r/RenalCats

Gabapentin

Our sweet CKD kitty is taking 25mg Gabapentin twice a day and it has been doing her the world of good. The last prescription from her doctor cost more than $170 for 60 tablets of 50 mg. Is this the right ballpark cost? Is there a better place to get the tablets from than her doctor? At the end of the day, it is helping her so we will get them from the best place for her but thought I would throw the question out there to all you helpful Pet Parents! 😊

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u/Diligent-Apricot-416 — 7 hours ago

Thoughts and prayers needed

Patches (14m)had a hairball issue last Sunday but it passed and he was fine. Now he threw up three times this morning (I gave him his antacid after the first time and anti nausea after the third)and has not eaten since last night. We took him to the vet the last time and they gave us a hairball remedy and his numbers were stable in stage 1. Now he's apparently lost a pound and a half (15lbs to 13.5), is lethargic and scared. They couldn't get x-ray so they sent us down to the large specialty and emergency vet. I'm hoping he just has a very bad hairball/plastic or dental issues.

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u/rosestormcrowe — 3 hours ago

Renal cat food recommendations needed! Preferably pattee/Mousse texture.

Hi, my cat recently got diagnosed with CKD and she’s been on royal canine for close to a month now. She seems to like it, however sometimes she doesn’t like it or doesn’t eat enough of it. This is definitely my own fault as I have spoilt her.

She is 17 with barely any teeth and sadly is quite underweight (which is why I asked for pattee or mousse recommendations). She eats enough food however she is quite fussy and before this I use to give her a mix of a lot of food throughout the week so she doesn’t get bored.

If anyone has any recommendations for a fussy cat or a cat with not a lot of teeth please let me know!

UK cat food option would be best however I’m willing to exhaust all options!

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u/Independent_Stable82 — 5 hours ago

Update: Taking Bobyo to the Vet Tomorrow. Stomach Visibly Larger (Wet FIP)

I'm taking Bobyo to the vet tomorrow morning for his PCR test. His stomach is visibly larger and we cannot wait any longer. We still need 961 AED ($261 USD) for his GS treatment to begin. Every share and contribution brings him closer. 🙏

Account name: Creatures World PT FDS & ACS LLC SP

Account number: 0572705984001

IBAN: AE380400000572705984001

u/Sunshine9898766 — 4 hours ago

Frustrated - 5 y/o F w/pyelonephritis & CKD

Hi everyone! First time actually taking the time to post on Reddit, but I’m very frustrated with the situation with our 5 year old female cat. Also sorry for the long post!

We took her to the ER vet on 2/27 where they diagnosed her with a UTI & sent us home with Clavamox to treat her. She seemed to be getting better over the couple weeks she was on it.

3/19 she started acting lethargic again. Got her into our normal vet they did in-house urinalysis, blood work, & x-rays. Those results showed swelling in her kidneys & they told us to take her to a speciality vet for hospitalization.

3/20 we take her to the ER specialty vet. Her CREA level was 8 something (don’t have paperwork handy for exact #s) and BUN was in the hundreds. They put her back in clavamox & gave her IV fluids. She was hospitalized for 48 hours & then they sent her home.

Once home she started crashing within 24 hours & she was re/hospitalized on 3/23. This time they do a full urine culture & find out the bacteria is resistant to clavamox & they start her on Cefpodoxime. She was hospitalized from 3/23-4/1. Her CREA came down to the 3s. They sent us home with antibiotics, phos binder & subQ fluids. She HATES all oral meds, but we are managing.

She was receiving 100ml twice a day, which we were able to reduce to once a day. She was on the mend. We were going in for rechecks and her CREA was holding in the low 4s, was found she didn’t need the phos binder and we finished her course of antibiotics.

Cut to this weekend 4/11 & she starts not eating again. I take her back to the vet. CREA is climbing back to 5.7 and the full urine culture they did right after finishing the antibiotics shows she still has bacteria & now it is resistant to the Cefpodoxime.

They are now recommending we re-hospitalize her, which we can’t do cause we’re basically out of money at this point for that. They are having us up her SubQ fluids again to 100ml twice a day, starting her on Trimethoprim/sulfamethoxazole & want to perform a serum test that will tell us how the antibiotic is working.

