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Hello, JACustomer. I have been a Veterinary Nurse for over 15 years and would be happy to help you today. I'm reviewing your question right now.
Can you please list what has been tried?What diagnostics have been run by Rosie's vet and when?Has she ever used the cat box exclusively?Is she spayed?Is she declawed?
Can you or your boyfriend confirm that these visits with the vet did or did not include blood work and a urinalysis. I ask specifically because a check up usually means an exam and no diagnostics are done. If none have been done or uncertainty is present, it would be wise to repeat these.Also, can you tell me how long the valium was used?
Perfect. Having ruled out underlying medical issues, we can check that one off the list. It's the most common reason for cats to be inappropriately urinating. It's my personal experience that valium does not help greatly with behavioral cases in cats. I would recommend talking to your vet about using Elavil or Prozac. These can take up to 6 weeks of daily dosing. If the valium doesn't work, I'd move medications. I would also consider using feliway diffusers in the house to reduce her stress, if this might be a factor for her, as well.
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If you have not already added extra boxes, with different types of litter, in areas other than the one she's already using, that may help. It may also help to have the couch professionally cleaned and to even put a box on the couch. When I have a new cat in my household who might be having accidents on the couch, I buy either a tarp or use the largest trash bags I can find taped together to form a protective cover for the couch which can at least save the fabric.Separation may also be required. If this is behavioral, don't hesitate to stop giving her access to the couch to see if this helps.
Unfortunately, if these don't work, your next option is to sequester her to a room without furniture and no carpet and also to look at behavioral meds long-term.