TANYA'S

COMPREHENSIVE GUIDE TO

FELINE CHRONIC KIDNEY DISEASE

 

 

TREATMENTS SECTION OVERVIEW

 

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Site Overview


What You Need to Know First


Alphabetical Index


Glossary


Research Participation Opportunities


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WHAT IS CKD?


What Happens in CKD


Causes of CKD


How Bad is It?


Is There Any Hope?


Acute Kidney Injury


 

KEY ISSUES


Nausea, Vomiting, Appetite Loss and Excess Stomach Acid


Maintaining Hydration


The Importance of Phosphorus Control


All About Hypertension


All About Anaemia


All About Constipation


Potassium Imbalances


Metabolic Acidosis


Kidney Stones


 

SUPPORT


Coping with CKD


Tanya's Support Group


Success Stories


 

SYMPTOMS


Alphabetical List of Symptoms and Treatments


Fluid and Urinary  Imbalances (Dehydration, Overhydration and Urinary Issues)


Waste Product Regulation Imbalances (Vomiting, Appetite Loss, Excess Stomach Acid, Gastro-intestinal Problems, Mouth Ulcers Etc.)


Phosphorus and Calcium Imbalances


Miscellaneous Symptoms (Pain, Hiding Etc.)


 

DIAGNOSIS: WHAT DO ALL THE TEST RESULTS MEAN?


Blood Chemistry: Kidney Function, Potassium, Other Tests (ALT, Amylase, (Cholesterol, Etc.)


Calcium, Phosphorus, Parathyroid Hormone (PTH) and Secondary Hyperparathyroidism


Complete Blood Count (CBC): Red and White Blood Cells: Anaemia and Infection


Urinalysis (Urine Tests)


Other Tests: Ultrasound, Biopsy, X-rays etc.


Renomegaly (Enlarged Kidneys)


Which Tests to Have and Frequency of Testing


Factors that Affect Test Results


Normal Ranges


International and US Measuring Systems


 

TREATMENTS


Which Treatments are Essential


Fluid and Urinary Issues (Fluid Retention, Infections, Incontinence, Proteinuria)


Waste Product Regulation (Mouth Ulcers, GI Bleeding, Antioxidants, Adsorbents, Azodyl, Astro's CRF Oil)


Phosphorus, Calcium and Secondary Hyperparathyroidism (Calcitriol)


Miscellaneous Treatments: Stem Cell Transplants, ACE Inhibitors - Fortekor, Steroids, Kidney Transplants)


Antibiotics and Painkillers


Holistic Treatments (Including Slippery Elm Bark)


ESAs (Aranesp, Epogen etc.) for Severe Anaemia


General Health Issues in a CKD Cat: Fleas, Arthritis, Dementia, Vaccinations


Tips on Medicating Your Cat


Obtaining Supplies Cheaply in the UK, USA and Canada


Working with Your Vet and Recordkeeping


 

DIET & NUTRITION


Nutritional Requirements of CKD Cats


The B Vitamins (Including Methylcobalamin)


What to Feed (and What to Avoid)


Persuading Your Cat to Eat


Food Data Tables


USA Canned Food Data


USA Dry Food Data


USA Cat Food Manufacturers


UK Canned Food Data


UK Dry Food Data


UK Cat Food Manufacturers


2007 Food Recall USA


 

FLUID THERAPY


Intravenous Fluids


Subcutaneous Fluids


Tips on Giving Subcutaneous Fluids


How to Give Subcutaneous Fluids with a Giving Set


How to Give Subcutaneous Fluids with a Syringe


Subcutaneous Fluids - Winning Your Vet's Support


Dialysis


 

RELATED DISEASES


Heart Problems


Hyperthyroidism


Diabetes


Polycystic Kidney Disease (PKD)


Pancreatitis


Dental Problems


Anaesthesia


 

OBTAINING SUPPLIES CHEAPLY


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USA


Canada


 

SAYING GOODBYE


The Final Hours


Other People's Losses


Coping with Your Loss


 

MISCELLANEOUS


Early Detection


Prevention


Research


Canine Kidney Disease


Other Illnesses (Cancer, Liver) and Behavioural Problems


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SITEOWNER (HELEN)


My Three CKD Cats: Tanya, Thomas and Ollie


My Multi Ailment Cat, Harpsie


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Home > Treatments

 


Overview                                                                                                                                                           


  • The purpose of treatment is twofold. Firstly, you want to help your cat feel better. Secondly, if at all possible you want to slow down the progression of the CKD.

  • There are a lot of treatments available for CKD, and when you first start out you may not know where to start. You may have been given treatments by your vet, but you're not sure what they are for or why you have been given them.

  • This section explains more about the treatments I know of for CKD in cats. It also discusses which are the most important, how to find a good vet, and how to obtain supplies at reasonable prices.

  • If you can't find what you're looking for in this section - for example, you may have been given clindamycin, but you don't know what it is (an antibiotic), so you don't know which page to check - check out the Alphabetical Index [under construction].


Which Treatments are Essential                                                                                  Go to page


This page explains the purposes of treatment, the importance of record keeping, and which treatments are essential.

