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It's medication time!

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Pat - 26 Apr 2005 14:08 GMT
I read the package insert on the Cephalexin and it says for each 10kg of
body weight you can give up to 250mg every six hours or 500mg every 12
hours.

The vet prescribed 500mg twice a day, which is more than double the
recommended dose, because Abelard doesn't even weigh 5kg.

Have you ever wrapped a small cat in a huge towel for restraint, and then
had him object so strongly to his medication that the moment it hit his
tongue he ripped the towel to shreds and shot out of your lap like a bullet
from a gun?

Do you suppose TED knew, that even with maximum effort to administer the
proper dose, the cat would spit out more than half of the medicine?
Mischief - 26 Apr 2005 14:30 GMT
hehehehe, ah the joys of pilling a cat

The vet gave a large dose because you want to totally attack the
infection.

Cephalexin is good for soft tissue injuries and ear infections (sorry I
have a test on ABs this afternoon)

my suggestion is wrap him in a towel, grab the top of his head right
behind the ears, tilt his head back and as he starts to yowl drop the
pill in his mouth.  Then hold his mouth shut until he starts licking
his nose. (that's normally a sign they have swallowed)

if that doesn't work, you might need to get a pill gun or wrap it in
tuna or something.  

Good luck,

Kristi
Pat - 26 Apr 2005 15:05 GMT
Trouble is, I'm administering a suspension, not a pill. So it's way harder
to make him swallow.

> hehehehe, ah the joys of pilling a cat
>
[quoted text clipped - 15 lines]
>
> Kristi
CatNipped - 26 Apr 2005 15:23 GMT
> Trouble is, I'm administering a suspension, not a pill. So it's way harder
> to make him swallow.
[quoted text clipped - 18 lines]
>>
>> Kristi

I feel for you!  ;>  When Bandit was injured she had to take liquid
Clavamox - more of it ended up on her and on me that ended up down her
throat.  I just hoped the vet had taken that into consideration, and
apparently they do.

Hugs,

CatNipped
Mischief - 26 Apr 2005 20:36 GMT
Ah, in that case, work the syringe into the corner of hte mouth and
give a little at a time.  let him smack his tongue and give a chance
for some of it to go down.  then try giving a little more.  I do know
from experience if you try to squirt the whole thing in the cat most of
it won't go down.

Then again, with some cats you have to get down and dirty and do just
that.

But the yogurt thing seems like a good idea.  

Good luck,

Kristi
Karen - 26 Apr 2005 15:31 GMT
With pills, sometimes a light coating of butter on it helps. With liquid,
you might be able to put it in some tuna water to make it more palatable.
And tell him "Abelard, I want you to get BETTER. THis is GOOD for you."

> hehehehe, ah the joys of pilling a cat
>
[quoted text clipped - 15 lines]
>
> Kristi
Pat - 26 Apr 2005 16:12 GMT
> With pills, sometimes a light coating of butter on it helps. With liquid,
> you might be able to put it in some tuna water to make it more palatable.

He loves all kinds of fish as well as the broth they are cooked in if out of
a can. But sweet strawberry flavoring in tuna water doesn't quite cut it!
Howard Berkowitz - 26 Apr 2005 22:11 GMT
> > With pills, sometimes a light coating of butter on it helps. With
> > liquid,
[quoted text clipped - 4 lines]
> of
> a can. But sweet strawberry flavoring in tuna water doesn't quite cut it!

Clifford (RB) would struggle against the strawberries-and-cream flavored
pediatric amoxicillin, but, once it was in his mouth, he'd lick his lips
and say "more?"  Unfortunately, I was never able to get him to lick it
from a spoon, although he seemed to like the taste.

At that point, I was still using a plastic medicine dropper. My
preference now is to use a blunt syringe, which lets me squirt liquid
medication to the back of the throat, as a "liquid bullet" rather than
drops.
Howard Berkowitz - 26 Apr 2005 22:08 GMT
> hehehehe, ah the joys of pilling a cat
>
[quoted text clipped - 3 lines]
> Cephalexin is good for soft tissue injuries and ear infections (sorry I
> have a test on ABs this afternoon)

They are a member of the class of cephalosporin antibiotics, which are
cousins of the penicillins.  In the absence of allergies, these are some
of the safest antibiotics with respect to side effects.

In human medicine, the doses are often taken far above the package
inserts in serious infections. One of the reasons clinicians like them
is that they actually kill bacteria, rather than simply keeping them
from reproducing as do other classes (technically, bacteriocidal vs.
bacteriostatic).  In other words, if you have a very sick patient whose
immune system may not be up to getting rid of a lower number of
bacteria, bacteriocidal antibiotics have an advantage.

