If readers can stand a bit more about Cammie, I would like to share what I learned from the doctor yesterday.
The conversation I had with her was most interesting. She is not Cammie’s usual veterinary, but she was the one who examined the princess yesterday, and she consulted with the usual vet before calling me. I was going to talk to her about Aventi and other phosphate-binders, and probiotics which would help in the same process, but she pre-empted that specific topic with news.
There is a product available to veterinaries called Semintra. It came out in 2014 and is advertised as “the first ever angiotensin receptor blocker to receive marketing authorization in veterinary medicine… It is licensed for the reduction of proteinuria (the unwanted loss of protein via the urine) associated with chronic kidney disease (CKD) in cats.” As it was explained to me, it combines the functions of a phosphate-binder with the ability to reduce urea.
Though not quite new, I gather it is still not in common use, though my veterinaries have read very good reports about it, even that its continued use can diminish and eliminate the need for subcutaneous fluids. I will be picking up a bottle of this new medicine today. It is in the form of a liquid, to be given in different amounts to different cats, depending upon their weight. I would prefer it to be compounded for a transdermal delivery - and that may be in the future - but a liquid is much better than a solid pill or powder.
Combined with that treatment will be a doubling of the amount Cammie receives of benazepril: I will give her the same dosage, but now twice a day. Initially prescribed to prevent another stroke, this medicine, which lowers blood pressure, will also allow the kidneys to filter the blood better; an increase in medicine will assist the kidneys further to do this.
The disadvantage of this new programme is the cost: the amount of money I spend on benazepril will double, and Semintra is not inexpensive. Fortunately, with the corona virus troubles in the world, my holiday on the Orient Express will have to be cancelled, so I’ll have extra funds...
My girl’s Semintra treatment will begin today, the doubling of the benazepril tomorrow; I will be studying techniques for giving her fluids during the weekend. Cammie is not going to be happy with me in the next little while, but if she lives longer annoyed with me than she would otherwise, I will be satisfied with that.
That’s the plan, anyway.