I’m honestly just so frustrated with the vet and the whole situation at this point. I’m exhausted and just looking for support/advice/recommedations. Curious is anyone has been through similar and had good outcomes?

Happy to answer any questions.

Thank for reading all that if you made it this far!

u/AquaSwim02 — 10 hours ago

Nighttime seems way worse?

Hi there,

My 10 year old cat was just diagnosed with stage 4 kidney disease 5 days ago, and I feel like it’s progressed so quickly since then.

Last night he was extremely wobbly and lethargic. So much so that I was scared he wasn’t going to make it through the night.

But this morning he jumped up on my bed, still very wobbly, but bright and looking for pets. Seeming more like himself.

Is it normal for evenings to be worse like this? Kinda like sundowning, for example?

I thought we’d have a couple of weeks with him, but I’m realizing that we might only have days. My heart is absolutely shattered, but I’m doing everything I can to keep him comfortable until it’s his time.

Thanks in advance for any responses 🙏🏻

u/chronic_chaoss — 10 hours ago
🔥 Hot ▲ 120 r/RenalCats

Los Angeles (SFV) - In honor of Milky: 20 cans of Weruva Truluxe Steak Frites, 13 cans of Royal Canin Renal Support T, 8 cans of Weruva WX 4 Chicken in Gravy and 4 patè and about a quarter bag of Royal Canin Renal Support S Dry Food.

****Last person who reached out has not gotten back to me since March. So am reposting******

Sooo many people on this subreddit have generously donated to me when I needed it. It is unfortunate circumstances, but I want to continue paying it forward to someone else who could also benefit from this in Milky’s honor.

The steak frites is technically not CKD prescribed food, but it is the lowest phosphorus percentage in standard cat food - purchased this for the days I needed to make money stretch before buying more of their therapeutic food.

I also have:

5 mg Prednisolone tablets

5.4 mg of Apoquel

Bag of Greenies Pill Pockets

A little bit of Pet Wellbeing Kidney Support Gold supplement

250 mcg flixotide (for any of my fellow asthmatic cats). I honestly couldn’t tell you how many puffs are left, probably more than half though.

It’s a constant reminder of him and cannot hang onto this anymore……I hope I can help someone else out.

u/meejha — 1 day ago
🔥 Hot ▲ 55 r/RenalCats

11 yo female stage 4

Hi everyone,

I’m going through a really difficult time with my 11-year-old female cat and I’m looking for advice or shared experiences.

On March 28th, she stopped eating, became lethargic, and started sitting by her litter box as if she was trying to urinate but couldn’t. My first thought was kidney failure.

At our first vet visit (we had just moved and didn’t yet have a trusted vet), we were told it might be a hairball issue. X-rays, including a barium study, were done, and she was treated for a possible obstruction. I guess I wanted to believe that there was a hairball issue because it’s much easier than kidney failure.

However, her bloodwork at that time already showed elevated kidney values (creatinine was around 3.97), and nothing was mentioned to us about kidney disease. No treatment or guidance was given regarding her kidney function, which in retrospect is very concerning.

A few days later, her condition didn’t improve, so I decided to see another vet. Further evaluation at a different clinic revealed advanced kidney failure (stage 4). And I have been told that she may have between six months and a year remaining. Of course, it was devastating. I lost 3 kg in a couple of days but I’m trying to stay strong so I can be there for her and help her feel better. I know that everything in life has a limited time, and no matter how much I want to hold on, at some point she will slip away from me. I can’t help but think about the emptiness that losing her would leave inside me. She has been with me through all the turning points of my life. When we first went to the second clinic, she had to stay there for two days, and it didn’t feel like home at all without her. I can’t imagine a life without her, but I also feel like it would be selfish to let her suffer just so I can have one more day with her.

Since then, she has been on intensive fluid therapy. Even though I’m sensitive to things like blood, I’m trying to handle the process at home so that she can feel more comfortable.

Over the past week:

She has been receiving daily fluid therapy (isotonic saline and lactated Ringer’s solution)

Her blood values have improved:

Creatinine dropped from 3.97 to 2.94

BUN dropped from 64 to 42

SDMA decreased from 77 to 62

However, her phosphorus is still high (around 7.8)

Our next visit is on Tuesday.

