My cat's acid reflux is back. Can I give famotidine twice a day?

Hi there and thanks for posting! Acid reducers can help greatly if Cleo has been diagnosed with acid reflux. Omeprazole or Famotidine can be given, but I would be sure to check with Cleo's primary care veterinarian to determine the right dose for her. I hope this helps!

Hi there and thank you for using Petco Pet Education Center, formerly Petcoach to address your concern. Indigestion / reflux can be a life long problem so Pepcid AC may need to be given for the rest of Darby's life. Changing food to a hydrolyzed protein diet such as Hills Z/D or Royal Canin Ultamino may also help reduce the reflux as it may be dietary related. I hope this helps! Please let me know if you have any other questions or concerns and I would be more than happy to help you further.

The quarter tablet that you gave is absolutely fine. And the time at which you gave the famotidine is absolutely fine. What you did did not cause any harm so do not worry. I would stick with what was originally told for the famotidine dose though. I hope this helps! Please let me know if you have any further questions or concerns and I'll be more than happy to help.

Pepcid is safe to give daily, and I've used it for years in some cats with no problems. However, it's important to have an actual diagnosis before proceeding with this plan. Not all gastrointestinal problems are improved with Pepcid - it merely reduces the amount of acid in the stomach, so it doesn't help with all problems.

Hypothetically speaking , yes. However, I don't think we see if that often. If you are concerned your dog has gastric reflux, talk to your vet about a trial on famotidine. (Pepcid AC). See here for dosing information: (click on the chart for full view of drugs and dosages) https://www.merckvetmanual.com/pharmacology/systemic-pharmacotherapeutics-of-the-digestive-system/therapy-of-gastrointestinal-ulcers-monogastric

In the long term, there is a thought the chronic famotidine use may decrease some nutrient absorption and lead to excessive gastric acid production with possible esophageal acid reflux if it is discontinued. However, most internal medicine specialists still preferentially recommend famotidine over other antacids (such as omeprazole/Prilosec) for chronic use as it is a bit more "mild" in its mechanism of action. I know you mentioned changing foods, but consider discussing a diet trial with a hydrolyzed "hypoallergenic" diet with Brody's vet. If he has a degree of a food allergy or inflammatory bowel disease causing his vomiting and skipping of meals, these hydrolyzed diets fed for 2-3 months can remove a lot of antigenic stimulation in the GI tract and potentially prevent a lot of GI upset.

Yes, you can give 10mg of Pepcid (famotidine). It should be given once a day at the same time each day. You can give it for 14 days straight and then stop. Hopefully the problem will have resolved by then.