My cat on Prozac pees infrequently. Is this normal or a concern?

I would discuss this issue with your veterinarian. We definitely do not want to stop the Prozac suddenly as he could develop withdrawal symptoms. Other supplements that could help include Zylkene or a prescription cat food like c/d® Multicare Stress Feline. Acupuncture is another alternative method that may help with stress and urinary issues in cats.

Stress-related cystitis can be very frustrating to manage! It sounds as though you are doing everything you can to help Duck. Cats can become stressed by nearly anything - a new person in the house, rearranged furniture, a new type of litter, etc. I'm glad to hear that he is eating the SO food and has been started on Prozac. It can take 2 months to see full efficacy from the Prozac, and if it still isn't effective after 2 months, he may need to have a dose adjustment. Unfortunately, there isn't anything else to try at home since you're already using Feliway, an extra litter box and water fountains. A new kitten is likely to cause more stress to Duck. Until you have his stress-related cystitis under control, I would wait to bring a new kitten into your home. I hope that all goes well!

The concentration of the urine depends on a number of factors, including hydration, and has to be looked at in conjunction with the overall clinical picture. I wouldn't put too much stock in that one value right now. It sounds like you are doing everything right to help Duck feel better. Here is a link on how to pill a cat http://www.hsi.org/assets/pdfs/eng_ht_pill_cat.pdf. If it is too difficult to pill Duck, ask your vet for a liquid option if possible. Cystitis can sometimes start due to stress. There are many things that you can do to help alleviate stress and help Duck feel better. Cats need at least one litterbox per cat plus one extra to help reduce stress associated with the litterbox. They should be placed in separate rooms, away from the food and water bowls, must be scooped at least daily (preferably multiple times a day)and washed out at least weekly with a mild soap, followed by thorough rinsing. Cats need a lot of space to explore, but keeping them indoors is much safer than letting them outside, due to the risk of injury from cars, wildlife, other animals, etc. The key is providing space (particularly vertical space for climbing, such as cat trees, ledges, and the like) inside the home. Visit http://www.veterinarypartner.com/Content.plx?P=T&C=33&S=2 and https://indoorpet.osu.edu// for tips on stress reduction. Also look into Feliway, a synthetic pheromone that is available in a diffuser and spray form that promotes calm feelings in cats http://www.feliway.com.

I'm sorry for the problems Duck is having. I would consider asking the vet to image his bladder with ultrasound or possibly X-ray to make sure he doesn't have bladder stones. He may also just have residual inflammation. Make sure that he can urinate as if he becomes blocked that can be life threatening. Some therapies that can help may be prescription diets, Cosequin supplement to decrease bladder inflammation and feliway if stress in a component. He may also need pain medication if still crying. Some veterinarians have had luck using a medication called cerenia for urinary issues. Feline urologic syndromes can be difficult to diagnose and treat in some cases. Keep trying to help Duck feel better. More info. http://www.veterinarypartner.com/Content.plx?P=A&S=0&C=0&A=612 Good luck

No this would not be completely normal and may be an indication of urinary tract inflammation. Increasing water/fluid intake by feeding a wet food is very helpful and ensure any dry food is formulated to reduce crystals and urinary issues such as a specialist neutered cat or urinary formula. Monitor closely for any pain, discomfort, increased frequency or blood which would need veterinary treatment. Severe cases can end up with complete obstruction so prevention is best

Richochet is one handsome little guy! I'm sorry to hear that he's had so many behavioral changes since his methimazole dose has been regulated. The most common side effects from methimzaole include stomach upset (vomiting, diarrhea, appetite changes), lethargy, facial itchiness, as well as some liver issues and changes in blood cell counts. Behavioral changes aren't documented as known side effects of this medication (I just double checked!), although excess vocalization has been recognized as a side effect. While we keep in mind that not all cats "read the textbooks," it would be unexpected for all of these behavioral changes to occur due to methimazole alone. Given your recent move and Richochet's age, it does stand to reason that anxiety from these changes or cognitive dysfunction (essentially kitty dementia) could be to blame here. I don't think it's necessarily wrong to give Prozac a try, but it's also important to note that it takes about 2 months for that medication to reach therapeutic levels. The other thing to consider would be discontinuing the methimazole (even temporarily) to see if his behaviors return to normal. Methimazole reaches a therapeutic level in about 2 weeks, so if you have to restart it, there's less of a time lag. Ultimately, I think there's going to be some trial and error involved here. Please remember that you should ONLY make any changes to Richochet's medications under the direct guidance of your vet. I hope that everything goes well!

Hello, thank you for using Petco Pet Education Center, formerly Petcoach. A cat can be "healthy" and still have urination issues as you have described because the problem is behavioral and not medical. If it has been ruled out that she does not have any underlying medical conditions (kidney issues, bladder problems, UTI, etc) then you should try the behavioral modification medication. The medications work well and cats rarely have any side effects with their use. Please talk to your vet about this. This problem is not only stressful for you but also for Prune. And typically what happens is, if you rehome her, she will do the same behavior at the new person's house. Inevitably they get frustrated and they will rehome her and the cycle continues as she is passed from home to home. She may even end up at a shelter as unadaptable which in some shelters means euthanasia. Please don't do that to her and speak to your vet about medication. I can tell you love her very much and someone else may not feel the same about her. The medication is not expensive and typically is easy to administer. The medication does not usually change their attitude towards you or change their personality in any drastic way. It is an easy solution. Hope this helps. Best wishes.