Clinically:

She drinks water and urinates frequently

She has started eating small amounts again (boiled chicken and some renal dry food (royal canine) and canned recovery food

She responds to us, makes eye contact, moves around even tries to play her favorite game with us.

But she has fluctuating energy levels and sometimes hides or seems uncomfortable, especially when the effects of fluids wear off

We also started a phosphate binder, but I’m struggling to administer it consistently.

Recently, IV access has become difficult — she reacts strongly, likely due to vein irritation — so probably after vet visit we are transitioning to subcutaneous fluids at home.

Emotionally, I’m struggling with the balance between continuing treatment and not wanting her to suffer. She still has “good moments,” but the ups and downs are very hard to interpret.

My questions:

Has anyone seen similar improvement in values in such a short time, and how did things progress afterward?

How do you manage appetite and phosphate binders in picky cats?

At what point did you feel it was no longer fair to continue?

I want to do what’s best for her — not just keep her alive, but make sure she’s comfortable.

Thanks for your time.

u/grouchycat9 — 24 hours ago

Rapid onset CKD in a 16+ year old cat

Our Mabel is at least 16-- she's a rescue, so could be older. She's always been a bit of a picky eater, but that got worse this year. We had bloodwork done on January 28th, and it was perfect. We treated her for a UTI, and her appetite seemed to improve at first, but then got much worse. We did bloodwork again (and an X-ray to rule out bladder issues) on April 6th, and she was the border of Stage 2-3 renal failure. In a matter of 5 weeks. This month her appetite has gotten worse to the point where she is literally turning her face away from even the yummiest of food. We started giving her subQ fluid at home but that didn't help. We repeated bloodwork this past Friday and found out she's now in Stage 4 renal failure with VERY high phosphate levels (they were perfect on April 6th). I don't have copies of the bloodwork, bc this was over the weekend.

We have had numerous cats over the years (even now) with chronic CKD. We give subQ fluids, and usually they do wonderfully for years. We did have one cat a while ago who had a sudden onset of CKD at age 9 and went downhill rapidly in a month. We tried the phosphate binder with him, but since he wasn't eating, it was horrible and made him gag and vomit. We don't want to do that with Mabel.

Other than not eating, you wouldn't know she was sick! She does look more straggly and has lost a little weight. And she is a little shaky sometimes, but she still tools around, jumps on the fridge, but DOES NOT EAT. Even rotisserie chicken. Even baby food. We've tried it all. She'll take a lick at the most. This has been a week now, and it's getting worse. We increased her fluids to twice a day, but we don't want her to get to the point where she is suffering. I know hepatic lipidosis is coming. I also do not want to force-feed. We've sworn we would never do that unless it would help the cat make a recovery-- and there is no recovery from this stage of CKD.

We are thinking of putting her to sleep, but it's hard to imagine doing that with a cat who is still getting around. But I know cats can turn at any moment, and we don't want her to suffer. Thoughts?

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u/profmoxie — 1 day ago

For the cats that refuse to use the liter box, what have you tried that’s worked? Mine will only go in my bathroom, which we’ve been trying to keep shut. Now he’s peed outside of the bathroom at the front door.

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u/Practical-Ad341 — 10 hours ago

Wet food for renal + hypoallergenic

Hi all, my 16 year old cat is suffering from CKD and also many allergies (most severe is pork). She's also arthritic and in pain. We have hypoallergenic dry food which she does like, but the main bulk of her diet is wet food. I am struggling to find a suitable wet food as most renal ones have pork. She is currently having one of those and her itchiness has become too intense to cope with to the extent that she is making her self bleed on her legs and tail. Does anyone have any combinations of food or any specialised wet food that they think may be suitable? I have tried the Trovet venison and she hated it

Thanks

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u/bellsprout__lvl99 — 7 hours ago

Anyone have experience getting insurance to reimburse for renal food or SubQ?

I have pet insurance for my newly diagnosed CKD cat, and saw my policy says prescription food is covered as long as it's for medical treatment and not for diet. I was wondering if anyone has experience filing claims for prescription renal food (he is on that now) or other recurring expenses like subQ (he's not there yet but the vet has mentioned not far off)?

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u/jloio001 — 3 hours ago

Need info

Someone posted here the name of a water fountain their cat loves, I took a screenshot but in my screenshot universe Apple isn’t very helpful, if anyone knows please post, I want to put one away from dogs.