> my suggestion is wrap him in a towel, grab the top of his head right
> behind the ears, tilt his head back and as he starts to yowl drop the
[quoted text clipped - 7 lines]
>
> Kristi
Christine Burel - 26 Apr 2005 16:24 GMT
Pat, I don't know if this will help, but you can try it.  Do you have any
idea what the med tastes like yourself?  Is it really gross?  When I've had
to give liquid antibiotics to Tucker and others of the kitty clan, I found
that amoxicillin tastes like bubblegum, which is sort of gross, but not
horrific.  So what I did was get Tucker a taste of vanilla yogurt on a
spoon; he loved it!  I started out with a little yogurt on the spoon and
dropped a few drops of the amoxicillin behind the yogurt and he got his
tongue in it, but he was so taken with the yogurt part he ate it anyway.  I
introduced more and more drops with the yogurt on the spoon and he started
taking it as a matter of course.  In this way, I have been able to get him
to take his meds.  I also always finished up with a little bit of pure
vanilla yogurt for him to lap up to get the med taste off his tongue.  You
could try tuna juice instead of yogurt and/or some other special reward or
treat for him for afterwards.  I would suggest you try and medicate Abelard
in a small room (if you aren't already) like a bathroom so he can't go too
far, too.

How much liquid are you having to give at a time?  I have found that a small
thin syringe works much better than the dropper that often comes with these
med bottles.  Another possibility I've been told about (although I haven't
tried it myself) is to see if you can try and put the liquid med inside of
empty gelatin capsules (from a health store) and use a pill popper.

Sending supportive purrs your way.  Hope this helps.
Christine

> I read the package insert on the Cephalexin and it says for each 10kg of
> body weight you can give up to 250mg every six hours or 500mg every 12
[quoted text clipped - 10 lines]
> Do you suppose TED knew, that even with maximum effort to administer the
> proper dose, the cat would spit out more than half of the medicine?
Pat - 26 Apr 2005 18:01 GMT
> Pat, I don't know if this will help, but you can try it.  Do you have any
> idea what the med tastes like yourself?  Is it really gross?
> <snip>

It's very strongly sour + sweet. At first I thought of mixing it with
yoghurt, which he likes, but he only likes plain yoghurt.

The quantity is 10ml/day which would be impractical for capsules. I did call
the vet to see if I could exchange the 2nd bottle for pills instead, and she
said yes, but it means another trip to Mtn. Grove within a week and I'm not
sure I can manage that.
Karen AKA Kajikit - 26 Apr 2005 18:02 GMT
>> Pat, I don't know if this will help, but you can try it.  Do you have any
>> idea what the med tastes like yourself?  Is it really gross?
>> <snip>
>
>It's very strongly sour + sweet. At first I thought of mixing it with
>yoghurt, which he likes, but he only likes plain yoghurt.

Try the yoghurt thing... what's the worst that can happen? He won't
eat it and you go back to the towel. Both of our girls HATE medicine
but if you mix it in with special kittenmilk they'll lap it right up
like it was a gourmet treat. They also love yoghurt and I'm sure that
would work too...
~Karen aka Kajikit
Crafts, cats, and chocolate - the three essentials of life
http://www.kajikitscorner.com
*remove 'nospam' to reply
Steve Touchstone - 27 Apr 2005 05:47 GMT
>I read the package insert on the Cephalexin and it says for each 10kg of
>body weight you can give up to 250mg every six hours or 500mg every 12
[quoted text clipped - 10 lines]
>Do you suppose TED knew, that even with maximum effort to administer the
>proper dose, the cat would spit out more than half of the medicine?

Good luck getting him to take his medicine - I should have read some
this thread before  posting Sammy's update, and about the trouble I
had getting her amoxicillin down.

Thanks to all who responded to Pat's post, since it gave me ideas for
getting the evil pink stuff down Sammy.

Well, I haven't gone to the store for cat treats yet, so will also
pick up some tuna, yogurt, even some sour cream since I've read that
some have good luck with it. And, of course a package of cat treats
for a reward if I get it down her. Probably too late to find empty
capsules, a small oral syringe to try instead of the dropper, or any
of the kitten milk subsitute, but if I have trouble tonight I'll look
for them tomorrow.  I also saw the suggestion that it sometimes work
best to give it slowly insto of squriting the whole dose down, so will
try that.
Signature

Steve Touchstone,
faithful servant of Sammy and Little Bit

stouchst@JUNKsirinet.net [remove Junk for email]
Home Page: http://www.sirinet.net/~stouchst/index.html
Cat Pix: http://www.sirinet.net/~stouchst/animals.html

Pat - 27 Apr 2005 13:28 GMT
> Good luck getting him to take his medicine - I should have read some
> this thread before  posting Sammy's update, and about the trouble I
[quoted text clipped - 12 lines]
> best to give it slowly insto of squriting the whole dose down, so will
> try that.

Amoxycillin has always been very simple to administer compared to this
stuff.  I can smell it halfway across the room myself!

I tried the yoghurt suggestion yesterday, using about 12 parts yoghurt to
one of the drug. He licked up about half a teaspoon of the mix before
quitting, so I put the rest of it in a 35cc syringe, wrapped him in a towel
AND blanket, and gave the rest. He didn't struggle quite as hard to avoid
it, but it took so much longer due to the larger quantity that it was just
as trying for both of us as giving 5cc of the straight stuff.

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