 

Many people get confused about which treatments are important and which are a waste of time, money and effort, so this page explains more about the treatments that make the biggest difference. Please be sure to read it, particularly if you're desperately scouring the internet for that non-existent miracle cure, and are vulnerable to all those fabulous-sounding testimonials.

 

Remember, I'm not trying to sell you anything - I have no financial interest in anything mentioned on this site. I do, however, get feedback from the thousands of people who have been members of my support group over the years, who tell me what works for them and their cats.

 


Fluid and Urinary Issues:                                                                                                                     Go to page

Fluid Retention, Infections, Incontinence, Proteinuria                                                        


This section discusses treatments relating to fluid issues, such as dehydration and overhydration, constipation and diarrhoea.

 

It also covers treatments for urinary issues, including incontinence, inappropriate elimination (peeing outside the litter box), urinary tract infections, kidney infections, and proteinuria (protein loss in the urine).

 


Waste Product Regulation:                                                                                                                  Go to page

Mouth Ulcers, GI Bleeding, Antioxidants, Adsorbents, Azodyl, Astro's CRF Oil                      


The toxins that arise in CKD can cause a variety of problems. This page discusses how to deal with some of those problems, such as mouth ulcers, body odour, gastro-intestinal bleeding.

 

In addition, it talks about some general treatments that may be of use, such as antioxidants (including CoQ10), a probiotic called Azodyl, Astro's CRF Oil, and oral adsorbents such as Epakitin (known as Ipakitine outside the USA) and Kremezin.

 


Phosphorus, Calcium and PTH (Calcitriol)                                                                Go to page


Phosphorus and calcium imbalances are common in CKD cats, and may cause elevated levels of a hormone called parathyroid hormone (PTH). This can eventually lead to a condition called secondary hyperparathyroidism. Controlling phosphorus levels is the primary method of controlling PTH levels, but some people also use a treatment called calcitriol, a hormone which helps to balance PTH levels. Read more here.

 


Miscellaneous Treatments                                                                                          Go to page

Fortekor, Stem Cell Transplants, Kidney Transplants   


This page covers treatments that don't belong in any other category. It includes stem cell transplants, which some members of Tanya's CKD Support Group are finding helpful, but which are not widely available at the moment.

 

It also discusses benazepril (Fortekor), a heart medication approved for the treatment of CKD in Europe, Canada and Australasia, and kidney transplants (which are really expensive, and a treatment, not a cure).

 


Antibiotics and Painkillers                                                                                           Go to page


CKD is not painful, but cats sometimes need painkillers for other reasons, such as for arthritis or after dental surgery.

 

CKD cats are prone to infections, so may need antibiotics on occasion. This page covers the treatments in these categories that are most commonly used in CKD cats.

 


Holistic Treatments                                                                                                        Go to page


This page covers a number of holistic treatments, including the herbal remedy, slippery elm bark, which is a gentle, soothing remedy which helps many cats with vomiting and nausea.

 

It also discusses treatments which are not appropriate for CKD cats, such as cranberries.

 


Erythropoiesis Stimulating Agents (ESAs) for Severe Anaemia:                         Go to page

Darbepoetin (Aranesp), Epoetin alfa (Epogen, Procrit, Eprex),  Epoetin beta (NeoRecormon)


Anaemia is common in CKD cats, and if it is severe, you will need to consider using a treatment known as Erythropoiesis Stimulating Agents or ESAs. This page discusses this treatment in detail, including the pros and cons, commonly used dosages and sources of supplies usually a lot cheaper than those your vet can find.

 


General Health Issues in a CKD Cat: Fleas, Arthritis, Vaccinations, Dementia Go to page


CKD cats can of course have other health issues, such as fleas. This page discusses appropriate treatments for these problems in CKD cats.

 


Tips on Medicating Your Cat                                                                                        Go to page


If you have a cat who is a terror to pill, this page has tips on methods which may make it easier and less stressful for both of you, such as Pill Pockets and compounded medications. It also explains why it is important to follow any oral medications with water.

 

This page also has information on possible drug interactions.

 


Working with Your Vet                                                                                                                            Go to page


In order to give your cat the best possible care, ideally you and your vet need to work as a partnership. This page gives tips on how best to do that.

 

It also covers how to find a good vet, and getting a second opinion.

 


Obtaining Supplies Cheaply in the UK, USA and Canada                                      Go to page


Some vets charge a fortune for supplies. The record is held by a vet who charged US$52 for one 1000ml bag of lactated ringers sub-Q fluid (the needles and administration set were extra).

 

If you have to spend all your money on supplies, you have none left for testing. So use this page to find reasonably priced sources for sub-Q supplies and prescription food in the UK, USA and Canada. Supplies for other items, such as Azodyl or Epogen, can be found on the relevant page.

 

One Final Treatment...


 

is TLC (tender loving care). Don't under-estimate it! It can work wonders, as anybody who has seen a cat pull through against the odds can testify. In the midst of caring for your cat, don't forget the cuddles and the loving words. And don't forget to take care of yourself too.

 

 

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This page last updated: 27 October 2013