Do Cerenia & Mirtazapine help my cat's appetite and balance issues?

Cerenia is an anti-nausea medication, not a true appetite stimulant. A decrease in appetite is not a common side effect but was occasionally noted in safety studies. I think it’s more likely that Trixie’s decreased appetite is due to her disease rather than the medication. If you’re concerned you could ask your vet about other anti-nausea options but Cerenia is usually the most effective medication in cats.

Good question. They are both appetitive stimulants but are a different class of drug so they work in different ways. I think it is worth a shot trying to the Entyce. I would also highly recommend informing your veterinarian about this continued issue because often times the pets kidney values are really high, causing appetite suppression alone. Also ask your vet about getting Tony on Cerenia (anti-nausea) medication long term (can be given every other day in renal failure cats ) to help with his appetite. Often cats won’t eat because they are nauseous due to elevated toxins in their blood stream from the kidney disease. Also a product called Azodyl can help reduce kidney values more naturally. I hope these suggestions help you get Tony’s appetite back to what it used to be. Best wishes and take care!

Thank you for submitting your question regarding Hank. Here are a couple of my thoughts for you to discuss with his veterinarian. You can try Cerenia which is an anti-nausea medication. Entyce is a new appetite stimulant that may be tried in replace of the mirtazapine. It is only approved for use in dogs, but has been used off label in cats. You can consider switching to a potassium sparing diuretic such as spironolactone which may allow him to come off of the potassium supplement. I would avoid the ginger at this point and try other options as there is no way to know if it will interfere with his cardiac drugs. I typically try one thing at a time so that I know what is helping. I hope this information helps!

Cerenia and meclizine have different mechanisms of action so it should not be a problem. If symptoms do not improve or worsen, you may want to discuss diagnostics and referral for disease in the brain.

Hello, thank you for using Petco Pet Education Center, formerly Petcoach. There are no known contraindications with using mirtazapine and cisapride together but remember, all cats react differently to medications so if you notice any abnormal issues then stop the medications immediately and call your vet. Hope this helps. Best wishes.

Poor girl! Yes you can safely give Cerenia and Buprenorphine on the same day and even at he same time, if needed. If she has kidney disease then subcutaneous fluids will also help with that. I know th Cerenia helps with her vestibular disease because it mostly is helping with her nausea. However Cerenia is only safe to give for 5 consecutive days. After that time frame I would suggest asking your vet for motion sickness medication (Dimenhydramine) that can be given long term, if needed. I hope your kitty feels better soon!

Hello. It is more likely that Katniss's symptoms are related more to the ear cleaning than anything else, as there is no way a nail trim could cause neurological signs unless your cat was handled very roughly, & I hope this is not so. Anything placed in the ear could potentially cause enough irritation to result in the signs of vestibular syndrome. If no medications were instilled in the ears, then the symptoms should subside In 3-5 days. In addition to the medications prescribed, I might have added something for nausea ( like Cerenia ) just to make sure Katniss continues to eat well. Unfortunately, there is no strict timeline as to when she may totally recover, but if she is not significantly better by Monday, then I might be thinking about recommending a CAT scan or MRI to evaluate what is going on in her inner ear canal. Hopefully she will start to feel & act better with each passing day, but if not, you may need to pursue some advanced diagnostics. I hope she is doing better soon, thanks for using Petco Pet Education Center, formerly Petcoach.