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u/Frosty_Astronomer909 — 39 minutes ago

New to CKD

So i think my cat (F 18) has early CKD but we are having several issues so far with our vet. First, she hasn’t even been diagnosed - it has been suspected by me for awhile due to increased thirst but she recently had i 131 treatment for hyperthyroid and just had 30 day follow up bloodwork. We got the treatment so that the labs would be accurate and not mask issues. Our vet sent the labs and just recommended kidney diet Hill’s, didn’t even mention which stage she would be at with her levels. Overall my husband and i are very dissatisfied with our vet’s lack of info as this is the first time we are dealing with CKD and have a lot of questions. I would prefer not to have to rely on Google when we are supposedly paying for medical advice.

SDMA is 19, Creatinine 2.9, BUN 33. I think she is stage 2/3 but some things are suspicious even with CKD - her eosinophils which are low (.28) and neutrophils trending higher as well. Possible infection has been mentioned before but there is no way to know what is infected. It also looks like she may be on the brink of anemia.

If anyone has advice on how to deal with an inadequate vet in this situation that would be great. She is scheduled for her last hyperthyroid follow up labs in 60 days so I thought now would be a good time to make a few changes and see if her labs improve. Things like switching to a lower phosphorus high protein wet food, adding Porus One, adding B12 supplement. She had been getting 100ml subq fluids 2x/wk before these labs so I think continuing that will help too. But she actually is higher energy when she is more dehydrated - I think vitamins may be leaching with the high hydration. We do give her Digestall pre/probiotic and Miralax already.

Any info would be super appreciated!

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u/textreference — 9 hours ago

Best non-prescription food option?

Took my kitty to the vet, they’re happy his levels are stable but he has lost weight. He eats the prescription food (Royal Canin) but he loses interest and they want me to mix in other food with the prescription food.

Does anyone have recommendations on non-prescription cat food? He previously eating Purina ONE cat food (dry) and Fancy Feast (wet).

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u/Kfkdjsjbsjxosk — 1 day ago
🔥 Hot ▲ 59 r/RenalCats

I can't believe it

We let our sweet baby Nugget pass the rainbow bridge yesterday. He had a little high but was much much slower than in any other highs and needed multiple laying down breaks during his ways. It seemed that he sometimes forgot what he was on the way for. Food was eaten but in such miniscule amounts that it's not worth mentioning. He was still very interested in us and our doings and seemed to want to follow us. He drank for MINUTES at the fountain, it went as long as him taking 10 Minutes to drink. The illness progressed what seemed to be overnight so much farther. We used that little window of feeling good he had yesterday to euthanize him.

I'll miss his face-cleaning sessions on furniture corners, his sunbathing while laying on his back looking like a fat sack of potatoes, his demands for liver sausage treats, his nightly concerts, the noise he makes when jumping from places too high and landing on his face (it was a little painless oomph), him laying down in shoes with his stump and his "stumpling" (we called it that when he used his stump to do things). He had so much character it's unbelieveable.

I kind of also have to vent here because it was traumatic to me, please don't read ahead if you're sensitive to details of it. If any mod finds it wrong or sees a rule-break that I'm very likely very tone-deaf to then please contact me before just deleting my post and i'll remove this part and make another. And please be merciful, it's still all too raw and every little thing kind of shatters me right now.

The vet told us she'll administer everything subq but didn't do "the last blow" that way. She didn't tell me to look away or close my eyes for the last part. It looked so brutal and that brutal image of his peaceful passing is now burned into my memory. I now feel like it wasn't peaceful. I never euthanized a pet before, all pets we've had prior passed naturally and just dropped dead or fell asleep, this was my first time. I am in no way promoting letting your babies pass from renal diseases naturally, being azotemic and uremic feels horrible. I know and heavily emphasize euthanasia is important for cases like these. I just kind of.... needed proper explanation and guidance through that rather than a slip-slap and doneso thing. He also just felt so weird to the touch. There was something hard just below the ribs and no one cared to explain what it was. She did give me a condolence card with a quote in it, and it makes healing a bit easier. I've never seen or heard of a vet doing that.

u/ballsgrater360 — 1 day ago

Stage 2, diabetic, and how higher phosphorus. At what point do you add binders?

