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Veterinarian101
Veterinarian101, Cat Veterinarian
Category: Cat Veterinary
Satisfied Customers: 922
Experience:  Veterinarian with further qualifications in Animal Behavior. Knowledgable on cat behavior and health.
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Is it safe to give a cat Phenergan? Shes an almost 13-year-old

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Is it safe to give a cat Phenergan? She's an almost 13-year-old Burmese with respiratory trouble. Been to the vet several times - three different antibiotics. No long term solution.

Veterinarian101 :

Hi

Veterinarian101 :

I am an experienced vet and happy to help.

Customer:

Hi.

Veterinarian101 :

Is your cat eating ok?

Customer:

She's always been fussy, but she'll eat her favourites happily.

Veterinarian101 :

Has she always had respiratory problems her while life or just recently?

Veterinarian101 :

Has she been to a cattery or near other cats recently?

Customer:

She used to have excema type troubles, but the respiratory troubles have come about in the last year or so. Usually she gets a "cold" type thing that resolves itself in a week or so. This time however, it's been going on for a couple of months without totally clearing.

Veterinarian101 :

Any mixing with other cats? Is she outdoor?

Customer:

She's had four different medications from the vet - first was pills (murder to get into her), then paste (also murder), then an injection and finally a different lot of pills...all worked for a few days only. She is mostly indoor - her only outdoor activity is to sit in the sun near the house. She lived with a couple of other cats that were indoor/outdoor at will (we live on a rural acreage so they were safe from cars, etc) but sadly they discovered snakes. I now have a couple of kittens as well, but she doesn't have a lot to do with them.

Veterinarian101 :

Is she sneezing or more breathing type problems?

Customer:

She was sneezing, but now it's mostly breathing type. She also makes vomiting noises, usually without result, like she's choking.

Veterinarian101 :

Ok - sorry about all the questions but need to get a better idea.

Veterinarian101 :

Has your vet done any xrays, PCR tests (swabs) or nasal flushes?

Customer:

That's fine. The more idea you have, the more likely you are to be able to help.

Customer:

She did swabs, which came back clear.

Veterinarian101 :

ok. Xrays?

Customer:

She's also sought advice from other vets, but have come up blank. No xrays. Vet said her chest wasn't great, but it's mostly in her head. Xrays will require a 40minute drive and Juliet (the cat) is a stress monkey, which makes her worse. So we're trying to avoid that if possible.

Veterinarian101 :

Ok. I see - fair enough.

Veterinarian101 :

Burmese cats are very prone to getting asthma - did the vets mention this?

Customer:

She did actually. But that was some time ago now. May have been overlooked as an option since. I'm basically looking for something to relieve her symptoms a bit over the weekend and give her a bit of a break to sleep easily.

Veterinarian101 :

Ok.

Veterinarian101 :

It dose sound like asthma is a possibility. Do you have Benadryl or just Phenergan? Both are ok it is just I have better results (sometimes) Benadryl.

Customer:

I know phenergan is safe for dogs (my brother's lab used to get allergies and it was used to help her), so I was hoping I use it for Juliet.

Veterinarian101 :

sorry - with Benadryl!

Veterinarian101 :

HERE is some good information on asthma in cats.

Customer:

Right now I only have phenergan. Can get Benadryl next week.

Veterinarian101 :

Ok Phenergan it is then!

Veterinarian101 :

The dose rate is: 0.2-0.4 mg/kg orally every 6-8 hours

Veterinarian101 :

Do you need help with a calculation?

Customer:

She weighs 3.2kg...so about 0.75 - 1ml. Right?

Veterinarian101 :

Can you tell me what is says on the label. It should say how much Promethazine in one ml or something similar. Sorry - every bottle is slightly different!

Customer:

OK, it says "each 5 ml contains promethazine hydrochloride BP 5mg"

Veterinarian101 :

Ok perfect - give me sec to calculate.....

Veterinarian101 :

'a sec'

Veterinarian101 :

I would give 1ml orally. Every 6-8 hours.

Veterinarian101 :

Yes your were correct!

Veterinarian101 :

I am concerned that your cat really needs some further tests and some prednisolone therapy.

Customer:

Great. Thanks. Now I just have to hold her down and avoid the claws.

Veterinarian101 :

This may be oral (tablets or liquid) or even inhalant.

Veterinarian101 :

LOL - try wrapping her in a towel

Customer:

Yes, she's definitely going back to the vet again next week. Poor little devil is just so miserable right now and the emergency vet's an hour away.

Veterinarian101 :

Poor think. Sometimes a steam room can help. So put her in the bathroom with a hot shower running may assist in the meantime.

Veterinarian101 :

Gosh my typing is terrible today - 'poor thing!'

Veterinarian101 :

Can I help any further?

Customer:

She's currently on the best chair in the house - in front of the fire. I'll try the shower trick.

Customer:

I didn't even notice - I reread (and type) bad fingers well!.

Veterinarian101 :

lol

Veterinarian101 :

If that's all then I'll say good afternoon from Melbourne!

Customer:

Thank you so much. I don't think there's anything else.

Customer:

And I'll say good afternoon from cold, wet Canowindra (central west NSW). Many thanks again.

Veterinarian101 :

Best of luck and bye :)

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