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Pancreatitis is challenging to diagnose in cats because clinical signs can be vague. Unlike presentation in dogs, cats rarely exhibit abdominal pain, have a history of dietary indiscretion, or ingest high-fat meals. The most common clinical signs are inappetence, lethargy, dehydration, and vomiting 1,3,11; icterus and weight loss are also possible. Feline pancreatitis is a serious inflammatory condition affecting the pancreas, Pain Control – Medications like buprenorphine or gabapentin help relieve discomfort. Pancreatitis is challenging to diagnose in cats because clinical signs can be vague. Unlike presentation in dogs, cats rarely exhibit abdominal pain, have a history of dietary indiscretion, or ingest high-fat meals. The most common clinical signs are inappetence, lethargy, dehydration, and vomiting 1,3,11; icterus and weight loss are also possible. Nutritional Management of Pancreatitis in Dogs. Historically, it has been advocated to “rest” the pancreas during bouts of acute pancreatitis by withholding enteral nutrition to avoid stimulation of the exocrine pancreas and the risk for continued premature zymogen activation. 3-6 Supporting evidence for this practice is minimal, and several studies challenge it. 6 Evidence is mounting I've used Gabapentin quite a bit for my cat to reduce stress during vet visits, and my dog at one point for pain management. It'll depend on the dose, but I certainly do see low energy and mild sedation from it. Background. Pancreatitis in cats, although commonly diagnosed, still presents many diagnostic and management challenges. Objective. To summarize the current literature as it relates to etiology, pathogenesis, diagnosis, and management of pancreatitis in cats and to arrive at clinically relevant suggestions for veterinary clinicians that are based on evidence, and where such evidence is lacking Suddenly your cat doesn’t seem quite right. He’s lost his typically robust appetite, he seems lethargic, and worse, he’s vomiting. You also recall that, over time, he seems to have been losing weight. These subtle signs may add up to a difficult-to-diagnose condition called pancreatitis. Prompt veterinary attention is called for. Chronic pancreatitis is a common, yet complex, disease in cats, and its management is nonspecific and multifaceted. Pancreatitis is common among cats, although its exact incidence is unknown. The vet looked at the bloodwork from Tuesday and since the treatment wasn't working well, tested her for pancreatitis, which showed her numbers were VERY elevated. They sent us home with additional steroids, gabapentin for pain, zenequin for an infection because her white blood count was slightly elevated, and we were to continue the Zofran we Corticosteroids have been removed from the list of drugs that are considered to cause pancreatitis in people, and similarly they are not believed to cause pancreatitis in dogs. Currently, there are a number of prospective trials being undertaken to evaluate the potential benefit of glucocorticoids in people with severe pancreatitis. What Is Pancreatitis in Cats? Pancreatitis happens when your cat’s pancreas becomes inflamed. It can be sudden and short-term, known as acute pancreatitis, or ongoing, called chronic Yes, gabapentin can be a beneficial part of a multimodal pain management approach for dogs suffering from pancreatitis. While not a primary pain reliever like opioids, gabapentin can be a valuable addition, especially for managing chronic pain or nerve-related discomfort often associated with pancreatitis. Pancreatic ductal and interstitial pressures in cats with chronic pancreatitis. Dig Dis Sci. 1992;37(2):268–273. doi: 10.1007/BF01308182. [Google Scholar] 5. Coté GA, Yadav D, Slivka A, et al. North American Pancreatitis Study Group Alcohol and smoking as risk factors in an epidemiology study of patients with chronic pancreatitis. In cats with severe pancreatitis, azotemia and a low urine specific gravity can result from an acute kidney injury secondary to hypoxemia, impaired renal microcirculation, or hypovolemia. Azotemia, hypocalcemia, and hypoglycemia have been associated with poor outcomes. Hypertriglyceridemia is not clinically significant in feline pancreatitis. For long‐term treatment, gabapentin or tramadol may be better choices. 200 Maropitant, often selected for control of vomiting, also may provide visceral analgesia in cats. 201 Supplementation of pancreatic enzymes has been suggested in humans with pancreatitis to potentially decrease pain associated with feeding, but doing so is no longer In cats, gabapentin is most often used as a pain medication for chronic pain, such as from arthritis. Gabapentin is also recognized as beneficial in reducing the fear responses that a kitty may have to the stress of handling and being examined at the vet. The true incidence and prevalence of pancreatitis in cats is unknown. Studies of necropsy results have shown evidence of pancreatitis in 1.0% of cats; however, recent evidence suggests that, as in humans, more than 90% of all cases remain undiagnosed. Pancreatitis can affect any breed of cat at any age. It is more common in middle-age adults. Has anyone successfully used gabapentin for pancreatitis? Opioid makes more sense since it’s not neuropathic pain, but I feel like Frosty gets nauseous / totally loses his appetite on buprenex. I was thinking of trying gabapentin tonight since he was it for anxiety. He has the 100 mg capsules and he’s (or at least was) 14 lb. management of chronic pancreatitis in cats: minimizing risk factors, nutritional management, treating symptoms, treating concurrent conditions, identifying and treating autoimmune components, and monitoring. RISK REDUCTION Although the underlying cause of chronic pancreatitis in cats often cannot be determined, possible risk factors Cats can suffer from two forms of pancreatitis: acute and chronic. Clinical signs can be similar for either form, but tend to come on more rapidly and are more severe in cats with acute pancreatitis. The most common clinical signs are very vague, including lethargy and a reduced appetite.
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