Hello All,

My cat Humphrey is 15 and has been treated for diabetes for the past 16 months. In July 2025 we had a blood panel showing that he was headed into stage 2 CKD. I've put him on renal food (he's eating Young Again Mature Zero, and Royal Canin Renal D), and we've been juggling his blood glucose and his CKD.

I'm in Canada btw, some of these values are in canadian units. I'll convert where necessary.

July panel:

ALT 140 IU/L, Creatinine 218 umol/L (2.47 mg/dL American) , SDMA 19 ug/dL.

His November panel showed an improvement due to the food switch, but his blood pressure was elevated so now he's on amlodipine.

November: ALT 91, BUN 18.5mmol/L (51.8 mg/dL American units), Creatinine 149 (1.69 American), SDMA 20, phosphorus 1.2 mmol/L (3.7 in American units).

March:

ALT 53, BUN 14.8 (41.4 American units), Creatinine 154 (1.74 American units), SDMA 20, phosphorus 1.81 (5.6 American units).

Now the vet wants to place him on a phosphorus binder. We've had a difficult time adjusting my cat to his current diet, and to get his poops regular, I empty two capsules of psyllium husk fiber to his wet food, total of 1000 mg per day.

When trying out the Phos-Bind (prescribed half a scoop twice a day), it created a huge constipation backlog in my cat, and multiple days of dosing with Miralax to clear the backup.

Is my cat's phosphorus high enough that I should be pursuing a new balance with miralax, more fiber, etc. etc.?

What have you figured out that helps your kitty?

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u/ilovebeaker — 6 hours ago

Effectiveness of IV Fluids

Hi RenalCat community,

I wanted to see how effective IV fluids can be to reducing a cats Creatinine and Bun levels.

My elderly "young man" is almost 19 and has had CKD for the last 9 months. His Creatinine level was 2.0 and Bun was 60. He acted the same, but we switched him to renal food and he had been drinking a ton of water.

Early this week he started limping, but he had injured himself before and it started getting better. Then on Friday he missed dinner, but I figured he would pick at his food like he does sometime. Saturday morning he didn't want to eat or drink. Was very sleepy. Finally I got him to eat and he wolfed down his food and then some more and drank a bunch of water. After a long nap He ate 2 more times that day and acted 80% of normal, walked around and explored outside. This morning he didn't want to eat or drink much and I decided I had to take him to the Vet Hospital. I noticed that he peed about half as much as he normally did.

They ran his blood work and his numbers are Creatinine 5.9 BUN 124 Phosphorus 15.2

The vet recommended keeping him for 24 hours and try and IV Flush his system.

Otherwise he was looking good, he was alert and walking around, just a little bit of wobble in his back legs.

Anyone else have good experience with an IV flush?

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u/Edward_Blake — 1 day ago

Difficult Recovery from OP and possible kidney problems

Hey everyone, my cat Tora (5) was bitten badly in her leg by her sister recently and had to be sedated to get stitches. After that she was not recovering and was just getting more and more apathic by the day. No poop or If any just diarrhea. No eating. We had to feed her a tonic with a syringe orally. Very unusual bowel movement. Unable to keep herself on the legs. Additionally she was in severe pain.

We had to send her to a clinic and they discovered values a 620 mmol/l and immediately started Infusion. She was there for a few days and it now plateaued at 230. She started eating but very minimal amounts.

She has been home for a couple days and drinks sufficiently but still only eats like maybe a quarter bowl a day at max no matter what kind of food we give her. We got some renal snacks she likes, but that cant be all she is eating all day ...She used to be 4kg but now i can feel her spine clearly and she is not stable on her legs.

I don't really know how to get her to eat. I tried everything to make the food as appealing as possible and encouraged her but she just isn't interested.

What should I do? We are going to the vet tomorrow but I don't really want to wait to hear what the doctor hast to say. Since she was treated she only got worse so i don't know If i can trust in what they will say.

🔥 Hot ▲ 148 r/RenalCats

Thanks for putting up with me. My cat just died and I'm leaving now.

Thanks for putting up with me the last few days here. My cat died last night. I feel like every bone in my body just broke. I'm going to go dig her a grave in a back yard in the garden. This is unbearable.

best of luck to everyone.

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u/RyanEvansAFT — 2 days ago