really common in older cats, and grossly underreported in the pet feline population because cats hide their pain, and owners are unfamiliar with the signs of pain in cats. feeling full after eating only a little bit. Here are the top five things from her talk that owners of senior cats and cats with kidney disease need to know. Better lives through better care! Histamine type-2 receptor … Do not give to cats with a known hypersensitivity to the drug. antacids have Antacids Are Out, Nausea Control Is In. Inevitably, deterioration happens to a point where kidney function fails and the cat becomes ill with her final illness. PLoS ONE, 2013; 8 (3): e56498. Types of Kidney Disease. My cat was recently diagnosed with severe kidney disease. The nephron is lined by inflammatory cells, swelling of which is also visible externally. Canned Food Products: Ingredients to Avoid. No cat parent wants to think about the terrible diseases that can happen to their beloved felines. You may struggle with feeding a cat who has kidney problems, as you do not want its condition to get worse. Antacids can become toxic if not used at reduced levels and/or reduced intervals in cats with kidney disease or in kidney failure due to slower renal clearance and longer drug half-life. common for animals, especially cats, to have a long history of excessive water consumption when they finally come to the vet's office with one of the latter complaints. On the one hand, the potential need for a cat to have antacids coming out of arf is clear. Role of retinoic acid in the imprinting of gut-homing IgA-secreting cells, Seminars in Immunology 21:28-35 (2009). Parkman HP et al 1998. Understanding the stages and signs of kidney disease can help to extend your cat’s life, and keep them comfortable for as long as possible through this stage of their life. Carter D et al 2013. 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