24 July 2000 - 24 July 2020

Twenty years online!

(Not tax deductible since I am a private individual)








Site Overview

Just Diagnosed? What You Need to Know First

Search This Site




What Happens in CKD

Causes of CKD

How Bad is It?

Is There Any Hope?

Acute Kidney Injury



Phosphorus Control


(High Blood Pressure)



Potassium Imbalances

Pyelonephritis (Kidney Infections) and Urinary Tract Infections NEW

Metabolic Acidosis

Kidney Stones



Nausea, Vomiting, Appetite Loss and Excess Stomach Acid

Maintaining Hydration

The B Vitamins (Including Methylcobalamin)




Ways of Assessing Food Content, Including What is Dry Matter Analysis

How to Use the Food Data Tables

USA Canned Food Data

USA Dry Food Data

USA Cat Food Brands: Helpfulness Ratings

USA Cat Food Brands: Contact Details

USA Food Data Book



Coping with CKD

Tanya's Support Group

Success Stories



Important: Crashing

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.)



Early Detection

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



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)

Phosphorus Binders

Steroids, Stem Cell Transplants and 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



Nutritional Requirements of CKD Cats

The B Vitamins (Including Methylcobalamin)

What to Feed (and What to Avoid)

Persuading Your Cat to Eat

2007 Food Recall USA



Oral Fluids

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




Heart Problems



Polycystic Kidney Disease (PKD)


Dental Problems





USA Online

USA Local (Fluids)




The Final Hours

Other People's Losses

Coping with Your Loss




Feline CKD Research, Including Participation Opportunities

CKD Research in Other Species

Share This Site: A Notice for Your Vet's Bulletin Board or Your Local Pet Shop

Canine Kidney Disease

Other Illnesses (Cancer, Liver) and Behavioural Problems

Diese Webseite auf Deutsch



My Three CKD Cats: Tanya, Thomas and Ollie

Find Me on Facebook

Follow Me on Twitter

Contact Me

Home > Treatments



  • 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 chapter 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 Site Overview or use the Search function (top left under Tanya's portrait)

Which Treatments are Essential

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.


Go to Which Treatments are Essential



Fluid and Urinary Issues:

Fluid Retention, Infections, Incontinence

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 and house soiling (urinating or defecating outside the litter box).


Go to Fluid and Urinary Issues



Waste Product Regulation:

Mouth Ulcers, Gastrointestinal Bleeding, Antioxidants, Adsorbents, Probiotics (Including Azodyl)

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, gastrointestinal bleeding.


In addition, it talks about some general treatments that may be of use, such as antioxidants (including CoQ10), probiotics including Azodyl, Astro's Nitrogen Scrub, and oral adsorbents such as Epakitin (known as Ipakitine outside the USA), Kremezin and Porus One.


Go to Waste Product Regulation



Phosphorus, Calcium and Calcitriol

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, either via dietary measures or via a phosphorus binder, but some people also use a treatment called calcitriol, a hormone which helps to balance PTH levels. Read more here.


Go to Phosphorus Binders


Go to Phosphorus, Calcium and Calcitriol


Steroids, Stem Cell Transplants, Kidney Transplants

This page covers treatments that don't belong in any other category. It includes stem cell transplants, steroids, and kidney transplants (which are really expensive, and a treatment, not a cure).


Go to Steroids, Stem Cell Transplants and Kidney Transplants



Antibiotics and Painkillers

CKD is not normally considered to be 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.


Go to Antibiotics and Painkillers



Holistic Treatments

This page covers a number of holistic treatments, including slippery elm bark, 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.


Go to Holistic Treatments



Erythropoiesis Stimulating Agents (ESAs) for Severe Anaemia:

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).


Go to ESAs



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

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


Go to General Health Issues



Tips on Medicating Your Cat

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.


Go to Tips on Medicating Your Cat



Working With Your Vet

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.



Go to Working With Your Vet



Obtaining Supplies Cheaply in the UK, USA and Canada

Some vets charge a fortune for supplies. The record is held by a vet who charged US$79 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 therapeutic kidney foods in the UK, USA and Canada. Supplies for other items, such as Azodyl or Epogen, can be found on the relevant page.


Go to Obtaining Supplies Cheaply



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.





Back to Page Index

This page last updated: 11 July 2020








I have tried very hard to ensure that the information provided in this website is accurate, but I am NOT a vet, just an ordinary person who has lived through CKD with three cats. This website is for educational purposes only, and is not intended to be used to diagnose or treat any cat. Before trying any of the treatments described herein, you MUST consult a qualified veterinarian and obtain professional advice on the correct regimen for your cat and his or her particular requirements; and you should only use any treatments described here with the full knowledge and approval of your vet. No responsibility can be accepted.


If your cat appears to be in pain or distress, do not waste time on the internet, contact your vet immediately.



Copyright Tanya's Feline CKD Website 2000-2020. All rights reserved.


This site was created using Microsoft software, and therefore it is best viewed in Internet Explorer. I know it doesn't always display too well in other browsers, but I'm not an IT expert so I'm afraid I don't know how to change that. I would love it to display perfectly everywhere, but my focus is on making the information available. When I get time, I'll try to improve how it displays in other browsers.


This site is a labour of love, from which I do not make a penny. Please do not steal from me by taking credit for my work.

If you wish to link to this site, please feel free to do so. Please make it clear that this is a link and not your own work. I would appreciate being informed of your link.