gabapentin and renal disease in cats gabapentin used for cough

Investigating appropriate dosing for gabapentin sedation in cats with and without chronic kidney disease (2017) Winn Feline Foundation reports on the study's goals and Gabapentin sedation in cats with and without chronic kidney disease (2020) Winn Feline Foundation gives an update, stating that CKD cats seem to have much higher levels of The 20 mg/kg stress-reduction dose of gabapentin may be beneficial to facilitate preventive veterinary care in younger, healthy cats, but this dose may be inappropriate for elderly cats, specifically those with chronic kidney disease (CKD). Cats with chronic kidney disease (CKD) have been found to have significantly higher dose-normalized serum gabapentin concentrations than healthy cats. This is supported by a study led by Jessica Quimby of Ohio State University, which found that 92% of cats with CKD that received 10 mg/kg of gabapentin had higher dose-normalized serum Gabapentin is not metabolized or protein bound, and is cleared only by renal excretion in humans; it is unknown whether this is also true in cats. 7 In humans, it has been demonstrated that kidney disease significantly influences the pharmacokinetics (PK) of gabapentin, and a 60% and 85% decrease in gabapentin clearance is seen in moderate and Results: Cats with CKD had significantly higher dose-normalized serum gabapentin concentrations than normal cats at 3 h (P = 0.0012 CKD vs normal 10 mg/kg; P = 0.008 CKD vs normal 20 mg/kg) and 8 h (P <0.0001 CKD vs normal 10 mg/kg; P <0.0001 CKD vs normal 20 mg/kg). Study demonstrates that companion cats with chronic kidney disease (CKD) will exhibit compliance during veterinary visits on a lower dosage of gabapentin. The question of whether gabapentin is harmful for cats with kidney disease is complex and doesn’t have a simple yes or no answer. While gabapentin isn’t inherently nephrotoxic (toxic to kidneys), its use in cats with pre-existing kidney issues requires careful consideration and monitoring. An early study concluded that a dose of 20mg/kg was effective for this purpose in healthy cats, but this dose may be inappropriate for elderly cats, specifically those with chronic kidney disease (CKD). Human studies have recommended Gabapentin doses be reduced in CKD patients, but no studies have been done in cats. My 15 year old cat has renal disease & heart failure & has 2.5mg benazepril each night & 20mg frusemide three times/day. He now has some pain in his back legs & possibly his hips & my vet has given me some 100mg capsules of gabapentin. 1. Is gabapentin safe for cats with kidney disease? Yes, gabapentin is considered safe for use in cats with kidney disease when dosed appropriately and monitored closely by a veterinarian. 2. Will gabapentin interact with other medications my cat is taking? Conclusions and relevance: Gabapentin may decrease arterial BP in cats with and without CKD and these findings should be taken into account when gabapentin is administered to patients in which measurement of BP is needed. Keywords: Anxiety; half-life; renal failure; situational hypertension; stress. kidney disease (CKD). Gabapentin is not metabolized or protein bound, and is cleared only by renal excretion in humans; it is unknown whether this is also true in cats.7 In humans, it has been demonstrated that kidney dis-ease significantly influences the pharmacokinetics (PK) of gabapentin, and a 60% and 85% decrease in gabapentin management, even in older cats with chronic renal failure.15 • Twenty-two cats with chronic renal failure (median age, 15.5 years) received meloxicam for a median treatment duration of 467 days, with titration to the lowest effective dose. • The results suggested that a long-term daily dose of 0.02 mg/kg can be safely administered Gabapentin and Kidney Disease. It’s essential to exercise caution when using gabapentin in cats with chronic kidney disease (CKD). Higher doses can lead to excessive sedation and hypotension in these patients. A dose decrease of at least 50% is often used in these cases. It’s imperative to consult with your veterinarian if your cat has CKD. Sixteen chronic kidney disease (CKD cats) – (ten IRIS Stage 2, twelve IRIS Stage 3) – have completed the limited sampling PK study at 10 mg/kg. Samples from eight CKD cats have been analyzed to date to test the model. The model performed well and the data for normal cats demonstrated that half-life was similar to previous published reports. Gabapentin is eliminated almost entirely through renal excretion, and decreased renal function significantly influences the pharmacokinetics of gabapentin in humans. 14 While doses of gabapentin in the range of 50–150 mg/cat have been used in normal cats, 4,5,11 it should be noted that higher doses may be unsuitable for cats with CKD. 15 In a Gabapentin may decrease arterial BP in cats with and without CKD and these findings should be taken into account when gabapentin is administered to patients in which measurement of BP is needed. Visits to the veterinary clinic can be a source of stress for both the feline patient and the caregiver. Frequently Asked Questions (FAQs) About Gabapentin and Cats’ Kidneys. 1. Can gabapentin cause kidney failure in cats? 2. If my cat has kidney disease, should I avoid gabapentin completely? 3. What are the signs of kidney problems in cats? 4. What medications can cause kidney problems in cats? 5. Can cats stay on gabapentin long-term? 6. The Research Chronic kidney disease (CKD) is the most prevalent feline metabolic disease, and ≈1 in 4 cats with CKD exhibit systemic hypertension. 1,2 Reliable measurement of systemic arterial blood pressure (BP) is therefore important to identify and treat adverse effects of high BP on the kidneys, eyes, brain, and cardiovascular system. 2 The question of whether gabapentin is safe for cats with chronic kidney disease (CKD) is complex and requires careful consideration. The short answer is: it can be safe when used judiciously, but it’s not without risks and requires dosage adjustments due to the kidneys’ role in its elimination.

gabapentin and renal disease in cats gabapentin used for cough
Rating 5 stars - 1418 reviews




Blog

Articles and news, personal stories, interviews with experts.

Video