Hello & welcome, I am Dr. B, a licensed veterinarian and I would like to help you with your wee one today.
How long ago did this all start for Holly?
Did Holly seem to improve on the medication while she was on it?
Was she eating normally?
Hi. This started 2 weeks ago. When Holly was on the meds she did start to eat a bit more and was perking up.
Incidentally, when it started she lost her voice which was very noticeable as she is a very vocal and chatty cat; she also is very affectionate but just wanted to be on her own. Now she would love to just lie on me all day and will take a little food by hand if I try really really hard, if it is mushed up and not lumpy, and if she fancies the smell.
Thank you Karin,If Holly was improving on the Ronaxan (which we would not have expected if there hadn't been an infectious process present), then it would be worth speaking to her vet about continuing her course. It may be that the intermittent dosing while you were away did lead to the medication not quite getting to therapeutic levels needed to clear the parasite. So a longer course may be indicated here. That said, you do need to take care in giving this medication (with food or in a gel capsule) since we can on rare occasions see it cause strictures/narrowing in the esophagus which could make passing food from mouth to stomach an issue here (not likely just now though since those kitties tend to be hungry, keen to eat, but regurgitate what cannot fit down the throat).Otherwise, her initial signs of withdrawal would not have been unexpected and are very common in kitties that do not feel well. The reason we see this type of behavior in cats is because as a prey species, hardwired instinct tells them to hide away or isolate themselves when they are too poorly to pretend all is well (since this would keep any predators from knowing they were vulnerable). With them changing since you returned, I would be suspicious that she is telling you that she doesn't feel as awful as before but is still weak and not feeling quite like herself.Further to considering continuing the Ronaxan, I do want to leave some further thoughts about getting food into an anorexic kitty. Now if she is turning away from normal food and bringing up water, then it does make nausea suspicious even without vomiting (often nauseous cats go off their food rather then eat/vomit like a dog would). Therefore, to rule out nausea as an anorexia differential, you may wish to try her on antacid therapy. There are a number of antacids that are available over the counter and pet friendly. I would advise only treating with one, but the two I tend to recommend are Pepcid (More Info/Dose) or Zantac (More Info/Dose). This medication of course shouldn’t be given without consulting your vet if she does have any pre-existing conditions or is on any other medications. Ideally, it should be given about 30 minutes before food to ease her upset stomach. If she is very nauseous, then her vet can treat her via injection (using Cerenia or Metoclopramide).Once that is on board, we'd want to try to get her eating (as I know you have been). Favourite foods are allowed or you can tempt her with a light/easily digestible diet. Examples of this would be boiled chicken, scrambled eggs (made with water and not milk), meat baby food (do avoid the ones with garlic powder in the ingredients) or there are also veterinary prescription diets that can be used here (ie Hill’s I/D or Royal Canin’s sensitivity.)
Overall, her positive response to treatment does confirm your vet's suspicions of an infectious agent causing trouble. Since she did respond but wasn't dosed properly while you were away, it'd be ideal to consider a longer proper course here. Otherwise, we'd want to rule out/address nausea to make sure this is not putting her off her food. If settling her stomach doesn't get her eating, then appetite stimulation medication and syringe feeding (+/- feeding tube) would be our next step. So, do give your vet a ring and see if they can continue her course and provide you some diet for supportive care for Holly. Hopefully, with a proper course of the Ronaxan we will see this underlying agent cleared and get her back to normal before she just fades away.
I hope this information is helpful.
If you need any additional information, do not hesitate to ask!
All the best,
If you have any other questions, please ask me – I’ll be happy to respond. Please remember to rate my service once you have all the information you need. Thank you and hope to see you again soon! : )