1/6 Ming PMPS = 320, +2=259, +4=302 / AMPS = 331, +2=313, +8=355

[Crista & Ming]

http://www.felinediabetes.com/FDMB/threads/1-5-ming-amps-292-2-262-4-189-increase.209037/

I ended up giving the ondansetron last night. Now I have 1.6 mL of it in a syringe. I hope I can still give the rest... I'll be asking one of the vets today at work.

Ming seems ... okay? He has moments where he's himself (staring you down for food, following you around) and then hours where he just sleeps and sleeps but that might be me being overly paranoid or the bupe? I'm going to reduce his bupe to every 12 hours now and maybe to 0.2 mL instead of 0.3 mL.

 

[Osha]

 

[JoyBee&Ravan]

might be me being overly paranoid or the bupe?

I do NOT think you're being Paranoid ! (2 yrs ago my cat was given Bupe & went into sever respiratory distress. He died.) Although most animals do Ok, Mine had a reaction from it.

I think most of the people on the forum use meds their vet prescribes . I read everything I can find about "anything" I give my cat . I choose not to give him pharmaceuticals. If at all possible I'll try something else. From my experience ,Pharmaceuticals CAN have side effects.
I've had animals for over 50 years. So I do have quite a bit of experience using herbs & natural products.

Have you read about the side effects of Bupe in a Cat? ( sedation is expected, other side effects include gastrointestinal disorders, slower respiration and weakness. ) Buprenorphine is a narcotic and a controlled substance.
A lot of the meds used by Veterinarians on animals are used "Off Label" Off-label" means the medication is being used in a manner not specified in the FDA's approved packaging label,meaning the Drug is for Humans but vets can use it on the animals.Some of the drugs they use are NOT tested on cats.

In cats a suggested dose of ondansetron is 0.22 mg every 8–12 hours. This drug is not yet approved for use in animals by the Food and Drug Administration but it is prescribed legally by veterinarians as an extra-label use drug.

I would suggest you read as much as you can about ALL meds prescribed for your Kitty & then make an educated decision if you want to give that med to Ming.
My cat Ravan has diabetes, & Kidney disease. He was also diagnosed with Pancreatitis. He's 16 1/2 yrs old & the only thing I give him are SEB ,slippery Elm for Nausea & CBD oil for a good appetite (I only give it 2-3 times a week not every day)

Best of Luck to you & Kitty Ming

 

[Wendy&Neko]

@JoyBee&Ravan Crista works at a vet clinic. She has very good resources available to council her on meds.

Neko took bupe for years and it did wonders for her. She was in pain and withdrawn without it. She didn’t sleep any more than an older cat did when on bupe, in fact, was more active on it. Good luck with the bupe reduction. As for ondansetron, it is dosed based on weight. The formula for the SQ version is in a table on the top of page 232 of this article.

 

[Crista & Ming]

slippery Elm for Nausea

Oh interesting. I didn’t know SEB helped with nausea too.

And yes, I should be reading all I can about every med given to Ming! Although I probably don’t go into as much depth as I should. I’m so sorry to hear about your kitty! It’s definitely a good reminder for myself. Thank you! I tend to treat bupe sort of like candy to be honest. Since I know he can have anywhere from 0.1 ml to 0.4 ml of bupe so I tend to be a little more generous in times of trouble with his dosage.

@Wendy&Neko I spoke to a vet and a tech and they gave me an empty vial to put the ondansetron. What I left in the syringe is probably not good to use since the syringe is plastic. But good to know I can reuse it!!! The tech said the pharmacy should’ve put the ondansetron in a vial for me since it’s not for human use. But I bet since I used shoppers and not a pharmacy the clients usually go to, Shoppers didn’t know. Also, Shoppers has a $10 fee so the ondasetron was actually $45 in total.

 

[Crista & Ming]

PMPS = 320
+2 = 259
+4 = 302

Goshdarnit, I hope today was just NDW or bouncing. He seems much more like himself tonight!

 

[Wendy&Neko]

Glad he feels better.

Still trying to figure out if SQ ondansetron is cheaper per dose than pills here. The advantage of SQ is it’s easier to give if they won’t eat. Thw down side is cost of syringes,

 

[Crista & Ming]

Thw down side is cost of syringes,

That's true. I didn't think about that part. I'm lucky that I can just snag a few syringes from work. The cost of syringes might just even everything out.

There are so many questions I don't think about while I'm working. I have needles (boxes of 26g needles I got from work that are about $4 a box) and syringes at home. I was thinking I could just save the syringe and just put on a new needle when I give Ming's next dose of ondansetron. But is that sterile? At work, we just chuck everything away after one use.

Before I started working at the vet, my last vet said it was okay to refuse the u-40 syringes anywhere from 4-8 times. So we did. Now that I'm using u-100 syringes and they literally say SINGLE USE ONLY, I just throw them away after one dose.